趺阳脉迟而缓,胃气如经也。趺阳脉浮而数,浮则伤胃,数则动脾,此非本病,医特下之所为也。荣卫
内陷,其数先微,脉反但浮,其人必大便硬,气噫而除。何以言之?本以数脉动脾,其数先微,故知脾气不治,
大便硬,气噫而除。今脉反浮,其数改微,邪气独留,心中则饥,邪热不杀谷,潮热发渴,数脉当迟缓,脉因
前后度数如法,病者则饥。数脉不时,则生恶疮也。
经,常也。趺阳之脉,以候脾胃,故迟缓之脉为常。若脉浮数,则为医妄下,伤胃动脾,邪气乘虚内陷
也。邪在表则见阳脉,邪在里则见阴脉。邪在表之时,脉浮而数也,因下里虚,荣卫内陷,邪客于脾,以数则
动脾。今数先微,则是脾邪先陷于里也,胃虚脾热,津液干少,大便必硬。《针经》曰∶脾病善
噫,得后出余气,则快然而衰,今脾客邪热,故气噫而除。脾能消磨(医统本作“磨消”)水谷,今邪气独
留于脾,脾气不治,心中虽饥而不能杀谷也。脾主为胃行其津液,脾为热烁,故潮热而发渴
也。趺阳之脉,本迟而缓,因下之后,变为浮(医统本作“浮为”)数,荣卫内陷,数复改微,是脉因前后度
The pulse at the Fuyang (Stomach source point) is slow and moderate, indicating that the Stomach Qi conforms to the normal state. If the pulse at the Fuyang is floating and rapid, a floating pulse indicates injury to the Stomach Qi, and a rapid pulse indicates disturbance of the Spleen Qi. This is not the original disease but the result of the physician's inappropriate use of purgation. Ying (Nutritive) and Wei (Defensive) Qi have sunk inward; the rapidity was first diminished, and the pulse reverses to appear only floating. The patient will certainly experience hard stools and belching with subsequent relief. Why is this so? Originally, the rapid pulse disturbed the Spleen Qi, and since the rapidity had previously diminished, we know that Spleen Qi dysfunction has occurred, leading to hard stools. Belching allows residual Qi to exit, bringing comfort. Now, the pulse reverses to floating, and the rapidity changes to diminished. Pathogenic Qi remains alone. Although the heart/mind feels hungry, pathogenic heat cannot digest food, resulting in tidal fever and thirst. A rapid pulse should normally transform into a slow and moderate one. If the pulse's progression and regression follow the proper rules, the patient will feel hunger. If the rapid pulse does not subside at the appropriate time, malignant sores will arise.
"Jing" (Classic/Constant) refers to the constant or normal state. The Fuyang pulse is used to inspect the Spleen and Stomach; therefore, a slow and moderate pulse is considered normal. If the pulse is floating and rapid, it indicates the physician's reckless use of purgation, which injures the Stomach and disturbs the Spleen, allowing pathogenic Qi to sink inward due to deficiency. When pathogenic Qi is in the exterior, Yang pulses appear; when in the interior, Yin pulses appear. When pathogenic Qi is in the exterior, the pulse is floating and rapid. Due to internal deficiency caused by purgation, Ying and Wei Qi sink inward, and pathogenic Qi lodges in the Spleen, disturbing it via the rapid pulse. Since the rapidity diminishes first, it means Spleen pathogenic Qi has sunk inward first. With Stomach deficiency and Spleen heat, body fluids dry up and decrease, making stools inevitably hard. The *Zhen Jing* (Needle Classic) states: "Spleen disease predisposes to belching; after the discharge of residual Qi (via defecation or flatulence), one feels relieved and the condition subsides." Now, the Spleen is invaded by pathogenic heat, hence belching brings relief. The Spleen is responsible for processing water and grain. Now, pathogenic Qi remains solely in the Spleen, and Spleen Qi fails to govern properly; although there is a sensation of hunger in the heart/mind, food cannot be digested. The Spleen is responsible for transporting body fluids for the Stomach. When the Spleen is scorched by heat, tidal fever and thirst occur. The Fuyang pulse was originally slow and moderate, but after purgation, it changed to floating and rapid. Ying and Wei Qi sank inward, and the rapidity again changed to diminished. This concerns the degree of change in the pulse before and after...