夫三部之中,俱见一脉,所主杂病,略而言之。《脉经》曰∶阳邪来,见浮洪;阴
邪来,见微细;水谷之邪来,见实坚;寒 之邪来,见弦小。又曰∶浮而滑者,宿
食也。短而滑者,酒病也。迟而滑者,脉满也。洪而大者,伤寒也。浮而数者,伤
风也。浮而急者,饮食不消,脾不磨也。沉而弦者,寒气结而阴痛也。浮而缓者,皮
肤不仁也。滑而散者,瘫痪也。迟而缓者,寒症也。浮而涩者,霍乱也。弱而涩者,反
胃也。紧而滑者,吐逆也。短而数者,心痛也。弦而数者,为疟也。紧而急者,尸
遁也。实小而坚者,病在内而冷也。浮滑而紧者,病在外而热也。短而急者,病在
上也。长而缓者,病在下也。长而弦者,病在肝也。滑而洪者,病在心也。微而软者,
病在脾也。浮而涩者,病在肺也。沉而紧者,病在肾也。又诀曰∶诸浮为风,或为
虚也。诸紧为痛,或为积也。诸涩为痹,诸弦为饮,诸数为热,诸迟为寒,芤则为失
血,软则为虚,若脉沉沉泽泽,四肢不仁者,亡祟也;或大而 ,社祟也;若脉
来乍大乍小,乍短乍长者,鬼祟也。
(寸部主上焦头面之疾)凡诊脉按之骨而
见者,谓之有力;按至骨而无者,谓之无力。余皆仿此。
浮而有力主风,无力主虚。主头面眼目,虚浮体重,风寒齿痛,口眼 斜。
沉而有力主积,无力主气。主胸膈痞满,咳嗽气急,膈气反胃,胸满不食。
迟而有力主痛,无力主冷。主呕吐痞满,不入水谷,虚汗拘急,疼痛不已。
数而有力主热,无力主疮。主上焦烦躁,口苦嗌干,客热烦渴,头痛口疮。
(关部主中焦胸腹之疾)
浮而有力主风,无力主虚。主两胁拘挛,不能举运,背脊筋疼,身体麻木。
沉而有力主积,无力主气。主膨胀虚鸣,心腹疼痛,上下关格,不思饮食。
迟而有力主积,无力主冷。主 癖腹痛,游走不定,上下攻刺,反胃吐食。
数而有力主热,无力主疮。主口热作渴,呕吐霍乱,怔忡烦躁,寒热交争。
(尺部主下焦腰足之疾)
浮而有力主风,无力主虚。主寒邪腰痛,腿膝麻木,阴茎肿痛,二便不利。
沉而有力主积,无力主气。主脐下肿痛,脚膝酸痛,下虚盗汗,小便频数。
迟而有力主痛,无力主冷。主小腹急痛,外肾偏坠,小便频数,大便泄泻。
数而有力主热,无力主疮。主小便不通,大便闭塞,或作肾痈,烦渴不止。
(五脏见浮脉,主风虚之病)
心脉浮 主心虚,触事易惊,神不守舍,舌强不语,语言错乱。
肝脉浮 主中风瘫痪,筋脉挛搐,面肿牙疼,肠风下血。
脾脉浮 主脾虚作膨,饮食不进,上气喘急,呕逆泄泻。
肺脉浮 主咳嗽气急,大便风秘,面浮面疮,吐血唾脓。
肾脉浮 主腰疼牙痛,小腹气痛,腿足生疮,足膝无力。
(五脏见沉脉,主积气之病)
心脉沉 主小便淋沥,咯血尿血,小
便不通,寤而不寐,心惊。
肝脉沉 主怒气伤肝,胁痛肥气,眼目昏痛,肚腹胀满。
脾脉沉 主中满不食,痞气色黄,手足不仁,呕吐泄泻,贪睡。
肺脉沉 主咳嗽多痰,上气喘急,呕血失音,息贲肺痈。
肾脉沉 主风滞腰痛,小便小利,阴 作胀,奔豚腹满。
(五脏见迟脉,主冷痛之病)
心脉迟 主小便频数,心疼呕水,怔忡多悸,伏梁脐痛。
肝脉迟 主筋挛骨痛,目昏多泪,触事易惊,转筋麻木。
脾脉迟 主咳嗽泄泻,腹中有虫,痰涎多壅,饮食不化。
肺脉迟 主寒嗽喘满,大便溏泻,皮肤燥涩,梦涉大水。
肾脉迟 主小便频数,滑精不禁,膝胫酸疼,阴湿盗汗。
(五脏见数脉,主疮热之病)
心脉数 主烦躁狂言,舌上生疮,小便赤涩,眼目昏花。
肝脉数 主眼痛翳膜,目昏多泪,头风眩晕,妇人血热骨蒸及中风。
脾脉数 主口臭胃翻,齿痛牙宣,多食不饱,四肢不举。
肺脉数 主咳嗽唾血,喉腥目赤,大便闭结,面赤痱痤。
肾脉数 主消渴不止,小便血淋,下疰生疮,阴囊湿痒。
Among the three pulse positions (Cun, Guan, Chi), if each position exhibits only one specific pulse type, the various miscellaneous diseases they indicate are briefly explained as follows. The *Mai Jing* (Classic of Pulse Diagnosis) states: When Yang pathogens arrive, the pulse appears floating and surging (Fu Hong); when Yin pathogens arrive, the pulse appears faint and fine (Wei Xi); when water and grain pathogens arrive, the pulse appears solid and firm (Shi Jian); when Cold pathogens arrive, the pulse appears wiry and small (Xian Xiao). It further states: A pulse that is floating and slippery indicates retained food (Su Shi). A pulse that is short and slippery indicates alcohol-related disease (Jiu Bing). A pulse that is slow and slippery indicates fullness of the pulse qi. A pulse that is surging and large indicates Cold Damage (Shang Han). A pulse that is floating and rapid indicates Wind Injury (Shang Feng). A pulse that is floating and urgent indicates indigestion and weakened Spleen grinding function. A pulse that is deep and wiry indicates pain in the Yin aspect caused by凝结 of Cold Qi. A pulse that is floating and moderate indicates insensitivity of the skin (numbness). A pulse that is slippery and scattered indicates paralysis (Tan Huan). A pulse that is slow and moderate indicates Cold syndromes. A pulse that is floating and choppy indicates Cholera (Huo Luan). A pulse that is weak and choppy indicates regurgitation (Fan Wei). A pulse that is tight and slippery indicates vomiting and rebellious Qi. A pulse that is short and rapid indicates Heart pain. A pulse that is wiry and rapid indicates Malaria (Nie). A pulse that is tight and urgent indicates Shi Dun disease (a condition involving spirit disturbance or fright). A pulse that is solid, small, and firm indicates an internal disease with cold symptoms. A pulse that is floating, slippery, and tight indicates an external disease with heat signs. A pulse that is short and urgent indicates a disease located in the Upper Jiao. A pulse that is long and moderate indicates a disease located in the Lower Jiao. A pulse that is long and wiry indicates Liver disease. A pulse that is slippery and surging indicates Heart disease. A pulse that is faint and soft indicates Spleen disease. A pulse that is floating and choppy indicates Lung disease. A pulse that is deep and tight indicates Kidney disease. Another verse states: All floating pulses primarily indicate Wind or Deficiency. All tight pulses primarily indicate Pain or Accumulation. All choppy pulses primarily indicate Bi syndrome (obstruction). All wiry pulses primarily indicate Fluid retention (Yin). All rapid pulses primarily indicate Heat. All slow pulses primarily indicate Cold. A Kou pulse (Kou Mai, hollow like a scallion) indicates blood loss. A soft pulse (Ruo Mai, also known as Ru Mai) indicates Deficiency. If the pulse is deep and moist, accompanied by numbness of the four limbs, it indicates Wang Su (loss of spirit/possession). If the pulse is large and empty, it indicates She Su (earth god possession). If the pulse comes alternately large and small, short and long, it indicates Gui Su (ghostly possession).
(The Cun position primarily governs diseases of the Upper Jiao and head/face) Whenever palpating the pulse, if the pulse can be felt strongly even when pressed to the bone, it is called "forceful" (You Li); if the pulse cannot be felt when pressed to the bone, it is called "non-forceful" (Wu Li). Other situations follow this pattern.
A floating pulse that is forceful indicates Wind; non-forceful indicates Deficiency. It primarily involves diseases of the head, face, and eyes, such as flaccidity, heavy body, toothache due to Wind-Cold, and deviation of the mouth and eye (Kou Yan Xie Pian).
A deep pulse that is forceful indicates Accumulation; non-forceful indicates Qi stagnation. It primarily involves chest and diaphragm stuffiness and fullness, coughing with急促 breathing, Ge Qi, regurgitation, chest fullness, and lack of appetite.
A slow pulse that is forceful indicates Pain; non-forceful indicates Cold. It primarily involves vomiting and stuffiness, inability to eat or drink, spontaneous sweating, tendon cramping and urgency, and unceasing pain.
A rapid pulse that is forceful indicates Heat; non-forceful indicates Sores/Ulcers. It primarily involves Upper Jiao irritability, bitter taste and dry throat, exogenous heat with thirst, headache, and oral ulcers.
(The Guan position primarily governs diseases of the Middle Jiao, chest, and abdomen)
A floating pulse that is forceful indicates Wind; non-forceful indicates Deficiency. It primarily involves cramping and contraction of both hypochondria, inability to lift or move, back spine tendon pain, and body numbness.
A deep pulse that is forceful indicates Accumulation; non-forceful indicates Qi stagnation. It primarily involves abdominal distension and borborygmus, heart and abdominal pain, Shang Xia Guan Ge (blockage preventing upward vomiting and downward urination/defecation), and lack of desire for food.
A slow pulse that is forceful indicates Accumulation; non-forceful indicates Cold. It primarily involves Pi Xi abdominal pain (wandering masses), moving unpredictably, stabbing pain up and down, regurgitation, and vomiting.
A rapid pulse that is forceful indicates Heat; non-forceful indicates Sores/Ulcers. It primarily involves oral heat and thirst, vomiting and cholera, palpitations and irritability, and alternating chills and fever.
(The Chi position primarily governs diseases of the Lower Jiao, waist, and feet)
A floating pulse that is forceful indicates Wind; non-forceful indicates Deficiency. It primarily involves Cold pathogen lower back pain, leg and knee numbness, penile swelling and pain, and difficulty in urination and defecation.
A deep pulse that is forceful indicates Accumulation; non-forceful indicates Qi stagnation. It primarily involves swelling and pain below the umbilicus, soreness and pain in legs and knees, Lower Jiao deficiency with night sweats, and frequent urination.
A slow pulse that is forceful indicates Pain; non-forceful indicates Cold. It primarily involves acute pain in the lower abdomen, descent of the external genitalia, frequent urination, and diarrhea.
A rapid pulse that is forceful indicates Heat; non-forceful indicates Sores/Ulcers. It primarily involves urinary obstruction, fecal impaction, or formation of Kidney Abscess (Shen Yong), and incessant thirst.
(When the Five Zang organs present a Floating pulse, it primarily indicates Wind-Deficiency diseases)
Heart pulse floating indicates Heart Qi Deficiency, easily startled by events, unsettled Spirit, stiff tongue unable to speak, and disordered speech.
Liver pulse floating indicates Wind-Stroke paralysis, tendon cramping and convulsions, facial swelling and toothache, and intestinal wind bleeding (hematochezia).
Spleen pulse floating indicates Spleen Deficiency causing bloating, inability to eat, upper asthma and急促 breathing, vomiting, and diarrhea.
Lung pulse floating indicates coughing with急促 breathing, constipation due to Wind, facial edema and sores, hemoptysis, and spitting pus.
Kidney pulse floating indicates lower back pain and toothache, Qi pain in the lower abdomen, sores on legs and feet, and weakness in feet and knees.
(When the Five Zang organs present a Deep pulse, it primarily indicates Qi-Accumulation diseases)
Heart pulse deep indicates dribbling urination, hemoptysis and hematuria, urinary obstruction, insomnia while awake, and heart palpitations/fear.
Liver pulse deep indicates anger injuring the Liver, hypochondriac pain, Fei Qi (hepatomegaly), dim and painful eyes, and abdominal distension.
Spleen pulse deep indicates middle Jiao fullness and anorexia, Pi Qi with yellow complexion, numbness of hands and feet, vomiting and diarrhea, and excessive sleepiness.
Lung pulse deep indicates coughing with much phlegm, upper asthma and急促 breathing, hematemesis and aphonia, Xi Ben (rebellious lung Qi) and Lung Abscess.
Kidney pulse deep indicates Wind-stagnation lower back pain, difficult urination, distension of the genitals, Ben Tun (rushing pig/Qi rushing from lower abdomen to chest) and abdominal fullness.
(When the Five Zang organs present a Slow pulse, it primarily indicates Cold-Pain diseases)
Heart pulse slow indicates frequent urination, Heart pain with vomiting clear fluid, palpitations and frequent fright, Fu Liang (abdominal mass) and umbilical pain.
Liver pulse slow indicates tendon cramping and bone pain, dim vision with excessive tearing, easily startled, muscle spasms and numbness.
Spleen pulse slow indicates coughing and diarrhea, worms in the abdomen, excessive phlegm and saliva congestion, and undigested food.
Lung pulse slow indicates Cold cough with wheezing and fullness, loose stools, dry and rough skin, and dreaming of wading in water.
Kidney pulse slow indicates frequent urination, involuntary seminal emission, soreness and pain in knees and shins, and dampness in the yin area with night sweats.
(When the Five Zang organs present a Rapid pulse, it primarily indicates Sores-Heat diseases)
Heart pulse rapid indicates irritability and manic speech, sores on the tongue, red and scanty urine, and dim vision.
Liver pulse rapid indicates eye pain with nebula, dim vision with excessive tearing, Head Wind dizziness, Blood Heat and bone-steaming fever in women, and Wind-Stroke.
Spleen pulse rapid indicates bad breath and stomach reversal, toothache and receding gums, eating much but not feeling full, and inability to raise the four limbs.
Lung pulse rapid indicates coughing and spitting blood, foul throat and red eyes, fecal impaction, red face with acne (Fei Cuo).
Kidney pulse rapid indicates incessant Xiao Ke (wasting-thirst), bloody strangury, lower chancre sores, and damp itching of the scrotum.