数为阴不胜阳,故脉太过,一息六至是也。浮沉迟数,脉之纲领也。数而弦为紧,流利
为滑,数而有止为促,数甚为极,数见关中为动脉。
主病 数脉主腑,有力为实为热,宜泻。无力为虚火,为相火,宜补。浮数表热,沉数
,气口数实,病肺痈,数虚为肺痿,寸数咽肿,口舌生疮,吐血咳嗽,或肺生痈,关数胃火
肝火,尺数则肾虚,宜滋阴降火。
滑为阴气有余,故脉来流利如水。脉者,血之腑也,血盛则脉滑,故肾脉宜之。气盛则
,故肺脉宜之。《脉诀》云∶按之即伏,三关如珠,不近不退,是不分浮滑沉滑尺寸之滑也
,今正之。
主病 滑脉为阳,主元气虚衰,痰饮宿食,吐逆蓄血,女子经调有孕。寸滑主膈痰呕吐
酸舌强,或咳嗽。关滑主宿食,肝脾积热,尺滑则泻痢 淋。又曰∶滑主痰饮,浮滑风痰,
沉滑食痰,滑数痰火,滑短宿食。《脉诀》言关滑胃寒,尺滑脐冷,与《脉经》言关滑胃热
,尺滑血蓄,妇人经病之旨相反,其谬如此。
涩为阳气有余,气盛则血少,故脉蹇滞,而肺脉宜之。《脉诀》言指下寻之似有,举之
,《脉经》所云,绝不相干。又曰∶细而迟短往来难,短且散,一止复来,参互不调,如轻
刀刮竹,如雨沾沙,如病蚕食叶。又曰∶细迟短散,时一止曰涩,极细而软,重按若绝曰微
,浮而柔细曰濡,沉而柔细曰弱。
主病 涩主血少伤精,反胃,亡阳多汗,营中寒湿,入营血痹,妇人非孕即无经。寸涩
伤胸痛,关则胃虚胁胀,尺为精血俱伤,肠结溲淋,或为下血。又曰∶涩主血少伤精之病,
女人有孕为胎病,无孕为败血。杜氏曰∶涩脉独见尺中,形同代,为死脉。
Shu (Rapid Pulse) arises when Yin fails to overcome Yang, resulting in an excessive pulse rate; six beats per respiration cycle characterizes this pulse. Floating, Deep, Slow, and Rapid constitute the general principles of pulse diagnosis. A Shu pulse combined with a Xian (Wiry) quality is termed Jin (Tight); smooth and fluid movement indicates Hua (Slippery); Shu with intermittent pauses is Cu (Surging); extreme rapidity is Ji (Extreme); and Shu appearing at the Guan (Carpal) position denotes Dong (Pulsating).
Disease Manifestations: The Shu pulse primarily corresponds to Fu organ disorders. If forceful, it indicates Excess Heat, warranting purgation. If weak, it signifies Deficient Fire or Ministerial Fire, warranting tonification. Floating-Shu indicates Exterior Heat; Deep-Shu... [text incomplete]; a forceful Shu at the Qi Kou (Radial Artery) suggests Lung Abscess; a deficient Shu manifests as Lung Witheredness; Shu at the Cun (Distal) position presents with sore throat, mouth and tongue ulcers, hemoptysis, cough, or lung abscess; Shu at the Guan position indicates Stomach Fire or Liver Fire; Shu at the Chi (Proximal) position signifies Kidney Deficiency, requiring nourishment of Yin and descent of Fire.
Hua (Slippery) pulse reflects an excess of Yin Qi, characterized by a smooth, fluid flow like water. The Mai (Vessel) is the residence of Blood; abundant Blood results in a Slippery pulse, hence the Kidney pulse appropriately exhibits this quality. Abundant Qi... [text incomplete] makes the Lung pulse appropriate for this quality. The *Mai Jue* (Pulse Classic) states: pressing reveals it sinking, resembling pearls rolling across all three positions without floating or sinking, defining Slipperiness irrespective of superficial/deep or Cun/Guan/Chi distinctions. This view is now corrected.
Disease Manifestations: The Hua pulse is Yang-natured, indicating deficiency of Yuan Qi, Phlegm-Fluid retention, retained food, vomiting/regurgitation, blood stasis, regular menstruation, or pregnancy in women. Slipperiness at the Cun position indicates phlegm in the diaphragm, vomiting of acid, tongue stiffness, or cough. At the Guan position, it indicates retained food, heat accumulation in the Liver and Spleen; at the Chi position, it indicates diarrhea, dysentery, or strangury. Furthermore: Hua indicates Phlegm-Fluid; Floating-Hua indicates Wind-Phlegm; Deep-Hua indicates Food-Phlegm; Shu-Hua indicates Phlegm-Fire; Hua-Duan indicates retained food. The *Mai Jue* claims Guan-Hua indicates Stomach Cold and Chi-Hua indicates cold navel, which contradicts the *Mai Jing* stating Guan-Hua indicates Stomach Heat, Chi-Hua indicates blood stasis, and relates to menstrual disorders in women. Such is its error.
Se (Choppy) pulse reflects an excess of Yang Qi; when Qi is excessive, Blood becomes deficient, causing the pulse to be hesitant and stagnant, making it appropriate for the Lung pulse. The *Mai Jue* states that searching under the fingers yields a faint sensation, while lifting... [text incomplete], which is entirely unrelated to the *Mai Jing*. It further describes: thin, slow, short, difficult to move, scattered, occasionally pausing then resuming, irregularly intermixed; like a light knife scraping bamboo, rain soaking sand, or a sick silkworm eating leaves. Additionally: thin, slow, short, scattered, with occasional pauses defines Se; extremely thin and soft, vanishing upon heavy pressure defines Wei (Micro); floating, soft, and thin defines Ru (Soggy); deep, soft, and thin defines Ruo (Weak).
Disease Manifestations: Se indicates Blood deficiency injuring Essence, regurgitation, loss of Yang with profuse sweating, Cold-Dampness in the Ying level, Bi syndrome entering Ying and Blood, and either absence of pregnancy or amenorrhea in women. Se at the Cun position indicates chest pain; at the Guan position, Stomach deficiency and hypochondriac distension; at the Chi position, joint injury of Essence and Blood, intestinal constipation, strangury, or lower bleeding. Furthermore: Se indicates diseases of Blood deficiency injuring Essence; in pregnant women, it indicates fetal pathology; in non-pregnant women, it indicates failed blood. Du states: Se appearing exclusively at the Chi position, resembling the Dai (Intermittent) pulse, is a death pulse.