详无三阴脉,应古阙文也。难经云∶太阴之至,紧大而长;少阴之至,紧细而微;厥阴之至,沉短以敦。”)
夫平心脉来,累累如连珠,如循琅 ,曰心平。(按∶连珠,言其至之相续无间,且如玉之润泽也。琅 ,
玉之光润者,注言珠类,误矣。)夏以胃气为本。(按∶万物生于土,人养于胃,故四季各有土,而人无胃气
则死也。)病心脉来,喘喘连属,其中微曲,曰心病。死心脉来,前曲后居,如操带钩,曰心死。(居,不动
也。操,执持也。钩谓革带之钩。按∶凡病死之脉,体状颇不相符,观者得其大意而已。)
平肺脉来,厌厌聂聂,如落榆荚,曰肺平。(浮薄而虚者也。)秋以胃气为本。病肺脉来,不上不下,如
循鸡羽,曰肺病。(谓中央坚而两旁虚。)死肺脉来,如物之浮,如风吹毛,曰肺死。(按∶肺脉固属轻虚,
然过于浮薄则死。如物之浮,如风吹毛,轻浮无根之象也。)
平肝脉来,软弱招招,如揭长竿末梢,曰肝平。(如竿末梢,言长软也。)春以胃气为本。病肝脉来,
盈实而滑,如循长竿,曰肝病。(长而不软,故若循竿。)死肝脉来,急益劲,如新张弓弦,曰肝死。(劲谓
劲强,急之甚也。)
平脾脉来,和柔相离,如鸡践地,曰脾平。(按∶脾脉尤贵平缓,脉缓而平,是谓和柔而不近于弱,若鸡
之缓行而不急走也。)
长夏以胃气为本。(按,长夏,夏季十八日也。土分王于四季,而夏季独尊之为长者,以夏火生土,而土尤王
故也。土王于长夏,而胃本属土,人不再食则饥,饥至七日则死,是故长夏虽当土王之时,亦以胃气为本也。)
病脾脉来,实而盈数,如鸡举足,曰脾病。(按∶脾宜安静,故动则为病,如鸡举足,状其动之急。)死脾脉来,
锐坚如鸟之喙,如鸟之距,如屋之漏,如水之流,曰脾死。(喙距,言锐坚也。水流屋漏,言其至也。水流谓
平至不鼓,屋漏谓时动复住。按∶羽属之足皆曰距,鸡距动稍急,故病,鸟距动尤速,故死也。)
平肾脉来,喘喘累累,如钩,按之而坚,曰肾平。(按∶越人云∶“其来上大下兑,濡滑如雀之喙曰平。”
吕广曰∶“上大者足太阳,下兑者足少阴,阴阳得所为胃气强,故谓之平。雀喙者,本大而未兑也。”按此但
言肾之平脉如是,非解经文也。喘累如钩等义原不可解,阙疑可也。)冬以胃气为本。病肾脉来,如引葛,按之
益坚,曰肾病。(按,引葛义亦不可解。)死肾脉来,发如夺索,辟辟如弹石,曰肾死。(辟辟如弹石,言促
且坚也。按∶肾宜沉敛,夺索者解散之意。冬脉虽宜如石,然弹石则搏击应手而无和缓之气矣。)
The detailed absence of the three Yin pulses should be attributed to following the practice of leaving blank spaces for missing text in ancient documents. The *Nan Jing* (Classic of Difficult Issues) states: "When the Taiyin pulse arrives, it is tight, large, and long; when the Shaoyin pulse arrives, it is tight, thin, and minute; when the Jueyin pulse arrives, it is deep, short, and solid."
A healthy Heart pulse comes continuously like linked pearls, similar to touching polished jade, indicating a balanced Heart state. (Commentary: 'Linked pearls' implies the beats are continuous without interruption, and lustrous like jade. 'Langgan' refers to bright, lustrous jade; the annotation claiming it resembles beads is incorrect.) Summer relies on Stomach Qi as its foundation. (Commentary: All things are born from Earth, and humans are nourished by the Stomach; thus, each season corresponds to Earth elements, and without Stomach Qi, death ensues.) A diseased Heart pulse comes hurriedly and continuously, with a slight curvature within, indicating Heart disease. A dying Heart pulse comes with an initial curve followed by rigidity, resembling handling a leather belt hook, indicating impending death of the Heart. ('Ju' means immobile. 'Cao' means holding. 'Hook' refers to the buckle of a leather belt. Commentary: The morphological characteristics of fatal pulses often do not perfectly align; observers should grasp the general meaning.')
A healthy Lung pulse comes lightly and softly, like falling elm seeds, indicating a balanced Lung state. (This describes a floating, thin, and deficient pulse.) Autumn relies on Stomach Qi as its foundation. A diseased Lung pulse comes neither ascending nor descending, similar to tracing a chicken feather, indicating Lung disease. (This refers to a pulse that is firm in the center but deficient on both sides.) A dying Lung pulse floats like an object adrift or blows like wind-driven feathers, indicating death of the Lung. (Commentary: While Lung pulses are naturally light and void, excessive floating and thinness indicate death. Floating like an object or blowing like wind represents a rootless, excessively superficial image.)
A healthy Liver pulse comes soft and swaying, like the tip of a long pole held high, indicating a balanced Liver state. (Like the tip of a pole, describing length and softness.) Spring relies on Stomach Qi as its foundation. A diseased Liver pulse comes full, solid, and slippery, similar to tracing a long pole, indicating Liver disease. (Long but not soft, hence feeling like tracing a pole.) A dying Liver pulse comes urgent and increasingly forceful, like a newly drawn bowstring, indicating death of the Liver. ('Jin' refers to stiffness and strength, representing extreme urgency.)
A healthy Spleen pulse comes harmonious and distinct, like a chicken walking on the ground, indicating a balanced Spleen state. (Commentary: The Spleen pulse is especially valued for being gentle and level. A slow and level pulse is called harmonious and soft, not approaching weakness, much like a chicken walking slowly rather than running urgently.) The Long Summer relies on Stomach Qi as its foundation. (Commentary: The Long Summer refers to the last eighteen days of summer. Earth qi dominates all four seasons, but summer is uniquely honored as 'long' because Summer Fire generates Earth, making Earth qi particularly prosperous. Since Earth qi reigns during the Long Summer, and the Stomach belongs to Earth, if one stops eating, hunger ensues, leading to death after seven days. Therefore, even though the Long Summer is the time of Earth's dominance, it still relies on Stomach Qi as its foundation.) A diseased Spleen pulse comes solid, full, and rapid, like a chicken lifting its foot, indicating Spleen disease. (Commentary: The Spleen prefers tranquility, so movement indicates disease. Like a chicken lifting its foot, this describes the urgency of movement.) A dying Spleen pulse comes sharp and hard like a bird's beak, like a bird's spur, like water leaking from a roof, or like flowing water, indicating death of the Spleen. ('Beak' and 'spur' describe sharpness and hardness. Flowing water and leaking roof describe the arrival pattern. Flowing water means flat arrival without pulsation; leaking roof means intermittent beating. Commentary: The feet of birds are called spurs. The chicken spur moves slightly urgently, indicating disease; the bird spur moves even faster, indicating death.)
A healthy Kidney pulse comes hurriedly and continuously, like a hook, becoming firm upon pressure, indicating a balanced Kidney state. (Commentary: Yue Ren [Bian Que] said: "If the pulse comes larger at the top and narrower at the bottom, moist and smooth like a sparrow's beak, it is balanced." Lu Guang said: "'Larger at the top' refers to the Foot-Taiyang bladder meridian, 'narrower at the bottom' refers to the Foot-Shaoyin kidney meridian; when Yin and Yang harmonize as strong Stomach Qi, it is called balanced. 'Sparrow's beak' means large at the base but narrow at the tip.' Commentary: This merely describes the balanced pulse of the Kidney, not an explanation of the classic text. The meanings of 'hurried/continuous like a hook' are originally difficult to interpret; it is best to leave them as questions.) Winter relies on Stomach Qi as its foundation. A diseased Kidney pulse comes like pulling on a vine, becoming firmer upon pressure, indicating Kidney disease. (Commentary: The meaning of 'pulling on a vine' is also difficult to interpret.) A dying Kidney pulse comes like ropes being pulled in contention, clicking like stones being struck, indicating death of the Kidney. ('Clicking like stones' describes urgency and hardness. Commentary: The Kidney pulse should be deep and收敛 (collecting). 'Ropes in contention' implies dispersion. Although the Winter pulse should be like stone, if it strikes the hand like stones, it lacks the gentle and relaxed Qi.)