怒 为呕血,飧泄,煎厥,薄厥,胸满胁痛,食则气逆而不下;为喘渴烦心;为
消脾肥气,目暴盲,耳暴闭,筋缓。怒伤肝,为气逆,悲治怒。
喜 为笑,毛革焦伤,气不收,甚则狂。喜伤心,为气缓,恐治喜。
悲 为阴缩筋挛,肌痹脉痿,男为数溲,女为血崩,酸鼻辛 ,泣则臂麻。悲伤
肺,为气消,喜治悲。
惊 为痰涎,目HT 吐,痴痫不省人事。惊伤神,为气乱,思治惊。
劳 为咽噎喘促,嗽血唾血,腰重痛,骨痿,男少精,女不月。劳伤血气耗,逸
治劳。
思 为不眠,好卧昏瞀,三焦痞塞,咽喉不利,呕苦筋痿,白淫,不嗜饮食。思
伤脾,为气结,怒治思。
恐 伤肾,为气不行,思治恐。
寸口脉但实者,心劳。寸口脉沉,胸中气短,浮而绝者,气辟;大而滑,中有短气。数
而不加六至者,为滑;微弱者少气。尺脉沉滑者,寸白虫。男女皆当以左手尺脉常弱,右手
尺脉常盛,为平。阳盛阴虚,下之安;二寸实大,尺短少,此伤寒之邪,乘其里虚而入于腑
者是也。如尺脉弱寸强,则阴不足阳往乘之,下之安,汗之死。余以类推。脉俱弦,指下又
虚,脾胃虚弱证。食少而渴,痞。腹中痛窄狭,二便不调,脉俱沉紧,按之不鼓,膀胱胜小
肠
也。或泻利不止而腹胀,或纯白赤,或杂血便多,不渴,精神少,或面白脱色,此失血之故
。或面黄而气短,此元气损少之故。是丙火小肠为壬膀胱所克而外走也,屯火投于水,大寒
之证,宜温之则愈。姜、附(各半两)、赤石脂(四钱半,飞)、朱砂(一两,研。)茯苓汤下二
三十丸。
脉,诸按之不鼓为虚寒。二寸短少,谓之阳不足,病在下。脉,诸搏手,为寒凉或寒药
治之,脉虚,亦姜、附。脉二手相似而右为盛,皆胃气虚;二寸求之脾胃,当从阴引阳。脉
中少有力,盛甚则似止,胸中元气不及。脉贵有神。神者,不问迟数之病,中外有力者,为
神
也。脉,诸短为虚。二关脉实,上不至,发汗。下不至,利大便。脉,诸大为虚。二关脉沉
细,纯虚也,宜补之。脉涩与弦而大,按之有力为实,无力为虚。脉沉迟,寸微滑者为实。
二尺不见,或短少,乃食塞,当吐之。凡脉盛大以涩,外有寒证,名寒中。乃寒独留,血脉
泣,故大也。脉大而实,不可益气。滑脉关以上见,为大热;关以下见,为大寒。火并于上
,以丙火化;火并于下,以壬水化。杂病脉沉者,多属痰,宜吐。伤寒寸脉浮滑者,有痰、
宜吐。劳热,脉沉细无火者死。阳脉浮,阴脉弱者,则血虚,血虚则筋急。凡有者为实,无
者为虚。假令脉浮则为阳盛阴虚,脉沉则为阴盛阳虚,此有则彼无,彼有则此无。又如弦则
木实、金亏、土虚。浮诊见者,为腑,为上部,为阳;按之见者,为脏,为下部,为阴。脉
来者,为阳,为气;去者,为阴,为血。假如脉来疾去迟,为阳有余而阴不足也,故曰外实
内虚是也。出以候外,疾为实;入以候内,迟为虚。寸微尺紧为虚损,阴盛阳微之故也。诸
浮脉无根死,脏腑无根故也。
长病脉 虚而涩、虚而滑、虚而缓、微而伏、浮而结、浮而滑、实而大、实而滑
、细而软,
如蛛丝、羹上肥,如屋漏,如雀啄,如霹雳,如贯珠,如水淹。以上此脉,得之则生,反之
则死(一本如水淹之下,注曰皆死脉也。无以上此脉,得之则生,反之则死三句。有识者详
之)卒病与长病条下,反之则死。人病甚,脉不调难差,脉洪者易已。
形脉相应 肥人,脉细欲绝者死。瘦人脉躁者死。身温,脉滑者死。身滑,脉涩
者死。身小,脉大者死。身大脉小者死,身短脉长者死。身长脉短者死。
Anger (Nu) leads to hematemesis, steatorrhea (undigested food in stool), Jian Jue (syncope due to excessive heat), Bo Jue (syncope due to qi rebellion), chest and hypochondriac fullness and pain, qi rebelling upward after eating without descending; manifesting as panting, thirst, vexation; causing emaciation of the spleen, Fei Qi (accumulation disease of the spleen), sudden blindness, sudden deafness, and flaccidity of sinews. Anger injures the Liver, causing qi rebellion; sadness is used to treat anger.
Joy (Xi) manifests as laughter, dry and scorched skin and hair, inability to retain qi, and in severe cases, mania. Excessive joy injures the Heart, causing qi dispersion; fear is used to treat joy.
Sadness (Bei) manifests as contraction of the yin organs, tendon spasm, muscle bi syndrome, pulse withering, frequent urination in men, and metrorrhagia (profuse vaginal bleeding) in women; nasal discomfort at sour smells, arm numbness when weeping at pungent smells. Sadness injures the Lung, causing qi consumption; joy is used to treat sadness.
Fright (Jing) manifests as increased phlegm-saliva, eyes rolling up with vomiting, dementia and epilepsy with loss of consciousness. Fright injures the Shen (Spirit), causing qi chaos; contemplation is used to treat fright.
Fatigue/Labor (Lao) manifests as throat obstruction, panting and shortness of breath, coughing blood or spitting blood, heavy and painful lower back, bone wasting, reduced sperm in men, and amenorrhea in women. Fatigue injures and depletes blood and qi; rest is used to treat fatigue.
Contemplation/Overthinking (Si) manifests as insomnia, desire to lie down with dizziness and blurred vision, stagnation of the San Jiao (Triple Burner), throat obstruction, vomiting bitter fluid, tendon wasting, Bai Yin (seminal emission or clear leukorrhea), and loss of appetite. Contemplation injures the Spleen, causing qi knotting; anger is used to treat contemplation.
Fear injures the Kidney, causing qi stagnation; contemplation is used to treat fear.
If the Cun Kou (radial artery at the wrist) pulse is only Excess (Shi), it is due to Heart fatigue. If the Cun Kou pulse is Deep (Chen) with shortness of breath in the chest, and Floating (Fu) but intermittent, it indicates qi blockage; if Large (Da) and Slippery (Hua), there is a sensation of shortness of breath within. If rapid but not reaching six beats per respiration, it is called Slippery; if weak and faint, it indicates Qi deficiency. If the Chi (distal) pulse is Deep and Slippery, it indicates Ascaris lumbricoides (pinworms). For both men and women, a normally weak Left Chi pulse and a normally strong Right Chi pulse constitute a balanced state. When Yang is Excess and Yin is Deficient, purgation brings peace; if both Cun pulses are Excess and Large while the Chi pulse is short and scanty, this is pathogenic factors of Shang Han (Cold Damage) entering the Fu organs due to interior deficiency. If the Chi pulse is weak and the Cun pulse is strong, Yin is insufficient and Yang invades; purgation brings peace, but sweating causes death. The rest can be inferred by analogy. If pulses are all Wiry (Xian) and feel empty under the fingers, it is a Syndrome of Spleen and Stomach weakness. With little food intake and thirst, accompanied by epigastric fullness. Abdominal pain with a narrow sensation, irregular bowel movements and urination, pulses are all Deep and Tight (Chen Jin), unresponsive to pressure, indicating the Bladder overcoming the Small Intestine. Or, persistent diarrhea with abdominal distension, or pure white/red stools, or bloody stools with little thirst, mental lethargy, or pale complexion, this is due to blood loss. Or yellow face with shortness of breath, this is due to slight damage of Yuan Qi (Original Qi). This is Bing Fire (Small Intestine) being overcome by Ren Water (Bladder) and moving outward, like fire thrown into water, a Great Cold syndrome, suitable for warming treatment to heal. Formula: Ginger and Aconite (each 0.5 liang), Red Kaolin (4.5 qian, refined), Cinnabar (1 liang, ground), taken as 20-30 pills with Poria Decoction.
Regarding pulses: All pulses that are unresponsive to pressure indicate Deficiency-Cold. Shortness in both Cun pulses is called Yang insufficiency, with disease in the lower part. Regarding pulses: Those that beat forcefully against the finger are treated with cold-natured medicines or cold therapies; if the pulse is Deficient, Ginger and Aconite are also used. If both hands have similar pulses but the Right is stronger, it indicates Stomach Qi deficiency; seeking the Cun pulses relates to Spleen and Stomach, drawing from Yin to guide Yang. If the pulse has slight strength, but becomes extremely strong then seems to stop, it indicates insufficient Yuan Qi in the chest. Pulses value having Shen (Spirit). Shen means regardless of slow or rapid pulses, those that are strong inside and outside possess Shen. Regarding pulses: All Short pulses indicate Deficiency. If both Guan (middle) pulses are Excess but do not reach upwards, use sweating; if they do not reach downwards, use purgation. Regarding pulses: All Large pulses indicate Deficiency. Deep and fine Guan pulses indicate pure Deficiency, suitable for tonification. Pulse Choppy (Se) and Wiry and Large, strong upon pressure indicates Excess, weak indicates Deficiency. Deep and Slow pulse with slightly Slippery Cun indicates Excess. Absence or shortness in both Chi pulses indicates food stagnation, requiring emesis. All pulses that are Large and Excess yet Choppy, with exterior Cold symptoms, are named Han Zhong (Cold Middle). This is cold lingering alone, causing blood vessels to congeal, hence the pulse is Large. Large and Excess pulses should not be treated with qi-tonifying methods. Slippery pulse appearing above the Guan indicates Great Heat; appearing below the Guan indicates Great Cold. Fire merging upwards transforms via Bing Fire (Small Intestine); fire merging downwards transforms via Ren Water (Bladder). In miscellaneous diseases, Deep pulses mostly belong to Phlegm, suitable for emesis. In Shang Han, Floating and Slippery Cun pulses indicate phlegm, suitable for emesis. In labor-fever, Deep and Fine pulses without fire indicate a fatal prognosis. Floating Yang pulses and Weak Yin pulses indicate Blood Deficiency, which causes tendon tension. What is present is Excess, what is absent is Deficiency. For example, Floating pulse indicates Yang Excess and Yin Deficiency; Deep pulse indicates Yin Excess and Yang Deficiency; this is mutual exclusion. Similarly, Wiry pulse indicates Wood Excess, Metal Deficiency, and Earth Deficiency. Floating palpation reveals Fu organs, upper part, and Yang; pressing reveals Zang organs, lower part, and Yin. The coming of the pulse is Yang and Qi; the going is Yin and Blood. If the pulse comes fast and goes slow, it indicates Yang Excess and Yin Deficiency, thus termed Exterior Excess and Interior Deficiency. Coming monitors the exterior, fast indicates Excess; going monitors the interior, slow indicates Deficiency. Slight Cun and Tight Chi indicate Deficiency and Damage, due to Yin Excess and Yang Microness. All Floating pulses without root indicate death, due to lack of root in Zang and Fu organs.
Pulses of chronic illness: Empty and Choppy, Empty and Slippery, Empty and Moderate (Huan), Faint and Hidden (Fu), Floating and Knotted (Jie), Floating and Slippery, Excess and Large, Excess and Slippery, Fine and Soft, like spider silk, fat on soup, like leaking roof, like bird pecking, like thunderclap, like string of pearls, like flooding water. Among these pulses, obtaining them implies survival, reversing them implies death (another version notes below 'flooding water' that all are death pulses, lacking the three sentences 'above these pulses, obtaining them implies survival, reversing them implies death'; let those with insight examine carefully). Under acute and chronic illness sections, reversing them implies death. When the patient is severely ill and the pulse is irregular and hard to correct, a洪 (Hong/Great) pulse indicates easier recovery.
Correspondence of Form and Pulse: In obese people, a Fine pulse nearly imperceptible indicates death. In thin people, a Rapid and Agitated pulse indicates death. Warm body with Slippery pulse indicates death. Smooth body with Choppy pulse indicates death. Small body with Large pulse indicates death. Large body with Small pulse indicates death, Short body with Long pulse indicates death, Long body with Short pulse indicates death.