外此冲阳、太溪、太冲,皆足动脉。冲阳者,胃脉也。在足面上五寸骨间动脉上去陷谷三
寸。盖土者,万物之母。冲阳脉见不衰,胃气尚存,病虽危而犹可生也。然亦忌弦急,恐其肝旺克土耳。太
溪者,肾脉也,在足跗后两旁圆骨上动脉陷中。盖水者,天一之元,诊此不衰,尚可治也。太冲者,肝脉
也,在足大指本节后二寸陷中。肝为东方生物之始,不衰则病可治。然此三脉,止可诊此以定生死。若云
可推某病,则无是也。至于高章纲卑 损之脉,止是就其脉象而名。盖以高章纲为脉上行上浮满溢搏指。
卑损为脉下行下沉卑屑隐涩不振,仍是一阴一阳之意而别其名。至于太素一脉,古人传而不言,言而不
传,皆有义存。以其语涉荒唐,而不轻语以欺世耳。(今之江湖术士,多借此法取钱。)
若使诊心而见前曲后居,如操带钩,是为心死;诊肺而见如物浮水,如风吹毛,是为肺死;
诊肝而见急益劲如新张弓弦,是为肝死;诊脾而见锐坚如乌之喙,如鸟之距,如屋之漏,如水之流,是为脾
死;诊肾而见发如夺索,辟辟如弹石,是为肾死;与诊命门而见鱼翔虾游涌泉,是为命死;此五脏必死之脉
也。脉象如此。(诸脉形象止是。)
然究众脉而论,则浮与沉,一升一降之谓也;数与迟,一急一慢之谓也;疾则较数而更甚矣。滑
与涩,一通一滞之谓也;实与虚,一刚一柔之谓也。长与短,一盈一缩之谓也;大与小,一粗一嫩之谓也;细
则较小而愈极矣。紧与缓,一张一弛之谓也;革与牢,一空一实之谓也;动与伏,一出一处之谓也;洪与微,
一盛一衰之谓也;促与结,一阴一阳之谓也。至于弦与芤比,则脉之盛衰见矣;濡与弱比,则脉之进退见
矣;代与散比,则死之久暂卜矣。脉之对待如斯。(对待既明,则病阴阳表里虚实可知。)
Apart from these, the arteries at Chongyang (ST42), Taixi (KI3), and Taichong (LR3) are all foot arteries. Chongyang is the pulse of the Stomach Meridian. It is located in the arterial depression between the bones on the dorsum of the foot, five cun above, three cun away from Xiangu (ST43). Earth serves as the mother of all things (referring to the Spleen/Stomach belonging to Earth, the foundation of acquired constitution). If the pulse at Chongyang does not appear weak, it indicates that Stomach Qi is still present; even if the illness is critical, there is still hope for survival. However, a wiry and rapid pulse is also contraindicated here, as it suggests Liver Wood overacting on Spleen Earth. Taixi is the pulse of the Kidney Meridian, located in the arterial depression behind and on both sides of the medial malleolus. Water is the origin of Tianyi (referring to the Kidney belonging to Water, the foundation of congenital constitution); if the pulse at this location does not weaken, the disease is treatable. Taichong is the pulse of the Liver Meridian, located two cun posterior to the base of the great toe in the depression. The Liver belongs to the East and represents the beginning of biological generation; if the pulse here does not weaken, the disease is treatable. Nevertheless, these three pulses can only be used to diagnose life and death prognosis. It is incorrect to claim that they can be used to deduce specific diseases. As for the pulse images named Gao (High), Zhang (Grand), Gang (Firm), Bei (Low), and Sun (Deficient), these names are derived solely from their morphological characteristics. "Gao," "Zhang," and "Gang" refer to pulses that ascend, float superficially, overflow, and beat forcefully against the fingers. "Bei" and "Sun" refer to pulses that descend, sink deeply, are humble and thin, hidden and choppy, and lack vigor. These still embody the principle of Yin and Yang, differing only in name. Regarding the "Tai Su" pulse, ancient texts transmitted it without explaining it fully, or mentioned it without passing down the details, implying that profound meanings exist within. Because such descriptions involve absurdity, they were not lightly disclosed to deceive the world. (Modern quacks often use this method to extort money.)
If, upon palpating the Heart, the pulse appears curved at the front and stationary at the back, resembling holding a hooked belt, this is the pulse of Heart death. If, upon palpating the Lungs, the pulse floats like an object on water or blows like wind through feathers, this is the pulse of Lung death. If, upon palpating the Liver, the pulse becomes urgent and strong like a newly strung bowstring, this is the pulse of Liver death. If, upon palpating the Spleen, the pulse is sharp and hard like a crow's beak or a bird's spur, intermittent like a leaking roof, or continuous like flowing water, this is the pulse of Spleen death. If, upon palpating the Kidneys, the pulse feels like pulling a rope or sounds crackling like striking stones, this is the pulse of Kidney death. If, upon palpating the Mingmen (Gate of Life), the pulse resembles a fish swimming shallowly, a shrimp darting, or a gushing spring (intermittent and erratic), this is the pulse of Life death. These are the fatal pulses of the Five Zang organs. Such are the appearances of these pulses. (The images of various pulses end here.)
However, examining the multitude of pulses, Fu (Floating) and Chen (Sinking) represent ascending and descending, respectively. Shu (Rapid) and Chi (Slow) represent urgency and slowness, respectively; Ji (Hasty) is more severe than Shu. Hua (Slippery) and Se (Choppy) represent unobstructed flow and stagnation, respectively. Shi (Excess) and Xu (Deficiency) represent firmness and softness, respectively. Chang (Long) and Duan (Short) represent fullness and contraction, respectively. Da (Large) and Xiao (Small) represent coarse and delicate qualities, respectively; Xi (Thready) is more extreme than Xiao. Jin (Tight) and Huan (Relaxed) represent tension and relaxation, respectively. Ge (Leather) and Lao (Wiry and Firm) represent emptiness and solidity, respectively. Dong (Moving) and Fu (Deep/Hidden) represent emerging and hiding, respectively. Hong (Surging) and Wei (Minute) represent abundance and decline, respectively. Cu (Crisis/Irregular) and Jie (Knotted) represent Yin and Yang dynamics. Comparing Xian (Wiry) with Kou (Hollow) reveals the abundance or decline of the pulse; comparing Ru (Soft) with Ruo (Weak) reveals the advancement or retreat of the pulse; comparing Dai (Intermittent) with San (Scattered) allows one to predict the duration until death. This is how pulses correspond to each other. (Once the correspondence is understood, the Yin-Yang, Exterior-Interior, Excess-Deficiency of the disease can be known.)