寸口脉浮,中风,发热,头痛。宜服桂枝汤、葛根汤,针风池、风府,向火灸身,摩治风膏,覆令汗出。
寸口脉紧,苦头痛,骨肉疼,是伤寒。宜服麻黄汤发汗,针眉冲、颞 ,摩治伤寒膏。
寸口脉微,苦寒,为衄。宜服五味子汤,摩茱萸膏,令汗出。
寸口脉数,即为吐,以有热在胃脘,熏胸中。宜服药吐之,及针胃脘,服除热汤。若是伤寒七、八日至十日,热在
中,烦满渴者,宜服知母汤。
寸口脉缓,皮肤不仁,风寒在肌肉。宜服防风汤,以药薄熨之,摩以风膏,灸诸治风穴。
寸口脉滑,阳实,胸中壅满,吐逆,宜服前胡汤,针太阳、巨阙,泻之。
寸口脉弦,心下 ,微头痛,心下有水气。宜服甘遂丸,针期门,泻之。
寸口脉弱,阳气虚,自汗出而短气。宜服茯苓汤、内补散,适饮食消息,勿极劳。针胃脘,补之。
寸口脉涩,是胃气不足。宜服干地黄汤,自养,调和饮食,针三里,补之。(三里一作胃脘)
寸口脉芤,吐血;微芤者,衄血。空虚,去血故也。宜服竹皮汤、黄土汤,灸膻中。
寸口脉伏,胸中逆气,噎塞不通,是胃中冷气上冲心胸。宜服前胡汤、大三建丸,针巨阙、上脘,灸膻中。
寸口脉沉,胸中引胁痛,胸中有水气,宜服泽漆汤,针巨阙,泻之。
寸口脉濡,阳气弱,自汗出,是虚损病。宜服干地黄汤,薯蓣丸、内补散、牡蛎散并粉,针太冲,补之。
寸口脉迟,上焦有寒,心痛咽酸、吐酸水。宜服附子汤、生姜汤、茱萸丸、调和饮食以暖之。
寸口脉实,即生热,在脾肺,呕逆气塞;虚,即生寒,在脾胃,食不消化。有热,即宜服竹叶汤、葛根汤;有寒,
宜服茱萸丸、生姜汤。
寸口脉细,发热,吸吐。宜服黄芩龙胆汤。吐不止,宜服橘皮桔梗汤,灸中府。
寸口脉洪大,胸胁满。宜服生姜汤、白薇丸,亦可紫菀汤下之,针上脘、期门、章门。上上部寸口十七条。
关脉浮,腹满不欲食。浮为虚满,宜服平胃丸、茯苓汤、生姜前胡汤,针胃脘,先泻后补之。
关脉紧,心下苦满急痛。脉紧者为实,宜服茱萸当归汤,又大黄汤,两治之,良。针巨阙、下脘,泻之。(千金云服
茱萸当归汤又加大黄二两佳)
关脉微,胃中冷,心下拘急。宜服附子汤、生姜汤、附子丸,针巨阙,补之。
关脉数,胃中有客热。宜服知母丸、除热汤,针巨阙、上脘,泻之。
关脉缓,其人不欲食,此胃气不调,脾气不足。宜服平胃丸、补脾汤,针章门,补之。
关脉滑,胃中有热。滑为热实,以气满故不欲食,食即吐逆。宜服紫菀汤下之,大平胃丸,针胃脘,泻之。(《千金》
云∶宜服朴硝麻黄汤、平胃丸)
关脉弦,胃中有寒,心下厥逆,此以胃气虚故尔。宜服茱萸汤,温调饮食,针胃脘,补之。
关脉弱,胃气虚,胃中有客热。脉弱为虚热作病。其说云∶有热不可大攻之,热去则寒起。正宜服竹叶汤,针胃脘,
补之。
关脉涩,血气逆冷。脉涩为血虚,以中焦有微热。宜服干地黄汤、内补散,针足太冲上,补之。
关脉芤,大便去血数斗者,以膈输伤故也。宜服生地黄并生竹皮汤,灸膈输。若重下去血者,针关元;甚者,宜服
龙骨丸,必愈。
关脉伏,中焦有水气,溏泄。宜服水银丸,针关元,利小便,溏泄便止。
关脉沉,心下有冷气,苦满吞酸。宜服白薇茯苓丸,附子汤,针胃脘,补之。
关脉濡,苦虚冷,脾气弱,重下病。宜服赤石脂汤、女萎丸,针关元,补之。
关脉迟,胃中寒,宜服桂枝丸、茱萸汤,针胃脘。补之。
关脉实,胃中痛。宜服栀子汤、茱萸乌头丸,针胃脘,补之。
关脉牢,脾胃气塞,盛热,即腹满响响。宜服紫菀丸、泻脾丸,针灸胃脘,泻之。
关脉细,虚,腹满。宜服生姜茱萸蜀椒汤、白薇丸,针灸三脘。
关脉洪,胃中热,必烦满。宜服平胃丸,针胃脘。先泻后补之。上中部关脉十八条。
尺脉浮,下热风,小便难。宜服瞿麦汤、滑石散。针横骨、关元,泻之。
尺脉紧,脐下痛。宜服当归汤,灸天枢,针关元,补之。
尺脉微,厥逆,小腹中拘急,有寒气。宜服小建中汤(一本更有四顺汤),针气海。
尺脉数,恶寒,脐下热痛,小便赤黄。宜服鸡子汤、白鱼散,针横骨,泻之。
尺脉缓,脚弱下肿,小便难,有余沥。宜服滑石汤、瞿麦散,针横骨,泻之。
尺脉滑,血气实,妇人经脉不利,男子尿血。宜服朴硝煎、大黄汤,下去经血,针关元,泻之。
尺脉弦,小腹疼,小腹及脚中拘急。宜服建中汤、当归汤,针气海,泻之。
尺脉弱,阳气少,发热骨烦。宜服前胡汤,干地黄汤、茯苓汤,针关元,补之。
尺脉涩,足胫逆冷,小便赤。宜服附子四逆汤,针足太冲,补之。
尺脉芤,下焦虚,小便去血。宜服竹皮生地黄汤,灸丹田、关元,亦针补之。
尺脉伏,小腹痛, 疝,水谷不化。宜服大平胃丸、桔梗丸,针关元,补之。(桔梗丸一云结肠丸)
尺脉沉,腰背痛。宜服肾气丸,针京门,补之。
尺脉濡,苦小便难(《千金》云∶脚不收风痹)。宜服瞿麦汤、白鱼散,针关元,泻之。
尺脉迟,下焦有寒。宜服桂枝丸,针气海、关元,补之。
尺脉实,小腹痛,小便不禁。宜服当归汤,加大黄一两,以利大便;针关元,补之,止小便。
尺脉牢,腹满,阴中急。宜服葶苈子茱萸丸,针丹田、关元、中极。上下部尺脉十六条。
The pulse at the Cun position (Cun Kou, distal radial pulse) is floating, indicating Wind-Stroke (Zhong Feng), with symptoms of fever and headache. It is appropriate to administer Guizhi Tang (Cinnamon Twig Decoction) or Gegen Tang (Kudzu Root Decoction), needle Fengchi (GB20) and Fengfu (GV16, Wind Mansion), warm the body facing a fire, apply Fengzhi Gaoyao (Wind-Treating Ointment), and cover the patient to induce sweating.
The pulse at the Cun position is tight, suffering from severe headache and pain in bones and muscles; this is Shanghan (Cold Damage). It is appropriate to administer Mahuang Tang (Ephedra Decoction) to induce sweating, needle Meichong (EX-HN20) and Nie (EX-HN4, Temporal), and apply Shanghan Gaoyao (Cold-Damage Treating Ointment).
The pulse at the Cun position is faint (Wei), suffering from cold aversion, accompanied by epistaxis (nosebleed). It is appropriate to administer Wuweizi Tang (Schisandra Decoction), apply Zhuyu Gaoyao (Cornus Ointment), and induce sweating.
The pulse at the Cun position is rapid (Shu), leading to vomiting, due to heat in the Wei Wan (Stomach Epigastrium) steaming the chest. It is appropriate to use emetic drugs to induce vomiting, needle the Wei Wan region, and administer Chure Tang (Heat-Removing Decoction). If it is seven to ten days into Shanghan, with heat in the interior causing irritability, fullness, and thirst, it is appropriate to administer Zhimu Tang (Anemarrhena Decoction).
The pulse at the Cun position is slow (Huan), with insensitivity of the skin, indicating Wind-Cold lodged in the muscles. It is appropriate to administer Fangfeng Tang (Saposhnikovia Decoction), apply herbal compresses (Yun) thinly to the area, rub with Fengzhi Gaoyao, and moxa various acupoints for treating wind.
The pulse at the Cun position is slippery (Hua), indicating Excess of Yang, with chest oppression and fullness, and regurgitation/vomiting. It is appropriate to administer Qianhu Tang (Peucedanum Decoction), needle Taiyang (BL10, though contextually often refers to BL17 or specific points on the back/head depending on edition, here likely referring to local or related points, but strictly "Taiyang" usually implies Bladder channel or specific point like BL10/BL12, however in this context of chest fullness, it might refer to specific local points or typo for other points, sticking to literal: Needle Taiyang and Jueque (CV14, Conception Vessel 14), using the reducing method.
The pulse at the Cun position is wiry (Xian), with hardness below the heart, slight headache, and fluid retention (Water Qi) below the heart. It is appropriate to administer Gansui Wan (Kansui Pill), needle Qimen (LR14, Liver 14), using the reducing method.
The pulse at the Cun position is weak (Ruo), indicating deficiency of Yang Qi, spontaneous sweating, and shortness of breath. It is appropriate to administer Fuling Tang (Poria Decoction) and Neibu San (Internal-Nourishing Powder), regulate diet and lifestyle, avoid overexertion. Needle the Wei Wan region, using the reinforcing method.
The pulse at the Cun position is choppy (Se), indicating insufficiency of Stomach Qi. It is appropriate to administer Gan Dihuang Tang (Rehmannia Decoction), self-nourish, harmonize diet, needle Zusanli (ST36, Three Mile), using the reinforcing method. (Zusanli is alternatively read as Wei Wan).
The pulse at the Cun position is hollow (Kou), with hematemesis (vomiting blood); if slightly hollow, with epistaxis. This is due to emptiness from blood loss. It is appropriate to administer Zhupi Tang (Bamboo Peel Decoction) and Huangtu Tang (Yellow Earth Decoction), moxibustion at Danzhong (CV17, Conception Vessel 17).
The pulse at the Cun position is deep-hidden (Fu), with rebellious Qi in the chest, choking and obstruction, caused by Cold Qi from the Stomach rushing up to the Heart and Chest. It is appropriate to administer Qianhu Tang and Da Sanjian Wan (Great Three Jian Pills), needle Jueque (CV14) and Shangwan (CV13, Upper Elixir), moxa Danzhong (CV17).
The pulse at the Cun position is deep (Chen), with pain radiating from the chest to the hypochondrium, and fluid retention in the chest. It is appropriate to administer Zeqi Tang (Phytolacca Decoction), needle Jueque (CV14), using the reducing method.
The pulse at the Cun position is soft (Ru), indicating weakness of Yang Qi, spontaneous sweating; this is a Deficiency Disease. It is appropriate to administer Gan Dihuang Tang, Shuyu Wan (Dioscorea Pill), Neibu San, and Musli San (Oyster Shell Powder) mixed into powder, needle Taichong (LR3, Great Surge), using the reinforcing method.
The pulse at the Cun position is slow (Chi), with Cold in the Upper Jiao, heart pain, acid regurgitation, and vomiting sour water. It is appropriate to administer Fuzi Tang (Aconite Decoction), Shengjiang Tang (Fresh Ginger Decoction), Zhuyu Wan (Cornus Pill), and harmonize diet to warm the body.
The pulse at the Cun position is excess (Shi), generating Heat in the Spleen and Lungs, with vomiting and rebellious Qi obstruction; if deficient, it generates Cold in the Spleen and Stomach, with indigestion. For Heat, administer Zhuye Tang (Bamboo Leaf Decoction) or Gegen Tang; for Cold, administer Zhuyu Wan or Shengjiang Tang.
The pulse at the Cun position is thin (Xi), with fever and vomiting upon inhalation. It is appropriate to administer Huangqin Longdan Tang (Scutellaria and Gentiana Decoction). If vomiting persists, administer Chenpi Jiegeng Tang (Tangerine Peel and Platycodon Decoction), moxa Zhongfu (LU2, Central Palace).
The pulse at the Cun position is surging (Hongda), with chest and hypochondriac fullness. It is appropriate to administer Shengjiang Tang and Baiwei Wan (Cynanchum Atratum Pill), or administer via Ziwan Tang (Aster Decoction), needle Shangwan (CV13), Qimen (LR14), Zhangmen (LR13, Gate of Wood). These are the seventeen pulse conditions of the Upper Part (Cun).
The pulse at the Guan position (middle radial pulse) is floating, with abdominal fullness and anorexia. Floating indicates false/fullness due to deficiency; administer Pingwei Wan (Stomach-Ping Pill), Fuling Tang, or Shengjiang Qianhu Tang, needle Wei Wan, first reduce then reinforce.
The pulse at the Guan position is tight, with painful fullness and urgency below the heart. Tight indicates Excess; administer Zhuyu Danggui Tang (Cornus and Angelica Decoction) or Dahuang Tang (Rhubarb Decoction), both are effective. Needle Jueque (CV14) and Xiawan (CV10, Lower Elixir), using the reducing method. (Qianjin says adding two liang of Dahuang to Zhuyu Danggui Tang is better).
The pulse at the Guan position is faint, with Cold in the Stomach and tension/urgency below the heart. It is appropriate to administer Fuzi Tang, Shengjiang Tang, or Fuzi Wan, needle Jueque (CV14), using the reinforcing method.
The pulse at the Guan position is rapid, with Guest Heat (external/pathogenic heat) in the Stomach. It is appropriate to administer Zhimu Wan (Anemarrhena Pill) and Chure Tang, needle Jueque (CV14) and Shangwan (CV13), using the reducing method.
The pulse at the Guan position is slow, with anorexia, indicating disharmony of Stomach Qi and insufficiency of Spleen Qi. It is appropriate to administer Pingwei Wan and Bupi Tang (Spleen-Supplementing Decoction), needle Zhangmen (LR13), using the reinforcing method.
The pulse at the Guan position is slippery, with Heat in the Stomach. Slippery indicates Heat Excess; due to Qi fullness, there is anorexia, and vomiting after eating. It is appropriate to administer Ziwan Tang or Da Pingwei Wan, needle Wei Wan, using the reducing method. (Qianjin says: administer Xiaoshi Mahuang Tang or Pingwei Wan).
The pulse at the Guan position is wiry, with Cold in the Stomach and cold/rebellious Qi below the heart, due to deficiency of Stomach Qi. It is appropriate to administer Zhuyu Tang, warm and regulate diet, needle Wei Wan, using the reinforcing method.
The pulse at the Guan position is weak, with deficiency of Stomach Qi and Guest Heat in the Stomach. Weak indicates disease caused by Deficient Heat. The theory states: Heat should not be aggressively attacked, lest the removal of Heat leads to the rise of Cold. It is appropriate to administer Zhuye Tang, needle Wei Wan, using the reinforcing method.
The pulse at the Guan position is choppy, with rebellious and cold Blood and Qi. Choppy indicates Blood deficiency, with slight Heat in the Middle Jiao. It is appropriate to administer Gan Dihuang Tang and Neibu San, needle above Zusanli (ST36), using the reinforcing method.
The pulse at the Guan position is hollow, with profuse rectal bleeding. This is due to injury at the Ge Shu (Diaphragm Transport) points. It is appropriate to administer Sheng Dihuang (Raw Rehmannia) and Sheng Zhupi Tang, moxa Ge Shu. If bleeding is severe, needle Guanyuan (CV4, Gate of Origin); if very severe, administer Longgu Wan (Dragon Bone Pill), which will surely cure.
The pulse at the Guan position is hidden, with fluid retention in the Middle Jiao and loose stools. It is appropriate to administer Shuiyin Wan (Mercury Pill - *Note: Historically recorded, toxic*), needle Guanyuan (CV4), promote urination, and loose stools will stop.
The pulse at the Guan position is deep, with Cold Qi below the heart, painful fullness, and acid regurgitation. It is appropriate to administer Baiwei Fuling Wan (Cynanchum and Poria Pill) and Fuzi Tang, needle Wei Wan, using the reinforcing method.
The pulse at the Guan position is soft, suffering from deficiency-cold, weak Spleen Qi, and heavy sensation in the lower body. It is appropriate to administer Chishizhi Tang (Red Halloysite Decoction) and Nuwei Wan (Polygonatum Multiflorum Pill), needle Guanyuan (CV4), using the reinforcing method.
The pulse at the Guan position is slow, with Cold in the Stomach. It is appropriate to administer Guizhi Wan (Cinnamon Twig Pill) and Zhuyu Tang, needle Wei Wan, using the reinforcing method.
The pulse at the Guan position is excess, with pain in the Stomach. It is appropriate to administer Zhizi Tang (Gardenia Decoction) and Zhuyu Wutou Wan (Cornus and Aconitum Pill), needle Wei Wan, using the reinforcing method.
The pulse at the Guan position is firm (Lao), with obstruction of Spleen and Stomach Qi and excessive Heat, leading to abdominal fullness and borborygmus. It is appropriate to administer Ziwan Wan and Xiepi Wan (Splea-Draining Pill), acupuncture and moxa Wei Wan, using the reducing method.
The pulse at the Guan position is thin, indicating deficiency and abdominal fullness. It is appropriate to administer Shengjiang Zhuyu Shujiao Tang (Fresh Ginger, Cornus, and Sichuan Pepper Decoction) and Baiwei Wan, acupuncture and moxa the Three Wan points (Zhongwan, Xiawan, Shangwan).
The pulse at the Guan position is surging, with Heat in the Stomach causing irritability and fullness. It is appropriate to administer Pingwei Wan, needle Wei Wan. First reduce then reinforce. These are the eighteen pulse conditions of the Middle Part (Guan).
The pulse at the Chi position (distal radial pulse) is floating, with Lower Jiao Wind-Heat and difficult urination. It is appropriate to administer Qumai Tang (Persicaria Decoction) and Huashi San (Talc Powder), needle Henggu (KI12, Horizontal Bone) and Guanyuan (CV4), using the reducing method.
The pulse at the Chi position is tight, with pain below the umbilicus. It is appropriate to administer Danggui Tang (Angelica Decoction), moxa Tianshu (ST25, Heavenly Pivot), needle Guanyuan (CV4), using the reinforcing method.
The pulse at the Chi position is faint, with cold limbs, tension in the lower abdomen, and Cold Qi. It is appropriate to administer Xiao Jianzhong Tang (Minor Construct the Middle Decoction) (another version includes Sishun Tang), needle Qihai (CV6, Sea of Qi).
The pulse at the Chi position is rapid, with cold aversion, hot pain below the umbilicus, and dark yellow urine. It is appropriate to administer Jizi Tang (Chicken Egg Decoction) and Baiyu San (White Fish Powder), needle Henggu (KI12), using the reducing method.
The pulse at the Chi position is slow, with weak legs and lower limb edema, difficult urination, and dribbling. It is appropriate to administer Huashi Tang (Talc Decoction) and Qumai San, needle Henggu (KI12), using the reducing method.
The pulse at the Chi position is slippery, indicating Excess of Blood and Qi; in women, menstrual irregularity; in men, hematuria. It is appropriate to administer Xiaoshi Jian (Mineral Wax Decoction) and Dahuang Tang, to purge menstrual blood/blood stasis, needle Guanyuan (CV4), using the reducing method.
The pulse at the Chi position is wiry, with lower abdominal pain and tension in the lower abdomen and legs. It is appropriate to administer Jianzhong Tang (Construct the Middle Decoction) and Danggui Tang, needle Qihai (CV6), using the reducing method.
The pulse at the Chi position is weak, with scarcity of Yang Qi, fever, and bone vexation. It is appropriate to administer Qianhu Tang, Gan Dihuang Tang, and Fuling Tang, needle Guanyuan (CV4), using the reinforcing method.
The pulse at the Chi position is choppy, with cold feet and calves, and red urine. It is appropriate to administer Fuzi Sini Tang (Aconite Counterflow Cold Decoction), needle Zusanli (ST36) or Taichong (LR3) [Text says Zu Taichong], using the reinforcing method.
The pulse at the Chi position is hollow, with Lower Jiao deficiency and hematuria. It is appropriate to administer Zhupi Sheng Dihuang Tang, moxa Dantian (CV6/CV4 area) and Guanyuan (CV4), or needle with reinforcing method.
The pulse at the Chi position is hidden, with lower abdominal pain, hernia (Shan), and undigested food in stool. It is appropriate to administer Da Pingwei Wan and Jiegeng Wan (Platycodon Pill), needle Guanyuan (CV4), using the reinforcing method. (Jiegeng Wan is also called Jielong Wan).
The pulse at the Chi position is deep, with lower back and waist pain. It is appropriate to administer Shenqi Wan (Kidney Qi Pill), needle Jingmen (GB25, Capital Gate), using the reinforcing method.
The pulse at the Chi position is soft, suffering from difficult urination (Qianjin says: foot flaccidity and wind-bi). It is appropriate to administer Qumai Tang and Baiyu San, needle Guanyuan (CV4), using the reducing method.
The pulse at the Chi position is slow, with Cold in the Lower Jiao. It is appropriate to administer Guizhi Wan, needle Qihai (CV6) and Guanyuan (CV4), using the reinforcing method.
The pulse at the Chi position is excess, with lower abdominal pain and urinary incontinence. It is appropriate to administer Danggui Tang with one liang of Dahuang to facilitate bowel movement; needle Guanyuan (CV4), using the reinforcing method, to stop urinary incontinence.
The pulse at the Chi position is firm, with abdominal fullness and urgency in the genitalia. It is appropriate to administer Tinglizi Zhuyu Wan (Descurainia Seed and Cornus Pill), needle Dantian, Guanyuan (CV4), and Zhongji (CV3, Intermediate Pole). These are the sixteen pulse conditions of the Lower Part (Chi).