左手关前寸口阳绝者，无小肠脉也。苦脐痹，小腹中有疝瘕，王月（王字一本作五）即冷上抢心。刺手心主经，治
阴。心主在掌后横理中。（即太陵穴也）
左手关前寸口阳实者，小肠实也。苦心下急痹（一作急痛）。小肠有热，小便赤黄。刺手太阳经，治阳（一作手少阳
者，非）。太阳在手小指外侧本节陷中（即后溪穴也）。
左手关前寸口阴绝者，无心脉也。苦心下毒，痛，掌中热，时时善呕，口中伤烂。刺手太阳经，治阳。
左手关前寸口阴实者，心实也。苦心下有水气，忧恚发之。刺手心主经，治阴。
左手关上阳绝者，无胆脉也。苦膝疼，口中苦， 目善畏，如见鬼状，多惊，少力。刺足厥阴经，治阴。在足大指
间（即行间穴也），或刺三毛中。
左手关上阳实者，胆实也。苦腹中实不安，身躯习习也，刺足少阳经，治阳。在足上第二指本节后一寸。（第二指当
云小指、次指，即临泣穴也）
左手关上阴绝者，无肝脉也。苦癃，遗溺，难言，胁下有邪气，善吐。刺足少阳经，治阳。
左手关上阴实者，肝实也。苦肉中痛，动善转筋。刺足厥阴经，治阴。
左手关后尺中阳绝者，无膀胱脉也。苦逆冷，妇人月使不调，王月则闭，男子失精，尿有余沥。刺足少阴经，治阴，
在足内踝下动脉。（即太溪穴也）
左手关后尺中阳实者，膀胱实也。苦逆冷，胁下有邪气相引痛。刺足太阳经，治阳。在足小指外侧本节后陷中。（即
束骨穴也）
左手关后尺中阴绝者，无肾脉也。苦足下热，两髀里急，精气竭少，劳倦所致。刺足太阳经，治阳。
左手关后尺中阴实者，肾实也。苦恍惚，健忘，目视KT KT ，耳聋怅怅，善鸣。刺足少阴经，治阴。
右手关前寸口阳绝者，无大肠脉也。苦少气，心下有水气，立秋节即咳。刺手太阴经，治阴。在鱼际间。（即太渊穴
也）
右手关前寸口阳实者，大肠实也。苦肠中切痛，如锥刀所刺，无休息时。刺手阳明经，治阳。在手腕中。（即阳溪穴
也）
右手关前寸口阴绝者，无肺脉也。苦短气咳逆，喉中塞，噫逆。刺手阳明经，治阳。
右手关前寸口阴实者，肺实也。苦少气，胸中满彭彭，与肩相引，刺手太阴经。治阴。
右手关上阳绝者，无胃脉也。苦吞酸，头痛，胃中有冷。刺足太阴经，治阴。在足大指本节后一寸。（即公孙穴也）
右手关上阳实者，胃实也。苦肠中伏伏（一作 ），不思食物，得食不能消。刺足阳明经，治阳，在足上动脉。（即
冲阳穴也）
右手关上阴绝者，无脾脉也。苦少气，下利，腹满，身重，四肢不欲动，善呕。刺足阳明经，治阳。
右手关上阴实者，脾实也。苦肠中伏伏如坚状，大便难。刺足太阴经，治阴。
右手关后尺中阳绝者，无子户脉也。苦足逆寒，绝产，带下，无子，阴中寒。刺足少阴经，治阴。
右手关后尺中阳实者，膀胱实也。苦少腹满，引腰痛。刺足太阳经，治阳。
右手关后尺中阴绝者，无肾脉也。苦足逆冷，上抢胸痛，梦入水见鬼，善厌寐，黑色物来掩人上。刺足太阳经，治
阳。
右手关后尺中阴实者，肾实也。苦骨疼，腰脊痛，内寒热。刺足少阴经，治阴。上脉二十四气事。
If the Yang pulse at Cun Kou (Radial Pulse Position) on the left hand, anterior to the Guan (Bar) position, is absent (Jue), it indicates the absence of the Small Intestine pulse. The patient suffers from Bi syndrome (obstruction and pain) in the umbilical region, with hernia and mass accumulation in the lower abdomen. In the fifth month (some editions read "five"), cold qi rushes upward to the heart. Treatment involves needling the Pericardium Meridian of Hand-Jueyin to regulate Yin. The Yuan-Source point of the Pericardium is located in the middle of the transverse crease of the palm. (i.e., Taoling PC7)
If the Yang pulse at Cun Kou on the left hand, anterior to the Guan position, is excess (Shi), it indicates an Excess pattern of the Small Intestine. The patient suffers from urgent obstruction or pain in the epigastrium (some editions read "urgent pain"). Heat in the Small Intestine causes dark yellow urine. Treatment involves needling the Small Intestine Meridian of Hand-Taiyang to regulate Yang (some editions erroneously suggest the Sanjiao Meridian of Hand-Shaoyang, which is incorrect). The Shu-Stream point of the Small Intestine Meridian is located in the depression lateral to the base of the little finger. (i.e., Houxi SI3)
If the Yin pulse at Cun Kou on the left hand, anterior to the Guan position, is absent (Jue), it indicates the absence of the Heart pulse. The patient suffers from toxic pain in the epigastrium, heat in the palms, frequent vomiting, and ulceration of the mouth. Treatment involves needling the Small Intestine Meridian of Hand-Taiyang to regulate Yang.
If the Yin pulse at Cun Kou on the left hand, anterior to the Guan position, is excess (Shi), it indicates an Excess pattern of the Heart. The patient suffers from fluid retention in the epigastrium, often triggered by worry and anger. Treatment involves needling the Pericardium Meridian of Hand-Jueyin to regulate Yin.
If the Yang pulse at the Guan (Bar) position on the left hand is absent (Jue), it indicates the absence of the Gallbladder pulse. The patient suffers from knee pain, bitter taste in the mouth, fearfulness of the eyes as if seeing ghosts, frequent fright, and weakness. Treatment involves needling the Liver Meridian of Foot-Jueyin to regulate Yin. The point is located between the first and second toes (i.e., Xingjian LR2), or one may needle the hair tuft at the tip of the big toe (i.e., Dazhun LR1).
If the Yang pulse at the Guan position on the left hand is excess (Shi), it indicates an Excess pattern of the Gallbladder. The patient suffers from abdominal fullness and discomfort, and a sensation of tingling or uneasiness in the body. Treatment involves needling the Gallbladder Meridian of Foot-Shaoyang to regulate Yang. The point is located one cun posterior to the base of the second toe. (Note: The text "second toe" should be interpreted as the fourth toe, i.e., Linqi GB41)
If the Yin pulse at the Guan position on the left hand is absent (Jue), it indicates the absence of the Liver pulse. The patient suffers from strangury, urinary incontinence, difficulty speaking, pathogenic factors under the hypochondrium, and frequent vomiting. Treatment involves needling the Gallbladder Meridian of Foot-Shaoyang to regulate Yang.
If the Yin pulse at the Guan position on the left hand is excess (Shi), it indicates an Excess pattern of the Liver. The patient suffers from pain within the muscles and frequent tendon spasms. Treatment involves needling the Liver Meridian of Foot-Jueyin to regulate Yin.
If the Yang pulse at Chi (Cubit) position, posterior to the Guan, on the left hand is absent (Jue), it indicates the absence of the Bladder pulse. The patient suffers from cold extremities, irregular menstruation in women (amenorrhea in the fifth month), seminal emission in men, and dribbling after urination. Treatment involves needling the Kidney Meridian of Foot-Shaoyin to regulate Yin. The point is located at the arterial pulse below the medial malleolus. (i.e., Taixi KI3)
If the Yang pulse at Chi position, posterior to the Guan, on the left hand is excess (Shi), it indicates an Excess pattern of the Bladder. The patient suffers from cold extremities and pulling pain in the hypochondrium due to pathogenic factors. Treatment involves needling the Bladder Meridian of Foot-Taiyang to regulate Yang. The point is located in the depression lateral to the base of the little toe. (i.e., Shugu BL65)
If the Yin pulse at Chi position, posterior to the Guan, on the left hand is absent (Jue), it indicates the absence of the Kidney pulse. The patient suffers from heat in the soles of the feet, tightness in the inner thighs, depletion of essence and Qi, caused by fatigue and overwork. Treatment involves needling the Bladder Meridian of Foot-Taiyang to regulate Yang.
If the Yin pulse at Chi position, posterior to the Guan, on the left hand is excess (Shi), it indicates an Excess pattern of the Kidney. The patient suffers from mental confusion, forgetfulness, blurred vision, deafness with a sense of emptiness, and tinnitus. Treatment involves needling the Kidney Meridian of Foot-Shaoyin to regulate Yin.
If the Yang pulse at Cun Kou on the right hand, anterior to the Guan position, is absent (Jue), it indicates the absence of the Large Intestine pulse. The patient suffers from shortness of breath, fluid retention in the epigastrium, and cough starting at the Liqiu solar term. Treatment involves needling the Lung Meridian of Hand-Taiyin to regulate Yin. The point is located in the area of Yuji. (i.e., Taiyuan LU9)
If the Yang pulse at Cun Kou on the right hand, anterior to the Guan position, is excess (Shi), it indicates an Excess pattern of the Large Intestine. The patient suffers from severe cutting pain in the intestines, as if pierced by awls or knives, without relief. Treatment involves needling the Large Intestine Meridian of Hand-Yangming to regulate Yang. The point is located in the center of the wrist. (i.e., Yangxi LI5)
If the Yin pulse at Cun Kou on the right hand, anterior to the Guan position, is absent (Jue), it indicates the absence of the Lung pulse. The patient suffers from shortness of breath, cough and rebellious Qi, throat obstruction, and belching. Treatment involves needling the Large Intestine Meridian of Hand-Yangming to regulate Yang.
If the Yin pulse at Cun Kou on the right hand, anterior to the Guan position, is excess (Shi), it indicates an Excess pattern of the Lung. The patient suffers from shortness of breath, distension and fullness in the chest, with pain radiating to the shoulder. Treatment involves needling the Lung Meridian of Hand-Taiyin to regulate Yin.
If the Yang pulse at the Guan position on the right hand is absent (Jue), it indicates the absence of the Stomach pulse. The patient suffers from acid regurgitation, headache, and cold in the stomach. Treatment involves needling the Spleen Meridian of Foot-Taiyin to regulate Yin. The point is located one cun posterior to the base of the big toe. (i.e., Gongsun SP4)
If the Yang pulse at the Guan position on the right hand is excess (Shi), it indicates an Excess pattern of the Stomach. The patient suffers from abdominal stagnation and discomfort, lack of appetite, and inability to digest food even after eating. Treatment involves needling the Stomach Meridian of Foot-Yangming to regulate Yang. The point is located at the arterial pulse on the dorsum of the foot. (i.e., Chongyang ST42)
If the Yin pulse at the Guan position on the right hand is absent (Jue), it indicates the absence of the Spleen pulse. The patient suffers from shortness of breath, diarrhea, abdominal fullness, heaviness of the body, reluctance to move the limbs, and frequent vomiting. Treatment involves needling the Stomach Meridian of Foot-Yangming to regulate Yang.
If the Yin pulse at the Guan position on the right hand is excess (Shi), it indicates an Excess pattern of the Spleen. The patient suffers from abdominal stagnation feeling hard like stone, and difficult defecation. Treatment involves needling the Spleen Meridian of Foot-Taiyin to regulate Yin.
If the Yang pulse at Chi position, posterior to the Guan, on the right hand is absent (Jue), it indicates the absence of the Zi Hu (Uterus/Sub-heavenly) pulse. The patient suffers from cold extremities, sterility, leukorrhea, inability to conceive, and cold in the vagina. Treatment involves needling the Kidney Meridian of Foot-Shaoyin to regulate Yin.
If the Yang pulse at Chi position, posterior to the Guan, on the right hand is excess (Shi), it indicates an Excess pattern of the Bladder. The patient suffers from lower abdominal fullness and pulling pain in the lower back. Treatment involves needling the Bladder Meridian of Foot-Taiyang to regulate Yang.
If the Yin pulse at Chi position, posterior to the Guan, on the right hand is absent (Jue), it indicates the absence of the Kidney pulse. The patient suffers from cold extremities, cold rushing upward causing chest pain, dreams of entering water and seeing ghosts, excessive sleepiness, and sensations of black objects covering the person. Treatment involves needling the Bladder Meridian of Foot-Taiyang to regulate Yang.
If the Yin pulse at Chi position, posterior to the Guan, on the right hand is excess (Shi), it indicates an Excess pattern of the Kidney. The patient suffers from bone pain, lower back and spine pain, and alternating internal cold and heat. This concludes the discussion on the twenty-four Qi pulses.