诊妇人漏血下赤白,日下血数升,脉急疾者,死;迟者,生。
诊妇人漏下赤白不止,脉小虚滑者,生;大紧实数者,死。
诊妇人新生乳子,脉沉小滑者,生;实大坚弦急者,死。
诊妇人疝、瘕、积、聚,脉弦急者,生;虚弱小者,死。
诊妇人新生乳子。因得热病,其脉悬小,四肢温者,生;寒清者,死。
诊妇人生产,因中风、伤寒、热病,喘鸣而肩息,脉实大浮缓者,生;小急者,死。
诊妇人生产之后,寸口脉焱疾不调者,死;沉微附骨不绝者,生。金疮在阴处,出血不绝,阴脉不能至阳者,死;
接阳而复出者,生。
小儿脉,呼吸八至者平,九至者伤,十至者困。
诊小儿脉,多雀斗,要以三部脉为主。若紧为风痫,沉者乳不消,弦急者客忤气。
小儿是其日数应变蒸之时,身热而脉乱,汗不出,不欲食,食辄吐 者,脉乱无苦也。
小儿脉沉而数者,骨间有热,欲以腹按冷清也。
小儿大便赤,青瓣,飧泄,脉小,手足寒,难已;脉小,手足温,易已。
小儿病困,汗出如珠,着身不流者,死。
(手检图三十一部)
经言∶肺者,人之五脏华盖也,上以应天,解理万物,主行精气,法五行、四时,知五味。
寸口之中,阴阳交会,中有五部。前、后、左、右,各有所主,上、下、中央,分为九道。浮、沉、结、散,知邪
所在,其道奈何?岐伯曰∶脉大而弱者,气实血虚也;脉大而长者,病在下候;浮直上下交通者,阳脉也。坚在肾,急
在肝,实在肺。前如外者,足太阳也;中央如外者,足阳明也;后如外者,足少阳也。中央直前者,手少阴也;中央直
中者,手心主也;中央直后者,手太阴也。前如内者,足厥阴也;中央如内者,足太阴也。后如内者,足少阴也。前部
左右弹者,阳跷也;中部左右弹者,带脉也;后部左右弹者,阴跷也。从少阳之厥阴者,阴维也;从少阴之太阳者,阳
维也。来大时小者,阴络也;来小时大者,阳络也。前如外者,足太阳也。动,苦头、项、腰、痛,浮为风,涩为寒热,
紧为宿食。前如外者,足太阳也。动,苦目眩,头、颈、项腰、背强痛也。男子阴下湿,女子月水不利,少腹痛,引命
门、阴中痛,子脏闭。浮为风,涩为寒血,滑为劳热,紧为宿食,针入九分。却至六分。中央如外者,足阳明也。动,
苦头痛,面赤,微滑,苦大便不利,肠鸣,不能食,足胫痹。中央如外者,足阳明也。动,苦头痛,面赤热,浮微滑,
苦大便不利,喜气满。滑者为饮,涩为嗜卧,肠鸣不能食,足 痹。针入九分,却至六分。后如外者,足少阳也。动,
苦腰、背、 、股、肢节痛。后如外者,足少阳也。浮为气涩,涩为风、血,急为转筋,弦为劳。针入九分,却至六分。
Diagnosing women with leukorrhea and bleeding (leaking blood mixed with white discharge), if the daily blood loss amounts to several sheng (a unit of volume) and the pulse is rapid and urgent, death ensues; if the pulse is slow, survival is indicated.
Diagnosing women with continuous leukorrhea and bleeding, if the pulse is small, deficient, and slippery, survival is indicated; if the pulse is large, tight, solid, and rapid, death ensues.
Diagnosing women who have just given birth or are nursing, if the pulse is deep, small, and slippery, survival is indicated; if the pulse is excess, large, firm, wiry, and urgent, death ensues.
Diagnosing women suffering from hernia, mass (Jia), accumulation (Ji), and gathering (Ju), if the pulse is wiry and urgent, survival is indicated; if the pulse is weak and small, death ensues.
Diagnosing women who have just given birth or are nursing and subsequently contract a heat disease, if the pulse is suspended and small but the four limbs are warm, survival is indicated; if the limbs are cold, death ensues.
Diagnosing women during childbirth who, due to wind-stroke, cold damage, or heat disease, exhibit wheezing with audible sounds and shoulder breathing, if the pulse is excess, large, floating, and slow, survival is indicated; if the pulse is small and urgent, death ensues.
Diagnosing women after childbirth, if the Cun Kou (inch position) pulse is rapid and irregular, death ensues; if the pulse is deep and minute, yet unceasing when pressed to the bone, survival is indicated. For metal wounds located in the yin region, if bleeding does not cease and the yin pulse cannot reach the yang aspect, death ensues; if yang qi reconnects and re-emerges, survival is indicated.
For children, a pulse rate of eight beats per respiration cycle is normal; nine beats indicates injury; ten beats indicates exhaustion.
When diagnosing children's pulses, although they often appear erratic like a sparrow pecking, one must primarily rely on the three positions (Cun, Guan, Chi). A tight pulse indicates wind epilepsy; a deep pulse indicates indigestion of milk; a wiry and urgent pulse indicates Ke Wu Qi (qi rebellion caused by external shock/evil).
During the period of "Bian Zheng" (physiological fever associated with infant growth and development), if a child has a fever, chaotic pulse, no sweat, anorexia, and vomiting upon eating, the chaotic pulse is not a cause for concern.
A deep and rapid pulse in a child indicates heat in the bones; abdominal palpation should be used to assess coldness or warmth.
If a child has red stool with green fragments and undigested food diarrhea, and the pulse is small with cold hands and feet, recovery is difficult; if the pulse is small but the hands and feet are warm, recovery is easy.
If a critically ill child sweats profusely like pearls that adhere to the body but do not flow, death ensues.
(Hand Examination Diagram, Part 31)
The Classics state: The Lung is the canopy (Hua Gai) of the five zang organs in humans, positioned highest to correspond with Heaven, resolving and organizing all things, governing the circulation of essence and qi, mirroring the Five Phases and Four Seasons, and understanding the Five Flavors.
At the Cun Kou pulse site, yin and yang intersect, forming five sections within. Anterior, posterior, left, and right each have their specific dominions; upper, lower, and central divide into nine pathways. Through floating, sinking, knotted, and scattered pulses, one can locate the pathogen. How does this work? Qibo said: A pulse that is large yet weak indicates excess qi and deficient blood; a pulse that is large and long indicates pathology in the lower sector; a straight, vertically communicating floating pulse is a yang pulse. Firmness resides in the Kidney, urgency in the Liver, and fullness in the Lung. The anterior section extending outward corresponds to the Foot Taiyang Bladder Meridian; the central section extending outward corresponds to the Foot Yangming Stomach Meridian; the posterior section extending outward corresponds to the Foot Shaoyang Gallbladder Meridian. The central section extending directly forward corresponds to the Hand Shaoyin Heart Meridian; the central section extending directly inward corresponds to the Hand Jueyin Pericardium Meridian; the central section extending directly backward corresponds to the Hand Taiyin Lung Meridian. The anterior section extending inward corresponds to the Foot Jueyin Liver Meridian; the central section extending inward corresponds to the Foot Taiyin Spleen Meridian; the posterior section extending inward corresponds to the Foot Shaoyin Kidney Meridian. The anterior section vibrating left and right corresponds to the Yang Qiao Vessel; the middle section vibrating left and right corresponds to the Dai Mai (Girdle Vessel); the posterior section vibrating left and right corresponds to the Yin Qiao Vessel. Connecting from Shaoyang to Jueyin is the Yin Wei Vessel; connecting from Shaoyin to Taiyang is the Yang Wei Vessel. Coming large and departing small indicates Yin Collaterals; coming small and departing large indicates Yang Collaterals.
The anterior section extending outward belongs to the Foot Taiyang Bladder Meridian. An active pulse here causes pain in the head, neck, and waist. Floating indicates wind, choppy indicates cold-heat, and tight indicates retained food. The anterior section extending outward belongs to the Foot Taiyang Bladder Meridian. An active pulse here causes dizziness, and stiffness/pain in the head, neck, waist, and back. In men, it causes dampness in the genital area; in women, it causes menstrual difficulties, lower abdominal pain radiating to Mingmen and the vagina, and uterine closure. Floating indicates wind, choppy indicates cold-blood, slippery indicates consumption-fever, and tight indicates retained food. Acupuncture depth: insert 9 fen, withdraw to 6 fen.
The central section extending outward belongs to the Foot Yangming Stomach Meridian. An active pulse here causes headache, facial redness, slight slipperiness causing difficulty in defecation, borborygmus, inability to eat, and bi-syndrome in the calves. The central section extending outward belongs to the Foot Yangming Stomach Meridian. An active pulse here causes headache, facial redness and heat, slight floating and slipperiness causing difficulty in defecation and a sensation of fullness with joy. Slippery indicates fluid retention, choppy indicates lethargy, borborygmus, inability to eat, and foot bi-syndrome. Acupuncture depth: insert 9 fen, withdraw to 6 fen.
The posterior section extending outward belongs to the Foot Shaoyang Gallbladder Meridian. An active pulse here causes pain in the waist, back, thighs, legs, and joints. The posterior section extending outward belongs to the Foot Shaoyang Gallbladder Meridian. Floating indicates qi stagnation, choppy indicates wind and blood issues, urgent indicates muscle cramps, and wiry indicates consumption. Acupuncture depth: insert 9 fen, withdraw to 6 fen.