诊伤寒,热盛,脉浮大者,生;沉小者,死。
伤寒,已得汗,脉沉小者,生;浮大者,死。
温病,三、四日以下,不得汗,脉大疾者,生;脉细小难得者,死,不治。
温病,穣穣大热,其脉细小者,死。(《千金》穣穣作时行)
温病,下利,腹中痛甚者,死,不治。
温病,汗不出,出不至足者,死;厥逆汗出,脉坚强急者,生;虚缓者,死。
温病,二、三日,身体热,腹满,头痛,食饮如故,脉直而疾者,八日死。四、五日。
头痛,腹痛而吐,脉来细强,十二日死。八、九日头不疼,身不痛,目不赤,色不变,而反利,脉来牒牒,按之不
弹手,时大,心下坚,十七日死。
热病,七、八日,脉不软(一作喘),不散(一作数)者,当喑。喑后三日,温汗不出者,死。
热病,七、八日,其脉微细,小便不利,加暴口燥,脉代,舌焦干黑者,死。
热病,未得汗,脉盛躁疾,得汗者,生;不得汗者,难瘥。
热病,已得汗,脉静安者,生;脉躁者,难治。
热病,已得汗,常大热不去者,亦死。(大,一作专)
热病,已得汗,热未去,脉微躁者,慎不得刺治。
热病,发热,热甚者,其脉阴阳皆竭,慎勿刺。不汗出,必下利。
诊人被风,不仁痿蹶,其脉虚者,生;坚急疾者,死。
诊癫病,虚则可治,实则死。
癫疾,脉实坚者,生;脉沉细小者,死。
癫疾,脉抟大滑者,久久自已。其脉沉小急实,不可治;小坚急,亦不可疗。
诊头痛、目痛、久视无所见者,死。(久视,一作卒视)
诊人心腹积聚,其脉坚强急者,生;虚弱者,死。又实强者,生;沉者,死。其脉大,腹大胀,四肢逆冷,其人脉
形长者,死。腹胀满,便血,脉大时绝,极下血;脉小疾者,死。
心腹痛,痛不得息,脉细小迟者,生;坚大疾者,死。
肠 ,便血,身热则死,寒则生。
肠 下白沫,脉沉则生,浮则死。
肠 ,下脓血,脉悬绝则死,滑大则生。
肠 之属,身热,脉不悬绝,滑大者,生;悬涩者,死。以脏期之。
肠 ,下脓血,脉沉小流连者,生;数疾且大,有热者,死。
肠 ,筋挛,其脉小细安静者,生;浮大紧者,死。
洞泄,食不化,不得留,下脓血,脉微小连者,生;紧急者,死。
泄注,脉缓,时小结者,生;浮大数者,死。
蚀阴 ,其脉虚小者,生;紧急者,死。
咳嗽,脉沉紧者,死;浮直者,生;浮软者,生;小沉伏匿者,死。
咳嗽,羸瘦,脉形坚大者,死。
咳,脱形,发热,脉小坚急者,死;肌瘦,下(一本云不)脱形,热不去者,死。
咳而呕,腹胀且泄,其脉弦急欲绝者,死。
吐血、衄血、脉滑小弱者,生;实大者,死。
汗出若衄,其脉小滑者,生;大躁者,死。
唾血,脉紧强者,死;滑者,生。
吐血而咳,上气,其脉数,有热,不得卧者,死。
上气,脉数者,死。谓其形损故也。
上气,喘息低昂,其脉滑,手足温者,生;脉涩,四肢寒者,死。
上气,面浮肿,肩息,其脉大,不可治,加利必死。(一作又甚)
上气,注液,其脉虚宁宁伏匿者,生;坚强者死。
寒气上攻,脉实而顺滑者,生;实而逆涩则死。(《太素》云∶寒气暴上,脉满实何如?曰∶实而滑则生,实而逆则
死矣。其形尽满何如?曰;举形尽满者,脉急大坚,尺满而不应,如是者,顺则生,逆则死。何谓顺则生,逆则死?曰∶
所谓顺者,手足温也;谓逆者,手足寒也)
瘅,脉实大,病久可治;脉悬小坚急,病久不可治。
消渴,脉数大者,生;细小浮短者,死。
消渴,脉沉小者,生;实坚大者,死。
水病,脉洪大者,可治;微细者,不可治。
水病,胀闭,其脉浮大软者,生;沉细虚小者,死。
水病,腹大如鼓,脉实者,生;虚者,死。
卒中恶,吐血数升,脉沉数细者,死;浮大疾快者,生。
卒中恶,腹大,四肢满,脉大而缓者,生;紧大而浮者,死;紧细而微者,亦生。
病疮,腰脊强急,螈 者,皆不可治。
寒热,螈 ,其脉代、绝者,死。
金疮,血出太多,其脉虚细者,生;数实大者,死。
金疮出血、脉沉小者,生;浮大者,死。
斫疮,出血一、二石,脉来大,二十日死。
斫刺俱有,病多,少血,出不自止断者,其脉止,脉来大者,七日死;滑细者,生。
从高顿仆,内有血,腹胀满,其脉坚强者,生;小弱者,死。
人为百药所中伤,脉浮涩而疾者,生;微细者,死;洪大而迟者,生。(《千金》迟作速)
人病甚而脉不调者,难瘥。人病甚而脉洪者,易瘥。
人内外俱虚,身体冷而汗出,微呕而烦扰,手足厥逆,体不得安静者,死。
脉实满,手足寒,头热,春秋生,冬夏死。老人脉微,阳羸阴强者,生;脉焱大加息(一作如急)者,死。阴弱阳
强,脉至而代,奇(一作寄)月而死。
尺脉涩而坚,为血实气虚也。其发病腹痛、逆满、气上行,此为妇人胞中绝伤,有恶血,久成结瘕。得病以冬时,
黍赤而死。
尺脉细而微者,血气俱不足,细而来有力者,是谷气不充,病得节辄动,枣叶生而死。此病秋时得之。
左手寸口脉偏动,乍大乍小,不齐,从寸口至关,关至尺,三部之位,处处动摇,各异不同,其人病,仲夏得之此
脉,桃花落而死。(花,一作叶)
右手寸口脉偏沉伏,乍小乍大,朝来浮大,暮夜沉伏。浮大即太过,上出鱼际。沉伏即下不至关中。往来无常,时
时复来者,榆叶枯落而死。(叶,一作英)
右手尺部,脉三十动一止,有顷更还,二十动一止,乍动乍疏,连连相因,不与息数相应,其人虽食谷,犹不愈,
蘩草生而死。
左手尺部,脉四十动而一止,止而复来,来逆如循直木,如循张弓弦, 然如两人共引一索,至立冬死。(《千金》
作至立春而死)
Diagnosing Shanghan (Cold Damage) disease, if the heat is excessive and the pulse is floating and large, the prognosis is favorable (life); if the pulse is sunken and small, the prognosis is unfavorable (death).
In Shanghan disease, after sweating has occurred, if the pulse is sunken and small, the prognosis is favorable (life); if the pulse is floating and large, the prognosis is unfavorable (death).
In Wenbing (Warm Disease), within three or four days of onset, without sweating, if the pulse is large and rapid, the prognosis is favorable (life); if the pulse is fine and minute and difficult to feel, the prognosis is unfavorable (death), and it is considered incurable.
In Wenbing, with intense high fever, if the pulse is fine and small, the prognosis is unfavorable (death). (In *Qianjin Fang*, "rangrang" is written as "shixing", referring to epidemic diseases.)
In Wenbing, with diarrhea and severe abdominal pain, the prognosis is unfavorable (death), and it is considered incurable.
In Wenbing, without sweating, or if sweating does not reach the feet, the prognosis is unfavorable (death); if there is cold extremities (Jue-ni) accompanied by sweating, and the pulse is firm, urgent, and rapid, the prognosis is favorable (life); if the pulse is weak and moderate, the prognosis is unfavorable (death).
In Wenbing, on the second or third day, with body heat, abdominal fullness, headache, but normal appetite, and a straight and rapid pulse, death will occur on the eighth day.
On the fourth or fifth day, with headache, abdominal pain, and vomiting, and a pulse that comes forth fine and strong, death will occur on the twelfth day.
On the eighth or ninth day, if the head does not hurt, the body does not ache, the eyes are not red, the complexion does not change, but diarrhea occurs instead, and the pulse is frequent and hurried (die-die), pressing heavily yields no rebound, sometimes becoming larger, with hardness in the epigastrium, death will occur on the seventeenth day.
In Rebing (Heat Disease), on the seventh or eighth day, if the pulse is not soft (another version reads "chuan", panting) and not scattered (another version reads "shu", rapid), aphonia (loss of voice) should occur. Three days after aphonia, if there is still no sweating, the prognosis is unfavorable (death).
In Rebing, on the seventh or eighth day, if the pulse is minute and fine, urination is difficult, sudden dryness of the mouth occurs, the pulse is intermittent (dai), and the tongue is scorched, dry, and black, the prognosis is unfavorable (death).
In Rebing, before sweating occurs, if the pulse is盛大 (sheng-zao, vigorous and restless), and sweating occurs, the prognosis is favorable (life); if sweating does not occur, recovery is difficult.
In Rebing, after sweating has occurred, if the pulse is calm and peaceful, the prognosis is favorable (life); if the pulse is restless, it is difficult to treat.
In Rebing, after sweating has occurred, if high fever persists, the prognosis is unfavorable (death). ("Da", another version reads "zhuan".)
In Rebing, after sweating has occurred, if the heat has not subsided and the pulse is slightly restless, acupuncture treatment should be avoided with caution.
In Rebing, with fever, especially severe fever, if the Yin and Yang pulses at all positions are exhausted, acupuncture must be strictly avoided. If there is no sweating, diarrhea will inevitably occur.
Diagnosing injury by Wind pathogen, presenting with numbness (Bu-ren) and flaccid paralysis (Wei-jue), if the pulse is weak, the prognosis is favorable (life); if the pulse is firm, urgent, and rapid, the prognosis is unfavorable (death).
Diagnosing Dianbing (Epilepsy/Mental Disorder), if the pulse is weak, it is treatable; if the pulse is excess, the prognosis is unfavorable (death).
Dianji (Epileptic Seizures), if the pulse is excess and firm, the prognosis is favorable (life); if the pulse is sunken, fine, and small, the prognosis is unfavorable (death).
Dianji, if the pulse is pounding, large, and slippery, the chronic condition may resolve spontaneously. If the pulse is sunken, small, urgent, and excess, it is untreatable; if the pulse is small and firm-urgent, it is also uncurable.
Diagnosing headache, eye pain, and blindness from prolonged viewing (or sudden vision loss), the prognosis is unfavorable (death). ("Jiu-shi", another version reads "Zu-shi", sudden vision loss.)
Diagnosing accumulation and mass in the heart and abdomen, if the pulse is firm, urgent, and hard, the prognosis is favorable (life); if the pulse is weak, the prognosis is unfavorable (death). Furthermore, if the pulse is excess and strong, life is possible; if sunken, death. If the pulse is large, the abdomen is distended, the limbs are cold, and the pulse shape is long, the prognosis is unfavorable (death). If there is abdominal fullness, bloody stool, a large pulse with intermittent cessation, and massive bleeding; or a small and rapid pulse, the prognosis is unfavorable (death).
Heart and abdominal pain, so severe that breathing is restricted, if the pulse is fine, small, and slow, the prognosis is favorable (life); if the pulse is firm, large, and rapid, the prognosis is unfavorable (death).
Changpi (Dysentery), with bloody stool, if the body is hot, death ensues; if the body is cold, life ensues.
Changpi, discharging white mucus, if the pulse is sunken, life ensues; if floating, death ensues.
Changpi, discharging pus and blood, if the pulse is Xuanjue (extremely abnormal/detached), death ensues; if slippery and large, life ensues.
For Changpi-type diseases, if the body is hot, and the pulse is not Xuanjue but slippery and large, life ensues; if the pulse is Xuanse (detached and choppy), death ensues. The time of death can be predicted based on the Zang organ cycles.
Changpi, discharging pus and blood, if the pulse is sunken, small, and continuous, life ensues; if rapid, frequent, and large, with heat signs, death ensues.
Changpi, with muscle spasms, if the pulse is small, fine, and quiet, life ensues; if floating, large, and tight, death ensues.
Dongxie (Severe Diarrhea), with undigested food, inability to retain contents, and discharge of pus and blood, if the pulse is minute, small, and continuous, life ensues; if urgent and tight, death ensues.
Xiezhu (Acute Diarrhea), if the pulse is slow/moderate, occasionally small and knotted, life ensues; if floating, large, and rapid, death ensues.
Shiyin Chuang (Genital Ulceration), if the pulse is weak and small, life ensues; if urgent and tight, death ensues.
Cough, if the pulse is sunken and tight, death ensues; if floating and straight, life ensues; if floating and soft, life ensues; if small, sunken, and hidden, death ensues.
Cough, with emaciation, if the pulse shape is firm and large, death ensues.
Cough, with wasting away, fever, and a small, firm, and urgent pulse, death ensues; with muscle thinning, without total wasting away, but with persistent heat, death ensues.
Cough with vomiting, abdominal distension and diarrhea, if the pulse is wiry, urgent, and nearly severed, death ensues.
Hematemesis (Vomiting Blood) and Epistaxis (Nosebleed), if the pulse is slippery, small, and weak, life ensues; if excess and large, death ensues.
Sweating or nosebleed, if the pulse is small and slippery, life ensues; if large and restless, death ensues.
Spitting Blood, if the pulse is tight and strong, death ensues; if slippery, life ensues.
Hematemesis with cough, Qi rebelling upward, if the pulse is rapid, with heat signs, and inability to lie down, death ensues.
Shangqi (Rebellious Qi/Asthma), if the pulse is rapid, death ensues. This is due to the damage of the physical form.
Shangqi, with wheezing and varying pitch, if the pulse is slippery and the hands and feet are warm, life ensues; if the pulse is choppy and the four limbs are cold, death ensues.
Shangqi, with facial edema and shoulder-breathing, if the pulse is large, it is untreatable; if accompanied by diarrhea, death is certain. (Another version reads "worse").
Shangqi, with drooling, if the pulse is weak, quiet, sunken, and hidden, life ensues; if firm and strong, death ensues.
Cold Qi attacking upwards, if the pulse is excess and smooth/slipping, life ensues; if excess and reverse/choppy, death ensues. (*Tai Su* records: How is the pulse when Cold Qi violently ascends? Answer: Excess and smooth means life, excess and reverse means death. How is it when the whole body is full/excess? Answer: When the entire body shows excess, the pulse is urgent, large, and firm, with the Chi position being full but unresponsive. In such cases, Shun (smooth/normal direction) means life, Ni (reverse/abnormal direction) means death. What is Shun vs. Ni? Answer: Shun refers to warm hands and feet; Ni refers to cold hands and feet.)
Danbing (Febrile Disease), if the pulse is excess and large, even if the illness is long-standing, it is treatable; if the pulse is Xuanxiao (detached, small, firm, and urgent), even if the illness is short, it is untreatable.
Xiaoke (Wasting-Thirst/Diabetes), if the pulse is rapid and large, life ensues; if fine, small, floating, and short, death ensues.
Xiaoke, if the pulse is sunken and small, life ensues; if excess, firm, and large, death ensues.
Shuibing (Water Disease/Edema), if the pulse is Hongda (Surging and Large), it is treatable; if minute and fine, it is untreatable.
Shuibing, with abdominal distension and obstruction, if the pulse is floating, large, and soft, life ensues; if sunken, fine, empty, and small, death ensues.
Shuibing, with an abdomen large like a drum, if the pulse is excess, life ensues; if empty/weak, death ensues.
Zhongfeng E (Sudden Evil Attack/Collapse), with profuse hematemesis (several sheng), if the pulse is sunken, rapid, and fine, death ensues; if floating, large, and rapid/fast, life ensues.
Zhongfeng E, with abdominal distension and fullness of the four limbs, if the pulse is large and slow/moderate, life ensues; if tight, large, and floating, death ensues; if tight, fine, and minute, life is also possible.
Chuangyang (Sores/Ulcers), with stiffness and urgency of the waist and spine, and convulsions, are all untreatable.
Hanre (Alternating Chills and Fever), with convulsions, if the pulse is Dai (intermittent) or Jue (severed), death ensues.
Jinchuang (Metal Weapon Wound), with excessive blood loss, if the pulse is weak and fine, life ensues; if rapid, excess, and large, death ensues.
Jinchuang with bleeding, if the pulse is sunken and small, life ensues; if floating and large, death ensues.
Zhuochuang (Chopping Wound), with blood loss of one or two sheng, if the pulse comes forth large, death occurs in twenty days.
Combined chopping and stabbing wounds, with complex pathology, low blood volume, and bleeding that does not stop spontaneously, if the pulse ceases and then returns large, death occurs in seven days; if slippery and fine, life ensues.
Falling from a height, with internal blood stasis and abdominal distension, if the pulse is firm and strong, life ensues; if small and weak, death ensues.
Poisoning by various medicines, if the pulse is floating, choppy, and rapid, life ensues; if minute and fine, death ensues; if surging, large, and slow, life ensues. (In *Qianjin Fang*, "slow" is read as "fast".)
When the disease is severe but the pulse is discordant, recovery is difficult. When the disease is severe but the pulse is Hong (Surging), recovery is easy.
When both interior and exterior are deficient, with a cold body and sweating, slight vomiting, restlessness, cold extremities, and bodily unrest, death ensues.
If the pulse is excess and full, with cold hands and feet and a hot head, life ensues in Spring and Autumn, but death in Winter and Summer. For the elderly, if the pulse is minute, with Yang deficiency and Yin excess, life ensues; if the pulse is blazing large and accelerated, death ensues. With Yin weakness and Yang excess, if the pulse presents with Dai (intermittence), death occurs in the intercalary month.
Chi pulse choppy and firm indicates Blood excess and Qi deficiency. Onset involves abdominal pain, rebellious Qi causing fullness, and Qi moving upward. This indicates injury to the uterus in women, with retained evil blood, eventually forming a Jiajia (mass). If contracted in Winter, death occurs when millet turns red.
Chi pulse fine and minute indicates deficiency of both Blood and Qi. If fine but forceful, it indicates insufficient Gu Qi (Grain Qi), and the illness fluctuates with solar terms, leading to death when jujube leaves emerge. This illness is contracted in Autumn.
Left Cun Kou pulse moves unevenly, alternating between large and small, irregular. From Cun to Guan, and Guan to Chi, all three positions show trembling and variation. If this pulse appears in Mid-Summer, death occurs when peach blossoms fall. ("Flower", another version reads "Leaf".)
Right Cun Kou pulse is biased towards sunken and hidden, alternating between small and large. Floating and large in the morning, sunken and hidden at night. Floating and large indicates excess, extending above the Yuji point. Sunken and hidden indicates failing to reach the Guan position. Erratic movement, recurring intermittently, leads to death when elm leaves wither. ("Leaf", another version reads "Ying" / flower petal).
Right Chi position, pulse stops once every thirty beats, recovers briefly, then stops once every twenty beats, alternating between active and sparse, continuously linked, not corresponding to respiration rate. Even if eating grain, the patient does not recover, and death occurs when fancao (white mugwort) grows.
Left Chi position, pulse stops once every forty beats, stops then returns, coming forcefully like touching a straight piece of wood, or a drawn bowstring, violently like two people pulling a single rope, death occurs at Lidong (Start of Winter). (In *Qianjin Fang*, it reads "death at Lichun (Start of Spring)".)