缓脉关前搐项筋。
缓脉主湿。经曰。诸痉项强。皆属于湿。关前寸部也。寸主头项之事。寸部
而见缓脉。乃湿气客于足太阳之经。而项筋为之搐强矣。
按脉经云。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。
当关气结腹难伸。
脾主中州。中州治则阴阳升降。上下宣通。而气无结滞之患。今缓脉见
于关中。乃阴邪湿气。结塞中州。清者不得上升。浊者不得下降。而腹难
以舒伸也。
按脉经云。关脉缓。其人不欲食。此胃气不调。脾气不足。宜服平胃丸补
肺汤。针章门补之。
尺上若逢 结冷。夜间常梦鬼随人。
尺上若逢缓脉。则为冷气结于下焦。而为 瘕之疾。何也。夫尺。阴位也。
缓。阴脉也。冷。阴气也。夜间。阴盛之时也。常梦鬼随人者。群阴合。而从其
类也。
按脉经云。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。
四涩者阴也。指下寻之似有。举之全无。前虚后实。无复攻序曰涩。主腹痛。
女子有孕。胎痛。无孕败血为病。
涩者。阴金也。何为阴金。夫沉。阴也。涩为阴为里。当于沉中候。故指法曰。
寻之似有。重手取之而似有。亦不若他。脉之往来分明也。举之全无。谓
浮取则不得也。举之全无。则前虚矣。寻之似有。则后实矣。脉经谓其往
来难短且散。即前虚后实之谓也。无复次序者。即参伍不调。如雨沾沙
之谓也。夫脉者。血之府也。犹沟渠之水。水多则滑。水少则涩。血盛则脉
滑。血虚则脉涩。腹痛者。血虚而作腹痛也。血所以养胎者也。若有孕而
见涩脉。则为血虚。胎失其养而痛矣。若无孕而见涩脉。则为伤精败血
之证。夫涩属金。为气多血少。即下文所云血衰气旺定无妊。血旺气衰
应有体也。
按脉经云。涩脉细而迟。往来难且散。或一止复来。一曰浮而短。一曰短
而止。或曰散也。丹溪心法曰。涩为血虚。为有郁。
When the Huan (Moderate/Slack) pulse is found at the Cun (Inch) position, it causes twitching and stiffness of the tendons in the neck.
The Huan pulse indicates Dampness. The Classics state: "All spasmodic conditions and neck stiffness belong to Dampness." Here, "before the Guan (Carpal)" refers to the Cun position. The Cun position primarily reflects issues of the head and neck. If a Huan pulse is observed at the Cun position, it signifies that Dampness has invaded the Foot-Taiyang Bladder Meridian, causing twitching and stiffness of the neck tendons.
The *Mai Jing* (Pulse Classic) records: "If the Cun Kou pulse is Huan, the skin feels numb; this is Wind-Cold residing in the muscles. It is appropriate to administer Fangfeng Tang (Saposhnikovia Decoction), apply hot compresses with medicinal dregs, massage with Feng Gao (Wind Ointment), and moxa various acupoints for treating Wind."
When the Huan pulse appears at the Guan position, it leads to Qi stagnation and difficulty in extending or stretching the abdomen.
The Spleen governs the Middle Jiao (Central Region). When the function of the Middle Jiao is normal, Yin and Yang Qi ascend and descend in order, and the upper and lower parts communicate freely, preventing Qi stagnation. Now, if a Huan pulse appears at the Guan position, it indicates that Yin pathogenic Dampness is obstructing the Middle Jiao. Clear Qi cannot ascend, and turbid Qi cannot descend, resulting in abdominal discomfort and inability to stretch.
The *Mai Jing* records: "If the Guan pulse is Huan, the patient lacks appetite. This is due to disharmony of Stomach Qi and insufficiency of Spleen Qi. It is appropriate to administer Pingwei Wan (Stomach-Pacifying Pill) and Bufeitang (Lung-Supplementing Decoction), and needle Zhangmen (LR13) with the tonification method."
If a Huan pulse is encountered at the Chi (Cubit) position, cold stagnation occurs, and one often dreams of ghosts following them during the night.
If a Huan pulse is found at the Chi position, it means Cold Qi is stagnating in the Lower Jiao, leading to Jian (abdominal masses) disorders. Why? The Chi position belongs to Yin, the Huan pulse is a Yin pulse, Cold is Yin Qi, and nighttime is when Yin Qi is abundant. Dreaming of ghosts following people occurs because multiple Yins combine and gather by their kind.
The *Mai Jing* records: "If the Chi pulse is Huan, the legs are weak, there is edema in the lower limbs, difficult urination, and dribbling after voiding. It is appropriate to administer Shihui Tang (Talcus Decoction) and Qumai San (Knotweed Powder), and needle Henggu (KI11) with the sedation method."
Se pulses are Yin. Upon careful searching with the fingers, they seem present; upon lifting the fingers lightly, they disappear completely. They appear deficient anteriorly and solid posteriorly, lacking regular sequence, and are called Se (Choppy) pulses. The Se pulse governs abdominal pain. In pregnant women, a Se pulse indicates fetal pain; in non-pregnant women, it indicates disease caused by damaged blood.
The Se pulse corresponds to Yin Metal in the Five Elements. What is Yin Metal? Chen (Deep) pulses are Yin; Se pulses are also Yin and interior, so they should be assessed during deep palpation. Thus, the finger technique states: "Searching reveals a semblance of presence." Heavy pressure feels as if the pulse is there, but unlike other pulses, its movement is not distinct. Lifting (light pressure) yields nothing, meaning superficial palpation fails; this is "anterior deficiency." Searching (medium/deep pressure) reveals a semblance of presence; this is "posterior solidity." The *Mai Jing* describes it as "difficult to move, short, and scattered," which refers to anterior deficiency and posterior solidity. "No regular sequence" means irregularity, like rain soaking into sand. The pulse is the residence of Blood, like water in a ditch. Abundant water flows smoothly; scarce water is sluggish. Abundant Blood makes the pulse Slippery; deficient Blood makes the pulse Choppy. Abdominal pain arises from Blood deficiency. Blood nourishes the fetus. If a Se pulse appears during pregnancy, it indicates Blood deficiency, causing fetal pain due to lack of nourishment. If a Se pulse appears without pregnancy, it indicates injury to Essence and damaged Blood. The Se pulse belongs to Metal, representing excessive Qi and deficient Blood, as stated later: "Deficient Blood and Excess Qi ensure no conception; Abundant Blood and Deficient Qi indicate pregnancy."
The *Mai Jing* records: "The Se pulse is fine and slow, difficult to move and scattered, or stops intermittently. Some say it is floating and short; some say short and stopping; some call it Scattered." Danxi Xinfa states: "The Se pulse indicates Blood deficiency and Qi stagnation."