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The pulse at all three positions is rapid (Shu), indicating heat in the Heart. Sores appear on the tongue, and the lips are cracked. The patient speaks deliriously, seeing ghosts and spirits before their eyes. Even after drinking a hundred cups of water, the thirst remains unquenched.

If the Heart pulse is Kou (Hollow) [indicating Yang qi making sound] [often due to blood loss leading to Ying blood deficiency], or if there is intermittent bloody dysentery or hematuria, with hematemesis and melena occurring chaotically. If the pulse overflows past the Guan position, accompanied by bone pain and mental restlessness, along with redness of the head and face.

Master Chi said: "Overflowing Guan" refers to Yin qi ascending to the Guan position but not yet overflowing into the Yang area anterior to the Guan. The Yin water of the Kidney attempts to overcome the Fire of the Heart, but the Heart Fire does not accept the pathogen. Water and Fire contend with each other, injuring both. Injury to the Kidney causes bone pain; injury to the Heart causes restlessness, leading to Qi attacking upward and causing redness of the head and face.

Chronic excess conditions often present with facial redness resembling wind-heat; dry pain and facial complexion are similar to Heart diseases. Slight aversion to cold with mental palpitations indicates Heart cold and fever; acute cases involve painful obstruction in the intestines. An excess-large pulse combined with slippery qualities presents as a stiff tongue, mental fright, and difficulty speaking. A solitary slippery pulse indicates Heart heat without other diseases. A choppy pulse indicates insufficient Heart power, with the patient speaking little. A deep-tight pulse indicates counterflow cold pain in the heart. A wiry pulse indicates Heart anxiety and a sensation of emptiness in the chest.

The Liver corresponds to the Yang of Spring, connected to the Gallbladder like linked branches, sharing the same residence. Its color is green, its form belongs to Wood, and its position is in the East. It stores blood to nourish the eyes and controls sinews to move the nails. When rebellious, it generates anger. In accordance with normal conditions, the pulse is wiry and long. Tears are its fluid, and shouting is its voice. Sour flavors are suitable for its intake, and hemp, wheat, rice, and grains correspond to its dietary needs. Excess dreams manifest as mountains, forests, and trees; deficiency manifests as seeing fine grass awns. Accumulated Qi is called Fei Qi, located at the edge of the hypochondrium. Wearing kingfisher feathers signifies auspiciousness; a face resembling withered grass signifies disaster. The Liver weighs four jin and four liang, divided into seven lobes arranged in two rows.

When the pulse at all three positions is wiry, it indicates Liver excess. There is pain and suffering in the eyes, and vision is weak. Anger fills the chest, creating an urge to shout. Eyelids obscure the pupils, and tears fall like pearls.

A soft Liver pulse combined with wiry qualities originally indicates no pathogen. Tightness arises from slight sinus tension. Careful observation reveals floating, large, and excess qualities, indicating red pain, dizziness, and visual obstruction as if covered by an object. If the pulse overflows past the Guan position corresponding to the Cun position, it presents with vertigo, heavy head, and sinus pain. A Kou pulse indicates dim vision or hematemesis. Paralysis of the four limbs prevents walking. A choppy pulse indicates blood scattering due to deficiency. Rib distension and hypochondriac fullness should be known naturally. A slippery pulse indicates Liver heat affecting the head and eyes. Tight, excess, wiry, and deep pulses form the basis for Pi Ji (masses). Weak, floating, and scattered pulses indicate Qi distress. Dim vision and flashing lights make prolonged viewing intolerable. A very floating pulse with weak sinews and body weakness, upon encountering this, requires assessment for paralysis of the four limbs.