小序 叔和《脉经》,似无遗用。乃长短二脉,缺而不载;牢革二脉,混而不分;未尽厥旨也。王常辟
伪诀七表、八里之陋,是矣,而复增长数二脉为九表,短细二脉为十里,又何说哉!脉之动静,固阴阳
所生,其变化不皆为名数所限也。是编二十八脉,悉皆即义辨形,衷极理要。至于主病略同者,则不
加诠释,引而申之,在于达者。
体象 浮在皮毛,如水漂木;举之有余,按之不足。
浮之为义,如木之浮水面也。其脉应于皮毛,故轻手可得,如水中漂木,虽按之使沉,亦将随手而起。
主病 浮脉为阳,其病在表。左寸浮者,头痛目眩。浮在左关,腹胀不宁。左尺得浮,膀胱风热。
右寸浮者,风邪喘嗽。浮在右关,中满不食。右尺得浮,大便难出。
六腑属阳,其应在表,故浮主表病也。高巅之上,惟风可到,杂乱其清阳之气,痛眩之自来。肝为风木之
藏,风胜则木张而肋胀。膀胱受风,风胜热淫,津液自燥,故令小便秘涩。肺受风邪,清肃之令不行,气高
而喘嗽。风木乘脾,中气惫而食减。肾家通主二便,风客下焦,大府燥而不快。
兼脉 无力表虚,有力表实。浮紧风寒,浮缓风湿。浮数风热,浮迟风虚。浮虚暑惫,浮芤失血。
浮洪虚热,浮濡阴虚。浮涩血伤,浮短气病。浮弦痰饮,浮滑痰热。浮数不热,疮疽之兆。
脉非一端,必有兼见之象。或外而偏于六淫,或内而偏于七情,则脉将杂至,然后揆其轻重,以别病情。
如浮脉当即见于皮毛,而取之无力,此气不能应,表虚之象;如力来太过,表实何疑。紧则紧敛,寒之性
也,风中有寒;缓则缓惰,湿之性也,风中有湿。数乃过于鼓动,为风热相搏;迟乃徐徐而至,为风虚无力。
暑伤乎气,气泄则脉虚;营行脉中,血失则脉芤。一则浮取之而如无,气外泄也;一则浮取之而则有,血
中脱也。炎炎上蒸,火之象也,但浮则有表无里,故曰虚热;衰薄之甚,若无其下,故曰阴虚。脉浮而涩,乃
肺脉之应于秋者,若加以身热,则火盛金衰,血日以损;浮涩而短,乃肺家之本脉,其象过短,是真气不
能会于寸口以成权衡,气将竭矣。水饮应沉而言浮者,上焦阳不能运,随着停留;若浮而滑者,则非弦
敛不鼓之象,寒当化热,饮当成痰。浮数理应发热,其不发热而反恶寒者,若有一定不移之痛处,疮疽
之兆矣。
按浮脉法天,轻清在上之象,在卦为干,在时为秋,在人为肺。《素问·玉机真藏论》曰∶“其气来毛而
中央坚,两旁虚,此谓太过,病在外。其气来毛而微,此谓不及,病在中。”又曰∶“太过则气逆而背痛;不及
则喘,少气而咳,上气见血。”《素问·平人气象论》曰∶“平肺脉来,厌厌聂聂,如落榆荚,曰肺平。病肺脉
来,不上不下,如循鸡羽,曰肺病。死肺脉来,如物之浮,如风吹毛,曰肺死。”然肺掌秋金,天地之气,至秋
而降,况金性重而下沉,何以与浮脉相应耶?不知肺金虽沉,而所主者实阳气也。乃自清浊肇分,天以
气运于外而摄水,地以形居中而浮于水者也。是气也,即天之谓也。人形象天,故肺主气,外应皮毛。阳
为外卫,非皮毛乎,此天之象也。其包裹骨肉腑脏于中,此地之象也。血行于皮里肉腠,昼夜周流无端,
此水之象也。合三者而观,非水浮地、天摄水、地悬于中乎?所以圣人作易,取金为气之象。盖大气至清
至刚至健、属乎金者也。非至刚不能摄此水,非至健不能营运无息,以举地之重,故以气属金,厥有旨
哉!王叔和云∶“举之有余,按之不足。”最合浮脉象天之义。黎氏以为如捻葱叶,则混于芤脉矣。崔氏云∶
“有表无里,有上无下。”则脱然无根,又混于散脉矣。伪诀云∶“寻之如太过。”是中候盛满,与浮之名义,
有何干涉乎?须知浮而盛大为洪,浮而软大为虚,浮而柔细为濡,浮弦芤为革,浮而无根为散,浮而中
空为芤。毫厘疑似,相去千里矣。
Preface Wang Shuhe's *Mai Jing* (Pulse Classic) seems to leave no utility unexploited. Yet, the Chang Mai (Long Pulse) and Duan Mai (Short Pulse) are missing and not recorded; the Lao Mai (Deep-Firm Pulse) and Ge Mai (Drum-Tapping Pulse) are confused and not distinguished; thus failing to fully reveal its profound meaning. Wang Chang correctly criticized the crude theory of "Seven Superficial and Eight Interior Pulses" in the false pulse manuals, but why did he further add Chang Mai (Long Pulse) and Shuo Mai (Rapid Pulse) to make nine superficial pulses, and Duan Mai (Short Pulse) and Xi Mai (Fine Pulse) to make ten interior pulses? The movement and stillness of pulses certainly arise from Yin and Yang, yet their variations are not limited by names and numbers. This compilation discriminates the forms of the twenty-eight pulses based on their meanings, exhausting the essential principles. For those whose governing diseases are roughly similar, no explanation is added; the extension and elaboration are left for the insightful to comprehend.
Physical Characteristics The Fu Mai (Floating Pulse) is located at the skin and hair level, like a piece of wood floating on water; it feels abundant when lifted lightly (Ju), but insufficient when pressed heavily (An).
The meaning of the Floating Pulse is like wood floating on the surface of water. Its pulse response corresponds to the skin and hair, so it can be felt with light touch, just like wood floating in water; even if pressed down to sink, it will rise back up immediately upon release.
Governing Diseases The Floating Pulse belongs to Yang, and the disease is in the Exterior (Biao). If the Floating Pulse appears at the Left Cun position, it indicates headache and dizziness. If the Floating Pulse appears at the Left Guan position, it indicates abdominal distension and restlessness. If the Floating Pulse is obtained at the Left Chi position, it indicates wind-heat in the Bladder.
If the Floating Pulse appears at the Right Cun position, it indicates wheezing and cough due to wind pathogen. If the Floating Pulse appears at the Right Guan position, it indicates epigastric fullness and loss of appetite. If the Floating Pulse is obtained at the Right Chi position, it indicates difficulty in defecation.
The Six Fu Organs belong to Yang, and their responses are in the Exterior; therefore, the Floating Pulse governs exterior diseases. At the high peak of the head, only wind can reach, disturbing the clear Yang Qi, leading inevitably to pain and dizziness. The Liver is the storehouse of Wind-Wood; when wind prevails, Wood expands, causing hypochondriac distension. When the Bladder is affected by wind, wind prevalence leads to excessive heat, drying the body fluids, thus causing difficult and scanty urination. When the Lung is invaded by wind pathogen, its function of clearing and descending fails, causing Qi to rise excessively resulting in wheezing and cough. Wind-Wood overacting on Spleen Earth exhausts Middle Qi, leading to reduced appetite. The Kidney system governs both urination and defecation; when wind pathogens lodge in the Lower Jiao, the Large Intestine becomes dry and uncomfortable.
Combined Pulses Floating and weak indicate Exterior Deficiency; Floating and forceful indicate Exterior Excess. Floating and Tight (Jin) indicate Wind-Cold; Floating and Slow/Relaxed (Huan) indicate Wind-Dampness. Floating and Rapid (Shuo) indicate Wind-Heat; Floating and Slow (Chi) indicate Wind-Deficiency. Floating and Empty (Xu) indicate exhaustion due to Summer-Heat; Floating and Scallion-Stalk (Kou) indicate blood loss.
Floating and Surging (Hong) indicate deficient heat; Floating and Soft (Ru) indicate Yin deficiency. Floating and Choppy (Se) indicate blood injury; Floating and Short (Duan) indicate Qi disorders. Floating and String-Taut (Xian) indicate phlegm-fluid retention; Floating and Slippery (Hua) indicate phlegm-heat. Floating and Rapid without fever is an omen of carbuncles and sores.
Pulses are not singular; there must be combined manifestations. Whether externally biased towards the Six Exogenous Pathogens (Wind, Cold, Summer-Heat, Dampness, Dryness, Fire) or internally biased towards the Seven Emotions (Joy, Anger, Worry, Thought, Grief, Fear, Fright), the pulse images will become mixed. Then, one must gauge their severity to distinguish the condition.
For instance, if the Floating Pulse should appear at the skin level but is felt as weak upon palpation, this indicates that Qi cannot respond to the finger, which is a sign of Exterior Deficiency; if the force comes too strongly, how can there be doubt about Exterior Excess? Tightness implies contraction, which is the nature of Cold, indicating wind combined with cold; slowness/relaxation implies lethargy, which is the nature of Dampness, indicating wind combined with dampness. Rapidity implies excessive pulsation, representing the struggle between wind and heat; Slowness implies a leisurely arrival, representing weakness due to wind-induced deficiency.
Summer-heat injures Qi; when Qi leaks, the pulse becomes empty. Ying-Qi (Nutritive Qi) circulates within the vessels; when blood is lost, the pulse becomes Kou-like (scallion-stalk). One type feels empty upon light palpation, indicating Qi leaking outward; the other type feels present upon light palpation but hollow inside, indicating depletion within the blood. Scorching upward evaporation is the image of Fire; however, since the Floating Pulse has only the exterior and lacks the interior, it is called deficient heat. Extreme thinning and weakness, feeling as if the lower part is absent, is called Yin deficiency. A Floating and Choppy pulse is the Lung pulse corresponding to Autumn; if accompanied by fever, it signifies Fire excess and Metal deficiency, with blood daily diminishing. Floating, Choppy, and Short is the fundamental pulse of the Lung; if the image is excessively short, it means True Qi cannot converge at the Cun-Kou position to form a standard of balance, indicating Qi is nearly exhausted. Fluid-retention should typically present as Deep (Chen); if it presents as Floating, it is because Upper Jiao Yang Qi fails to transport, allowing fluids to stagnate. If it is Floating and Slippery, it is not the image of string-tight contraction without pulsation; Cold transforms into Heat, and fluid retention transforms into Phlegm. A Floating and Rapid pulse should theoretically involve fever; if there is no fever but rather aversion to cold, and there is a fixed, immovable painful area, it is an omen of carbuncles and sores.
Regarding the Floating Pulse, it models Heaven, representing the quality of being light and clear and residing above. In the Bagua (Eight Trigrams), it corresponds to Qian (Heaven); in seasons, to Autumn; in humans, to the Lung. *Su Wen: Yu Ji Zhen Zang Lun* states: "When the Qi arrives prickling-like with a firm center and empty sides, this is termed 'Excessive,' indicating disease in the Exterior. When the Qi arrives prickling-like but faint, this is termed 'Insufficient,' indicating disease in the Interior." It also states: "Excess leads to rebellious Qi and back pain; insufficiency leads to panting, shortness of breath, and cough, with upper Qi manifesting blood." *Su Wen: Ping Ren Qi Xiang Lun* states: "A normal Lung pulse arrives gently and softly, like falling elm catkins, called Normal Lung. A diseased Lung pulse arrives neither up nor down, like tracing chicken feathers, called Diseased Lung. A dying Lung pulse arrives like a floating object, like wind blowing hair, called Dying Lung." However, the Lung governs Autumn-Metal. The Qi of heaven and earth descends in autumn; moreover, the nature of Metal is heavy and sinks downward. Why does it correspond to the Floating Pulse? One must understand that although Lung-Metal is heavy, what it actually governs is Yang Qi. Since the separation of Clear and Turbid, Heaven moves Qi outside to encompass Water, while Earth occupies the center with form and floats on Water. This Qi is essentially Heaven. Humans mirror Heaven; thus, the Lung governs Qi and corresponds externally to the skin and hair. Yang serves as the external defense, which is indeed the skin and hair; this is the image of Heaven. Encasing bones, flesh, and zang-fu organs within is the image of Earth. Blood circulating in the spaces between skin and muscle, flowing endlessly day and night, is the image of Water. Observing these three together, is it not Water floating Earth, Heaven encompassing Water, and Earth suspended in the middle? Therefore, the Sages created the I Ching, taking Metal as the image of Qi. Generally, the Great Qi is extremely pure, extremely strong, and extremely vigorous, belonging to Metal. Only extreme strength can encompass this Water; only extreme vigor can operate ceaselessly to lift the weight of Earth. Thus, attributing Qi to Metal has profound significance! Wang Shuhe said: "Abundant when lifted, insufficient when pressed." This best fits the meaning of the Floating Pulse modeling Heaven. Li Shi considered it like pinching a scallion stalk, which confuses it with the Kou Mai (Scallion-Stalk Pulse). Cui Shi said: "Having exterior but no interior, having upper but no lower." This describes a pulse detached and rootless, confusing it with the San Mai (Scattered Pulse). The false manual says: "Searching feels like excessive fullness." This refers to fullness at the intermediate pressure, having no relation to the name and meaning of the Floating Pulse. One must know: Floating and grand is the Hong Mai (Surging Pulse); Floating and soft-large is the Xu Mai (Empty Pulse); Floating and soft-fine is the Ru Mai (Soft Pulse); Floating, string-taut, and kou-like is the Ge Mai (Drum-Tapping Pulse); Floating and rootless is the San Mai (Scattered Pulse); Floating and hollow in the middle is the Kou Mai (Scallion-Stalk Pulse). A difference of a hair's breadth in similarity leads to a thousand miles of divergence.