(此八脉亦以不能混列统类二十七脉中,故又附人迎气口二脉之后。八脉不拘制于十二
正经,无
表里相配,故名曰奇。凡诊,八脉所见,统两手皆然,其从寸部斜至外、斜至内者,左手之
外,即右手之内,左手之内,即右手之外,相反推之自见。)
阳维 阳维候一身之表(以左手为主,其脉从寸部斜至外者是也。右手
反看,下同。)
本脉起于诸阳之会,所以维于阳,盖人身之卫分即是阳,阳维维阳即维卫,卫主表,故
阳维受邪为病亦在表,寸为阳部,外亦为阳位,故阳维之脉,从寸斜至外,不离乎阳也。
阴维 阴维候一身之里(以左手为主,其脉从寸部斜至内者是也。右手
反看。)
本脉起于诸阴之交,所以维于阴,盖人身之营分即是阴,阴维维阴即维营,营主里,故
阴维受
邪为病亦在里,寸虽为阳部,内实为阴位,阴维之脉,从寸斜至内,是根于阳而归于阴也。
阳跷 阳跷候一身左右之阳(其脉从寸部左右弹者是也。不论左右手。)
本脉为足太阳经别脉,起跟中,循外踝上行于身之左右,所以使机关之跷捷也。阳跷在
肌肉之上,阳脉所行,通贯六腑,主持诸表,故其为病,亦表病里和。
阴跷 阴跷候一身左右之阴。(不论左右手,其脉从尺部左右弹者是也
。)
本脉为足少阴经别脉,起跟中、循内踝上行于身之左右,所以使机关之跷捷也。阴跷在
肌肉之下,阴脉所行,通贯五脏,主持诸里,故其为病,亦里病表和。
督 督候身后之阳(不论左右手,其脉三部中央俱浮,直上直下者是也
。)
本脉起肾下胞中,循背而行于身之后,为阳脉之总督,故曰阳脉之海,故其为病,往往自下
冲上而痛。
任 任候身前之阴(不论左右手,其脉丸丸,横于寸口者是也。)
本脉起肾下胞中,循腹而行于身之前,为阴脉之承任,故曰阴脉之海,故其为病,亦往
往自下冲上而痛。
冲 冲候身前之阴(不论左右手,其脉来寸口中央坚实,径至关者是也
。)
本脉起肾下胞中,夹脐而行,直冲于上,为诸脉之冲要,故曰十二经脉之海。又以其为
先天
精血之主,能上灌诸阳,下渗诸阴,以至足跗,故又曰血海,而其为病,多气逆而里急。
带 带候诸脉之约束(不论左右手,其脉来关部左右弹者是也。)
本脉起少腹之侧,季胁之下,环身一周,络腰而过,如束带状,所以总约诸脉,故名曰
带。
而冲任二脉 ,循腹胁,夹脐旁,传流于气街,属于带脉,络于督脉,冲任督三脉,同起而
异行,一源而三岐,皆络带,因诸经上下往来,遗热于带脉之间,客热郁抑,白物淫溢,男
子随溲而下,女子绵绵而下,皆湿热之过,故带脉为病,即谓之带下。
(The Eight Extraordinary Vessels cannot be mixed into the twenty-seven standard pulse types, so they are appended after the Renying and Qikou pulses. These eight vessels are not restricted by the Twelve Regular Meridians and lack exterior-interior pairing, hence named "Extraordinary." In all examinations, the manifestations of these eight vessels appear in both hands: the one slanting outward from the Cun position on the left hand corresponds to the inner side of the right hand, and the inner side of the left hand corresponds to the outer side of the right hand; deducing in reverse reveals this clearly.)
Yang Wei Mai (Yang Linking Vessel) monitors the exterior of the whole body (primarily observed with the left hand; its pulse slants outward from the Cun position. Observe the right hand in reverse, as follows.)
This vessel originates at the convergence of all Yang meridians, thus linking Yang. Generally, the Wei (Defensive) aspect of the human body is Yang; Yang Wei linking Yang is equivalent to linking Wei. Since Wei governs the exterior, when Yang Wei is affected by pathogenic factors, the disease also resides in the exterior. The Cun position is a Yang area, and the outer side is also a Yang location; therefore, the Yang Wei pulse slanting outward from the Cun does not depart from Yang.
Yin Wei Mai (Yin Linking Vessel) monitors the interior of the whole body (primarily observed with the left hand; its pulse slants inward from the Cun position. Observe the right hand in reverse.)
This vessel originates at the intersection of all Yin meridians, thus linking Yin. Generally, the Ying (Nutritive) aspect of the human body is Yin; Yin Wei linking Yin is equivalent to linking Ying. Since Ying governs the interior, when Yin Wei is affected by pathogenic factors, the disease also resides in the interior. Although the Cun position belongs to Yang, the inner side is actually a Yin location. The Yin Wei pulse slanting inward from the Cun indicates rooting in Yang and returning to Yin.
Yang Qiao Mai (Yang Heel Vessel) monitors the Yang of the left and right sides of the whole body (its pulse beats rhythmically to the left and right from the Cun position. Applies to either hand.)
This vessel is a branch of the Foot-Taiyang Bladder Meridian, originating in the middle of the heel, ascending along the lateral malleolus to the left and right sides of the body, thereby enabling agile movement of joints. Yang Qiao lies above the muscles, following the path of Yang meridians, penetrating the Six Fu Organs, and governing the exterior functions. Thus, when it becomes diseased, it presents as an exterior disorder with interior harmony.
Yin Qiao Mai (Yin Heel Vessel) monitors the Yin of the left and right sides of the whole body. (Applies to either hand; its pulse beats rhythmically to the left and right from the Chi position.)
This vessel is a branch of the Foot-Shaoyin Kidney Meridian, originating in the middle of the heel, ascending along the medial malleolus to the left and right sides of the body, thereby enabling agile movement of joints. Yin Qiao lies below the muscles, following the path of Yin meridians, penetrating the Five Zang Organs, and governing the interior functions. Thus, when it becomes diseased, it presents as an interior disorder with exterior harmony.
Du Mai (Governing Vessel) monitors the Yang of the posterior body. (Applies to either hand; its pulse is floating in the center of all three positions, moving straight up and down.)
This vessel originates below the kidney in the Baozhong (uterus/bladder region), runs along the back on the posterior side of the body, and serves as the commander of all Yang meridians, hence called the "Sea of Yang Meridians." Therefore, when it becomes diseased, pain often rushes upward from below.
Ren Mai (Conception Vessel) monitors the Yin of the anterior body. (Applies to either hand; its pulse is round and rolling, transverse across the Cun Kou position.)
This vessel originates below the kidney in the Baozhong, runs along the abdomen on the anterior side of the body, and serves as the bearer of all Yin meridians, hence called the "Sea of Yin Meridians." Therefore, when it becomes diseased, pain often rushes upward from below.
Chong Mai (Penetrating Vessel) monitors the Yin of the anterior body. (Applies to either hand; its pulse arrives firm and solid at the center of the Cun Kou, extending directly to the Guan position.)
This vessel originates below the kidney in the Baozhong, runs alongside the umbilicus, and rushes straight upward. It is the crucial point for all meridians, hence called the "Sea of the Twelve Regular Meridians." Furthermore, as the master of congenital essence and blood, it can irrigate the Yang meridians above and seep into the Yin meridians below, reaching the dorsum of the foot; thus, it is also called the "Sea of Blood." When it becomes diseased, it often manifests as Qi rebellion and internal urgency.
Dai Mai (Girdle Vessel) monitors the constraint over all other meridians. (Applies to either hand; its pulse beats to the left and right at the Guan position.)
This vessel originates from the sides of the lower abdomen, below the costal margin, encircles the body once, crosses the waist, and resembles a belt. Thus, it generally constrains all meridians, hence named "Dai" (Belt).
The Chong and Ren meridians run along the abdomen and hypochondrium, beside the umbilicus, flowing into the Qijie (Gas Street), belonging to the Dai Mai, and connecting with the Du Mai. The Chong, Ren, and Du meridians share the same origin but different pathways, branching from one source into three, all connecting with the Dai Mai. Due to the continuous ascent and descent of various meridians, heat pathogens are left in the Dai Mai region. The trapped heat stagnates, causing white discharge to overflow. In men, it flows out with urine; in women, it flows continuously. All are due to Damp-Heat. Therefore, diseases of the Dai Mai are termed "Dai Xia" (Leukorrhea/Down-Flow Disorder).