(寸口脉迟〔浮〕而缓,迟〔浮〕则为寒〔风〕,缓则为虚;荣缓则为亡血,卫缓则
为中风;邪气中经,)浮者血虚,络脉空虚,贼邪不泻,或左或右;邪气反缓,正气即急,
正气引邪, 僻不遂。邪在于络,肌肤不仁;邪在于经,即重不胜;邪入于腑,即不识人;
邪入于脏,舌即难言,口吐涎。
【按】“寸口脉浮而紧,紧则为寒,浮则为虚,寒虚相抟,邪在皮肤”,此五句原文在
本条之首,当在后条之首。“寸口脉迟而缓,迟则为寒,缓则为虚;荣缓则为亡血,卫缓
则为中风;邪气中经”,此六句原文在后条,当在此条之首,文气始各得相属,必系错简,
当移之。其中有“浮者血虚”一句,必是衍文,当删之。寸口脉迟而缓,迟则为寒,二
“迟”字当是“浮”字,“寒”字当是“风”字,始得文义了然,且迟缓二脉不能并见,当改
之。
(寸口脉浮而紧,紧则为寒,浮则为虚〔风〕,寒虚〔风〕相抟,邪在皮肤,)则身痒
而瘾疹;心气不足,邪气入中,则胸满而短气。
【按】“浮则为虚,寒虚相抟”二“虚”字,应是“风”字,当改之。
味酸则伤筋,筋伤则缓,名曰泄;咸则
伤骨,骨伤则痿,名曰枯。枯泄相抟,名曰断泄〔绝〕,荣气不通,卫不独行,荣卫俱微,
三焦无所御,四属断绝,身体羸瘦。独足肿大,黄汗出,胫冷。假令发热,便为历节也。
病历节,不可屈伸,疼痛,乌头汤主之。
【按】“名曰断泄”之“泄”字,当是“绝”字,始与下文相属,当改之。
诸肢节疼痛,身体 羸,脚肿如脱,头眩短气,温温( )欲吐,桂枝芍药知母
汤主之。
【按】温温应是“ ”,当改之。
(Cun Kou pulse [Radial Artery Pulse] is slow and moderate. Slow indicates cold, moderate indicates deficiency; a moderate Ying Qi (Nutritive Qi) indicates loss of blood, a moderate Wei Qi (Defensive Qi) indicates Wind-stroke; when pathogenic factors invade the meridians,) a floating pulse indicates blood deficiency, collaterals are empty, evil pathogens cannot be expelled, affecting either the left or right side; the side affected by pathogenic factors becomes flaccid, while the healthy side becomes tense. The healthy side pulls towards the diseased side, resulting in facial deviation and inability to move freely. If pathogens are in the collaterals, there is numbness of the skin and muscles; if in the meridians, the body feels heavy and difficult to lift; if entering the Fu organs, consciousness is lost and one does not recognize people; if entering the Zang organs, speech becomes difficult, and saliva dribbles from the mouth.
[Note] "Cun Kou pulse is floating and tight, tight indicates cold, floating indicates deficiency, cold and deficiency interact, pathogens are in the skin" — these five sentences originally at the beginning of this section should be moved to the beginning of the next section. "Cun Kou pulse is slow and moderate, slow indicates cold, moderate indicates deficiency; moderate Ying Qi leads to loss of blood, moderate Wei Qi leads to Wind-stroke; pathogenic factors strike the meridians" — these six sentences originally in the next section should be moved to the beginning of this section, so that the textual flow connects properly. This must be a result of misplaced bamboo slips and should be corrected. The sentence "floating indicates blood deficiency" is likely an interpolation and should be deleted. In "Cun Kou pulse is slow and moderate," the two instances of "slow" should be "floating," and "cold" should be "wind," for the meaning to be clear, as slow and moderate pulses do not typically appear together; this should be amended.
(Cun Kou pulse is floating and tight, tight indicates cold, floating indicates deficiency, cold and deficiency interact, pathogens are in the skin,) then the body itches and urticaria appears; if Heart Qi is insufficient and pathogens enter the interior, there is chest fullness and shortness of breath.
[Note] The two instances of "deficiency" in "floating indicates deficiency, cold and deficiency interact" should be "wind"; this should be amended.
Sour taste injures the sinews; injured sinews become flaccid, termed "Xie" (Leakage); salty taste injures the bones; injured bones become weak, termed "Ku" (Withering). Withering and leakage interact, termed "Duan Xie" (Severance), Ying Qi circulation is blocked, Wei Qi cannot circulate independently, both Ying and Wei Qi become deficient, the San Jiao (Triple Burner) loses its control, the four limbs are severed from nourishment, and the body becomes emaciated. Only the feet swell, yellow sweat appears, and the calves feel cold. If fever occurs, it is Li Jie disease (Gouty Arthritis).
For Li Jie disease, where joints cannot flex or extend and pain is present, Wu Tou Tang (Aconite Decoction) is the primary treatment.
[Note] The character "Xie" (Leakage) in "termed Duan Xie" should be "Jue" (Severance) to connect with the following text; this should be amended.
Pain in all limb joints, emaciation of the body, swollen feet as if detached, dizziness, shortness of breath, a sensation of warmth and discomfort in the chest with desire to vomit, Gui Zhi Shao Yao Zhi Mu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction) is the primary treatment.
[Note] "Wen Wen" should be "Yun Yun" (feeling stifled and uncomfortable), this should be amended.