心部数。主应在渴。舌上生疮。小便赤涩。眼目昏疼。
肝部数。主眼疼翳膜。泪多目昏。头眩运。头疼。头风。
脾部数。主口臭翻胃。齿痛牙宣。多食不饱。四肢不举。
肺部数。主咳嗽唾血。喉腥目赤。大便闭结。面生斑痱。
肾部数。主消渴不止。小便血淋。下疰脚疮。阳痈湿痒。
浮（按之不足。举之有余。转手乃得。） 芤（浮之无力。傍实中虚。） 洪（浮之有力。） 实（浮而长大。）
弦（数而弓弦。） 紧（数而又弦。） 滑（数而微利。如珠略浮。） 沉（按之有余。举之不足。重手乃得。）
微（沉自有自无。） 伏（沉而至骨。） 弱（沉而无力。） 迟（一呼一吸。三至去来甚迟。）
缓（迟似有似无。） 涩（迟而极细。如雨沾沙。） 数（一呼一吸。六至去来甚速。）
上七表八里。共一十五脉。只于四道观之。
浮金 芤火 滑水 实火 弦木 紧木 洪火（观此之样切要记心） 微土
沉水 缓土 涩金 迟土 伏木 濡水 弱金
上根据部位诊之。六部脉不根据本位者。病脉也。却说七表八里。逐位诊
之。病在何脏何腑。主何病。根据经无不痊也。
南北二政之岁。各分天令而迁。北政之道。天令右迁。（乙庚丁壬丙辛戊癸为北政。）
经曰。北政之岁。天令右迁。君面在北。君令左迁。臣面在南。臣化右伏。
则应在前也。三阳在上。则右尺脉不应。三阳在下。手寸脉不应。乃阴阳上下相交而无返变也。
南政之岁。天令左迁。
注曰。南政之岁。天令左迁。君面在南。君令右迁。臣面在北。臣化左复。则应在后也。三阴在上。右寸脉不
应。三阳在下。左尺脉不应是乃阴阳上下不交。而应变相返也。
天地者。变化之父母。阴阳者。升降之道路。
注曰。天元列象。运气分司。阴阳显升降之由。天地产变化之本。六气分盈亏之步。五运合太少之宫。是以动静相
生。逆顺交应。初终胜复之本。太过不及之标。假令子午之岁。少阴司天。其化标。则热居其位也。是故少阴之证。其
脉洪大而散。乃君火之政令也。
阴阳变化。胜复异同。推六部之源。列三元之根。因其气变。可候吉凶。
注曰。阴阳变化者。谓阴阳之数极。即变化生矣。何也。冬至之后。从太
阴而生少阳。少阳变而生阳明。阳明变而生太阳。太阳变而生厥阴。
厥阴变而生少阴。少阴变而生复生。太阴以合六部三元之本源。运
应岁中六气胜复。以彰吉凶之兆也。
天地升降。阴阳营运。五行相生。万物应时。
注曰。天气下降。地气上升。二气交感。而生成万物也。因阳气而发生。复受。阴气而收成。岂非阴阳运度之所
政也。各禀五行造化。从其四时政令。皆得应呼生长变化收藏之道也。
六气应变。脏腑应传。病从十二支。应于十干也。故子午之日。少阴司天。
注曰。子为本。属肾。其化寒。其病腰脚疼。午为标。属心。其化热。其病怯悸。胞应痛也。
丑未之日。太阴司天。
注曰。丑为本。属肺。其化燥。其病咳嗽。气急肌热也。未为标。属脾。其化湿。其病喘逆呕噎。体重。大便脓血
也。
寅申之日。相火司天。
注曰。寅为本。属三焦。其化炎。其病伏聚结气 妄也。申为标。属胆。其化风。其病伸。久困惫倦怠也。
巳亥之日。厥阴司天。
注曰。巳为本。属心包络。其化热。其病心膈胸膺痞痛也。亥为标。属肝。其化风。其病目赤眩掉头痛也。
辰戌之日。太阳阴司天。
注曰。辰为本。属小肠。其化热。其病心痛。舌强脐腹痛也。戌为标。属膀胱。其化寒。其病腰痛。阴囊肿坠。小
便不利也。
卯酉之日。阳明司天。
注曰。卯为本。属大肠。其化燥。其病大便秘涩。后重。脐腹痛也。酉为标。属胃。其化湿。其病之节烦热。吐不
食。
五运六气相乘。命由天符之岁。
注曰。运化与同应者。谓之相乘也。故命曰天符之岁。假令丁。亥年。木运。丁少角。此厥阴司天。气与司运各会
木象。故谓之天符岁会也。若与临位之位之辰同应者。命曰太乙天符之岁也。假令戊午年。午为少阴。君火司天之气。
戊为火也。与运气并临。位同化也。故谓之太乙。天符之岁也。以应岁之五运六气。符合之期而为会也。然五运六气
之变应者。从子至巳。乃手三阴三阳用事也。自午至亥。乃足三阴三阳用事也。故六气随五运以合太少之宫之变动。而
其天信以证吉凶之兆矣。
木火金水。运化北政之岁。
注曰。北政之岁。木火金水四运。皆属北政。君面在北。臣面在南。司天之气。以为手经。自立春前大寒之日。以
在
泉左间之气。为初气之应。子午之岁。少阴司天。
注曰。少阴君火在上。司天之气也。其化热。应于标。寒应其本也。其虫羽。生数二。成数七也。左间天气。太阴
湿土应间。右间天气。厥阴风木应间也。
阳明燥金在泉。司地之气也。其化燥。应于标也。湿应其本也。其虫介。生数四。成数九。左间地气。太阳寒水应
间。右间地气。少阳相火应间之。
丑未之岁。太阴司天。
注曰。太阴湿土在上。司天之气也。其化湿应于标。燥应其本。其虫裸。生数五成数十也。左间天气。少阳相火应
间。右间天气。少阴君火应间也。太阳寒水在泉。司地之气。其化寒应于标。热应其本也。其虫鳞。生数一。成数六也。
左间地气。厥阴风木应间。右间地气阳明燥金应间。
寅申之岁。少阳司天。
注曰。少阳相火在上。司天之气也。其化炎应于标。风应其本也。其虫羽。生数二。成数七也。左间天气。太阴湿
土应间也。厥阴风木在泉。司地之气。其化风应于标。热应其本。其虫毛。生数三。成数八。左间地气太阴寒水应间。
卯酉之岁。阳明司天。
注曰。阳明燥金在上。司天之气。其化燥应于标。湿应其本。其虫介。生数四。成数九。左间天气。太阳寒水应间。
右间少阳相火应闻也。少阴
君火在泉。司地之气。其化热应于标。寒应于本。其虫羽。生数二。成数七。左间地气。太阴湿土应间。右间地气。
厥阴木应间也。
辰戌之岁。太阳司天。
注曰。太阳寒水在上。司天之气也。其化寒应于标。热应其本也。其虫鳞。生数一。成数六也。左间天气。厥阴风
木应间。右间天气。阳明燥金应间也。太阴湿土在泉。司地之气。其化湿应于标。燥应于本也。其虫裸。生数五。成数
十也。左间地气。少阳相火应间。右间地气。少阴君火应间也。
巳亥之岁。厥阴司天。
注曰。厥阴风木在上。司天之气。其化风应于标。炎应其本也。其虫毛生数三。成数八也。左间天气。少阴君火应
间。右间天气。太阳寒水应间也。少阳相火在泉。司地之气。其化炎应于标。风应于本。其虫羽。生数二。成数七。左
间地气。阳明燥金应间。右间地气。太阴湿土应间也。
假如春三月。诊得毛而浮。夏三月死。
诀曰。按之三小三大。或三大三小。
假如夏三月。诊得毛浮而弱。秋三月死。
诀曰。按之无力。紧按无了。
假如秋三月。诊得毛浮而散。冬三月死。
诀曰。按之寸。寸下无。在关下。关下无。在寸尺。
假如冬三月。诊得毛浮而滑。春三月死。
诀曰。按寸过关过尺。
Heart region pulse is rapid (Shu Mai, rapid pulse). The main symptom is thirst. Sores appear on the tongue. Urine is red and difficult to pass. Eyes are dim and painful.
Liver region pulse is rapid. Main symptoms include eye pain, corneal opacity (Yi Mo, nebula), excessive tearing, and blurred vision. Dizziness and vertigo. Headache. Head wind disease (Tou Feng).
Spleen region pulse is rapid. Main symptoms include bad breath, regurgitation (Fan Wei). Toothache, and receding gums with bleeding (Ya Xuan). Eating much but not feeling full. Inability to lift the limbs due to weakness.
Lung region pulse is rapid. Main symptoms include coughing and spitting blood. Foul smell in the throat and red eyes. Constipation. Spots and prickly heat on the face.
Kidney region pulse is rapid. Main symptoms include unceasing Xiao Ke (wasting-thirst syndrome). Hematuria and stranguria (Xue Lin). Genital sores and foot ulcers. Yang abscesses and damp itching.
Floating pulse (Fu Mai) (Feels insufficient upon heavy pressing, abundant upon light pressing, detectable upon turning the hand.) Knifelike pulse (Kou Mai) (Weak upon light pressing, solid on sides but hollow in center.) Surging pulse (Hong Mai) (Strong upon light pressing.) Full pulse (Shi Mai) (Floating and large/tall.)
Wiry pulse (Xian Mai) (Rapid and like a bowstring.) Tight pulse (Jin Mai) (Rapid and tight like a bowstring.) Slippery pulse (Hua Mai) (Rapid and slightly smooth/flowing, like pearls rolling, slightly floating.) Deep pulse (Chen Mai) (Abundant upon heavy pressing, insufficient upon light pressing, requires heavy pressure to detect.)
Minute pulse (Wei Mai) (Deep, seeming to exist yet non-existent.) Hidden pulse (Fu Mai) (Extremely deep, pressing to the bone.) Weak pulse (Ruo Mai) (Deep and weak.) Slow pulse (Chi Mai) (Three beats per respiration cycle, coming and going very slowly.)
Relaxed pulse (Huan Mai) (Slow, seeming to exist yet non-existent.) Choppy pulse (Se Mai) (Slow and extremely thin, like rain soaking into sand.) Rapid pulse (Shu Mai) (Six beats per respiration cycle, coming and going very fast.)
The above seven exterior pulses and eight interior pulses total fifteen pulse types. They can be observed simply at the four positions (Cun, Guan, Chi on both wrists).
Floating pulse belongs to Metal. Knifelike pulse belongs to Fire. Slippery pulse belongs to Water. Full pulse belongs to Fire. Wiry pulse belongs to Wood. Tight pulse belongs to Wood. Surging pulse belongs to Fire (Observe such patterns and keep them firmly in mind). Minute pulse belongs to Earth.
Deep pulse belongs to Water. Relaxed pulse belongs to Earth. Choppy pulse belongs to Metal. Slow pulse belongs to Earth. Hidden pulse belongs to Wood. Soft pulse (Ru Mai) belongs to Water. Weak pulse belongs to Metal.
The above pulses are diagnosed according to their positions. If the six positions of the pulses do not follow their original positions, they are pathological pulses. Regarding the seven exterior and eight interior pulses, diagnose each position sequentially. Determine which Zang or Fu organ is diseased and what pathology it indicates. Diagnosis based on meridians ensures recovery.
In years of Northern and Southern Governance, the Heavenly Command shifts accordingly. In years of Northern Governance, the Heavenly Command shifts to the right. (Years of Yi Geng, Ding Ren, Bing Xin, Wu Gui are Northern Governance.)
The Classics state: In years of Northern Governance, the Heavenly Command shifts to the right. The Sovereign faces North, the Sovereign's command shifts to the left; Ministers face South, Ministerial transformation hides to the right. Thus, the response occurs beforehand. When Three Yang Qi is above, the Right Chi pulse does not respond. When Three Yang Qi is below, the Hand Cun pulse does not respond. This is Yin and Yang interacting above and below without reversal.
In years of Southern Governance, the Heavenly Command shifts to the left.
Annotation: In years of Southern Governance, the Heavenly Command shifts to the left. The Sovereign faces South, the Sovereign's command shifts to the right; Ministers face North, Ministerial transformation returns to the left. Thus, the response occurs afterwards. When Three Yin Qi is above, the Right Cun pulse does not respond. When Three Yang Qi is below, the Left Chi pulse does not respond. This is Yin and Yang failing to interact above and below, requiring reversal of response.
Heaven and Earth are the parents of change; Yin and Yang are the pathways of ascent and descent.
Annotation: Heavenly patterns display phenomena, while Luck (Yun Qi) governs divisions. Yin and Yang reveal the causes of ascent and descent; Heaven and Earth generate the roots of change. Six Qi divide the steps of surplus and deficit; Five Movements combine with Tai Shao palaces. Therefore, motion and stillness generate each other, and adverse and smooth factors interact. These are the roots of initial/final victory/reversal and the markers of excess/deficiency. For example, in Zi-Wu years, Shaoyin governs Heaven. Its transformation marker places Heat in its position. Thus, Shaoyin syndromes present with a surging, large, and scattered pulse, which is the command of Ministerial Fire.
Yin-Yang changes, victory and reversal differ or align. Deduce the source of the six positions, list the roots of the three origins. Due to Qi changes, one can predict auspiciousness and inauspiciousness.
Annotation: Yin-Yang change refers to the extremity of Yin-Yang numbers, from which change arises. Why? After Winter Solstice, from Taiyin arises Shaoyang; Shaoyang transforms to generate Yangming; Yangming transforms to generate Taiyang; Taiyang transforms to generate Jueyin; Jueyin transforms to generate Shaoyin; Shaoyin transforms to regenerate Taiyin, combining with the sources of the six positions and three origins. It responds to the year's Six Qi victory and reversal, manifesting omens of fortune and misfortune.
Heaven and Earth ascend and descend; Yin and Yang circulate and operate; Five Elements generate each other; all things respond to seasons.
Annotation: Heavenly Qi descends, Earthly Qi ascends; the two Qi interact and generate all things. Things arise due to Yang Qi and mature/receive due to Yin Qi. Is this not the governance of Yin-Yang cycles? Each inherits Five Element creation, following seasonal commands, adhering to the ways of growth, transformation, and storage.
Six Qi respond to changes; Zang-Fu transmit diseases. Pathologies stem from the Twelve Branches and correspond to the Ten Stems. Thus, on Zi-Wu days, Shaoyin governs Heaven.
Annotation: Zi is the root, belonging to Kidney. Its transformation is Cold; its disease is waist and leg pain. Wu is the marker, belonging to Heart. Its transformation is Heat; its disease is timidity and palpitations. The Bao (Pericardium) should hurt.
On Chou-Wei days, Taiyin governs Heaven.
Annotation: Chou is the root, belonging to Lung. Its transformation is Dryness; its disease is cough, shortness of breath, and muscle fever. Wei is the marker, belonging to Spleen. Its transformation is Dampness; its disease is wheezing, reverse flow, choking, heavy body, and pus-blood in stool.
On Yin-Shen days, Xiang Huo (Ministerial Fire) governs Heaven.
Annotation: Yin is the root, belonging to Sanjiao. Its transformation is Blazing; its disease is latent accumulation and erratic Qi. Shen is the marker, belonging to Gallbladder. Its transformation is Wind; its disease is stretching, chronic fatigue, and lethargy.
On Si-Hai days, Jueyin governs Heaven.
Annotation: Si is the root, belonging to Pericardium. Its transformation is Heat; its disease is chest and epigastric distension/pain. Hai is the marker, belonging to Liver. Its transformation is Wind; its disease is red eyes, dizziness, tremors, and headache.
On Chen-Xu days, Taiyang governs Heaven.
Annotation: Chen is the root, belonging to Small Intestine. Its transformation is Heat; its disease is heart pain, stiff tongue, and umbilical abdominal pain. Xu is the marker, belonging to Bladder. Its transformation is Cold; its disease is lower back pain, scrotal swelling/drooping, and difficult urination.
On Mao-You days, Yangming governs Heaven.
Annotation: Mao is the root, belonging to Large Intestine. Its transformation is Dryness; its disease is constipation, tenesmus, and umbilical abdominal pain. You is the marker, belonging to Stomach. Its transformation is Dampness; its disease is periodic irritability/fever, vomiting, and anorexia.
Five Movements and Six Qi multiply; fate is determined by Tianfu (Heavenly符) years.
Annotation: When Movement transformation corresponds similarly, it is called multiplication. Hence, it is named Tianfu year. For example, in Ding-Hai year, Wood Movement. Ding is Shao Jue; Jueyin governs Heaven. Qi and Movement both meet Wood imagery, hence called Tianfu Suìhuì. If it corresponds with the position of the approaching time, it is called Taiyi Tianfu year. For example, in Wu-Wu year, Wu is Shaoyin, Ministerial Fire governing Heaven. Wu is Fire. Luck and Movement arrive together, positions and transformations align. Hence, it is called Taiyi Tianfu year. Responding to the year's Five Movements and Six Qi, matching periods converge. However, variations in Five Movements and Six Qi apply from Zi to Si, where Hand Three Yin and Three Yang are active. From Wu to Hai, Foot Three Yin and Three Yang are active. Thus, Six Qi follow Five Movements to combine with Tai Shao palace changes, and heavenly signs verify omens of fortune and misfortune.
Wood, Fire, Metal, Water; Movement transformation in Northern Governance years.
Annotation: In Northern Governance years, Wood, Fire, Metal, and Water movements all belong to Northern Governance. Sovereign faces North, Ministers face South. Governing Heaven Qi acts as Hand Meridians. From the day before Lichun (Start of Spring) to Dayahan, the Left Interstitial Qi of the Ruling Earth acts as the response of the First Qi. In Zi-Wu years, Shaoyin governs Heaven.
Annotation: Shaoyin Ministerial Fire is above, governing Heaven Qi. Its transformation is Heat, corresponding to the marker; Cold corresponds to the root. Its creatures are feathered. Birth number is two, completion number is seven. Left interstitial Heavenly Qi is Taiyin Damp Earth responding; Right interstitial Heavenly Qi is Jueyin Wind Wood responding.
Yangming Dry Metal is below, ruling Earth Qi. Its transformation is Dryness, corresponding to the marker; Dampness corresponds to the root. Its creatures are shelled. Birth number is four, completion number is nine. Left interstitial Earthly Qi is Taiyang Cold Water responding; Right interstitial Earthly Qi is Shaoyang Ministerial Fire responding.
In Chou-Wei years, Taiyin governs Heaven.
Annotation: Taiyin Damp Earth is above, governing Heaven Qi. Its transformation is Dampness, corresponding to the marker; Dryness corresponds to the root. Its creatures are naked/bare-skinned. Birth number is five, completion number is ten. Left interstitial Heavenly Qi is Shaoyang Ministerial Fire responding; Right interstitial Heavenly Qi is Shaoyin Ministerial Fire responding. Taiyang Cold Water is below, ruling Earth Qi. Its transformation is Cold, corresponding to the marker; Heat corresponds to the root. Its creatures are scaled. Birth number is one, completion number is six. Left interstitial Earthly Qi is Jueyin Wind Wood responding; Right interstitial Earthly Qi is Yangming Dry Metal responding.
In Yin-Shen years, Shaoyang governs Heaven.
Annotation: Shaoyang Ministerial Fire is above, governing Heaven Qi. Its transformation is Blazing, corresponding to the marker; Wind corresponds to the root. Its creatures are feathered. Birth number is two, completion number is seven. Left interstitial Heavenly Qi is Taiyin Damp Earth responding. Jueyin Wind Wood is below, ruling Earth Qi. Its transformation is Wind, corresponding to the marker; Heat corresponds to the root. Its creatures are hairy. Birth number is three, completion number is eight. Left interstitial Earthly Qi is Taiyin Cold Water responding.
In Mao-You years, Yangming governs Heaven.
Annotation: Yangming Dry Metal is above, governing Heaven Qi. Its transformation is Dryness, corresponding to the marker; Dampness corresponds to the root. Its creatures are shelled. Birth number is four, completion number is nine. Left interstitial Heavenly Qi is Taiyang Cold Water responding. Right interstitial Shaoyang Ministerial Fire responds. Shaoyin Ministerial Fire is below, ruling Earth Qi. Its transformation is Heat, corresponding to the marker; Cold corresponds to the root. Its creatures are feathered. Birth number is two, completion number is seven. Left interstitial Earthly Qi is Taiyin Damp Earth responding. Right interstitial Earthly Qi is Jueyin Wood responding.
In Chen-Xu years, Taiyang governs Heaven.
Annotation: Taiyang Cold Water is above, governing Heaven Qi. Its transformation is Cold, corresponding to the marker; Heat corresponds to the root. Its creatures are scaled. Birth number is one, completion number is six. Left interstitial Heavenly Qi is Jueyin Wind Wood responding; Right interstitial Heavenly Qi is Yangming Dry Metal responding. Taiyin Damp Earth is below, ruling Earth Qi. Its transformation is Dampness, corresponding to the marker; Dryness corresponds to the root. Its creatures are naked/bare-skinned. Birth number is five, completion number is ten. Left interstitial Earthly Qi is Shaoyang Ministerial Fire responding; Right interstitial Earthly Qi is Shaoyin Ministerial Fire responding.
In Si-Hai years, Jueyin governs Heaven.
Annotation: Jueyin Wind Wood is above, governing Heaven Qi. Its transformation is Wind, corresponding to the marker; Blazing corresponds to the root. Its creatures are hairy. Birth number is three, completion number is eight. Left interstitial Heavenly Qi is Shaoyin Ministerial Fire responding; Right interstitial Heavenly Qi is Taiyang Cold Water responding. Shaoyang Ministerial Fire is below, ruling Earth Qi. Its transformation is Blazing, corresponding to the marker; Wind corresponds to the root. Its creatures are feathered. Birth number is two, completion number is seven. Left interstitial Earthly Qi is Yangming Dry Metal responding; Right interstitial Earthly Qi is Taiyin Damp Earth responding.
For instance, in the first three months of Spring, if the Mou (Metal-like) and Floating pulse is detected, death occurs in the first three months of Summer.
Formula says: Pressing reveals three small and three large, or three large and three small.
For instance, in the first three months of Summer, if the Mou Floating and Weak pulse is detected, death occurs in the first three months of Autumn.
Formula says: Pressing reveals weakness; tight pressing yields nothing.
For instance, in the first three months of Autumn, if the Mou Floating and Scattered pulse is detected, death occurs in the first three months of Winter.
Formula says: Pressing the Cun position shows absence below Cun; at Guan position, absence below Guan; at Cun-Chi relationship.
For instance, in the first three months of Winter, if the Mou Floating and Slippery pulse is detected, death occurs in the first three months of Spring.
Formula says: Pressing Cun passes through Guan and reaches Chi.