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*Ping Ren Qi Xiang Lun* (Treatise on the Pulse of a Healthy Person): The Yellow Emperor asked, "Why does the appearance of the Zang-organ pulse (True Visceral Pulse) indicate death?" Qi Bo replied, "The functions of the five Zang organs all rely on Stomach Qi. The Stomach is the root of the five Zang organs (because it is the sea of water and grain, the Zang organs receive its essence). The Qi of the Zang organs cannot reach the Hand-Taiyin Lung meridian by itself; it must rely on the pushing force of Stomach Qi to arrive at the Hand-Taiyin (Supplement: *Jia Yi Jing* states that humans constantly receive Qi from the Stomach, and the pulse is based on Stomach Qi). Therefore, the Qi of each Zang organ manifests at the Cun Kou point of the Hand-Taiyin during its respective season, carrying Stomach Qi (Supplement: Refers to each Zang presenting its own pulse image at the Hand-Taiyin). Thus, when pathogenic factors are excessive, the essential Qi inevitably declines. In severe illness, Stomach Qi cannot accompany the Zang Qi to reach the Hand-Taiyin, causing the True Visceral Qi to appear alone. The solitary appearance of the True Visceral Pulse indicates that disease has overcome the Zang organs, hence the prognosis is poor (Supplement: *Xin Zheng Xiao* states that the True Visceral Pulse lacks the harmonious Stomach Qi, hence named 'True'. For example, the Wiry pulse is the Liver pulse; if slightly wiry, it indicates harmonious Stomach Qi. 'Slightly wiry' means two parts Stomach Qi and one part Wiry Qi. If all three parts are wiry, it is the True Visceral Pulse. The Qi of the five Zang organs cannot function alone; for instance, if the rigid Wood of the Liver appears exclusively, it needs softness to stabilize. To know if the appearance of the True Visceral Pulse signifies death, one must focus on the presence of Stomach Qi, which can be determined by palpating the Cun Kou. This section is cited from *Yu Ji Zhen Zang Lun*).

*Mai Yao Jing Wei Lun* (Essential Meaning of the Pulse as the Guide) states: "In spring, the pulse should not be Deep; in summer, not Wiry; in winter, not Choppy; in autumn, not Rapid. This is called 'Four Obstructions' (Supplement: Refers to the obstruction of the Qi of heaven and earth and the four seasons, preventing normal circulation. I believe this refers to the first month of spring, where residual winter cold remains, so the pulse should be Deep. If excessively Deep, it is an excess condition and thus pathological). An excessively Deep pulse indicates disease; an excessively Wiry pulse indicates disease; an excessively Choppy pulse indicates disease; an excessively Rapid pulse indicates disease. A mixed pulse appearance indicates disease; a recurrence of old symptoms indicates disease; persistence of pathogenic factors indicates disease; regression of disease but non-recovery of the pulse indicates disease (Supplement: 'Mixed' refers to the pulse reflecting various Qi coming together; 'Recurrence' refers to seeing again the Qi of already declined or dead Zang organs; 'Departure' refers to the pulse departing after the prosperous Qi has passed; 'Daily movement degree' refers to the sun's orbital degree not deviating, meaning the celestial timing has not arrived but the pulse departs early, which is out of sync, hence 'disease'; if the daily movement degree has deviated, meaning the celestial timing has passed but the pulse remains, also out of sync, hence 'disease'). A pulse opposite to the season indicates death (Supplement: Refers to seeing a Deep pulse in summer, Rapid in autumn, Moderate in winter, and Choppy in spring. Violating the mandate of heaven, how can life be sustained? ○ The text above says 'autumn not rapid' is 'Four Obstructions', while here 'autumn seeing rapid' is 'Opposite'. The discrepancy lies in the mid-month; if the Rapid pulse persists beyond the degree of change, referring to the late autumn months where the pulse remains Rapid, it is considered 'Opposite'). This section is cited from *Zhi Yao Yao Lun*.

If the Heart pulse beats firmly and long, one should suffer from tongue retraction and inability to speak (Supplement: 'Beats' refers to striking the fingers. All pulses beating firmly and long indicate exhaustion of Heart Qi due to overwork. The Hand-Shaoyin Heart meridian ascends from the heart system along the throat, causing tongue retraction and shortness leading to inability to speak). If the pulse is soft and scattered, it should resolve through dissipating stagnation and circulating regulation (Supplement: Soft and scattered pulses indicate excess Qi and deficient Blood. 'Dissipate' means to scatter; 'Ring' means circular circulation, implying the meridian Qi circulates like a ring. When Fire is prosperous, it naturally dissipates. *Jia Yi Jing* writes 'Ring' as 'Thirst').

If the Lung pulse beats firmly and long, one should suffer from spitting blood (Supplement: Extreme Lung deficiency causes collaterals to reverse; collateral reversal leads to blood leakage, resulting in spitting blood). If the pulse is soft and scattered, one should suffer from 'Guan Han' (Flood Sweat), which will not disperse again (Supplement: 'Guan Han' refers to cold water washing the skin, closing pores, trapping sweat inside, which will not disperse again. Excess water retention causes this. The following sections mention colors for each Zang, but omit color for Heart and Lung, suggesting missing text).

If the Liver pulse beats firmly and long, and the complexion is not green (Original text likely meant 'its color is green'), one should suffer from blood stasis in the hypochondrium due to falling or beating, causing wheezing and counterflow qi (Supplement: 'Fall or beat' refers to trauma. The Liver governs the hypochondrium, hence blood stasis there. The Liver meridian distributes along the hypochondrium, follows the throat, and its branch penetrates the diaphragm to enter the Lung. With blood stasis in the hypochondrium, blood Qi steams upward to the Lung, causing wheezing). If the pulse is soft and scattered, and the complexion is floating and lustrous, one should suffer from 'Yi Yin' (Overflowing Drink). 'Yi Yin' refers to sudden thirst and excessive drinking, where fluids easily overflow into the space outside the muscles, skin, and intestines/stomach (Supplement: A floating and lustrous complexion indicates dampness in the middle. Blood deficiency with dampness prevents fluid metabolism, causing 'Yi Yin'. Fluids overflow and infiltrate the spaces outside muscles, skin, and intestines/stomach).

If the Stomach pulse beats firmly and long, and the complexion is red, one should suffer from pain in the thigh resembling a fracture (Supplement: Stomach deficiency with red complexion indicates fire qi assisting. The Stomach meridian descends to the thigh reaching Fubao, so disease causes thigh pain like a fracture). If the pulse is soft and scattered, one should suffer from 'Shi Bi' (Food Impediment Pain) (Supplement: 'Bi' means pain. The Stomach meridian passes below the diaphragm, connects to the Stomach and spleen, so eating causes pain, stifling sensation, and Qi blockage. Correction notes 'Bi' means pain, but this interpretation is disputed).

If the Spleen pulse beats firmly and long, and the complexion is yellow, one should suffer from shortness of breath (Supplement: Spleen deficiency fails to nourish the Lung; the Lung governs Qi, hence shortness of breath). If the pulse is soft and scattered, and the complexion lacks luster, one should suffer from foot swelling resembling water disease (Supplement: Floating and lustrous color indicates water signs; lack of luster suggests resemblance to water disease. The Spleen meridian ascends internally along the tibia, knee, and thigh into the abdomen, hence foot swelling).

If the Kidney pulse beats firmly and long, and the complexion is yellow and red, one should suffer from waist snapping pain (Supplement: Yellow-red complexion indicates Heart and Spleen affecting the Kidney; the waist is the mansion of the Kidney, hence waist snapping pain). If the pulse is soft and scattered, one should suffer from Blood deficiency, persisting without recovery (Supplement: The Kidney governs water to generate fluids; failure of Kidney Qi transformation leads to Blood deficiency persisting without recovery). This section is cited from *Mai Yao Jing Wei Lun*.

To understand the excess and deficiency of the Cun Kou (Cun Kou collectively refers to the Cun, Guan, and Chi positions): A Cun Kou pulse that feels Short upon pressing indicates Headache; a Cun Kou pulse that feels Long upon pressing indicates pain in the lower legs and shins (Supplement: Short indicates insufficient Qi, hence head disease; Long indicates excessive Yin Qi, hence foot disease). A Cun Kou pulse that feels Cramped and strikes upward indicates Shoulder and Back pain (Supplement: Yang excess in the upper body causes shoulder and back pain). A Cun Kou pulse that is Deep and sinking indicates disease in the interior; a Cun Kou pulse that is Floating and vigorous indicates disease in the exterior (Supplement: Deep and firm is Yin, hence interior disease; Floating and vigorous is Yang, hence exterior disease). A Cun Kou pulse that is Deep and weak indicates Cold-Heat alternation, Shan Ju (lump masses), and Lower Abdominal pain (Supplement: Deep indicates Cold, Weak indicates Heat, hence Cold-Heat. Also, Deep indicates Yin excess, Weak indicates Yang remainder; remainder excess clashing causes Cold-Heat, not necessarily Shan Ju or Lower Abdominal pain; this may be a textual error. *Jia Yi Jing* omits these 15 characters, and since the following text mentions 'Cun Kou pulse Deep and panting indicates Cold-Heat, urgent pulse indicates Shan Ju and Lower Abdominal pain', this passage is likely redundant and should be removed). A Cun Kou pulse that is Deep and Horizontal indicates accumulation under the ribs and horizontal accumulation pain in the abdomen (Supplement: Also internal binding of Yin Qi. I interpret 'Deep and Horizontal' as a pulse feeling Deep, firm, and long, like a horizontal wood under the finger). A Cun Kou pulse that is Deep and Panting indicates Cold-Heat (Supplement: Panting is Yang inhaling, Deep is Yin struggling; their clash causes Cold-Heat).

A pulse conforming to Yin-Yang indicates the disease is easy to cure; a pulse opposing Yin-Yang indicates the disease is difficult to cure (Supplement: Pulse-disease correspondence is 'Conforming'; opposition is 'Opposing'). A pulse conforming to the four seasons indicates no other complications; a pulse opposing the four seasons or involving inter-organ transmission indicates difficulty in curing (Supplement: Opposing seasons includes getting Autumn pulse in Spring. Inter-organ transmission refers to the seven transmissions. This section is cited from *Ping Ren Qi Xiang Lun*).

Pulses have Yin and Yang; knowing Yang allows knowing Yin, and knowing Yin allows knowing Yang (Deep understanding prepares one to recognize changes). There are five types of Yang (The number of Earth in the Stomach, i.e., the Yang of the Stomach cavity mentioned below), and five times five make twenty-five Yang (Each of the five Zang organs takes Stomach Qi as its root. ○ *Yu Ji Zhen Zang Lun* states: Disease has five transformations, five times five make twenty-five transformations, consistent with this meaning). What is called Yin is the True Visceral Pulse (Lacking Stomach Qi); its appearance indicates decay, and decay必定 leads to death (Supplement: The five Zang are Yin, hence Yin refers to the True Visceral Pulse. Appearance refers to pulses like the Liver pulse arriving tight and urgent inside and out, like touching a knife edge, or pressing a zither string. Such appearances indicate Zang decay and spirit departure, hence必定 death). What is called Yang is the Yang of the Stomach Cavity (Supplement: The Yang of the Stomach Cavity is the Qi of the Ren Ying point. Observe its movement, size, and whether it corresponds to the Mai Kou. The Stomach is the sea of water and grain, so observing its Qi reveals the disease location. Ren Ying is located on both sides of the larynx; pulsation is usually smaller on the left and larger on the right. Left small corresponds to Zang, Right large corresponds to Fu). Distinguishing Yang reveals the disease location; distinguishing Yin reveals the period of life or death (Inferring from the True Visceral Pulse, determine which Zang is affected. ○ I interpret 'Distinguish' as careful examination. Examining the Ren Ying pulse reveals which Zang or Fu is diseased). Three Yang meridians are at the head, Three Yin meridians are at the hand; this is called 'One' (Three Yang should be Two Yang, referring to the Ren Ying pulse on both sides of the larynx inspecting Foot-Yangming Stomach Qi; Three Yin refers to the Qi Kou inspecting Hand-Taiyin Lung Qi. The Stomach is the root of the five Zang, the Lung is the ancestor of all pulses. ○ Both Qi Kou and Ren Ying can inspect Zang-Fu Qi. They correspond, moving together. If they are equal in size and strength, it is called a healthy person, hence 'One'). Distinguishing Yang reveals the contraindicated times for the disease; distinguishing Yin reveals the period of life or death (These two sentences reiterate the previous statement, or may be redundant).

What constitutes Yin and Yang: Departing is Yin, Approaching is Yang; Stillness is Yin, Movement is Yang; Slow is Yin, Rapid is Yang. Regarding holding the True Visceral Pulse: If the Liver pulse hangs isolated and nearly severed, death occurs in 18 days (Remainder of Metal-Wood completion numbers. Liver dies on Geng-Xin days. ○ I interpret 'Hanging isolated' as hanging thin and nearly severed. Wang Bing's note compares it to a hanging object severing, possibly referring to substitute pulses). If the Heart pulse hangs isolated and nearly severed, death occurs in 9 days (Remainder of Water-Fire generation-completion numbers). If the Lung pulse hangs isolated and nearly severed, death occurs in 12 days (Remainder of Metal-Fire generation-completion numbers). If the Kidney pulse hangs isolated and nearly severed, death occurs in 7 days (Remainder of Water-Earth generation-completion numbers). If the Spleen pulse hangs isolated and nearly severed, death occurs in 4 days (Remainder of Wood-Earth generation-completion numbers).

Beating with one Yang is called Hook (I interpret this as the pulse showing only one Yang beating without Yin harmony, indicating a Hook pulse lacking Stomach Qi. The following imitate this). Beating with one Yin is called Feather. Beating with Yang excess and urgency is called Wiry. Beating with Yang arriving and severing is called Stone (Should be 'Beating with Yin arriving and severing'. These four are likely True Visceral Pulses). Yin and Yang crossing is called Sliding (I interpret 'Crossing' as both Yin and Yang losing their normal limits. Either Yin loses limit becoming too soft, or Yang loses limit becoming too hard, or Yang is hard and Yin responds with hardness, or Yin is soft and Yang responds with softness. All indicate loss of normal limits. The pulse name 'Sliding' is like water flowing unrestrained, similar to Guan Ge mentioned below. This section is cited from *Yin Yang Bie Lun*).

Ren Ying one-fold excess indicates disease in Shaoyang (Gallbladder meridian); two-fold excess indicates disease in Taiyang (Bladder meridian); three-fold excess indicates disease in Yangming (Stomach meridian); four-fold excess and above is Ge Yang (Supplement: Method of Yang pulses. One-fold excess means Ren Ying pulse is double the Cun Kou. Four-fold excess represents extreme Yang excess, causing rejection where food cannot enter. 'Ge' implies vomiting and counterflow). Cun Kou one-fold excess indicates disease in Jueyin (Liver meridian); two-fold excess indicates disease in Shaoyin (Kidney meridian); three-fold excess indicates disease in Taiyin (Spleen meridian); four-fold excess and above is Guan Yin (Supplement: Method of Yin pulses. Same method as Yang. Four-fold excess represents extreme Yin excess, causing closure where urination is blocked. 'Guan' implies inability to urinate). When both Ren Ying and Qi Kou are four-fold excess, it is Guan Ge (Meaning both are four times larger than normal). The Guan Ge pulse is extremely full (Should be 'Full/Excessive'). Extreme fullness. Now, 'unable to reach the essence of heaven and earth' means exceeding the mean. The mean is balance; neither deficiency nor excess is the mean. This section is cited from *Liu Jie Zang Xiang Lun*.

The Yellow Emperor asked: "For pulses that conform but the disease contradicts, what is the diagnosis?" Qi Bo said: "When the pulse conforms, but pressing it does not throb, this applies to all Yang pulses, indicating Reverse Yin. How is the pulse? It is when the pulse conforms, but pressing it throbs severely and vigorously (This describes heat disease with a rapid pulse that does not throb under pressure, caused by Yin excess repelling Yang, not true heat. Symptoms are cold, but the pulse thunders under pressure, caused by Yang excess repelling Yin, not true cold. This section is cited from *Zhi Yao Yao Lun*). Coarse and large indicates Yin deficiency and Yang excess, constituting Internal Heat (Supplement: Coarse and large is Hong Da pulse. Hong indicates heat, hence Internal Heat). Coming fast and going slow, upper excess and lower deficiency, indicates Jue and Dian diseases (Supplement: I interpret Jue as rebellion; Qi rebels upward causing Dian/Nape diseases). Coming slow and going fast, upper deficiency and lower excess, indicates aversion to wind. Thus, those struck by evil wind suffer from Yang Qi deficiency (Supplement: Due to upper deficiency, Yang Qi is affected). Pulses both Deep, Fine, and Rapid in the Chi position indicate Shaoyin Jue (Supplement: Deep, Fine, and lingering pulse in Chi indicates Shaoyin Qi rebellion. Why? Chi pulse should not be Rapid; presence of Rapid indicates Jue. 'Both' refers to left and right Chi). Deep, Fine, Rapid, and Scattered indicates Cold-Heat (Supplement: Rapid is Yang; Yang attacks Yin, Yin deficiency causes Cold-Heat). Floating and Scattered indicates Collapse (Supplement: Floating is deficiency, Scattered is insufficiency. Qi deficiency and Blood insufficiency cause headache and collapse). All Floating and not Agitated pulses belong to Yang, indicating Heat (Foot-Yang meridians. ○ Yang is Fire Qi, hence Heat). If Agitated, it is in the Hand (Hand-Yang meridians. ○ General principle). All Fine and Deep pulses belong to Yin (Hand-Yin meridians. ○ Wang Bing reads 'Fine, Deep, and Agitated'; now having 'Agitated' contrasts with 'Still'). Hence Bone Pain (Yin governs bones, hence). If Still, it is in the Foot (Foot-Yin meridians). Rapid, Moving, and Intermittent indicates disease in Yang pulses, with diarrhea and pus/blood in stool (Supplement: Intermittent means stopping. Rapid, Moving, and Intermittent indicates Yang Qi pathology, hence disease in Yang pulses. This is because diarrhea and pus/blood result from this). All abnormal pulses should be palpated (I interpret this as palpating all pulses that have lost normalcy, i.e., Choppy and Slippery mentioned below). Choppy indicates Yang excess (Blood deficiency). Slippery indicates Yin excess (Blood excess). Yang excess causes body heat and no sweat; Yin excess causes profuse sweating and cold body (Supplement: Blood deficiency and Qi excess are evident). Yin and Yang excess results in no sweat and cold (Supplement: Yang excess no sweat, Yin excess cold body; if both excess, then no sweat and cold body). Pushing outward, if it stays inward and does not go outward, there is abdominal accumulation (Supplement: Pulse attached to arm tendon taken carelessly; pushing tendon away makes pulse internalize and not go outward, indicating abdominal accumulation). Pushing inward, if it goes outward and does not stay inward, the body has heat (Supplement: Pulse far from arm tendon; pushing it close but it remains far indicates Yang excess, hence body heat). Pushing upward, if it goes up and not down, waist and feet are cold (Supplement: Pushing tendon and pressing to seek upward, pulse surges upward, indicating Yang excess, hence cold waist and feet. *Jia Yi Jing* reads 'Down and not Up'). Pushing downward, if it goes down and not up, head and nape hurt (Supplement: Pushing tendon and pressing to seek downward, pulse sinks and pulls, indicating Yin excess, hence head and nape pain. *Jia Yi Jing* reads 'Up and not Down'). Pressing to the bone, if pulse Qi is scarce, there is lower back/spine pain and Bi syndrome (Yin excess, hence. This section is cited from *Mai Yao Jing Wei Lun*). In women, if the Hand-Shaoyin pulse moves vigorously, she is pregnant (Or Foot-Shaoyin large like a bean, quivering is Dong pulse. Yin and Yang clashing is named Dong. ○ I interpret 'Vigorous movement' not as Dong pulse shape, but pulse coming overly sliding). Heat disease with quiet pulse, diarrhea with large pulse, blood loss with solid pulse, interior disease with empty pulse, exterior disease with Choppy/Firm pulse, all are difficult to treat (Supplement: Heat disease should have agitated pulse but is quiet; diarrhea/blood loss should have empty/small pulse but is solid/large; interior pathogen should have solid pulse but is empty; exterior disease Qi should have slippery pulse but is Choppy/Firm, hence all difficult. ○ *Yu Ji Zang Lun* states: Interior disease with solid/firm pulse, exterior disease with non-solid/non-firm pulse, all difficult. Contradictory; that text is erroneous, this is correct. From 'Heat disease quiet pulse' to here, overlaps with *Yu Ji Zang Lun*). Pulse Vigorous, Slippery, Firm indicates exterior disease; Pulse Small, Solid, Firm indicates interior disease (Supplement: Vigorous/Slippery is Yang, Small/Solid is Yin. Yin disease interior, Yang disease exterior). Pulse Small, Weak, and Choppy indicates chronic disease (Supplement: Small is Qi deficiency, Choppy is no Blood, Qi/Blood weakness indicates chronic disease). Pulse Slippery, Floating, and Rapid indicates new disease (Supplement: Slippery/Floating is Yang, Foot pulse Rapid indicates complete Qi, Yang/Quiet complete, hence new/shallow disease). Urgent pulse indicates Shan Ju and Lower Abdominal pain (I note: Previous text saying 'Cun Kou Deep/Weak indicates Shan Ju' was wrong; this says 'Deep/Urgent' matches diagnosis). Slippery pulse indicates Wind; Choppy pulse indicates Bi (Supplement: Slippery is Yang, Yang disease is Wind; Choppy is Yin, Yin disease is Bi). Moderate and Slippery indicates Internal Heat; Vigorous and Tight indicates Distension (Supplement: Moderate means relaxed, not slow movement. Yang excess inside causes Slippery/Moderate pulse; Cold Qi stagnation causes Vigorous/Tight pulse. This section is cited from *Ping Ren Qi Xiang Lun*). Heart pulse Full/Large indicates Epilepsy, Convulsions, and Tendon Cramps (Supplement: Heart pulse Full/Large causes Liver Qi to flow down, Heat to press internally, tendons dry, Blood congealed, hence Epilepsy, Convulsions, Tendon Cramps). Liver pulse Small/Urgent indicates Epilepsy, Convulsions, and Tendon Cramps (Supplement: Liver nourishes tendons, stores Blood. Liver Qi affected by Cold causes Epilepsy, Convulsions, Tendon Cramps. Small/Urgent pulse indicates Cold). Liver pulse sudden fright due to shock (Supplement: Fright means sudden terror, swift. Yang Qi presses internally, causing fright). Pulse absent or aphasia, self-heals without treatment (Liver pulse fright due to sudden shock. If pulse absent AND aphasia, even with shock, it self-heals without treatment. ○ Wang Bing: If Liver Qi Jues, pulse不通, Jue retreats, pulse recovers. Also, Liver meridian passes hypochondrium/throat, so pulse absent/aphasia self-heals). Kidney pulse Small/Urgent, Liver pulse Small/Urgent, Heart pulse Small/Urgent, not throbbing, all indicate Shan Ju (Supplement: Small/Urgent is severe Cold; not throbbing means Blood does not flow; Blood stagnation with Cold causes internal coagulation forming Shan Ju. ○ I interpret Small/Urgent as Cold; pressing not throbbing indicates internal Cold excess; Blood congeals with Cold, hence Shan Ju. Heart governs Blood, Liver stores Blood, Kidney nourishes Blood; all three govern Blood, hence same pulse and disease). Kidney and Liver pulses both Deep indicate Shi Shui (Stone Water) (Supplement: Liver meridian enters Yin, pierces lower abdomen; Kidney meridian pierces spine, connects Bladder. Both Zang Qi steams Chong Mai, descending from Kidney to Bao, blocking water transformation, hence firm/knotted. Water is Winter/Water, rooted in Kidney, Kidney symbolizes Water and Deep, hence Qi combines and Deep, named Shi Shui). Both Floating indicate Feng Shui (Wind Water) (Supplement: Floating pulse is Wind, lower Jiao governs Water, Wind presses lower, hence Feng Shui). Both Empty indicate Death (Supplement: Kidney is root of five Zang, Liver is master of growth; both deficient, master pulses微弱, hence death). Both Small and Wiry indicate desire for fright (Supplement: Small/Wiry indicates Liver/Kidney deficiency, hence). Kidney pulse Large/Urgent/Deep, Liver pulse Large/Urgent/Deep, both indicate Shan Ju (Supplement: Shan Ju is caused by Cold Qi aggregation. Deep pulse is Excess, Urgent pulse is Pain. Qi Excess, Cold pressing, aggregation causes colic, hence Shan Ju). Heart pulse Slippery/Urgent indicates Heart Shan Ju; Lung pulse Deep/Beating indicates Lung Shan Ju (Supplement: Both due to Cold pressing Zang). Three Yang Urgent indicates Shan Ju; Three Yin Urgent indicates Shan Ju (Supplement: Taiyang Cold causes Blood coagulation forming Shan Ju; Taiyin Cold causes Qi aggregation forming Shan Ju). Two Yin Urgent indicates Epilepsy/Jue; Two Yang Urgent indicates Fright (Two Yin is Shaoyin, Two Yang is Yangming). Spleen pulse External/Beating/Deep indicates Chang Pi, self-heals after long time (Supplement: External beating means beating outside the standard position, on the arm exterior). Liver pulse Small/Slow indicates Chang Pi, easy to treat (Supplement: Liver pulse Small/Slow indicates Spleen overcoming Liver, hence easy to treat). Kidney pulse Small/Beating/Deep indicates Chang Pi with Blood in stool (Supplement: Small is Yin deficiency, Beating is Yang attacking, Heat in lower Jiao causes blood in stool). Warm Blood with Body Heat indicates Death (Supplement: Warm blood and body heat indicate Yin Qi destruction, hence death). Pulse Beating with Blood Epistaxis and Body Heat indicates Death (Supplement: Blood epistaxis causes deficiency, pulse should not beat; now beating indicates extreme Qi, hence death). Pulse coming Hanging/Hook/Floating is normal pulse (I interpret Hanging/Hook as Small/Soft. Floating/Small/Soft is normal pulse for blood epistaxis). Pulse coming like panting is named Bao Jue (Sudden Jue) (Supplement: Panting means suddenly coming vigorous/fast, going quickly declining, like human panting). Sudden Jue patients do not know or speak. Pulse like Rapid causes sudden fright, self-heals in 3-4 days (Supplement: Rapid is Heat, Heat moves Liver/Heart internally, hence fright. Rapid is Heart pulse, Wood dried by Fire, disease not Liver origin, not combining with pathogen, hence self-heals in 3-4 days. Based on Wood generation number 3. This section is cited from *Da Qi Lun*).

Qi Bo said: "Outside all things, within the six directions, changes of heaven and earth, responses of Yin and Yang. That spring warmth becomes summer heat; that autumn severity becomes winter anger. Movements of these four changes, pulses rise and fall with them (Supplement: Six directions refer to four quarters and up/down. Spring warmth to summer heat indicates Yang growing to peak; Autumn severity to winter anger indicates Yin increasing to strong. Severity/Fen means urgent, indicating autumn Qi is sharp). Spring corresponds to the Compass (Gui) (Supplement: Spring pulse is soft, weak, light, void, and slippery, like the shape of a compass, inside and out, hence corresponds to Compass). Summer corresponds to the Square (Ju) (Supplement: Summer pulse is Hong Da, combined with Slippery/Rapid, like the shape of a square, able to be level, hence corresponds to Square). Autumn corresponds to the Balance (Heng) (Supplement: Autumn pulse is Floating/Feather, light, Choppy, and scattered, like the shape of a scale beam, high and low must be level, hence corresponds to Balance). Winter corresponds to the Weight (Quan) (Supplement: Winter pulse is like Stone, combined with Deep/Slippery, like the shape of a scale weight, lower than the beam, hence corresponds to Weight. Saying Autumn corresponds to Balance and Winter to Weight indicates pulse height/depth differences. This follows Yin/Yang Qi, hence four different correspondences). Therefore, 45 days after Winter Solstice, Yang Qi slightly ascends, Yin Qi slightly descends; 45 days after Summer Solstice, Yin Qi slightly ascends, Yang Qi slightly descends. Yin and Yang have times, setting periods for pulses (Supplement: Refers to the four correspondences above). Missing the period and deviating, according to pulse division, divisions have periods, hence one knows the time of death (Supplement: Observing Yin/Yang rising/falling standards, knowing meridian migration images. Assessing climate migration errors, knowing Qi/Blood combination periods. Division closed without error, hence knowing death time. This section is cited from *Mai Yao Jing Wei Lun*)."