下有赤字。）已食如饥者，胃疸也。（胃中热消食，故已食如饥，胃疸病。）面肿曰风。（风，
阳也。诸阳在面，故风病面先肿也。）女子手少阴脉动甚者，任子也。（手少阴脉，心经脉也。
心脉主血，女子怀子，则月血外闭不通，故手少阴脉内盛，所以动也。平按∶《素问》任作妊。
注月血袁刻作经血。）脉有逆顺，四时未有脏形。（寸口人迎，且逆且顺，即四时未有真脏脉形
也。）春夏而脉瘦者，秋冬浮大。（春夏人迎微大为顺，今反瘦小为逆；秋冬人迎微小为顺，今
反浮大为逆也。平按∶浮大下《素问》有命曰逆四时也六字。）风逆而脉盛，（脉盛者，风热之
病也。平按∶盛《素问》作静。）泄而脱血。（风热之病虚，故多脱泄血脱也。）脉实者病在中，
（是阳虚阴实，故病在五脏。平按∶《素问》脉实二字属上文，实下无者字。）脉虚者病在外。
（阴虚阳实，故病在六腑也。平按∶《素问》脉虚二字属上文，虚下无者字。）脉涩坚皆难治，
命曰反四时者也。（脉涩及坚二者，但阴无阳，故皆难疗，名曰反四时之脉也。平按∶《素问》
新校正云∶“自前未有脏形春夏至此五十三字，与后《玉机真藏论》文相重。”本书见十四卷
《四时诊脉》篇。）人以水谷为本，故人绝水谷则死；（反四时之脉，无水谷之气者，致死。）
脉无胃气亦死。所谓无胃气者，但得真脏脉，不得胃气也，所谓肝不弦，肾不石也。（虽有水谷
之气，以脏有病无胃气者，肝虽有弦，以无胃气不名乎弦也，肾虽有石，以无胃气不名乎石，故
不免死也。平按∶肝不弦上《素问》有脉不得胃气者六字。）太阳脉至，鸿大以长；（以手按人
迎脉鸿大以长者，是太阳也，即手足太阳小肠膀胱脉之状也。平按∶鸿《素问》、《甲乙》作洪。
注人迎脉别本作尺脉。）少阳脉至，乍疏乍数，乍短乍长；（按之乍疏乍数、乍短乍长者，少阳脉
也，即手足少阳三焦及胆脉之状。平按∶乍疏乍数
《素问》、《甲乙》作乍数乍疏。）阳明脉至，浮大而短，是谓三阳脉也。（按之浮大而短者，
阳明脉也，即手足阳明胃及大肠之候也。是谓三阳脉之形。平按∶《素问》、《甲乙》无是谓三
阳脉也六字。《素问》新校正云∶“详无三阴脉，应古文阙也。按《难经》云∶太阴之至，紧大
而长；少阴之至，紧细而微；厥阴之至，沉短以敦。”）
(Red characters are noted in the original text.) Feeling hungry shortly after eating indicates Stomach Jaundice (Wei Dan). This is because heat in the Stomach accelerates digestion, causing a sensation of hunger even after meals. Facial edema is termed Wind disease. Wind belongs to Yang. Since all Yang meridians ascend to the face, facial swelling occurs first when afflicted by Wind. In women, a pronounced pulsation at the Hand Shaoyin pulse position indicates pregnancy. The Hand Shaoyin pulse corresponds to the Heart meridian. The Heart governs blood; during pregnancy, menstruation ceases, leading to an abundance of Qi and blood within the Hand Shaoyin meridian, resulting in a distinct pulse. Note: *Suwen* uses "Ren" (conception) instead of "Ren" (bear). Annotation: "Yue xue" (monthly blood) is written as "Jing xue" (menstrual blood) in Yuan's edition.
Pulses have categories of compliance (Shun) and non-compliance (Ni); there is no fixed Zang-organ shape in the four seasons. Both the Cunkou and Renying pulses exhibit compliance and non-compliance, meaning that true Zang-organ pulses (Zhen Zang Mai), which indicate organ failure, do not appear according to seasonal norms. If the pulse is thin and small in Spring and Summer, but floating and large in Autumn and Winter, this is non-compliant. In Spring and Summer, a slightly large Renying pulse is compliant; a thin/small one is non-compliant. In Autumn and Winter, a slightly small Renying pulse is compliant; a floating/large one is non-compliant. Note: *Suwen* adds "termed non-compliant with the four seasons" after "floating and large."
Wind invasion with a full pulse indicates Wind-Heat disease. Note: *Suwen* writes "Sheng" (full) as "Jing" (quiet). Diarrhea accompanied by blood loss often results from deficiency due to Wind-Heat, leading to depletion of fluids and blood. A full pulse indicates the disease is internal (Yang deficiency and Yin excess, thus affecting the Five Zang organs). Note: In *Suwen*, "Mai Shi" (pulse full) belongs to the previous sentence, and there is no "zhe" character after "Shi". A deficient pulse indicates the disease is external (Yin deficiency and Yang excess, thus affecting the Six Fu organs). Note: In *Suwen*, "Mai Xu" (pulse deficient) belongs to the previous sentence, and there is no "zhe" character after "Xu". Pulses that are choppy (Se) and firm are difficult to treat, termed as contrary to the four seasons. Choppy and firm pulses indicate Yin without Yang, making them hard to cure. Note: *Suwen* Xinzhengjiao states that the fifty-three characters from "previously no Zang shape" to "Spring and Summer here" duplicate the text in *Yuji Zhen Zang Lun*. This appears in Volume 14, "Four Seasons Pulse Diagnosis."
Humans rely on water and grain as their foundation; thus, humans die when deprived of water and grain. Non-compliant pulses lack the Qi of water and grain, leading to death. A pulse without Stomach Qi also leads to death. "Without Stomach Qi" means only the True Zang-organ pulse is present, lacking the harmonious Stomach Qi. For example, the Liver pulse should be wiry (Xian), and the Kidney pulse should be stone-like (Shi). Even if Water and Grain Qi exists, if the Zang organs are diseased and lack Stomach Qi, the Liver pulse may show a wiry quality but cannot be truly called wiry without Stomach Qi; similarly, the Kidney pulse may show a stone-like quality but cannot be truly called stone-like without Stomach Qi. Thus, death is inevitable. Note: *Suwen* adds "those whose pulse lacks Stomach Qi" before "Liver not wiry."
The Taiyang pulse arrives, being surging (Hong), large, and long. Pressing the Renying pulse, if it is surging, large, and long, it indicates Taiyang, corresponding to the Foot and Hand Taiyang Bladder and Small Intestine meridians. Note: *Suwen* and *Jiayi Jing* write "Hong" instead of "Hong". Annotation: Other versions read "Chic mai" (wrist pulse) instead of "Renying mai".
The Shaoyang pulse arrives, alternating between sparse and rapid, short and long. Pressing the pulse, if it alternates in frequency and length, it indicates Shaoyang, corresponding to the Foot and Hand Shaoyang Sanjiao and Gallbladder meridians. Note: *Suwen* and *Jiayi Jing* write "Zha Shu Zha Su" instead of "Zha Su Zha Shu".
The Yangming pulse arrives, being floating, large, and short; this is referred to as the Three-Yang pulse. Pressing the pulse, if it is floating, large, and short, it indicates Yangming, corresponding to the Foot and Hand Yangming Stomach and Large Intestine meridians. This describes the form of the Three-Yang pulses. Note: *Suwen* and *Jiayi Jing* omit "this is referred to as the Three-Yang pulse." *Suwen* Xinzhengjiao states: "Upon detailed examination, the description for the Three-Yin pulses is missing, likely due to textual lacuna. According to *Nanjing*: Taicin arrives tight, large, and long; Shaoyin arrives tight, fine, and minute; Jueyin arrives deep, short, and solid."