故邪从之。（赤当脉。脉合心。故曰赤脉之至也。喘、急疾也。坚、牢坚也。心脉之至。急而牢坚。主积气于中。当时害
于食。盖食气入胃。浊气归心。淫精于脉。有积于中。故害于食也。名曰心痹。积气痹闭于心下也。此得之外淫之邪。
因思虑而心虚。故邪气乘虚而留于内也。经曰。心怵惕思虑则伤神。神伤则心虚矣。此节照应生于心。如以缟裹朱节。
故曰赤脉之至。白脉之至也。前论五脏之色。生于脏而见于外。此言五脏之病。成于内而见于脉也。头痛巅疾。过在足
少阴巨阳。言六淫之邪生于外也。此言五脏之病成于内也。）白脉之至也。喘而浮。上虚下实。惊。有积气在胸中。喘而
虚。名曰肺痹寒热。得之醉而使内也。（平脉篇曰。呼吸者。脉之头也。盖呼吸急则脉亦急。故以呼吸之喘急。以形容脉
之急疾也。肺主气而虚。故脉浮。病气而不病血。病上而不病下。故脉上虚而下实也。阳气虚。则善为惊骇矣。胸中为
气之海。上注于肺。以司呼吸。邪积于上。则膻中之正气反虚。故为虚喘也。藏真高于肺。主行荣卫阴阳。阴阳虚乘。
则为往来之寒热矣。酒者。熟谷之液。其气 悍。入于胃中则胃胀。气上逆则满于胸中。醉而使内则气上逆。故有积气
在胸中也。入房太过则伤肾。肾为本。肺为末。本伤故肺虚也。）青脉之至也。长而左右弹。有积气在心下支 。名曰肝
痹。得之寒湿。与疝同法。腰痛足清。头痛。（脉长而弹。弦而急也。弦则为减。诸急为寒。此得之寒湿。而阳气受伤。
故弦急也。心下为膈。胁下为 。内膈下连于两 。邪在心下支 间。故脉左右弹也。清湿地气之中人也。必从足始。
足厥阴之脉。从足上 。入毛中。过阴器。抵小腹。布胁肋。故病证与疝痛相同。而腰痛足冷也。厥阴与督脉会于巅。
故头痛也。王子方曰。清邪中上。浊邪中下。阳受风气。阴受湿气。阴病者。下行极而上。故头痛也。）黄脉之至也。
大而虚。有积气在腹中。有厥气。名曰厥疝。女子同法。得之疾使四肢。汗出当风。（腹中、脾土之郛郭也。脾属四肢。
土灌四末。四肢汗出当风。则风湿内乘于脾而为积气。盖风木之邪。内干脾土。湿与阴土同气相感。故留聚而为积也。
脾气不能灌溉于四旁。则逆于中而为厥气矣。名曰厥疝者。气逆而痛也。夫男女气血相同。受病亦属同法。故于中央土
脏。而曰女子同法者。欲类推于四脏也。）黑脉之至也。上坚而大。有积气在小腹与阴。名曰肾痹。得之沐浴清水而卧。
（尺以候肾。黑脉之至。上坚而大者。肾脏有积。而肾脉坚大也。上坚者。坚大在上而不沉也。与阴者。小腹而兼于前
阴也。清水、冷水也。肾脏寒水主气。亦同气相感也。经云。积生于风雨寒暑。清湿喜怒。喜怒不节。则伤脏。脏伤则
病起于阴。阴既虚矣。则风雨袭阴之虚。病起于上而生积。清湿袭阴之虚。病起于下而成积。夫风雨。天之邪也。清湿。
地之邪也。言五脏之积。由天生而地成也。）凡相五色之奇脉。面黄目青。面黄目赤。面黄目白。面黄目黑者。皆不死也。
（奇脉、奇经冲任之脉色也。冲任为经血之海。五脏之血。皆归于肝。故外荣于目也。面主气色。目主血色。目之五色
而俱见面黄者。五脏之阴。而俱得胃脘之阳也。）面青目赤。面赤目白。面青目黑。面黑目白。面赤目青。皆死也。（经
云。人无胃气者死。面无黄色。无胃土之阳矣。面之青黑赤色。皆藏邪乘阳。纯阴无阳。故皆死也。夫生于心。如心缟
裹朱者。论五脏之生色也。察于目者。论五脏病成之色也。）
Therefore, the pathogenic factor follows and invades. (A red complexion should correspond to the pulse. The pulse corresponds to the Heart. Hence it is said, "When the red pulse arrives." Panting refers to rapidity; firmness refers to solidity and hardness. When the Heart pulse arrives, it is rapid and solid/hard, indicating accumulated Qi in the middle jiao, which will hinder digestion at that time. This is because when food enters the Stomach, the turbid Qi returns to the Heart, and the refined essence overflows into the vessels. If there is accumulation in the middle, it hinders digestion. The disease is named Xin Bi (Heart Bi Syndrome), where accumulated Qi blocks below the heart. This results from external invasive pathogens. Due to excessive worry and thinking, the Heart becomes deficient, so the pathogenic factor takes advantage of the deficiency and remains inside. The Classic states: "Fear, alarm, and excessive thinking injure the Shen (Spirit). When Shen is injured, the Heart becomes deficient." This section echoes the earlier discussion on "generated by the Heart, like cinnabar wrapped in white silk." Thus, it mentions "when the red pulse arrives" and "when the white pulse arrives." The previous discourse discussed the colors of the Five Zang organs, generated within the Zang and manifested externally. Here, it discusses diseases of the Five Zang organs, formed internally and manifested in the pulse.) When the white pulse arrives, it is rapid and floating, with emptiness above and fullness below, accompanied by fright. There is accumulated Qi in the chest. The pulse is rapid and weak, named Fei Bi (Lung Bi Syndrome) with alternating cold and heat. This condition arises from sexual intercourse while intoxicated. (The *Ping Mai Pian* [Chapter on Equal Pulses] states: "Respiration is the head of the pulse." Generally, rapid respiration leads to a rapid pulse; thus, the panting of respiration is used to describe the rapidity of the pulse. The Lung governs Qi and is deficient, hence the pulse floats. The disease affects Qi but not Blood, affecting the upper part but not the lower part, hence the pulse is empty above and full below. Yang Qi deficiency leads to susceptibility to fright. The chest is the Sea of Qi, flowing upward to the Lung to govern respiration. Pathogenic accumulation in the upper jiao causes the upright Qi of the Danzhong (Chest) to become relatively deficient, resulting in asthmatic breathing due to deficiency. The True Qi of the Zang organs resides highest in the Lung, governing the circulation of Ying (Nutritive) and Wei (Defensive) Qi and Yin-Yang. When Yin and Yang are deficient and invade each other, alternating cold and heat occur. Wine is the liquid of cooked grains; its Qi is fierce and penetrating. Entering the Stomach, it causes Stomach distension. Rising Qi causes fullness in the chest. Sexual intercourse while intoxicated causes Qi to rise rebelliously, leading to accumulated Qi in the chest. Excessive sexual activity injures the Kidney. The Kidney is the Root, the Lung is the Branch. Injury to the Root leads to Lung deficiency.) When the green pulse arrives, it is long and pulses laterally (tapping left and right). There is accumulated Qi supporting beneath the heart (hypochondriac region). The disease is named Gan Bi (Liver Bi Syndrome). It results from cold-dampness. The treatment method is the same as for Shan (Hernia). Symptoms include lower back pain, cold feet, and headache. (A long and tapping pulse indicates Xian [Wiry] and rapid qualities. Wiry indicates reduction [of Yang]; all rapid pulses indicate Cold. This results from cold-dampness injuring Yang Qi, hence the wiry and rapid quality. The area below the heart is the Diaphragm; the hypochondriac region is the side ribs. The internal diaphragm connects downward to both sides. Pathogenic factors supporting between the heart and the hypochondriac regions cause the pulse to tap laterally. Invasion by clear damp earth Qi always starts from the feet. the Foot Jueyin Liver Meridian ascends from the foot to the popliteal fossa, enters the pubic hair region, passes through the genitalia, reaches the lower abdomen, and spreads along the hypochondriac regions. Therefore, the symptoms are similar to hernia pain, accompanied by lower back pain and cold feet. The Jueyin meridian meets the Du Meridian at the vertex, causing headache. Wang Zifang stated: Clear pathogens attack the upper body; turbid pathogens attack the lower body. Yang meridians receive Wind pathogens; Yin meridians receive Damp pathogens. Diseases of the Yin ascend after reaching their extreme downward movement, hence the headache.) When the yellow pulse arrives, it is large and empty. There is accumulated Qi in the abdomen and rebellious Qi. The disease is named Jue Shan (Rebellious Hernia). The treatment method for women is the same. It results from strenuous use of the four limbs with sweat exposed to wind. (The abdomen is the enclosure of Spleen Earth. The Spleen governs the four limbs; Earth Qi irrigates the extremities. When the four limbs sweat and are exposed to wind, Wind-Dampness invades the Spleen internally, forming accumulated Qi. Generally, Wind-Wood pathogenic factors interfere with Spleen-Earth. Dampness shares the same nature with Yin Earth and resonates with it, remaining and accumulating. If Spleen Qi cannot irrigate the four peripheries, it rebels in the center, becoming Rebellious Qi. Named Jue Shan because Qi rebellion causes pain. Men and women have identical Qi and Blood, and suffer diseases similarly. Therefore, regarding the Central Earth Zang, it says "women follow the same method," intending to extrapolate to the other four Zang organs.) When the black pulse arrives, the upper part is firm and large. There is accumulated Qi in the lower abdomen and the genitalia. The disease is named Shen Bi (Kidney Bi Syndrome). It results from bathing in cold water and then lying down. (The Chi position reflects the Kidney. When the black pulse arrives and is firm and large in the upper part, it indicates accumulation in the Kidney and a firm/large Kidney pulse. "Firm above" means firm and large in the upper position without sinking. "With the Yin" refers to the lower abdomen combined with the anterior genitalia. Clear water means cold water. The Kidney governs Cold Water Qi, which resonates with the same nature. The Classic states: Accumulations arise from Wind-Rain-Cold-Heat, Clear-Damp, and Joy-Anger. Unregulated joy and anger injure the Zang; Zang injury causes disease to originate from the Yin. Once the Yin is deficient, Wind-Rain attacks the deficiency of Yin, causing disease to arise from above and form accumulation; Clear-Damp attacks the deficiency of Yin, causing disease to arise from below and form accumulation. Wind-Rain are Heavenly pathogens; Clear-Damp are Earthly pathogens. This states that accumulations of the Five Zang are generated by Heaven and completed by Earth.) In all cases of observing the five extraordinary colors of the pulses: if the face is yellow with eyes green, yellow with eyes red, yellow with eyes white, or yellow with eyes black, death will not occur. (Extraordinary pulses refer to the color of the Chong and Ren meridians. The Chong and Ren are the Seas of Jing-Blood. Blood of the Five Zang returns to the Liver, hence it shines externally on the eyes. The face governs Qi color; the eyes govern Blood color. The five colors of the eyes appearing together with a yellow face indicate that the Yin of the Five Zang receives the Yang of the Stomach-Spleen.) If the face is green with eyes red, face red with eyes white, face green with eyes black, face black with eyes white, or face red with eyes green, death will occur. (The Classic states: One who lacks Stomach Qi dies. A face lacking yellow color indicates the absence of Stomach Earth Yang. The green, black, and red colors of the face represent Zang pathogens overcoming Yang, resulting in pure Yin without Yang, hence death. The phrase "generated by the Heart, like cinnabar wrapped in white silk" discusses the vital colors of the Five Zang organs. Observing the eyes discusses the pathological colors formed by diseases of the Five Zang organs.)