浮者,按之不足,举之有余。与人迎相应,则风寒在经;与气口相应,则荣血虚损。
沉者,举之不足,按之有余。与人迎相应,则寒伏阴经;与气口相应,则血凝腹脏。
迟者,应动极缓,按之尽牢。与人迎相应,则湿寒凝滞;与气口相应,则虚冷沉积。
数者,去来促急,一息数至。与人迎相应,则风燥热烦;与气口相应,则阴虚阳盛。
虚者,迟大而软,按之豁然。与人迎相应,则经络伤暑;与气口相应,则荣卫走本。
实者,按举有力,不疾不迟。与人迎相应,则风寒贯经;与气口相应,则气血壅脉。
缓者,浮大而软,去来微迟。与人迎相应,则风热入脏;与气口相应,则怒极伤筋。
紧者,动转无常,如纫单线。与人迎相应,则经络伤寒;与气口相应,则脏腑作痛。
洪者,来之至大,去之且长。与人迎相应,则寒壅诸阳;与气口相应,则气攻百脉。
细者,指下寻之,来往如线。与人迎相应,则诸经中湿;与气口相应,则五脏凝涎。
滑者,往来流利,有如贯珠。与人迎相应,则风痰潮溢;与气口相应,则涎饮凝滞。
涩者,参伍不调,如雨沾沙。与人迎相应,则风湿寒痹;与气口相应,则津汗血枯。
弦者,端紧径急,如张弓弦。与人迎相应,则风走注痛;与气口相应,则饮积溢疼。
弱者,按之欲绝,轻软无力。与人迎相应,则风湿缓纵;与气口相应,则筋绝痿弛。
结者,往来迟缓,时止更来。与人迎相应,则阴散阳生;与气口相应,则积阻气节。
促者,往来急数,时止复来。与人迎相应,则痰壅阳经;与气口相应,则积留胃腑。
芤者,中空傍实,如按慈葱。与人迎相应,则邪壅吐衄;与气口相应,则荣虚妄行。
微者,极细而软,似有若无。与人迎相应,则风暑自汗;与气口相应,则微阳脱泄。
动者,在关如豆,厥厥不行。与人迎相应,则寒疼冷痛;与气口相应,则心惊胆寒。
伏者,沉隐不出,着骨乃得。与人迎相应,则寒湿痼闭;与气口相应,则凝思滞神。
长者,往来流利,出入三关。与人迎相应,则微邪自愈;与气口相应,则脏气平治。
短者,按举似数,不及本部。与人迎相应,则邪闭经脉;与气口相应,则积遏脏气。
濡者,按之不见,轻手乃得。与人迎相应,则寒湿散漫;与气口相应,则飧泄缓弱。
革者,沉伏实大,如按鼓皮。与人迎相应,则中风着湿;与气口相应,则半产脱精。
散者,有阳无阴,按之满指。与人迎相应,则淫邪脱泄;与气口相应,则精血败耗。
代者,脏绝中止,余脏代动,无问内外所因,得此必死。
浮脉,轻取时感觉不足,重按反而有余。如果与人迎脉相应,说明风寒邪气在经络;如果与气口脉相应,说明营血虚损。
沉脉,轻取时感觉不足,重按反而有余。如果与人迎脉相应,说明寒邪潜伏在阴经;如果与气口脉相应,说明血液凝滞于腹脏。
迟脉,脉搏跳动极其缓慢,重按时坚实牢固。如果与人迎脉相应,说明湿寒凝滞;如果与气口脉相应,说明虚冷沉积。
数脉,脉搏来去急促,一呼一吸间跳动次数增多。如果与人迎脉相应,说明风燥热烦;如果与气口脉相应,说明阴虚阳盛。
虚脉,脉象迟大而柔软,重按时豁然空虚。如果与人迎脉相应,说明经络受暑邪损伤;如果与气口脉相应,说明营卫之气走散耗损。
实脉,轻取重按都有力,不快不慢。如果与人迎脉相应,说明风寒贯穿经络;如果与气口脉相应,说明气血壅塞于脉道。
缓脉,脉象浮大而柔软,来去略微迟缓。如果与人迎脉相应,说明风热入脏;如果与气口脉相应,说明愤怒过度损伤筋脉。
紧脉,脉搏跳动无常,像穿单股的丝线一样紧绷。如果与人迎脉相应,说明经络伤寒;如果与气口脉相应,说明脏腑发生疼痛。
洪脉,脉搏来时极大,去时且长。如果与人迎脉相应,说明寒邪壅滞诸阳经;如果与气口脉相应,说明气机攻冲百脉。
细脉,手指下寻索,脉搏往来如线般细微。如果与人迎脉相应,说明诸经受湿邪侵袭;如果与气口脉相应,说明五脏津液凝滞成涎。
滑脉,脉搏往来流利,好像珠子串联滚动。如果与人迎脉相应,说明风痰潮涌溢出;如果与气口脉相应,说明涎饮凝滞。
涩脉,脉搏参差不匀,像雨滴沾湿沙子一样不畅。如果与人迎脉相应,说明风湿寒痹阻;如果与气口脉相应,说明津液、汗液、血液枯竭。
弦脉,端直而紧急,像拉开的弓弦。如果与人迎脉相应,说明风邪游走作痛;如果与气口脉相应,说明水饮积聚溢满致痛。
弱脉,重按时几乎断绝,轻取柔软无力。如果与人迎脉相应,说明风湿松弛纵缓;如果与气口脉相应,说明筋脉衰竭导致痿软弛缓。
结脉,脉搏往来迟缓,时常停止后又复跳。如果与人迎脉相应,说明阴气散失阳气生发;如果与气口脉相应,说明积滞阻碍气机节点。
促脉,脉搏往来急数,时常停止后又复跳。如果与人迎脉相应,说明痰浊壅滞阳经;如果与气口脉相应,说明积滞停留胃腑。
芤脉,中间空两边实,像按在慈葱上一样。如果与人迎脉相应,说明邪气壅滞导致吐血衄血;如果与气口脉相应,说明营血虚损妄行。
微脉,极细而软,似有似无。如果与人迎脉相应,说明风暑导致自汗;如果与气口脉相应,说明微弱阳气脱泄。
动脉,在关部像豆子一样跳动,厥厥然不动(指脉搏短小有力,仅见于关部)。如果与人迎脉相应,说明寒邪导致冷痛;如果与气口脉相应,说明心惊胆寒。
伏脉,深沉隐伏不出,必须推筋着骨才能摸到。如果与人迎脉相应,说明寒湿痼结闭阻;如果与气口脉相应,说明思虑凝滞神志。
长脉,脉搏往来流利,超出寸关尺三部。如果与人迎脉相应,说明轻微邪气自愈;如果与气口脉相应,说明脏气平和治愈。
短脉,轻取重按似数脉,但不及本部长度。如果与人迎脉相应,说明邪气闭阻经脉;如果与气口脉相应,说明积滞遏阻脏气。
濡脉,重按时看不见(摸不到),轻手才能触及。如果与人迎脉相应,说明寒湿散漫;如果与气口脉相应,说明完谷不化的泄泻及身体缓弱。
革脉,沉伏而实大,像按在鼓皮上一样。如果与人迎脉相应,说明中风兼着湿邪;如果与气口脉相应,说明半产(流产)或精气脱失。
Floating pulse (Fú Mài, Floating Pulse): Light pressure feels insufficient, while heavy pressure feels abundant. If corresponding with the Renying pulse (Renying acupoint/pulse), wind-cold is in the meridians; if corresponding with the Qikou pulse (Qikou acupoint/pulse), Ying-blood is deficient and damaged.
Sinking pulse (Chén Mài, Sinking Pulse): Light pressure feels insufficient, while heavy pressure feels abundant. If corresponding with the Renying pulse, cold is latent in the Yin meridians; if corresponding with the Qikou pulse, blood is coagulated in the abdomen and viscera.
Slow pulse (Chí Mài, Slow Pulse): The pulse beat is extremely slow, firm and solid upon heavy pressure. If corresponding with the Renying pulse, damp-cold is stagnant; if corresponding with the Qikou pulse, deficiency-cold is accumulated.
Rapid pulse (Shuò Mài, Rapid Pulse): The pulse comes and goes hurriedly, beating multiple times per respiration. If corresponding with the Renying pulse, wind-dryness and heat cause restlessness; if corresponding with the Qikou pulse, Yin deficiency and Yang excess prevail.
Deficient pulse (Xū Mài, Deficient Pulse): Slow, large, and soft, feeling hollow upon heavy pressure. If corresponding with the Renying pulse, the meridians are injured by summer-heat; if corresponding with the Qikou pulse, Ying and Wei Qi scatter and deplete.
Excess pulse (Shí Mài, Excess Pulse): Forceful upon both light and heavy pressure, neither fast nor slow. If corresponding with the Renying pulse, wind-cold penetrates the meridians; if corresponding with the Qikou pulse, Qi and blood are congested in the vessels.
Moderate pulse (Huǎn Mài, Moderate/Sluggish Pulse): Floating, large, and soft, coming and going slightly slowly. If corresponding with the Renying pulse, wind-heat enters the viscera; if corresponding with the Qikou pulse, extreme anger injures the sinews.
Tight pulse (Jǐn Mài, Tight Pulse): Movement is irregular, like a single thread pulled taut. If corresponding with the Renying pulse, the meridians are affected by cold damage; if corresponding with the Qikou pulse, the viscera suffer pain.
Surging pulse (Hóng Mài, Surging/Flood Pulse): Arriving is very large, departing is long. If corresponding with the Renying pulse, cold congests the various Yang meridians; if corresponding with the Qikou pulse, Qi attacks the hundred vessels.
Fine pulse (Xì Mài, Fine/Thready Pulse): Under the fingers, searching reveals it coming and going like a thread. If corresponding with the Renying pulse, the various meridians are invaded by dampness; if corresponding with the Qikou pulse, the five viscera have coagulated phlegm-fluid.
Slippery pulse (Huá Mài, Slippery Pulse): Coming and going smooth and fluent, like pearls strung together. If corresponding with the Renying pulse, wind-phlegm surges and overflows; if corresponding with the Qikou pulse, phlegm-fluid stagnates.
Choppy pulse (Sè Mài, Choppy/Rough Pulse): Irregular and unharmonious, like rain soaking into sand. If corresponding with the Renying pulse, wind-damp-cold bi-syndrome occurs; if corresponding with the Qikou pulse, body fluids, sweat, and blood are depleted.
String-taut pulse (Xián Mài, String-Taut/Percussion String Pulse): Straight, tight, and urgent, like a drawn bowstring. If corresponding with the Renying pulse, wind causes wandering pain; if corresponding with the Qikou pulse, fluid accumulation overflows causing pain.
Weak pulse (Ruò Mài, Weak Pulse): Almost imperceptible upon heavy pressure, soft and powerless upon light pressure. If corresponding with the Renying pulse, wind-dampness is lax and relaxed; if corresponding with the Qikou pulse, sinew exhaustion leads to flaccidity and paralysis.
Knotted pulse (Jié Mài, Knotted/Irregular-Slow Pulse): Coming and going slowly, occasionally stopping then resuming. If corresponding with the Renying pulse, Yin scatters and Yang generates; if corresponding with the Qikou pulse, accumulations obstruct Qi nodes.
Rapid-interrupted pulse (Cù Mài, Rapid-Interrupted/Irregular-Fast Pulse): Coming and going rapidly, occasionally stopping then resuming. If corresponding with the Renying pulse, phlegm congests the Yang meridians; if corresponding with the Qikou pulse, accumulations remain in the Stomach organ.
Scallion-stem pulse (Kōu Mài, Scallion-Stem/Hollow Pulse): Empty in the center and solid on the sides, like pressing on a scallion stem. If corresponding with the Renying pulse, pathogenic factors congest leading to hematemesis and epistaxis; if corresponding with the Qikou pulse, Ying-blood deficiency causes reckless bleeding.
Minute pulse (Wēi Mài, Minute/Faint Pulse): Extremely fine and soft, seeming to exist yet not. If corresponding with the Renying pulse, wind-summer-heat causes spontaneous sweating; if corresponding with the Qikou pulse, slight Yang Qi escapes and depletes.
Moving pulse (Dòng Mài, Moving Pulse): At the Guan position, it resembles a bean, quivering but not moving elsewhere. If corresponding with the Renying pulse, cold causes painful cold sensations; if corresponding with the Qikou pulse, heart fright and gallbladder fear occur.
Hidden pulse (Fú Mài, Hidden Pulse): Deep and hidden, not emerging, only felt when pressing to the bone. If corresponding with the Renying pulse, cold-dampness is entrenched and closed; if corresponding with the Qikou pulse, contemplation stagnates the Spirit.
Long pulse (Cháng Mài, Long Pulse): Coming and going fluent, extending beyond the three positions (Cun, Guan, Chi). If corresponding with the Renying pulse, minor pathogens heal themselves; if corresponding with the Qikou pulse, Zang-Qi is balanced and cured.
Short pulse (Duǎn Mài, Short Pulse): Feels rapid upon light or heavy pressure, but does not reach its proper extent. If corresponding with the Renying pulse, pathogens close the meridians; if corresponding with the Qikou pulse, accumulations obstruct Zang-Qi.
Soggy pulse (Rú Mài, Soggy/Soft Pulse): Not visible/felt upon heavy pressure, only felt with light touch. If corresponding with the Renying pulse, cold-dampness is diffuse; if corresponding with the Qikou pulse, undigested food diarrhea and physical weakness occur.
Drum-skin pulse (Gé Mài, Drum-Skin/Hard Pulse): Sinking, hidden, solid, and large, like pressing on a drum skin. If corresponding with the Renying pulse, wind-stroke combined with dampness; if corresponding with the Qikou pulse, miscarriage or essence depletion occurs.
Scattered pulse (Sàn Mài, Scattered Pulse): Has Yang but no Yin, filling the fingers upon pressure but lacking root. If corresponding with the Renying pulse, excessive pathogens cause leakage/depletion; if corresponding with the Qikou pulse, essence and blood are ruined and consumed.
Intermittent pulse (Dài Mài, Intermittent Pulse): Zang-Qi fails and stops midway, other Zang-Qi takes over the beat. Regardless of internal or external etiology, obtaining this pulse indicates certain death.