左寸脉主心。其脉下至关上。上不守寸。是阴不及也。主谵语乱言。目内生花。常不识
人。缘心属火。火当炎上。不当消灭。
左关脉主肝。下至尺上。上不守关。是为阴。乃不及也。主怒多口舌。眼赤。目内生翳
障。泪多流滴。
左尺脉至肾。其脉上不及关。下不应指。是为阴乃不及也。主小便频数。腰如带石不可
动侧。呻吟。缘肾属水。当溢满。不合枯少。
右寸脉主肺。其脉流下至关。上不及气口。是为阴。乃不及也。主气短。胸胁哽闷。咳
嗽吐痰。身体瘦削。缘肺属金。四季多浮。
右关脉主脾。其脉流下至尺。上不守关。是为阴。乃不及也。主腹痛肠鸣。口舌饮食不
纳。思甜口臭。缘脾主中央。只当安守。
右尺脉主命门。其脉上不应指。下至命门是不及也主小腹阵痛。膀胱偏坠。小便赤少足
膝腿疼女子则血脉不通。五心烦热。黄瘦。缘命门主藏精。合当溢少不可枯少。
凡尺脉上不至关。为阴绝。寸脉下不至关。为阳绝。阴阳相绝。人何所根据。盖脉太过不
及。皆有疾患而作焉。(脉镜终)
(计一十六款)
夫治 犹治国。然国有政。所以调其元气。防其残害。抱 者。而不谋夫调之防之者。
鲜不灭裂矣。故录调摄最要者。十有六。以为却病者司南云。
左寸脉主要对应心脏。其脉气下行至关部以上,若不能上守寸口,这是阴气不足的表现。主要表现为胡言乱语、言语错乱,眼前出现幻视(目中生花),经常认不出人。因为心属火,火性应当炎上,不应当被熄灭或削弱。
左关脉主要对应肝脏。其脉气下行至尺部以上,若不能上守关部,这是阴气不足的表现。主要表现为易怒、多言且伴有口舌生疮,眼睛发红,眼中生出翳障,泪水多且不断滴落。
左尺脉对应肾脏。其脉气上行不及关部,向下按之不应指,这是阴气不足的表现。主要表现为小便频数,腰部沉重如系石带般无法转动侧身,发出呻吟声。因为肾属水,水性应当充盈满溢,不应当干枯稀少。
右寸脉对应肺脏。其脉气流下至关部,向上不及气口,这是阴气不足的表现。主要表现为气短,胸胁部堵塞闷痛,咳嗽吐痰,身体消瘦。因为肺属金,在四季中脉象多呈浮象。
右关脉对应脾脏。其脉气流下至尺部,向上不守关部,这是阴气不足的表现。主要表现为腹痛肠鸣,口中味觉异常导致饮食难以下咽,想吃甜食但口气臭秽。因为脾属土居中央,只应当安稳固守。
右尺脉对应命门。其脉气向上按之不应指,向下至命门部位为不及。主要表现为小腹部阵发性疼痛,膀胱偏坠感,小便色赤量少,足膝腿部疼痛;女性则表现为月经不通畅,五心烦热,面色萎黄消瘦。因为命门主藏精,应当精气充沛,不可干枯稀少。
凡是尺脉上行不及关部,称为阴绝;寸脉下行不及关部,称为阳绝。阴阳相互隔绝,人还能依靠什么生存呢?大概脉象太过或不及,都会引发疾病。(《脉镜》至此结束)
(共计十六项)
治疗疾病就像治理国家一样。国家有政令,用来调和元气,防止残害。如果只有病邪存在,却不谋划调和与防范的方法,很少有不灭亡破裂的。所以记录下调养摄生最重要的十六条内容,作为消除疾病的指南。
那些妄想杂念,被称为“客尘”(外来的尘埃),而我的真神原本不会妄动。若精神恍惚游荡于八方极远之地,神识飞散于幽暗深处,真元之气还剩多少?怎能承受这种放纵驰骋的消耗。
The left Cun (Inch) pulse governs the Heart. Its qi flows down to above the Guan (Bar) position. If it fails to remain at the Cun position, this indicates a deficiency of Yin. It primarily manifests as delirious speech and confusion, visual hallucinations (seeing flowers in the eyes), and frequent failure to recognize people. This is because the Heart belongs to Fire; the nature of Fire is to flare upwards, not to be extinguished or diminished.
The left Guan (Bar) pulse governs the Liver. Its qi flows down to above the Chi (Cubit) position. If it fails to remain at the Guan position, this indicates a deficiency of Yin. It primarily manifests as irritability, excessive talking accompanied by sores on the tongue and mouth, redness of the eyes, formation of corneal opacities (cataracts/pannus), and excessive tearing with constant dripping.
The left Chi (Cubit) pulse corresponds to the Kidney. Its qi fails to rise to the Guan position, and pressing downwards yields no response. This indicates a deficiency of Yin. It primarily manifests as frequent urination, a sensation of heaviness in the lower back as if weighed down by a stone belt making turning difficult, and groaning. This is because the Kidney belongs to Water; the nature of Water is to overflow and fill, not to be dry and scant.
The right Cun (Inch) pulse governs the Lung. Its qi flows down to the Guan position, failing to reach upwards to the Qi Kou (Pulse Gate). This indicates a deficiency of Yin. It primarily manifests as shortness of breath, chest and hypochondriac fullness and oppression, coughing with expectoration, and emaciation. This is because the Lung belongs to Metal; in the four seasons, its pulse often presents as floating.
The right Guan (Bar) pulse governs the Spleen. Its qi flows down to the Chi position, failing to remain at the Guan position. This indicates a deficiency of Yin. It primarily manifests as abdominal pain and borborygmus (rumbling in the intestines), aversion to food and drink due to oral taste disturbances, craving for sweets but with foul breath. This is because the Spleen belongs to Earth and resides in the Center; it should only remain stable and secure.
The right Chi (Cubit) pulse corresponds to the Mingmen (Gate of Life). Pressing upwards yields no response; reaching down to the Mingmen indicates deficiency. It primarily manifests as paroxysmal pain in the lower abdomen, a sensation of dragging/heaviness in the bladder, dark and scanty urine, pain in the feet, knees, and legs; in women, it manifests as amenorrhea or dysmenorrhea, five-palm heat (heat sensation in palms, soles, and chest), sallow complexion, and emaciation. This is because the Mingmen stores Essence (Jing); it should be abundant, not dry and scant.
Whenever the Chi pulse fails to rise to the Guan position, it is called "Yin Extinction" (Yin Jue); whenever the Cun pulse fails to descend to the Guan position, it is called "Yang Extinction" (Yang Jue). When Yin and Yang are mutually severed, upon what can a person rely? Generally, both excess and deficiency in the pulse will give rise to diseases. (End of *Mai Jing*)
(Total: 16 items)
Treating disease is like governing a state. A state has policies to harmonize Yuan Qi (Original Qi) and prevent harm. If there are pathogens but no measures taken to harmonize and prevent, destruction and rupture are inevitable. Therefore, I have recorded the sixteen most important principles of regulation and preservation to serve as a guide for eliminating disease.
Those delusional thoughts are called "guest dust" (external impurities), while my True Spirit originally does not act recklessly. If one allows the spirit to wander loosely through the eight extremes, flying off into the obscurity, how much Original Qi remains? How can it withstand such licentious exertion?