少阴脉不至肾气微少精血奔气促迫上于胸膈宗气反聚血结心下阳气退下热归阴股与阴相动令身不仁此为尸厥当刺期
门巨阙
少阴肾脉不至则肾气微弱而少精血肾中阴气逆奔促逼清道上于胸膈胸中宗气为肾阴所迫反聚而不散气聚则血凝故血
结心下血结而遏其清阳不得上奉故阳气退下肝气不达郁而生热归于阴股与下之阴气两相郁动令身不仁身之所以灵觉者以
清阳之升发也今结血迷心清阳沦陷故身无知觉而不仁也此为尸厥(史扁鹊传虢太子病尺厥即此)当刺厥阴之期门任脉之
巨阙下泄阴股之郁热上通心下之结血令其清阳上达神气通畅则明白如初矣
趺阳脉微而紧紧则为寒微则为虚微紧相搏则为短气少阴脉弱而涩弱者微烦涩者厥逆
趺阳脉微而紧紧则为胃气之寒微则为胃气之虚微紧相合虚而且寒浊阴凝塞清气不升则为短气胃气虚寒肾阳必败少阴
脉弱而涩弱则血虚而微烦涩则血寒而厥逆也
趺阳脉不出脾不上下体冷肤硬
趺阳脉不出胃气虚败则脾不营运中脘滞塞不能上下升降故身冷肤硬以阳虚不能外达无以温分肉而柔肌肤也
趺阳脉滑而紧滑者胃气实紧者脾气强持实击强痛还自伤以手把刃坐作疮也
趺阳脉滑而紧滑者胃气之实紧者脾气之强一实一强两者不和必至相击持胃气之实击脾气之强强不受击则痛还自伤譬
之以手抱刃自伤坐作金疮也(此阴阳相干之义乃太过不及之可怪者)
少阴脉(足少阴肾经的脉搏)搏动微弱或消失,是因为肾气微弱、精血不足。肾中阴寒之气上逆奔冲,逼迫清气上行至胸膈部位,导致胸中的宗气(积聚于胸中的大气)被郁结聚集。气机郁结则血液凝滞,因此血液结聚于心下(胃脘部)。血结阻碍了清阳之气的上升奉养,导致阳气退陷下行,热邪归于阴股(大腿内侧),与下焦的阴气相互激荡,致使身体麻木不仁。这称为“尸厥”(《史记·扁鹊仓公列传》中记载的虢太子所患的“尸厥”即为此病)。应当针刺厥阴肝经的期门穴和任脉的巨阙穴,以宣泄阴股部的郁热,疏通心下的血结,使清阳之气得以重新上达,神气通畅,患者便能像以前一样清醒明白。
趺阳脉(足背动脉,候胃气)微弱而兼紧象,紧脉主寒,微脉主虚;微脉与紧脉相兼出现,则表现为短气(呼吸急促、气息不足)。少阴脉弱而兼涩,弱脉主血虚而见轻微烦乱,涩脉主血寒而见四肢厥逆。
趺阳脉微弱而紧,紧为胃气之寒,微为胃气之虚。微与紧相合,表示胃气既虚且寒,浊阴之气凝结堵塞,清气不能上升,因而导致短气。胃气虚寒,必然导致肾阳衰败。少阴脉弱而涩,弱脉表示血虚而出现轻微烦乱,涩脉表示血寒而出现四肢厥逆。
趺阳脉摸不到(不出),说明脾失健运,气机不能上下升降。中脘部(胃脘)滞塞,导致身体寒冷、皮肤僵硬。这是因为阳气虚衰,不能温煦体表,无法温暖肌肉、柔润肌肤所致。
趺阳脉滑而紧,滑脉表示胃气实盛,紧脉表示脾气强急。胃气之实与脾气之强相互搏击,如同手持利刃自伤,好比坐着制作金疮(金属利器造成的创伤)。趺阳脉滑而紧,滑是胃气之实,紧是脾气之强。一实一强,两者不和,必然相互攻击。胃气之实去攻击脾气之强,脾气强急而不受击,疼痛反而伤害自身。这就好比用手握住刀刃,是自伤的行为,如同坐着制造金创一样。(这是阴阳相互干犯的道理,属于太过与不及这种令人惊怪的情况)
The Shao Yin pulse (the pulse of the Foot-Shaoyin Kidney meridian) is absent or faint, indicating that Kidney Qi is weak and essence-blood is insufficient. The Yin-cold Qi within the Kidney rebels and rushes upward, forcing the clear Qi to ascend to the chest and diaphragm. Consequently, the Zong Qi (Grand Qi accumulating in the chest) is constrained and gathered. Qi stagnation leads to blood coagulation; thus, blood knots at the Xin Xia (epigastric region). This blood knot obstructs the ascent of Clear Yang Qi, causing Yang Qi to retreat and descend, while heat returns to the Yin thighs (medial aspect of the thighs). There, it agitates with the lower Jiao Yin Qi, rendering the body insensible and numb. This condition is termed "Shi Jue" (Corpse-like Coma; as recorded in the *Records of the Grand Historian* regarding Prince Guo's illness, also known as Chi Jue). One should puncture Qimen (LR14, Liver Meridian) and Juque (CV14, Conception Vessel) to drain the stagnant heat from the Yin thighs and unblock the blood knot below the heart, allowing Clear Yang Qi to ascend again and Shen Qi (Spirit Qi) to flow freely, restoring consciousness as before.
The Fu Yang pulse (dorsalis pedis artery, reflecting Stomach Qi) is faint and tight. A tight pulse indicates Cold, and a faint pulse indicates Deficiency. When faint and tight combine, shortness of breath occurs. The Shao Yin pulse is weak and choppy. A weak pulse indicates Blood Deficiency manifesting as slight restlessness; a choppy pulse indicates Blood Cold manifesting as cold extremities.
The Fu Yang pulse is faint and tight. Tightness denotes Cold of Stomach Qi, and faintness denotes Deficiency of Stomach Qi. The combination of faint and tight implies both Deficiency and Cold in Stomach Qi. Turbid Yin condenses and blocks, preventing Clear Yang from ascending, resulting in shortness of breath. If Stomach Qi is deficient and cold, Kidney Yang must inevitably fail. The Shao Yin pulse being weak and choppy signifies that weakness indicates Blood Deficiency with slight restlessness, and choppy texture indicates Blood Cold with cold extremities.
The Fu Yang pulse is imperceptible ("not emerging"). This indicates Spleen dysfunction where transport and transformation fail, and Qi mechanism cannot move up and down. Obstruction in the Zhong Wan (epigastrium) leads to cold body and hard skin. This is due to Yang Qi Deficiency failing to reach the exterior, unable to warm the muscles and soften the skin.
The Fu Yang pulse is slippery and tight. Slippery indicates Excess of Stomach Qi, and tight indicates Strength/Excess of Spleen Qi. Holding Excess to strike Strength causes pain to rebound and injure oneself, like holding a blade and cutting oneself, akin to sitting and crafting metal wounds. The Fu Yang pulse being slippery and tight means slippery is Excess of Stomach Qi, and tight is Strength of Spleen Qi. One Excess and one Strength, lacking harmony, will inevitably clash. The Excess of Stomach Qi strikes the Strength of Spleen Qi; the Strong Spleen resists the strike, and the pain rebounds to injure itself. This is like grasping a blade with one's hand, an act of self-injury, similar to manufacturing metal wounds while seated. (This illustrates the principle of Yin-Yang interference, representing the bizarre nature of excess and deficiency).