寸口脉微而涩微者卫气不行涩者营气不足营卫不能相将三焦无所仰身体痹而不仁营气不足则烦疼口难言卫气虚则恶
寒数欠三焦不归其部上焦不归者噫而吞酢中焦不归者不能消谷引食下焦不归者则遗溲
寸口脉微而涩微者卫气之不行涩者营气之不足营卫者所以上下回周以煦濡于三焦者也营卫俱虚不能相将而行则三焦
无所仰赖身体痹着而不仁矣营气不足无以滋养筋骨则烦痛而口难言卫气虚衰不能当阳秉令则恶寒而数欠伸（欠者开口呵
气阴阳之相引也日暮阴盛吸引上焦之阳阳气虽虚未至下陷随引而随升升则欠作人将睡时阳为阴引欲下而不能下多作呵欠
义见灵枢口问）于是三焦失养不归其部上焦之阳不归则噫气而吞酢中焦之阳不归则不能消谷而引食下焦之阳不归则膀胱
失约而遗溲三焦手少阳相火衰微故见证如此
趺阳脉浮而芤浮者卫气虚芤者营气伤其身体瘦肌肉甲错浮芤相搏宗气衰微四属断绝
趺阳脉浮而芤浮者卫气之虚芤者营气之伤营卫者所以薰肤充身而泽毛卫虚而营伤故其身体瘦削肌肉甲错以其气血衰
损而不荣也营卫化生于水谷水谷之化气血其大气之搏而不行者积于胸中名曰宗气以贯心肺而行呼吸（义见灵枢）心主营
肺主卫宗气乃营卫之根本也今浮芤相合营卫俱虚是宗气之衰微也如是则无以荣养乎四旁四属断绝失其所秉也（芤者脉之
中空失血之诊）
寸口脉象微而涩。所谓“微”，是指卫气运行不畅；所谓“涩”，是指营气不足。营气与卫气不能相互伴随运行，导致三焦失去依赖，身体出现麻木不仁、痹阻不通的症状。营气不足，则体内产生烦扰疼痛，言语困难；卫气虚弱，则怕冷且频繁打哈欠。
三焦之气不能归位其所属部位：上焦之气不归位，则出现嗳气和吞酸；中焦之气不归位，则不能消化谷物、引导饮食；下焦之气不归位，则出现小便失禁。
寸口脉象微而涩。所谓“微”，是卫气不能正常运行；所谓“涩”，是营气不足。营气和卫气的作用是上下循环周流，以温煦和濡润三焦。如果营卫都虚弱，不能相互伴随而行，那么三焦就无所依赖，身体会出现痹阻着滞、麻木不仁的症状。
营气不足，无法滋养筋骨，就会感到烦痛且难以言语；卫气虚衰，不能担当阳气的主导职能，就会怕冷并频繁伸懒腰（“欠”即张口呵气，是阴阳相互牵引的表现。傍晚时分阴气盛，吸引上焦的阳气，虽然阳气虚弱但未至下陷，随引随升，升起时便产生呵欠。人将要入睡时，阳气被阴气牵引想要下行却不能下行，所以多打哈欠。这一义理见于《灵枢·口问》篇）。
于是三焦失去滋养，不能归位其所在部位：上焦的阳气不归位，就会出现嗳气和吞酸；中焦的阳气不归位，就不能消化谷物和引导饮食；下焦的阳气不归位，膀胱就会失去约束而出现遗尿。这是因为手少阳三焦相火衰微，所以呈现出这样的证候。
趺阳脉象浮而芤。所谓“浮”，是卫气虚弱；所谓“芤”，是营气受损。身体消瘦，肌肉干枯如鳞甲交错（甲错）。浮脉与芤脉相结合，表明宗气衰微，四肢断绝联系。
趺阳脉象浮而芤。所谓“浮”，是卫气的虚弱；所谓“芤”，是营气的损伤。营气和卫气的作用是熏蒸皮肤、充实身体并润泽毛发。卫气虚弱而营气受损，所以身体消瘦，肌肉干枯如鳞甲交错，这是因为气血衰损而不能荣养肌肤所致。
营卫化生于水谷，水谷转化为气血，其中搏聚而不运行的部分积聚在胸中，称为宗气，它贯通心肺并推动呼吸（这一义理见于《灵枢》）。心主营血，肺主卫气，宗气乃是营卫的根本。现在浮脉与芤脉相合，说明营卫都虚弱，这是宗气衰微的表现。如果是这样，就无法荣养四周的四肢百骸，导致四属断绝，失去了所依凭的根本。（“芤”指脉象中空，是失血的诊断特征）
The pulse at the Cun Kou (Inch Port) is faint and choppy. "Faint" indicates that the Wei Qi (Defensive Qi) is not circulating; "choppy" indicates that the Ying Qi (Nutritive Qi) is insufficient. When Ying Qi and Wei Qi cannot accompany each other, the San Jiao (Triple Burner) loses its reliance, resulting in physical numbness and bi-syndrome (obstruction). Insufficiency of Ying Qi leads to internal restlessness and pain, and difficulty in speech; deficiency of Wei Qi leads to aversion to cold and frequent yawning.
When the Qi of the San Jiao fails to return to its proper sector: if the Upper Jiao does not return, belching and acid regurgitation occur; if the Middle Jiao does not return, the ability to digest grains and guide food intake is lost; if the Lower Jiao does not return, urinary incontinence occurs.
The pulse at the Cun Kou is faint and choppy. "Faint" signifies the failure of Wei Qi to circulate properly; "choppy" signifies insufficiency of Ying Qi. Ying Qi and Wei Qi function by circulating up and down to warm and moisten the San Jiao. If both Ying and Wei are deficient and cannot move together, the San Jiao has no support, leading to physical obstruction, stagnation, and numbness.
Insufficiency of Ying Qi fails to nourish the sinews and bones, causing vexing pain and difficulty speaking; deficiency and decline of Wei Qi prevent it from assuming the command of Yang, causing aversion to cold and frequent stretching/yawning ("Yawn" refers to opening the mouth to exhale, a mutual attraction of Yin and Yang. In the evening, Yin is abundant and attracts the Yang of the Upper Jiao. Although the Yang is weak, it has not sunk; it rises as it is attracted, causing yawning. When one is about to sleep, Yang is attracted by Yin and wishes to descend but cannot, hence frequent yawning. This principle is found in *Ling Shu: Kou Wen*).
Consequently, the San Jiao loses nourishment and fails to remain in its sector: if the Yang of the Upper Jiao does not return, belching and acid regurgitation occur; if the Yang of the Middle Jiao does not return, digestion of grains and guidance of food are impaired; if the Yang of the Lower Jiao does not return, the Bladder loses its constraint, leading to enuresis. This presentation occurs because the Minister Fire of the Hand-Shaoyang San Jiao is declining.
The pulse at the Fu Yang (Foot-Yang) is floating and hollow. "Floating" indicates deficiency of Wei Qi; "hollow" indicates injury to Ying Qi. The body becomes emaciated, and the muscles appear rough and scaly (jiacuo). The combination of floating and hollow pulses indicates the decline of Zong Qi (Pectoral Qi), leading to the severance of connection among the four limbs.
The pulse at the Fu Yang is floating and hollow. "Floating" indicates deficiency of Wei Qi; "hollow" indicates injury to Ying Qi. Ying Qi and Wei Qi function to fumigate the skin, fill the body, and moisten the hair. Due to Wei Qi deficiency and Ying Qi injury, the body becomes emaciated and muscles become rough and scaly, because the decline and damage of Qi and Blood fail to nourish the tissues.
Ying and Wei are transformed from water and grain. Among the Qi and Blood produced from this transformation, the portion that gathers and does not circulate accumulates in the chest, named Zong Qi (Pectoral Qi), which penetrates the Heart and Lung to govern respiration (This principle is found in *Ling Shu*). The Heart governs Ying, and the Lung governs Wei; Zong Qi is the root of Ying and Wei. Now, the combination of floating and hollow pulses indicates that both Ying and Wei are deficient, signifying the decline of Zong Qi. In such a case, there is no capacity to nourish the four peripheries, leading to the severance of the four attachments and the loss of their foundational support. ("Hollow" refers to a pulse that is empty in the center, a diagnostic sign of blood loss.)