此第十卷第二十二篇。凡四十八证。前三阴三阳篇中。悉具载之。（此与第十七十八语意同。）
上记十一篇。叔和分经及述经外之余言。附己意以撰次之。合经亦十一篇。共目二十二。以
为全成仲景氏未韦之遗书者也。而第十七。十八。二十二。三篇。则又皆抱空名而拥虚位。无册
条之可检。实则一十九篇之条册耳。皆叔和所纪之旧额如此。世固有少此以为非仲景之全书而起
其说者。呜呼。是书也。仲景之作于建安。汉年号也。出自叔和之撰述。晋太医令也。相去虽
不甚远。盖已两朝相隔矣。是仲景之全书。非仲景之全书。诚不可晓也。然纵非全是。不是全非。
断可言也。是是非非。全责在我。反我自责。则是不是。非不非。全不全。自有可见者在也。见
一焉。则仲景之所以为仲景者。可寤寐皆得全见之矣。其神其妙。又何待言。凡我同袍。尚期同勉。
脉者。天真太和之气也。王叔和七表八里之说。形状浩繁。学人无条理可据。夫持脉之道。
图不尽言。存乎心会而已。先师崔紫虚真人。面命心传。撮其枢要。但以浮沉迟数四脉为宗。知
风气冷热为主病。且如
【浮】脉。有力者风。无力者虚。
【沉】脉。有力者积。无力者气。
【迟】脉。有力者痛。无力者冷。
【数】脉。有力者热。无力者疮。更看三部所属。如寸部属上焦头面胸膈之病。关部属中焦
肚腹之病。尺部属下焦腰腿足之病。又看五脏六腑所主。以浮中沉表里消息也。学人当以义理精
别。不致按寸握尺之诮云。
【浮】脉。为阳。属表。言外得病。有力主风。无力主虚。举指在皮便见。与芤滑洪脉同。
【沉】脉。为阴。属里。言内得病。有力者积。无力者气。下指按至骨方见。与弱伏濡脉同。
【迟】脉。为阴。主冷。有力者痛。与缓微涩脉同。
【数】脉。为阴。主热。无力者疮。与弦紧实脉同。
上焦病属寸口脉
浮风 主头面眼目。浮肿风寒。牙疼。口眼 斜。
沉气 主胸膈痞满。咳嗽喘急。膈气翻胃。胸痛不食。
迟冷 主呕吐隔痞。不纳水谷。虚汗拘急。疼痛不已。
数热 主上壅烦燥。口苦咽干。客热烦渴。头痛口疮。
中焦病属关脉
浮风 主两臂拘挛。不能举运。背脊筋痛。身体麻木。
沉气 主腹膨鸣。心腹疼痛。上下关格。不思饮食。
迟冷 主 癖。痛走不定。上下攻刺。翻胃吐食。
数热 主口渴咽干。呕吐霍乱。烦躁不宁。
下焦病属尺脉
浮风 主腰痛。腿膝麻木。足胫肿痛。大便不利。
沉气 主脚肿疼痛。下重。麻木。小便不利。
迟冷 主小腹急疼。外肾偏。大小便频数。大便泄泻。
数热 主小便不通。大便秘结。肾痈。烦渴不止。
伤寒但有脚脉不死。在脚背上腕中。是冲阳脉也。有此脉则气盛。又有大溪脉。在内踝侧动
脉是也。又有一脉在手虎口合谷穴。此脉盛则伤寒有汗。刘复真先生纂七表八里之玄。集为四脉。
曰风气冷热
也。复变为八。曰虚风。积气。痛冷。热疮。凡八部。以定其何部得之。则知病之所在。先生扫
除冗蔓。直显真源。得传者。慎之宝之。
这是第十卷的第二十二篇。共有四十八个证候。前三阴三阳各篇中，都已经详细记载了。（这与第十七、十八篇的语意相同。）
上文记录的十一篇，是王叔和按照经络分类以及叙述经文之外的余论，并附上自己的见解编纂而成的。加上经文本身也是十一篇，合起来共二十二篇，被认为是完整保留了张仲景未竟之志的遗书。然而第十七、十八、第二十二这三篇，却都空有名义而占据虚位，没有具体的条文可供查阅，实际上只有十九篇的条文册籍罢了。这都是王叔和所记录的旧有目录如此。世上确实有人因为缺少这些内容而认为这不是张仲景的全集并由此发起议论，唉！这本书，是张仲景在汉献帝建安年间（汉代年号）创作的，出自王叔和（晋代太医令）的编纂。虽然时间相隔不算太远，但毕竟已经跨越了两个朝代。因此，这到底是张仲景的全集还是非全集，实在令人难以理解。但是，纵然不是完全正确，也不是完全错误，是可以断言的。是非曲直，全在于我；反省自我，责备自己，那么是不是、非不非、全不全，自然会有可见的道理存在。只要见到其中一点，那么张仲景之所以为张仲景的神妙之处，就可以日夜清晰地全面看到了。其神妙之处，又何须多言？希望各位同道中人，尚且期望互相勉励。
脉，是天真太和之气。王叔和提出的“七表八里”之说，形态繁杂，学习的人没有条理可以依据。大凡诊脉之道，图画不能完全表达言语，关键在于内心的领悟而已。先师崔紫虚真人，当面教导，心法相传，撮取其中的关键要点，只以浮、沉、迟、数四种脉象作为宗纲，知道风、气、冷、热是主要致病因素。例如：
【浮】脉，有力的主风邪，无力的主虚证。
【沉】脉，有力的主积滞，无力的主气病。
【迟】脉，有力的主疼痛，无力的主寒冷。
【数】脉，有力的主热证，无力的主疮疡。还要再看三部所属部位，如寸部属于上焦头面胸膈的疾病，关部属于中焦肚腹的疾病，尺部属于下焦腰腿足部的疾病。又要看五脏六腑所主，通过浮中沉、表里的消息来推断。学习者应当以义理精微辨别，不至于被指责为只会按寸握尺而不明医理。
【浮】脉，属阳，属表，指外感病，有力主风邪，无力主虚证，手指轻举即在皮肤表面见到，与芤脉、滑脉、洪脉同类。
【沉】脉，属阴，属里，指内伤病，有力者主积滞，无力者主气病，手指重按至骨方见，与弱脉、伏脉、濡脉同类。
【迟】脉，属阴，主寒冷，有力者主疼痛，与缓脉、微脉、涩脉同类。
【数】脉，属阴，主热证，无力者主疮疡，与弦脉、紧脉、实脉同类。
上焦疾病属于寸口脉：
浮脉主风邪，症状包括头面眼目浮肿、风寒、牙痛、口眼歪斜。
沉脉主气病，症状包括胸膈痞满、咳嗽喘急、膈气翻胃、胸痛不能进食。
迟脉主冷邪，症状包括呕吐隔痞、不能纳受水谷、虚汗拘急、疼痛不止。
数脉主热邪，症状包括上壅烦躁、口苦咽干、客热烦渴、头痛口疮。
中焦疾病属于关脉：
浮脉主风邪，症状包括两臂拘挛、不能举手运动、背脊筋痛、身体麻木。
沉脉主气病，症状包括腹部膨隆鸣响、心腹疼痛、上下关格、不思饮食。
迟脉主冷邪，症状包括癖块、疼痛游走不定、上下攻刺、翻胃吐食。
数脉主热邪，症状包括口渴咽干、呕吐霍乱、烦躁不宁。
下焦疾病属于尺脉：
浮脉主风邪，症状包括腰痛、腿膝麻木、足胫肿痛、大便不利。
沉脉主气病，症状包括脚肿疼痛、下肢沉重、麻木、小便不利。
迟脉主冷邪，症状包括小腹急痛、外肾偏坠、大小便频数、大便泄泻。
数脉主热邪，症状包括小便不通、大便秘结、肾痈、烦渴不止。
伤寒病只要有脚上的脉象就不死，位于脚背腕中，这是冲阳脉。有此脉说明胃气旺盛。还有大溪脉，位于内踝侧动脉处。另外还有一脉在手虎口合谷穴处。此脉盛大则说明伤寒已有汗出。刘复真先生纂集“七表八里”的玄妙，汇总为四种脉象，即风、气、冷、热。又演变为八种，即虚风、积气、痛冷、热疮。凡是八个部位，用来确定哪个部位患病，就知道病在哪里。刘先生扫除冗杂蔓衍，直接显露真源，得到传承的人，务必谨慎珍视。
This is the twenty-second chapter of the tenth volume. It contains forty-eight syndromes in total. All of these have been fully recorded in the preceding chapters on the Three Yin and Three Yang meridians. (The meaning here is identical to that in Chapters Seventeen and Eighteen.)
The eleven chapters mentioned above were compiled by Wang Shuhe, who categorized them according to meridians, included extra-textual commentary, and added his own interpretations. Combined with the original text, which also comprises eleven chapters, there are twenty-two chapters in total, purportedly forming a complete legacy preserving Zhang Zhongjing's unfinished work. However, Chapters Seventeen, Eighteen, and Twenty-Two merely hold empty titles and occupy vacant positions; they lack specific clauses for reference. In reality, only nineteen chapters contain actual textual entries. This reflects the old cataloging system established by Wang Shuhe. Some people in later generations have argued that this book is not the complete works of Zhang Zhongjing precisely because of these missing sections. Alas! This book was authored by Zhang Zhongjing during the Jian'an era (a reign title of the Han Dynasty) and compiled by Wang Shuhe (Grand Medical Director of the Jin Dynasty). Although the time gap was not extremely long, it spanned two different dynasties. Thus, whether this constitutes the complete works of Zhang Zhongjing or not remains truly perplexing. Nevertheless, it can be asserted that while it may not be entirely correct, it is certainly not entirely incorrect. The determination of right and wrong rests with us; through self-reflection and introspection, the distinctions between true and false, complete and incomplete will naturally become apparent. By grasping even one aspect, the profound essence of Zhang Zhongjing can be clearly perceived day and night. His spiritual profundity needs no further elaboration. I hope all my colleagues will strive together in this endeavor.
The pulse represents the Qi of innate truth and supreme harmony. Wang Shuhe’s theory of "Seven Superficial Pulses" (Qi Biao) and "Eight Interior Pulses" (Ba Li) is overly complex and cumbersome, leaving students without clear guidelines. The art of pulse diagnosis cannot be fully conveyed through diagrams alone; it depends entirely on mental comprehension. My late master, True Man Cui Zixu, taught me face-to-face and transmitted the method heart-to-heart, distilling the essentials into four primary pulse types: Floating (Fu), Deep (Chen), Slow (Chi), and Rapid (Shu). He taught that Wind, Qi, Cold, and Heat are the primary pathogenic factors. For example:
[Floating] Pulse: If forceful, it indicates Wind; if weak, it indicates Deficiency.
[Deep] Pulse: If forceful, it indicates Accumulation; if weak, it indicates Qi disorder.
[Slow] Pulse: If forceful, it indicates Pain; if weak, it indicates Cold.
[Rapid] Pulse: If forceful, it indicates Heat; if weak, it indicates Sores/Ulcers.
One must also examine the three positions (Cun, Guan, Chi). The Cun position corresponds to diseases of the Upper Jiao (head, face, chest, diaphragm); the Guan position corresponds to diseases of the Middle Jiao (abdomen); and the Chi position corresponds to diseases of the Lower Jiao (waist, legs, feet). Furthermore, one must consider the organs governed by the Five Zang and Six Fu, inferring from the superficial/deep and exterior/interior characteristics. Students should distinguish principles meticulously to avoid criticism for merely holding the wrist without understanding the underlying logic.
[Floating] Pulse: Belongs to Yang and the Exterior. It indicates external contraction. Forcefulness suggests Wind; weakness suggests Deficiency. It is felt lightly at the skin level. It shares similarities with Kong (Hollow), Hua (Slippery), and Hong (Surging) pulses.
[Deep] Pulse: Belongs to Yin and the Interior. It indicates internal disease. Forcefulness suggests Accumulation; weakness suggests Qi disorder. It is felt only upon pressing deeply to the bone. It shares similarities with Ruo (Weak), Fu (Hidden), and Ru (Soggy) pulses.
[Slow] Pulse: Belongs to Yin and indicates Cold. Forcefulness suggests Pain. It shares similarities with Huan (Moderate), Wei (Minute), and Se (Choppy) pulses.
[Rapid] Pulse: Belongs to Yin and indicates Heat. Weakness suggests Sores/Ulcers. It shares similarities with Xian (Wiry), Jin (Tight), and Shi (Excess) pulses.
Diseases of the Upper Jiao correspond to the Cun (Inch) pulse:
Floating [Wind]: Symptoms include swelling of the head, face, eyes; wind-cold; toothache; facial paralysis (mouth and eye deviation).
Deep [Qi]: Symptoms include fullness and oppression in the chest and diaphragm; cough and wheezing; diaphragmatic qi reversal (hiccups/vomiting); chest pain and anorexia.
Slow [Cold]: Symptoms include vomiting and obstruction; inability to retain food and drink; spontaneous sweating with spasms; unremitting pain.
Rapid [Heat]: Symptoms include upper congestion with irritability; bitter taste and dry throat; exogenous heat with thirst; headache and mouth ulcers.
Diseases of the Middle Jiao correspond to the Guan (Bar) pulse:
Floating [Wind]: Symptoms include spasm and contracture of both arms; inability to lift the arms; back muscle pain; body numbness.
Deep [Qi]: Symptoms abdominal distension with borborygmus; epigastric and abdominal pain; upper-lower blockage (guan-ge); loss of appetite.
Slow [Cold]: Symptoms include pi masses (accumulations); wandering pain; stabbing pain moving up and down; vomiting due to stomach reversal.
Rapid [Heat]: Symptoms include thirst and dry throat; vomiting and cholera-like syndrome; restlessness and irritability.
Diseases of the Lower Jiao correspond to the Chi (Cubit) pulse:
Floating [Wind]: Symptoms include lower back pain; numbness of legs and knees; swelling and pain of shins and feet; difficulty in defecation.
Deep [Qi]: Symptoms include edema and pain in the feet; heaviness in the lower limbs; numbness; difficulty in urination.
Slow [Cold]: Symptoms include acute pain in the lower abdomen; hernia (deviation of the external genitalia); frequent urination and defecation; diarrhea.
Rapid [Heat]: Symptoms include urinary retention; constipation; kidney abscess; incessant thirst and irritability.
In Shanghan (Cold Damage) disease, as long as there is a pulse in the foot, death does not ensue. This pulse is located on the dorsum of the foot at the ankle, known as the Chongyang (ST42) pulse. The presence of this pulse indicates robust Stomach Qi. There is also the Da Xi (KI3) pulse, located at the medial malleolus. Additionally, there is a pulse at the Hegu (LI4) acupoint in the web of the thumb. A vigorous pulse here indicates that sweating has occurred in Shanghan. Mr. Liu Fuzhen synthesized the mysteries of the "Seven Superficial and Eight Interior" theories into four basic categories: Wind, Qi, Cold, and Heat. These further diversified into eight types: Deficient Wind, Accumulated Qi, Painful Cold, and Heat Sores. By determining which of the eight categories applies to a specific location, one can identify the site of the disease. Mr. Liu cleared away redundant complexities to reveal the true source directly. Those who receive this transmission should guard it carefully and treasure it.