万机四脉既包含，生死何尝另有玄？浮散沉无迟一点，数来无数病难痊。
解索、鱼翔、釜沸，浮散也；虾游，沉无也；屋漏，迟一点也；雀啄、弹石，数无数也。
雀啄连来三五啄，
雀啄脉在筋肉间，如雀之啄食，连连辏指，忽然顷绝，良久复来。
屋漏半日一滴落。
屋漏脉在筋肉间，如残溜之下，良久一滴，溅起无力。雀啄、屋漏皆脾胃衰绝之脉，心肺绝也。
弹石硬来寻即散，
弹石脉在筋肉间，举按劈劈然，肺绝也。
搭指散乱真解索。
解索脉如解乱绳之状，指下散散无复次第，五脏绝也。
鱼翔似有又似无，
鱼翔脉在皮肤，其本不动，而末强摇，如鱼之在水中，身尾帖然，而尾独悠扬之状，肾绝也。
虾游静中跳一跃。
虾游脉在皮肤，始则苒苒不动，少焉瞥然而去，久之倏尔复来，脾胃绝也。
更有釜沸涌如羹，旦占夕死不须药。
釜沸脉在皮肉，有出无入，涌涌如羹上之肥，皆死脉也，若用药饵克伐暴见者，急宜参
归附救之，多有复生者。此数种脉，亦可总看得之。
一般鬼贼脉堪推，容胜主脱死尤促。春得秋脉肺克肝，死在庚辛申酉里；夏得冬脉亦如然，还于壬癸为
期耳；严冬诊得四季脉，戊己辰戌还是厄；秋得夏脉亦同前，为缘丙丁相刑克；季月夏季得春脉，克在甲乙（寅卯）
病应极。
脏气喜所生，而畏所克。如肝得肺脉，死于秋，庚日笃，辛日死，时则申酉也；心得肾脉，死于冬，壬
日笃，癸日死，时则亥子也；肾得脾脉，死于四季，戊日笃，己日死，时则辰戌丑未也；肺得心脉，死于夏，
丙日笃，丁日死，时则巳午也；脾得肝脉，死于春，甲日笃，乙日死，时则寅卯也。
春得冬脉只是虚，急宜补肾忌泄疏。若得夏脉缘心实，还应泻子自无虞；夏秋冬脉皆如是，在前为实后
为虚。春中若得四季脉，不治多应病自除。
抑论诀云∶得妻不同一治，生死仍须各推。假令春得肺脉为儿，得心脉乃是肝儿，肾为其母，脾则为妻。
春得脾而莫疗，冬见心而不治，夏得肺而难瘥，秋得肝亦何疑？此四时休旺之理，五行生克之义。但既以春得
四季脉为不治自愈，又云春得脾而莫疗者，何耶？盖春脉肝弦带缓者，为微邪无病。若肝弦全无，独见缓脉者，
则土盛生金，反来克木，故曰∶得妻不同一治。夏秋冬脉仿此。
六脉若失更无凭，可诊三脉于其足，太冲太溪冲阳穴，有无生死决之速。
太冲穴肝脉，在两足大指行间上二寸动脉中。太溪穴命门脉，在足内踝后跟骨上动脉陷中。凡诸病必诊太
冲、太溪，应手动者生，止而不动者死。若伤寒必诊冲阳穴，在足跗内庭上五寸骨间动脉，乃足阳明胃经，动
则为有胃气，止则为无胃气。是三脉虽不比手之六脉可通十二经，然手脉既失，亦可诊以决断死生。古人设此
者，正欲冀其万一耳。
万机脉、四脉（指浮、沉、迟、数四种基本脉象）既然已经包含在内，生死的判断哪里还有什么玄妙之处呢？浮脉散乱、沉脉无根、迟脉迟缓一点、数脉急促且无规律，这些脉象出现则疾病难以痊愈。
解索脉、鱼翔脉、釜沸脉，属于浮脉类；虾游脉，属于沉脉类；屋漏脉，属于迟脉类；雀啄脉、弹石脉，属于数脉类。
雀啄脉连续跳动如鸟啄食三五次，
雀啄脉出现在筋肉之间，像麻雀啄食一样，连续撞击手指，忽然中断，很久之后又再次出现。
屋漏脉半天才滴落一滴水，
屋漏脉出现在筋肉之间，像残存的雨水滴落，很久才滴下一滴，溅起时毫无力量。雀啄脉和屋漏脉都是脾胃之气衰绝的脉象，也代表心肺之气衰竭。
弹石脉坚硬有力，按之即散，
弹石脉出现在筋肉之间，轻取重按都感觉劈劈作响，这是肺气衰竭的表现。
搭在手指上散乱无序，真是解索脉的样子，
解索脉像解开乱绳的状态，指下感觉散乱没有次序，这是五脏之气衰竭的表现。
鱼翔脉似有似无，
鱼翔脉出现在皮肤表面，根部不动，而末端强烈摇动，像鱼在水中，身体尾部贴伏静止，只有尾巴独自悠扬摆动的样子，这是肾气衰竭的表现。
虾游脉在寂静中突然跳跃一次，
虾游脉出现在皮肤表面，开始时轻轻不动，一会儿突然离去，过了很久又忽然回来，这是脾胃之气衰竭的表现。
更有釜沸脉涌动如同沸腾的羹汤，早上诊得晚上死亡，不需要用药。
釜沸脉出现在皮肉之间，只有出没有入，涌涌而动像羹汤表面的浮油，这些都是死脉。如果此时用药饵攻伐，暴病见这种脉象，急宜用人参、当归、附子来救逆，大多能复生。这几种脉象，也可以总括来看待。
一般的鬼贼脉是可以推究的，相克者主脱证死亡尤其迅速。春天得到秋天的脉象，是肺金克肝木，死亡时间在庚辛日或申酉时；夏天得到冬天的脉象也是如此，死亡时间以壬癸日为期限；严冬诊得四季末月的脉象，戊己日或辰戌时仍是厄运；秋天得到夏天的脉象也同前面一样，因为丙丁火相刑克；季月（四季末月）夏季得到春天的脉象，克制发生在甲乙日（寅卯时），病情应达到极点。
脏气喜欢被其所生，而畏惧被其所克。比如肝脏得到肺脉，死于秋季，庚日病重，辛日死亡，时辰在申酉；心脏得到肾脉，死于冬季，壬日病重，癸日死亡，时辰在亥子；肾脏得到脾脉，死于四季末月，戊日病重，己日死亡，时辰在辰戌丑未；肺部得到心脉，死于夏季，丙日病重，丁日死亡，时辰在巳午；脾脏得到肝脉，死于春季，甲日病重，乙日死亡，时辰在寅卯。
春天得到冬天的脉象只是虚证，急宜补肾，忌用泄法疏利。如果得到夏天的脉象是因为心气实，还应泻其子（脾）自然无忧；夏秋冬的脉象道理皆如此，在前者为实证，后者为虚证。春季中若得到四季末月的脉象，不治疗大多病情会自行消除。
况且论诀说：得妻脉与不得妻脉治疗方法不同，生死仍需分别推究。假如春天得到肺脉是为“儿”脉，得到心脉乃是肝之子脉，肾为其母，脾则为妻。春天得到脾脉而不可疗治，冬天见到心脉而不治，夏天得到肺脉而难愈，秋天得到肝脉又有何怀疑？这是四时休旺的道理，五行生克的含义。但既然说春天得到四季末月的脉象是不治自愈，又说春天得到脾脉而不可疗治，为什么呢？大概春天脉象肝弦带缓者，为微邪无病。如果肝弦全无，独见缓脉者，则是土盛生金，反来克木，所以说：得妻脉不能一概而论。夏秋冬的脉象仿照此理。
六部脉象如果失去凭据，可以诊察足部的三部脉，太冲穴、太溪穴、冲阳穴，有无脉动可快速决断生死。
太冲穴是肝经原穴，在两足大脚趾行间穴上方二寸的动脉中。太溪穴是命门脉（肾经原穴），在足内踝后方跟骨上方的动脉凹陷中。凡是各种疾病必须诊察太冲、太溪，应手跳动的为生，停止不动的为死。如果是伤寒病，必须诊察冲阳穴，在足背内庭穴上方五寸骨间的动脉，这是足阳明胃经，有跳动说明有胃气，停止跳动说明无胃气。这三条脉虽然不像手部的六部脉可以贯通十二经脉，但如果手部脉象已经失去凭据，也可以通过诊察足部这三脉来决断生死。古人设立这种方法，正是为了希望有一线生机罢了。
Since the Wanji Pulse (Pulse of Ten Thousand Mechanisms) and the Four Pulses (referring to the four basic pulse qualities: Floating, Sinking, Slow, and Rapid) are already encompassed, where is there any mystery in distinguishing life from death? A Floating pulse that is scattered, a Sinking pulse that lacks root, a Slow pulse that is slightly sluggish, and a Rapid pulse that is hurried yet irregular indicate that the disease will be difficult to cure.
The Jiesuo Pulse (Untying Rope), Yuxiang Pulse (Fish Swimming), and Fufei Pulse (Boiling Cauldron) belong to the category of Floating pulses; the Xiyou Pulse (Shrimp Swimming) belongs to the category of Sinking pulses; the Wulou Pulse (House Leak) belongs to the category of Slow pulses; and the Quezhuo Pulse (Sparrow Pecking) and Danshi Pulse (Throwing Stones) belong to the category of Rapid pulses.
The Quezhuo Pulse beats continuously like a bird pecking three or five times.
The Quezhuo Pulse appears between the muscle and tendon, resembling a sparrow pecking for food, striking the finger repeatedly, suddenly stopping, and then returning after a long interval.
The Wulou Pulse drips only once every half day.
The Wulou Pulse appears between the muscle and tendon, like a residual drip falling slowly, appearing only once after a long time, splashing up with no strength. Both the Quezhuo and Wulou pulses are signs of the exhaustion of Spleen-Stomach Qi, indicating the failure of Heart and Lung Qi.
The Danshi Pulse feels hard and powerful but scatters upon pressure.
The Danshi Pulse appears between the muscle and tendon, feeling crackling under both light and heavy pressure, indicating Lung Qi failure.
When placed on the finger, it feels chaotic and disordered, truly resembling the Jiesuo Pulse.
The Jiesuo Pulse resembles the state of untying a tangled rope; under the fingers, it feels scattered without order, indicating the exhaustion of the Five Zang organs' Qi.
The Yuxiang Pulse seems to exist yet does not.
The Yuxiang Pulse appears on the skin surface; its root remains still while the tip trembles strongly, like a fish in water, with its body and tail lying flat and still, while only the tail sways leisurely. This indicates Kidney Qi failure.
The Xiyou Pulse jumps once amidst stillness.
The Xiyou Pulse appears on the skin surface; initially it moves faintly and still, then suddenly disappears, and after a long time, returns abruptly. This indicates Spleen-Stomach Qi failure.
Furthermore, the Fufei Pulse surges like boiling soup; if diagnosed in the morning, death occurs in the evening, requiring no medicine.
The Fufei Pulse appears in the skin and flesh, having only an outward movement without inward return, surging like the fat floating on top of soup. These are all death pulses. If such pulses appear violently during acute illness despite medication, one should urgently use Renshen (Radix Ginseng), Danggui (Radix Angelicae Sinensis), and Fuzi (Radix Aconiti Lateralis Preparata) to rescue the failing Yang; many patients may recover. These types of pulses can also be viewed comprehensively.
The general Gui-Zei Pulses (Ghost and Enemy Pulses) can be deduced; those controlled by the overcoming cycle lead to collapse and death especially quickly. In Spring, obtaining the Autumn pulse (Metal overcoming Wood) leads to death on Geng/Xin days or in Shen/You hours; in Summer, obtaining the Winter pulse follows the same pattern, with death expected on Ren/Gui days; in deep Winter, obtaining the pulse of the four seasons (Earth) brings disaster on Wu/Ji days or Chen/Xu hours; in Autumn, obtaining the Summer pulse (Fire overcoming Metal) follows the previous logic due to Bing/Ding interactions; in the last month of each season (Earth months), obtaining the Spring pulse (Wood) implies overcoming by Jia/Yi days (Yin/Mao hours), leading to extreme severity.
Zang Qi prefers being generated and fears being overcome. For example, if the Liver obtains the Lung pulse, death occurs in Autumn, worsening on Geng days and dying on Xin days, at Shen/You hours; if the Heart obtains the Kidney pulse, death occurs in Winter, worsening on Ren days and dying on Gui days, at Hai/Zi hours; if the Kidney obtains the Spleen pulse, death occurs in the last months of the four seasons, worsening on Wu days and dying on Ji days, at Chen/Xu/Chou/Wei hours; if the Lung obtains the Heart pulse, death occurs in Summer, worsening on Bing days and dying on Ding days, at Si/Wu hours; if the Spleen obtains the Liver pulse, death occurs in Spring, worsening on Jia days and dying on Yi days, at Yin/Mao hours.
In Spring, obtaining the Winter pulse indicates only deficiency; one should urgently tonify the Kidney and avoid draining or dispersing methods. If the Summer pulse is obtained because the Heart is excess, one should drain its child (Spleen) to ensure safety; this applies similarly to Summer, Autumn, and Winter pulses: those appearing earlier indicate excess, while those appearing later indicate deficiency. If in Spring one obtains the pulse of the last months of the four seasons (Earth), the disease may resolve spontaneously even without treatment.
Moreover, the verse states: "Obtaining the 'Wife' pulse differs from other treatments; life and death must still be deduced separately." For instance, in Spring, obtaining the Lung pulse is the "Child" pulse; obtaining the Heart pulse is the Liver's child; the Kidney is the Mother; and the Spleen is the Wife. Obtaining the Spleen pulse in Spring should not be treated; seeing the Heart pulse in Winter should not be treated; obtaining the Lung pulse in Summer is hard to heal; obtaining the Liver pulse in Autumn leaves no doubt. These reflect the principles of the four seasons' flourishing and resting states, and the meanings of Five Element generation and overcoming. However, since it was stated that obtaining the pulse of the last months of the four seasons in Spring leads to spontaneous recovery without treatment, why does it say obtaining the Spleen pulse in Spring should not be treated? The reason is that a Spring pulse with Liver string-like quality accompanied by slight slowness indicates minor pathogen and no disease. If the string-like quality is completely absent and only a slow pulse is seen, it means Earth is excessive and generates Metal, which then overcomes Wood. Thus, it says: "Obtaining the Wife pulse cannot be treated uniformly." The pulses of Summer, Autumn, and Winter follow this analogy.
If the six pulses of the hands lose their reference, one can diagnose the three pulses on the feet: Taichong (LR3), Taixi (KI3), and Chongyang (ST42). The presence or absence of these pulses can quickly determine life and death.
Taichong is the Liver meridian point, located two cun above the interdigital web margin on the dorsum of the foot. Taixi is the Mingmen pulse (Kidney meridian point), located in the depression behind the medial malleolus at the level of the heel bone. For all diseases, one must diagnose Taichong and Taixi; if the pulse beats under the finger, life prevails; if it stops and does not move, death ensues. In cases of Shanghan (Cold Damage), one must diagnose the Chongyang pulse, located five cun above Neiting (ST44) in the bone gap on the dorsum of the foot, belonging to the Foot-Yangming Stomach Meridian. Movement here indicates the presence of Stomach Qi; cessation indicates the absence of Stomach Qi. Although these three pulses do not connect to the twelve meridians as the six hand pulses do, if the hand pulses fail to provide evidence, diagnosing these three foot pulses can still decide life and death. The ancients established this method precisely to hope for a slim chance of survival.