微茫指下最难知，条绪寻来悟治丝（旧诀七表、八里、九道共二十四字，李士材添加共二
十七字，愈多则愈乱也。试观治丝者必得其头绪，而始有条不紊。）三部分持成定法（谓寸、关
、尺三部，）八纲易见是良规（浮、沉、迟、数、大、细、长、短八字显而易见。起四句总提切
脉之大纲。）胃资水谷人根本（三部俱属于肺，而肺受气于胃，）土具冲和脉委蛇（不坚直而和缓也
。脉得中和之生气如此，此以察胃气为第一要。）脏气全凭生克验（审脏气之生克为第二要。如
脾病畏弦，木克土也，肺病畏洪，火克金也。反是则与脏气无害，）天时且向逆从窥（推天运之
顺逆为第三要。如春气属木脉宜弦，夏气属火脉宜洪之类，反是则与天气不应。）阳浮动滑大
兼数（仲景以浮、大、动、滑、数为阳，凡脉之有力者俱是，）阴涩沉弦弱且迟（仲景以沉、涩、
弱、弦、迟为阴，凡脉之无力者皆是。此又提出阴阳二字，以起下四句。辨脉病之宜忌，为
第四要。）外感阴来非吉兆（外感之证，脉宜浮洪，而反细弱则正不胜邪矣，）内虚阳现实堪悲（脱
血之后，脉宜静细，而反洪大，则气亦外脱矣。）须知偏胜皆成病（偏阳而洪大，偏阴而细弱，
皆病脉也，）忽变非常即弗医（旧诀有雀啄、屋漏、鱼翔、虾游、弹石、解索、釜沸七怪之说，
总因阴阳离失，忽现出反常之象。）要语不烦君请记，脉书铺叙总支离（病之名有万，而脉象不
过数十种，且一病而数十种之脉无不可见，何能诊脉而即知为何病耶，脉书欺人之语，最不
可听。
指尖下的脉象微茫难辨，最为难以知晓；梳理头绪来诊治，如同理顺乱丝（旧诀有七表、八里、九道共二十四字，李士材添加后共二十七字，内容越多反而越混乱。试想治理丝线的人必须找到头绪，才能有条不紊。）寸、关、尺三部持脉成为定法，浮、沉、迟、数、大、细、长、短这八字八纲容易看见，这是良好的规范（起首四句总括切脉的大纲。）胃气资助水谷，是人体根本（寸、关、尺三部脉皆归属于肺，而肺受气于胃，）土性具有冲和之气，脉象委蛇舒缓（不坚直而是和缓的样子。脉象得到中和的生气如此，这是以察测胃气为第一要点。）脏腑之气全凭生克关系来验证（审察脏腑之气的生克关系是第二要点。例如脾病畏惧弦脉，因为木克土；肺病畏惧洪脉，因为火克金。反之则对脏气没有害处，）天时变化且从逆顺中窥探（推演天运的顺逆是第三要点。例如春气属木，脉象宜弦；夏气属火，脉象宜洪之类，反之则与天气不相呼应。）阳脉表现为浮、动、滑、大兼带数脉（张仲景认为浮、大、动、滑、数为阳脉，凡是脉有力的都属于此类，）阴脉表现为涩、沉、弦、弱且迟（张仲景认为沉、涩、弱、弦、迟为阴脉，凡是脉无力的都属于此类。这里又提出阴阳二字，以引出下四句。辨别脉象与病症的适宜与禁忌，是第四要点。）外感病若出现阴脉并非吉兆（外感的证候，脉象宜见浮洪，如果反而细弱，则是正气不能战胜邪气，）内虚证若出现阳脉现实堪悲（脱血之后，脉象宜见静细，如果反而洪大，则是气也向外脱逸了。）须知偏胜都会形成疾病（偏于阳而见洪大，偏于阴而见细弱，都是病脉，）忽然变得非常态就不可医治（旧诀中有雀啄、屋漏、鱼翔、虾游、弹石、解索、釜沸七种怪脉的说法，总因阴阳离决，忽然现出反常之象。）关键的话语不多烦劳您去记，脉书上的铺陈叙述总是支离破碎（病的名称有上万种，而脉象不过几十种，而且一种病可能出现几十种脉象，怎么能通过诊脉就直接知道是什么病呢？脉书中欺骗人的话语，最不可听信。）
The pulse under the fingers is faint and difficult to discern, hardest to know; tracing the threads to comprehend treatment is like sorting silk (Old rules included Seven Superficial, Eight Deep, and Nine Miscellaneous, totaling twenty-four characters; Li Shicai added three more, totaling twenty-seven. The more there are, the more chaotic it becomes. Observe that one who sorts silk must find the head/thread to begin with order.) Holding the Cun, Guan, and Chi positions in three parts forms a fixed method; the Eight Principles of Floating, Sinking, Slow, Rapid, Large, Fine, Long, and Short are easily seen, constituting good regulations (The opening four lines summarize the general outline of pulse diagnosis.) Stomach Qi nourishes water and grain, the root of human life (All three positions—Cun, Guan, Chi—belong to the Lung, yet the Lung receives Qi from the Stomach.) Earth possesses balanced harmony, the pulse winds gently (Not rigid and straight, but harmonious and slow. Thus, the pulse obtains the vital energy of balance and harmony; this emphasizes observing Stomach Qi as the primary necessity.) Zang organ Qi relies entirely on verification through generation and restriction (Examining the generation and restriction of Zang Qi is the second necessity. For example, Spleen disease fears the Wiry pulse, as Wood restricts Earth; Lung disease fears the Surging pulse, as Fire restricts Metal. Conversely, this does not harm the Zang Qi.) Heavenly timing can be窥探ed (observed) through compliance or opposition (Deducing the compliance or opposition of Heavenly movement is the third necessity. For instance, Spring Qi belongs to Wood, so the pulse should be Wiry; Summer Qi belongs to Fire, so the pulse should be Surging, etc. Conversely, this does not correspond to Heavenly timing.) Yang manifests as Floating, Moving, Slippery, Large, combined with Rapid (Zhang Zhongjing considers Floating, Large, Moving, Slippery, and Rapid as Yang pulses; any pulse with force belongs here.) Yin manifests as Choppy, Sinking, Wiry, Weak, and Slow (Zhang Zhongjing considers Sinking, Choppy, Weak, Wiry, and Slow as Yin pulses; any pulse without force belongs here. This again raises the concept of Yin and Yang to introduce the following four lines. Distinguishing the suitability and taboos of pulse and disease is the fourth necessity.) In external contraction, if Yin appears, it is not an auspicious sign (In external contraction syndromes, the pulse should be Floating and Surging; if it is instead Fine and Weak, then Righteous Qi cannot overcome Pathogenic Qi.) In internal deficiency, if Yang reality manifests, it is truly sorrowful (After massive blood loss, the pulse should be Quiet and Fine; if it is instead Surging and Large, then Qi is also escaping outward.) One must know that excess of either side leads to disease (Excess of Yang presents as Surging and Large; excess of Yin presents as Fine and Weak; both are pathological pulses.) Sudden changes into the extraordinary mean incurability (Old rules mention seven strange pulses: Sparrow Pecking, House Leaking, Fish Swimming, Shrimp Swimming, Stone Flicking, Rope Untying, and Cauldron Boiling. These all arise because Yin and Yang have separated, suddenly presenting abnormal phenomena.) Key words are not troublesome for you to remember; pulse books' elaborate narratives are always disjointed (Disease names number in the tens of thousands, while pulse images do not exceed a few dozen. Moreover, a single disease may present with dozens of different pulses. How can one diagnose the specific disease merely by feeling the pulse? Words in pulse books that deceive people are the least trustworthy.)