【方歌】肿疡微脉为虚候，内托受补始能痊，溃后见此虽为顺，
微细无神作逆观。
【注】肿疡脉微者，乃虚候也，当以内托补剂为主，受补者方
能痊可。若溃后脉微，虽为顺候，设按之微细无神，则
根本已亏，亦当作逆证观也。
【方歌】肿疡将发脉动紧，乃因毒气外搏经，溃后见之毒内搏，
此为残贼证不轻。
【注】肿疡见动脉、紧脉者，乃毒气外搏于经之象也。若溃后
见动、紧之脉，则为毒气内搏于脏腑之象。盖动、紧乃
残贼之脉，溃后不宜见之，故曰证不轻也。
【方歌】肿疡脉缓何须药，和缓从容最吉祥，溃后见之为胃好，
便和饮食自然康。
【注】肿疡脉缓，乃气血和平，不待服药，自然安愈之吉兆也
。溃后见之，则为胃和，饮食自甘，二便自调，其证自
然康宁也。
【方歌】肿疡芤脉血原虚，溃后见芤理所宜，肿疡弦脉邪作痛，
溃后而弦邪病脾。
【注】肿疡未溃，脉芤者，其血必素虚也。溃后见芤，乃去血
之后，亦理之所宜也。肿疡脉弦者，乃毒攻作痛之象，
盖弦主痛也；若溃后脉弦者，则为肝邪侮脾，盖弦乃肝
脉也。
【方歌】肿疡牢脉为邪固，未作脓时脉见牢，已溃见牢邪难已，
结核瘰历不能消。
【注】肿疡脉牢，未作脓时见之，主毒邪牢固难消；溃后见之
，邪亦难已。若一切结核瘰历，见此牢脉，皆主牢固不
能消之候也。
【方歌】肿疡出现微脉属于虚证候，使用内托法并配合补益药才能痊愈，溃破后见到此脉虽属顺证，
但若脉象微细且无神气，则视为逆证。
【注】肿疡脉象微弱的，是虚证候，应当以内托补剂为主，能够耐受补益的才能痊愈。如果溃破后脉象微弱，虽然属于顺证，但如果按之感觉微细且无神气，则是根本已亏损，也应当作为逆证来看待。
【方歌】肿疡将要发作时脉象动而紧，是因为毒气向外搏击经脉，溃破后见到这种脉象是毒气向内搏击脏腑，
这是残贼之证，病情不轻。
【注】肿疡见到动脉、紧脉的，是毒气向外搏击于经脉的现象。如果溃破后
见到动、紧之脉，则是毒气向内搏击于脏腑的现象。因为动、紧乃是
残贼之脉，溃破后不宜见到，所以说病情不轻。
【方歌】肿疡脉象缓和不需用药，和缓从容是最吉祥的征兆，溃破后见到此脉说明胃气好，
大便调和、饮食正常自然就会康复。
【注】肿疡脉象缓和，是气血平和，不需要服药，自然安宁痊愈的吉兆。
溃破后见到此脉，则是胃气和顺，饮食自甘，二便自然调畅，其病证自然康宁。
【方歌】肿疡出现芤脉是因为血原本虚弱，溃破后见到芤脉是理所当然的，肿疡出现弦脉是邪气作痛，
溃破后见弦脉是邪气影响脾脏。
【注】肿疡未溃破，脉象芤的，其血液必定素来虚弱。溃破后见到芤脉，乃是失血
之后，也是情理之中所适宜的。肿疡脉象弦的，是毒邪攻冲导致疼痛的现象，
因为弦脉主痛；如果溃破后脉象弦的，则是肝邪侵犯脾土，因为弦乃肝
脉。
【方歌】肿疡出现牢脉是邪气固结，未成脓时见到牢脉，溃破后见到牢脉邪气难除，
结核瘰疬不能消散。
【注】肿疡脉象牢，在未成脓时见到，主毒邪牢固难以消除；溃破后见到
，邪气也难以去除。如果一切结核瘰疬，见到此牢脉，都主牢固不
能消散的征候。
[Verse] A faint pulse (Wei Mai, 1) in a swelling ulcer indicates a deficiency syndrome; only with internal support (Nei Tuo, 2) and tonification can recovery be achieved. Although seeing this pulse after ulceration is generally favorable, if the pulse is faint, thin, and lacks spirit (Shen, 3), it should be viewed as an adverse prognosis.
[Note] A faint pulse in a swelling ulcer indicates a deficiency syndrome. Treatment should primarily focus on internal support and tonifying formulas; only those who can tolerate tonification will recover. If a faint pulse is seen after ulceration, although it may initially appear as a favorable sign, if it feels faint and thin upon palpation and lacks spirit, it indicates that the root has been depleted. Thus, it should also be regarded as an adverse condition.
[Verse] When a swelling ulcer is about to erupt, a pulsating (Dong Mai, 4) and tight (Jin Mai, 5) pulse occurs because toxic qi is externally battling the meridians. Seeing these pulses after ulceration indicates that toxic qi is internally battling the zang-fu organs. This represents a "harmful" (Can Zei, 6) syndrome, which is not mild.
[Note] The appearance of a pulsating or tight pulse in a swelling ulcer indicates that toxic qi is externally battling the meridians. If pulsating or tight pulses are seen after ulceration, it signifies that toxic qi is internally battling the zang-fu organs. Since pulsating and tight pulses are considered harmful pulses, their appearance after ulceration is inappropriate; hence, it is said that the condition is serious.
[Verse] For a swelling ulcer with a moderate/slow (Huan Mai, 7) pulse, medication is unnecessary; a moderate and unhurried quality is the most auspicious. Seeing this pulse after ulceration indicates good stomach function; with harmonized bowel movements and normal diet, health will naturally return.
[Note] A moderate pulse in a swelling ulcer indicates that qi and blood are in harmony. It is an auspicious omen of natural peace and recovery without the need for medication. Seeing this pulse after ulceration indicates harmonized stomach qi, pleasant appetite, regulated urination and defecation, and natural convalescence of the condition.
[Verse] A scallion-stalk (Kou Mai, 8) pulse in a swelling ulcer indicates original blood deficiency; seeing a scallion-stalk pulse after ulceration is logically appropriate. A wiry (Xian Mai, 9) pulse in a swelling ulcer indicates pain caused by pathogenic factors; seeing a wiry pulse after ulceration indicates pathogenic influence on the spleen.
[Note] In a swelling ulcer that has not yet ulcerated, a scallion-stalk pulse indicates that blood has been deficient since long ago. Seeing a scallion-stalk pulse after ulceration, following blood loss, is also consistent with reason. A wiry pulse in a swelling ulcer indicates pain caused by toxic attack, as the wiry pulse governs pain; however, if a wiry pulse is seen after ulceration, it indicates liver pathogen invading the spleen, as the wiry pulse belongs to the liver.
[Verse] A deep-wiry-and-firm (Lao Mai, 10) pulse in a swelling ulcer indicates firm consolidation of pathogens. Seeing a firm pulse before suppuration indicates difficult-to-dispel toxins; seeing it after ulceration indicates difficult-to-remove pathogens, leading to non-resolution of tubercles and scrofula.
[Note] A firm pulse in a swelling ulcer, when seen before suppuration, indicates that toxic pathogens are firmly consolidated and difficult to eliminate. Seeing it after ulceration indicates that pathogens are also difficult to remove. For all cases of tubercles and scrofula, seeing a firm pulse indicates a state of firmness where resolution cannot occur.