2.阴劳细数形尽死, 阳劳微革气脱终, 枯白颧红一侧卧, 嗽哑咽痛
咯星红. 五脏无胃为真脏, 形肉虽存不久停, 一息二至名曰损, 一息
一至行尸名. 大骨枯槁大肉陷, 动作益衰精髓空, 真脏未见一岁死,
若见真脏克期凶, 喘满动形六月死, 一月内痛引肩胸, 身热破?? 肉
尽脱, 十日之内不能生. 真脏脉见目眶陷, 目不见人顷刻倾, 若能见
人神犹持, 至所不胜日时终.
【注】阴虚之劳脉细数, 则必形消着骨而后死者, 阴主形也. 阳虚之
劳脉微革, 则不待痿尽忽然而脱者, 阳主气也. 五脏之脉无和缓象,
为无胃之真脏脉, 即形肉虽存, 亦必不久于人世也. 一息二至, 损病
之脉也. 一息一至, 行尸之脉也. 大骨, 颧, 肩, 股腰之大骨也. 大
肉,头, 项, 四肢之大肉也. 枯槁者, 骨痿不能支也, 陷下者, 肉消
陷成坑也. 动作精神渐衰, 真脏脉不见, 期一岁死, 若真脏脉见, 遇
所不胜之时日凶可期也. 若真脏脉不见, 有是证者, 喘满动形, 六月
而死; 有是证者, 五脏内损, 痛引肩胸者, 一月而死; 有是证者, 肉
尽之处, 皆枯燥破裂, 谓之破, 身热不巳, 十日内死. 真脏脉见, 目
眶下陷, 视不见人, 顷刻而死. 若能见人, 则神尚未去, 至所不胜之
日时而死也.
2. 阴虚劳损,脉象细数,形体极度消瘦者死;阳虚劳损,脉象微而革(浮大中空,如按葱管),气息脱绝者终。颧骨部位枯白却两颊泛红,侧身卧倒,咳嗽声哑,咽喉疼痛,咯出带血丝的痰液。五脏脉象失去从容和缓之象,称为“真脏脉”(无胃气的脉象),虽然形体肌肉尚存,但生命也不会长久维持。一呼一吸之间脉搏跳动两次,名为“损”病;一呼一吸之间脉搏仅跳动一次,名为“行尸”(形容人虽活着但已如行尸走肉)。大骨枯槁,大块肌肉凹陷,动作日益衰弱,精髓空虚。若未见真脏脉,预计一年内死亡;若见到真脏脉,则在相克之日时凶险致死。气喘胸满,身体颤动,预计六月内死亡;一个月内疼痛牵引至肩胸部,身体发热,皮肤破裂、肌肉尽脱,十日内不能存活。真脏脉出现,眼眶深陷,眼睛看不见人,顷刻间就会死亡;如果还能看见人,说明神气尚存,将在被克制之日时终结。
【注】阴虚导致的劳损,脉象细数,必然等到形体消瘦贴骨后才死亡,因为阴主形体。阳虚导致的劳损,脉象微而革,不必等到痿废殆尽就忽然气脱死亡,因为阳主气机。五脏的脉象如果没有和缓之象,就是没有胃气的真脏脉,即使形体肌肉尚存,也必定不久于人世。一息二至,是损病的脉象。一息一至,是行尸的脉象。所谓“大骨”,指颧骨、肩骨、股骨、腰脊等大骨。所谓“大肉”,指头部、颈部、四肢的大块肌肉。“枯槁”是指骨痿废不能支撑身体,“陷下”是指肌肉消减凹陷成坑。动作和精神逐渐衰退,若不见真脏脉,预期一年死亡;若见真脏脉,遇到所不胜(相克)之时日则凶险可期。若不见真脏脉,但有这些证候:气喘胸满、身体颤动的,六月而死;有这些证候:五脏内部受损、疼痛牵引肩胸的,一月而死;有这些证候:肌肉尽处皆枯燥破裂,称为“破”,身体持续发热,十日内死亡。真脏脉出现,眼眶下陷,视物不见人,顷刻而死。如果能看见人,则神气尚未离去,将在所不胜之日时死亡。
2. In Yin deficiency consumptive disease, if the pulse is fine and rapid (Xi Shu) accompanied by extreme emaciation, death ensues; in Yang deficiency consumptive disease, if the pulse is faint and革 (Ge, floating, large, and hollow like pressing a scallion stalk) accompanied by Qi exhaustion, life ends. With withered white cheekbones but red malar eminences, lying on one side, hoarse cough, sore throat, and expectoration of blood-streaked sputum. When the pulses of the Five Zang organs lose the mild and harmonious quality, it is called "True Zang Pulse" (Zhen Zang Mai, pulse devoid of Stomach Qi); although flesh and muscle remain, life will not last long. A pulse rate of two beats per respiration cycle is named "Sun" disease; one beat per respiration cycle is named "Xing Shi" (Walking Corpse). The great bones are withered and dry, the large muscles are sunken, movement declines further, and essence and marrow are empty. If the True Zang Pulse has not yet appeared, death is expected within one year; if the True Zang Pulse appears, death occurs during the time of the overcoming element. Panting and fullness in the chest with body tremors indicate death within six months; pain radiating to the shoulder and chest within one month, fever, skin cracking, and complete loss of muscle mass indicate death within ten days. Appearance of the True Zang Pulse with sunken eye orbits and inability to see people indicates instantaneous death; if the patient can still see people, the Shen (Spirit) remains, and death will occur during the time of the overcoming element.
[Note] Consumptive disease due to Yin deficiency presents with a fine and rapid pulse; death occurs only after the body becomes emaciated to the point of adhering to the bones, because Yin governs form. Consumptive disease due to Yang deficiency presents with a faint and Ge pulse; sudden Qi exhaustion occurs without waiting for total atrophy, because Yang governs Qi. When the pulses of the Five Zang organs lack a mild and harmonious quality, they constitute the True Zang Pulse devoid of Stomach Qi; even if flesh and muscle remain, death is imminent. Two beats per respiration cycle is the pulse of Sun disease. One beat per respiration cycle is the pulse of Xing Shi. "Great bones" refer to the prominent bones such as the zygomatic bone, shoulders, thighs, and lumbar spine. "Large muscles" refer to the substantial muscles of the head, neck, and limbs. "Withered and dry" refers to bone atrophy where the body cannot support itself; "sunken" refers to muscle wasting forming pits. Movement and spirit gradually decline; if the True Zang Pulse is absent, death is expected in one year; if present,凶 (ominous) outcomes are expected during the overcoming times. If the True Zang Pulse is absent but these symptoms exist: panting, chest fullness, and body tremors lead to death in six months; internal damage to the Five Zang organs with pain radiating to the shoulder and chest leads to death in one month; drying and cracking of all muscle areas, termed "Po", combined with persistent fever, leads to death within ten days. Appearance of the True Zang Pulse with sunken eye orbits and blindness indicates instantaneous death. If the patient can see, the Shen has not departed, and death will occur during the overcoming time.