浮脉法天,轻手可得。泛泛在上,如水漂木。
有力洪大,来盛去悠。无力虚大,迟而且柔。
虚甚则散,涣漫不收。有边无中,其名曰芤。
浮小为濡,绵浮水面。(绵一作帛。)濡甚则微,不任寻按。
天覆于上,阳也。浮脉似之,故曰法天。其脉应手皮毛,轻手可得。按之且有
泛泛欲上之势,如水中漂木,虽按之使沉,亦必随手而起,《脉经》所谓举之有余,
按之不足者是也。若浮脉中加以洪大,来盛去悠,是为有力之浮脉,谓之浮大之脉
亦可。若浮脉中加以虚大,迟而且柔,是为无力之浮脉,谓之虚大之脉亦可。若浮
而虚大之甚,则涣散弥漫,不敛不实,名曰散脉,《脉经》所谓气实血虚,有表无里
者是也。若四边有而中则无,名曰芤脉。芤者,中空之草,其状如葱。《脉经》所谓
浮大而软,按之中央空,两边实者是也。若浮而小,名曰濡脉。如帛浮于水,按之软薄,全无力
也。若浮濡之甚,则极虚极小,名曰微脉。不胜重为寻按,《脉经》所谓若有若无,或欲绝者是也。
沉脉法地,近于筋骨。深深在下,沉极为伏。
有力为牢,实大弦长。牢甚则实, 而强。
无力为弱,柔小如绵。弱甚则细,如蛛丝然。
地载于下,阴也。沉脉似之,故曰法地。其脉近在筋骨,非重按不可得,更有
深深下沉之势,《脉经》所谓举之不足,按之有余者是也。若沉之极,似附着于筋
骨,名曰伏脉,《脉经》所谓极重按之乃得者是也。若沉而有力,实大弦长。弦则强
急,且大且实,坚牢之义,自可想见。《脉经》有革脉而无牢脉,要知牢即革也。革
脉形如按鼓,亦即强急坚牢之义,皆有余于外者。若牢之甚,则内外皆实, 而
强,如有根蒂也。沉而无力,既小且柔,是名为弱。《脉经》所谓极软而沉细,按之
欲绝指下者是也。弱之甚,则更柔更小,若有若无,萦萦如蜘蛛之丝,名曰细,与微脉固不相远也。
浮脉效法天道,轻取即可触及。脉象泛泛位于表层,如同木头漂浮在水面上。
若浮脉有力且洪大,来势盛而去势缓长;若浮脉无力且虚大,脉率迟且柔和。
若浮而极度虚弱则变为散脉,涣散漫延不收敛;若脉象边缘有搏动而中间空虚,这种脉象称为芤脉。
浮而细小称为濡脉,如同丝绸漂浮在水面。(“绵”一作“帛”。)濡脉极甚则变为微脉,无法承受重按寻查。
天覆盖于上方,属阳。浮脉与之相似,所以称其效法天道。其脉在皮肤毛发间应手,轻手即可取得。下按时仍有泛泛欲上浮之势,如同水中漂木,即使按压使其下沉,也必定随手而起,《脉经》所说的“举之有余,按之不足”就是这种情况。如果在浮脉中兼见洪大,来势盛而去势缓长,这是有力的浮脉,也可以称为浮大脉。如果在浮脉中兼见虚大,脉率迟且柔和,这是无力的浮脉,也可以称为虚大脉。如果浮而虚大到了极点,则涣散弥漫,不收敛不实,称为散脉,《脉经》所说的“气实血虚,有表无里”就是这种情况。如果四边有搏动而中间无搏动,称为芤脉。芤,是中空的草,形状像葱管。《脉经》所说的“浮大而软,按之中央空,两边实”就是这种情况。如果浮而细小,称为濡脉。如同丝绸漂浮在水上,按之软薄,完全没有力量。如果浮濡到了极点,则极度虚弱极度细小,称为微脉。不能承受重按寻查,《脉经》所说的“若有若无,或欲绝”就是这种情况。
沉脉效法地道,靠近筋骨。深深位于深层,沉到极点则为伏脉。
若沉脉有力为牢脉,坚实、大、弦、长。牢脉极甚则为实脉,坚硬而强。
若沉脉无力为弱脉,柔小如棉絮。弱脉极甚则为细脉,如同蜘蛛丝一般。
大地承载于下方,属阴。沉脉与之相似,所以称其效法地道。其脉靠近筋骨,必须重按才能取得,更有深深下沉之势,《脉经》所说的“举之不足,按之有余”就是这种情况。如果沉到极点,似乎附着在筋骨上,称为伏脉,《脉经》所说的“极重按之乃得”就是这种情况。如果沉而有力,表现为实、大、弦、长。弦脉则强劲紧急,既大又实,具有坚牢的含义,自然可以想象得出。《脉经》中有革脉而没有牢脉,要知道牢脉即革脉。革脉的形状如同按压鼓皮,也具有强劲紧急坚牢的含义,都是外表有余的表现。如果牢脉到了极点,则内外皆实,坚硬而强,如同有根蒂一样。沉而无力,既小又柔,这称为弱脉。《脉经》所说的“极软而沉细,按之欲绝指下”就是这种情况。弱脉到了极点,则更加柔小,若有若无,萦绕如同蜘蛛的丝,称为细脉,与微脉本来就不相远。
The floating pulse (Fumai, Floating Pulse) models Heaven; it can be felt with light pressure. It floats superficially, like wood drifting on water.
If the floating pulse is forceful and surging (Hongmai, Surging Pulse), the arrival is vigorous while the departure is leisurely. If it is weak and deficient in size, it is slow and soft.
When deficiency is extreme, it becomes a Scattered pulse (Sanmai, Scattered Pulse), dissipating and loose without gathering. When there is palpation at the edges but emptiness in the center, it is named the Knotted pulse (Koumai, Knotted Pulse).
Floating and small is the Soggy pulse (Rumai, Soggy Pulse), like silk floating on water. ("Mian" is alternatively written as "Bo".) When the Soggy pulse is extreme, it becomes the Micro pulse (Weimai, Micro Pulse), which cannot withstand searching with heavy pressure.
Heaven covers from above; this is Yang. The floating pulse resembles this, hence it is said to model Heaven. Its position responds at the level of skin and hair, accessible with light touch. Upon pressing, there remains a tendency to float upward, like wood drifting in water; even if pressed down to sink, it rises immediately upon release. This corresponds to what the *Mai Jing* (Classic of Pulse Diagnosis) describes as "abundant when lifted, insufficient when pressed." If the floating pulse is accompanied by surging and large qualities, with vigorous arrival and leisurely departure, it is a forceful floating pulse, also called a Large-floating pulse. If the floating pulse is accompanied by deficient largeness, being slow and soft, it is a weak floating pulse, also called a Deficient-large pulse. If the floating and deficient-large quality becomes extreme, it dissipates and spreads, lacking consolidation and solidity, named the Scattered pulse. This corresponds to the *Mai Jing*'s description: "Qi is excess, Blood is deficient; there is exterior but no interior." If there is palpation on all four sides but emptiness in the center, it is named the Knotted pulse. "Kou" refers to hollow grass, shaped like a scallion stalk. This corresponds to the *Mai Jing*: "Floating, large, and soft; empty in the center when pressed, solid on both sides." If it is floating and small, it is named the Soggy pulse. Like silk floating on water, it feels soft and thin upon pressure, completely lacking force. If the floating and soggy quality becomes extreme, it becomes extremely deficient and extremely small, named the Micro pulse. It cannot bear heavy searching pressure. This corresponds to the *Mai Jing*: "As if present or absent, or nearly disappearing."
The Deep pulse (Chenmai, Deep Pulse) models Earth, lying close to tendons and bones. It lies deeply within; when sinking to the extreme, it becomes the Hidden pulse (Fumai, Hidden Pulse).
If deep and forceful, it is the Firm pulse (Laomai, Firm Pulse): solid, large, wiry, and long. When the Firm pulse is extreme, it becomes the Solid pulse (Shimai, Solid Pulse), hard and strong.
If deep and weak, it is the Weak pulse (Ruomai, Weak Pulse): soft and small like cotton. When the Weak pulse is extreme, it becomes the Fine pulse (Ximai, Fine Pulse), like a spider's thread.
Earth carries from below; this is Yin. The deep pulse resembles this, hence it is said to model Earth. Its position is near the tendons and bones, obtainable only with heavy pressure, possessing a deeply sinking tendency. This corresponds to the *Mai Jing*: "Insufficient when lifted, abundant when pressed." If it sinks to the extreme, appearing attached to tendons and bones, it is named the Hidden pulse. This corresponds to the *Mai Jing*: "Obtainable only with extreme heavy pressure." If it is deep and forceful, presenting as solid, large, wiry, and long: "Wiry" implies tension and urgency; being large and solid implies firmness and stability, the meaning of which can be inferred. The *Mai Jing* mentions the Drum-taut pulse (Gemai, Drum-taut Pulse) but not the Firm pulse; one must know that the Firm pulse is essentially the Drum-taut pulse. The Drum-taut pulse feels like pressing a drumhead, also implying tension, urgency, and firmness, representing excess on the exterior. If the Firm pulse becomes extreme, both interior and exterior are solid, hard and strong, like having a root. If it is deep and weak, being small and soft, it is named the Weak pulse. This corresponds to the *Mai Jing*: "Extremely soft, deep, and fine; upon pressing, it seems to disappear under the fingers." When the Weak pulse becomes extreme, it becomes even softer and smaller, as if present or absent, lingering like a spider's thread, named the Fine pulse. It is not far removed from the Micro pulse.