浮 寸风头痛,痰聚在胸,关主胃弱,尺浮二便,不得相通。
浮脉表病,有力为风,无力血虚,浮迟表寒,浮数风热。
浮紧风寒,浮缓风湿,浮虚伤暑,浮芤失血,浮洪虚火。
浮微痨症,浮濡阴虚,浮散虚极,浮弦痰食,浮滑痰热。
浮细气虚,浮涩血弱。
沉 寸痰在胸,关冷脘痛,尺沉腰痛,遗浊泻利。
沉脉里病,主寒主积,有力痰食,无力气郁,沉迟虚寒。
沉数伏热,沉紧冷痛,沉缓水蓄,沉牢痼冷,沉实热极。
沉弱阳虚,沉细湿痹,沉弦饮痛,沉滑宿食,沉伏吐利,阴毒积聚,沉涩血结,沉主骨。
迟 寸寒上焦,关胃冷痛,尺腰脚病,七疝便泻。
迟主脏病,有力冷痛,无力虚寒,迟涩血少,迟缓寒湿,迟滑胀满,浮迟表寒,沉迟里寒,冷积 瘕。
数 寸喉嘴病,咳嗽失红,关肝胃火,尺数阴虚。
数脉腑病,主吐主狂,有力实热,无力虚疮,浮数表热,沉数里热,虚数肺痿,右寸数实肺痈。
滑 寸痰呕吐,吞酸咳嗽,关滑宿食,肝脾经热。(尺中淋浊,便泻利疾。)
滑主痰食,上为吐逆,下为蓄血,浮滑风痰,沉滑食痰。
滑数痰火,滑短宿食,滑大阴痛,滑散瘫痪,血旺脉滑。
涩 寸涩心虚,又为胸痛,关中胁胀,尺伤精血,淋浊便红。
涩主血少,或伤寒湿,涩大实热,涩弱虚火,气旺脉涩,反胃结肠,自汗厥逆,亡
阳寒湿,女人育孕胎伤,无孕血败。
虚 寸虚血亏,关中腹胀,尺伤精血,骨蒸痿痹。
脉虚血虚,气虚病弱,自汗怔忡,阴虚发热,惊悸伤暑,久病脉虚者死。
实 寸面风热,喉痛气填,关中胸闷,尺实腰痛,大便不通,实紧寒结,实滑痰凝,脉
实血实,水谷为病,郁火发狂,谵语频吐,阳毒伤食,粪结气痛。
长 胃经热重,阳毒癫痫。长脉属肝,宜于春。
长则气旺,浮长疯痫。
短 寸短头痛,关伤酒食,尺短腰痛。
短脉属肺宜于秋。
短主气痛,沉短宿食。
洪 寸洪失血,关中肝火,胃虚脘痛,尺部肾损。
洪主阴虚,下痢失血,胀满反胃,脉洪形瘦,多气者死。若久咳者忌之。
微 寸微气急,又主心惊,关中腹胀,尺损精血。
浮微恶寒,沉微发热,男微虚损,女微崩带。
紧 左寸紧伤冷,右寸紧伤食,关心腹痛,尺疝奔豚。
紧主冷痛,浮紧表寒,沉紧里寒,紧数鬼祟,喘咳疯痫,中恶浮紧,咳嗽沉紧皆死。
缓 寸缓风邪,关中胃弱,尺主便泻,痿痹风秘。
浮缓为风,沉缓为湿,缓大风虚,缓细湿痹,缓弱气损,缓涩血伤,缓滑湿痰,血虚气旺。
芤 寸芤血瘀,关肠胃痈,尺主便血,赤淋崩漏。
久病脉芤者生,新病脉芤者死。
弦 寸弦头痛,胸膈有痰,左弦 瘕,右心腹痛,尺主七疝,手足拘挛。
浮弦头痛,沉弦腹痛,弦数多热,弦迟多寒,弦大主虚。
弦细拘急,单弦饮痛,双弦寒痼,痰饮疟疾,脉弦不食者,为木克土,不治。
革 女人半产崩漏,男子阴脾梦遗。
牢 心腹寒痛,疝气 瘕,失血脉浮大者死。
濡(读软) 寸濡自汗,又主气虚,关中气损,尺伤精血,骨蒸受湿。
寸弱气虚,关中胃弱,尺主阴虚。
弱 弱主气虚,恶寒发热,筋骨萎弱,惊悸自汗,弱主筋。
散 左散怔忡,右知自汗,左关痰饮,右主足肿,尺多死象。
细 寸细呕吐,关中腹胀,尺部遗精,便泻虚冷。
细为气血皆衰,湿伤腰肾,忧劳过度吐衄,脉沉细者生。
伏 寸伏食滞,关知腹痛,尺主疝气。
霍乱频吐,宿食老痰,脉伏因火邪内郁,阳极似阴,必大汗而解,夹阴伤寒,先内有
伏寒,又外感寒,阴盛格阳,肢冷脉伏,须投姜附。
动 便泻拘挛,腹痛惊悸,女人带漏,男子遗精。
浮动盗汗,沉动发热。
促 阳旺脉促,促为气郁,喘咳痰积,发狂斑点,肺痈热毒。
结 阴旺脉结,气血两凝,痈肿疝瘕,老痰久停。
代 代脉气衰,疮疽脓血,呕吐腹痛,下利霍乱,跌打闷绝,女胎三月。
浮脉:寸部见浮脉主风邪头痛,痰浊聚于胸中;关部见浮脉主胃气虚弱;尺部见浮脉致大小便不通。
浮脉主表证,有力者为风邪,无力者为血虚;浮而迟主表寒,浮而数主风热。
浮紧主风寒,浮缓主风湿,浮虚主伤暑,浮芤(中空如葱管之脉)主失血,浮洪主虚火。
浮微主劳损之症,浮濡(软而浮细之脉)主阴虚,浮散(浮大无根之脉)主元气虚极,浮弦主痰食内停,浮滑主痰热。
沉脉:寸部见沉脉主痰在胸中;关部见沉脉主胃脘冷痛;尺部见沉脉主腰痛、遗精、尿浊、泄泻。
沉脉主里证,主寒证、积滞;有力者为痰食,无力者为气郁;沉迟主虚寒。
沉数主伏热,沉紧主冷痛,沉缓主水饮内蓄,沉牢(沉实坚长之脉)主久病寒冷,沉实主热极。
沉弱主阳虚,沉细主湿痹,沉弦主饮邪疼痛,沉滑主宿食,沉伏(重按推筋着骨始得之脉)主吐利、阴毒积聚;沉涩主血结,沉脉亦主骨病。
迟脉:寸部见迟脉主上焦寒,关部见迟脉主胃冷痛,尺部见迟脉主腰脚病、七疝及便泻。
迟脉主脏病,有力者为冷痛,无力者为虚寒;迟涩主血少,迟缓主寒湿,迟滑主胀满;浮迟为表寒,沉迟为里寒,主冷积、瘕块。
数脉:寸部见数脉主喉嘴病、咳嗽、咯血;关部见数脉主肝胃火盛;尺部见数脉主阴虚。
数脉主腑病,主呕吐、狂证;有力者为实热,无力者为虚疮;浮数为表热,沉数为里热;虚数主肺痿,右寸数而实主肺痈。
滑脉:寸部见滑脉主痰多呕吐、吞酸咳嗽;关部见滑脉主宿食、肝脾经热。(尺部见滑脉主淋浊、便泻急迫。)
滑脉主痰食,在上则为吐逆,在下则蓄血;浮滑主风痰,沉滑主食痰。
滑数主痰火,滑短主宿食,滑大主阴部疼痛,滑散主瘫痪;血旺则脉滑。
涩脉:寸部见涩脉主心虚、胸痛;关部见涩脉主胁肋胀满;尺部见涩脉主精血损伤、淋浊、便红。
涩脉主血少,或伤寒夹湿;涩大主实热,涩弱主虚火;气旺而脉涩者,可见反胃、结肠、自汗、厥逆、亡阳寒湿;女子若孕则胎伤,若无孕则血败。
虚脉:寸部见虚脉主血亏;关部见虚脉主腹胀;尺部见虚脉主精血损伤、骨蒸、痿痹。
脉虚主血虚、气虚、病体虚弱,可见自汗、怔忡、阴虚发热、惊悸、伤暑;久病见虚脉者预后不良,主死。
实脉:寸部见实脉主面风热、喉痛气塞;关部见实脉主胸闷;尺部见实脉主腰痛、大便不通;实紧主寒结,实滑主痰凝;脉实主血实,因水谷停滞致病,郁火发狂,谵语频吐,阳毒伤食,粪结气痛。
短脉:寸部见短脉主头痛;关部见短脉主酒食所伤;尺部见短脉主腰痛。
洪脉:寸部见洪脉主失血;关部见洪脉主肝火、胃虚脘痛;尺部见洪脉主肾损。
洪脉主阴虚,下痢失血、胀满反胃;脉洪而形体消瘦、多气者主死。若久咳者忌见洪脉。
微脉:寸部见微脉主气急、心惊;关部见微脉主腹胀;尺部见微脉主精血损伤。
浮微主恶寒,沉微主发热;男子见微脉主虚损,女子见微脉主崩漏带下。
紧脉:左寸紧主伤冷,右寸紧主伤食;关部紧主心腹痛,尺部紧主疝气、奔豚。
紧脉主冷痛,浮紧主表寒,沉紧主里寒;紧数主鬼祟(指突发怪病),喘咳疯痫,中恶见浮紧,咳嗽见沉紧皆主死。
缓脉:寸部见缓脉主风邪;关部见缓脉主胃弱;尺部见缓脉主便泻、痿痹、风秘。
浮缓为风,沉缓为湿;缓大主风虚,缓细主湿痹,缓弱主气损,缓涩主血伤,缓滑主湿痰;血虚气旺。
芤脉:寸部见芤脉主血瘀;关部见芤脉主肠胃痈肿;尺部见芤脉主便血、赤淋、崩漏。
弦脉:寸部见弦脉主头痛、胸膈有痰;左关见弦脉主瘕块,右关见弦脉主心腹痛;尺部见弦脉主七疝、手足拘挛。
弦细主拘急,单弦主饮邪疼痛,双弦主寒痼;痰饮疟疾,脉弦而不欲食者,为木克土,不治。
濡脉(读作软):寸部见濡脉主自汗、气虚;关部见濡脉主气损;尺部见濡脉主精血损伤、骨蒸受湿。
弱脉:弱脉主气虚,可见恶寒发热、筋骨萎弱、惊悸自汗;弱脉亦主筋病。
散脉:左脉散主怔忡,右脉散主自汗;左关散主痰饮,右关散主足肿;尺部见散脉多为死象。
细脉:寸部见细脉主呕吐;关部见细脉主腹胀;尺部见细脉主遗精、便泻虚冷。
伏脉:寸部见伏脉主食滞;关部见伏脉主腹痛;尺部见伏脉主疝气。
霍乱频吐、宿食老痰,脉伏因火邪内郁,阳极似阴,必大汗而解;夹阴伤寒,先内有伏寒,又外感寒邪,阴盛格阳,肢冷脉伏,须投姜附汤。
动脉:主便泻、拘挛、腹痛、惊悸;女子见动脉主带下漏血,男子见动脉主遗精。
Floating pulse: At the cun position, a floating pulse indicates headache due to wind pathogen and phlegm accumulation in the chest; at the guan position, it indicates weak stomach qi; at the chi position, it leads to obstruction of urination and defecation.
The floating pulse indicates exterior syndromes: forceful indicates wind, forceless indicates blood deficiency; floating and slow indicate exterior cold, floating and rapid indicate wind-heat.
Floating and tight indicate wind-cold; floating and relaxed indicate wind-dampness; floating and deficient indicate summerheat injury; floating and hollow (like a scallion stalk) indicate blood loss; floating and surging indicate deficient fire.
Floating and faint indicate consumptive diseases; floating and soft (soft and floating fine) indicate yin deficiency; floating and scattered (floating large without root) indicate extreme qi deficiency; floating and wiry indicate retention of phlegm and food; floating and slippery indicate phlegm-heat.
Floating and fine indicate qi deficiency; floating and choppy indicate weak blood.
Sinking pulse: At the cun position, a sinking pulse indicates phlegm in the chest; at the guan position, it indicates cold pain in the epigastrium; at the chi position, it indicates lower back pain, seminal emission, turbid urine, and diarrhea.
The sinking pulse indicates interior syndromes, primarily cold and accumulation: forceful indicates phlegm and food retention, forceless indicates qi stagnation; sinking and slow indicate deficient cold.
Sinking and rapid indicate hidden heat; sinking and tight indicate cold pain; sinking and relaxed indicate water retention; sinking and firm (sinking, solid, long, and strong) indicate chronic cold; sinking and excess indicate extreme heat.
Sinking and weak indicate yang deficiency; sinking and fine indicate damp-bi syndrome; sinking and wiry indicate pain from fluid retention; sinking and slippery indicate retained food; sinking and deep (requiring heavy pressure to feel) indicate vomiting and diarrhea, yin toxicity and accumulation; sinking and choppy indicate blood stasis; the sinking pulse also governs bone diseases.
Slow pulse: At the cun position, a slow pulse indicates upper jiao cold; at the guan position, it indicates cold pain in the stomach; at the chi position, it indicates diseases of the waist and feet, seven types of hernia, and loose stools.
The slow pulse indicates zang organ diseases: forceful indicates cold pain, forceless indicates deficient cold; slow and choppy indicate blood insufficiency; slow and relaxed indicate cold-dampness; slow and slippery indicate distension and fullness; floating and slow indicate exterior cold, sinking and slow indicate interior cold, governing cold accumulation and mass formations.
Rapid pulse: At the cun position, a rapid pulse indicates throat and mouth diseases, coughing, and hemoptysis; at the guan position, it indicates liver and stomach fire; at the chi position, it indicates yin deficiency.
The rapid pulse indicates fu organ diseases, primarily vomiting and mania: forceful indicates excess heat, forceless indicates deficient sores; floating and rapid indicate exterior heat, sinking and rapid indicate interior heat; deficient and rapid indicate lung flaccidity; right cun rapid and excess indicate lung abscess.
Slippery pulse: At the cun position, a slippery pulse indicates excessive phlegm with vomiting, acid regurgitation, and cough; at the guan position, it indicates retained food and heat in the liver and spleen meridians. (At the chi position, it indicates strangury, turbid urine, and urgent diarrhea.)
The slippery pulse indicates phlegm and food: upward it causes vomiting and reversal, downward it indicates blood retention; floating and slippery indicate wind-phlegm, sinking and slippery indicate food-phlegm.
Slippery and rapid indicate phlegm-fire; slippery and short indicate retained food; slippery and large indicate genital pain; slippery and scattered indicate paralysis; abundant blood results in a slippery pulse.
Choppy pulse: At the cun position, a choppy pulse indicates heart deficiency and chest pain; at the guan position, it indicates hypochondriac distension; at the chi position, it indicates damage to essence and blood, strangury, turbid urine, and red stool.
The choppy pulse indicates blood insufficiency or cold-dampness from trauma; choppy and large indicate excess heat, choppy and weak indicate deficient fire; if qi is abundant but the pulse is choppy, it may manifest as reverse flow, colon obstruction, spontaneous sweating, cold limbs, yang collapse with cold-dampness; in women, pregnancy may lead to fetal damage, while non-pregnancy may indicate blood degeneration.
Deficient pulse: At the cun position, a deficient pulse indicates blood depletion; at the guan position, it indicates abdominal distension; at the chi position, it indicates damage to essence and blood, bone-steaming, flaccidity, and bi-syndrome.
A deficient pulse indicates blood deficiency, qi deficiency, and physical weakness, manifesting as spontaneous sweating, palpitations, yin-deficiency fever, fright, palpitations, and summerheat injury; a deficient pulse in chronic illness indicates death.
Excess pulse: At the cun position, an excess pulse indicates facial wind-heat, sore throat, and qi blockage; at the guan position, it indicates chest oppression; at the chi position, it indicates lower back pain and constipation; excess and tight indicate cold binding, excess and slippery indicate phlegm coagulation; an excess pulse indicates blood excess, disease caused by water and grain stagnation,郁fire causing mania, delirious speech, frequent vomiting, yang toxicity from food injury, fecal binding, and qi pain.
Long pulse: Indicates severe heat in the stomach meridian, yang toxicity, and epilepsy. The long pulse belongs to the liver and is suitable for spring.
A long pulse indicates vigorous qi; floating and long indicate convulsions and epilepsy.
Short pulse: At the cun position, a short pulse indicates headache; at the guan position, it indicates damage from alcohol and food; at the chi position, it indicates lower back pain.
The short pulse belongs to the lung and is suitable for autumn.
A short pulse indicates qi pain; sinking and short indicate retained food.
Surging pulse: At the cun position, a surging pulse indicates blood loss; at the guan position, it indicates liver fire, stomach deficiency, and epigastric pain; at the chi position, it indicates kidney damage.
The surging pulse indicates yin deficiency, bloody diarrhea, abdominal distension, and reverse flow; a surging pulse with emaciation and excessive qi indicates death. It is contraindicated in chronic cough.
Faint pulse: At the cun position, a faint pulse indicates急促 breathing and heart fright; at the guan position, it indicates abdominal distension; at the chi position, it indicates damage to essence and blood.
Floating and faint indicate aversion to cold; sinking and faint indicate fever; in men, a faint pulse indicates deficiency and wasting; in women, it indicates metrorrhagia and leukorrhea.
Tight pulse: Left cun tight indicates cold injury; right cun tight indicates food injury; guan tight indicates heart and abdominal pain; chi tight indicates hernia and running piglet qi.
The tight pulse indicates cold pain; floating and tight indicate exterior cold, sinking and tight indicate interior cold; tight and rapid indicate demonic afflictions (sudden strange illnesses), wheezing, coughing, convulsions, and epilepsy; middle evil with floating tight, coughing with sinking tight both indicate death.
Relaxed pulse: At the cun position, a relaxed pulse indicates wind pathogen; at the guan position, it indicates weak stomach; at the chi position, it indicates loose stools, flaccidity, bi-syndrome, and wind-induced constipation.
Floating and relaxed indicate wind; sinking and relaxed indicate dampness; relaxed and large indicate wind-deficiency; relaxed and fine indicate damp-bi; relaxed and weak indicate qi damage; relaxed and choppy indicate blood injury; relaxed and slippery indicate damp-phlegm; blood deficiency with abundant qi.
Hollow pulse: At the cun position, a hollow pulse indicates blood stasis; at the guan position, it indicates intestinal and gastric abscesses; at the chi position, it indicates bloody stool, red strangury, and metrorrhagia.
A hollow pulse in chronic illness indicates survival; a hollow pulse in acute illness indicates death.
Wiry pulse: At the cun position, a wiry pulse indicates headache and phlegm in the chest and diaphragm; left guan wiry indicates mass formations; right guan wiry indicates heart and abdominal pain; chi wiry indicates seven types of hernia and limb spasms.
Floating and wiry indicate headache; sinking and wiry indicate abdominal pain; wiry and rapid indicate much heat; wiry and slow indicate much cold; wiry and large indicate deficiency.
Wiry and fine indicate spasm; single wiry indicates pain from fluid retention; double wiry indicates chronic cold; phlegm-fluid, malaria; if the pulse is wiry and the patient refuses food, it indicates wood overcoming earth, which is untreatable.
Leather pulse: In women, it indicates miscarriage and metrorrhagia; in men, it indicates yin essence loss and nocturnal emission.
Firm pulse: Indicates cold pain in the heart and abdomen, hernia qi, and mass formations; loss of blood with a floating and large pulse indicates death.
Soft pulse (pronounced 'ruan'): At the cun position, a soft pulse indicates spontaneous sweating and qi deficiency; at the guan position, it indicates qi damage; at the chi position, it indicates damage to essence and blood, bone-steaming from dampness.
Weak pulse at cun indicates qi deficiency; at guan, weak stomach; at chi, yin deficiency.
Weak pulse: Indicates qi deficiency, manifesting as aversion to cold and fever, weak sinews and bones, fright, palpitations, and spontaneous sweating; the weak pulse also governs sinew diseases.
Scattered pulse: Left scattered indicates palpitations; right scattered indicates spontaneous sweating; left guan scattered indicates fluid retention; right guan scattered indicates foot swelling; chi scattered is mostly a sign of death.
Fine pulse: At the cun position, a fine pulse indicates vomiting; at the guan position, it indicates abdominal distension; at the chi position, it indicates seminal emission and loose stools with cold deficiency.
A fine pulse indicates decline of both qi and blood, dampness damaging waist and kidneys, hematemesis and epistaxis from excessive worry and labor; a sinking and fine pulse indicates survival.
Deep pulse: At the cun position, a deep pulse indicates food stagnation; at the guan position, it indicates abdominal pain; at the chi position, it indicates hernia qi.
Vomiting in cholera, retained food, and old phlegm; a deep pulse is due to internal depression of fire pathogen, extreme yang resembling yin, requiring profuse sweating to resolve; in cold damage with yin involvement, there is pre-existing hidden cold plus external cold invasion, yin excess repelling yang, cold limbs, and deep pulse, requiring Ginger and Aconite Decoction.
Moving pulse: Indicates loose stools, spasms, abdominal pain, and fright; in women, leukorrhea and bleeding; in men, seminal emission.
Floating moving indicates night sweats; sinking moving indicates fever.
Rushing pulse: Yang abundance results in a rushing pulse; rushing pulse indicates qi stagnation, wheezing, coughing, phlegm accumulation, mania, macules, and lung abscess with heat toxin.
Knotted pulse: Yin abundance results in a knotted pulse; indicates coagulation of both qi and blood, carbuncles, hernias, mass formations, and long-standing old phlegm.
Intermittent pulse: Intermittent pulse indicates qi decline, manifesting as carbuncles with pus and blood, vomiting, abdominal pain, diarrhea, cholera, traumatic shock; in women, it can occur at three months of pregnancy.