寸口紧者,中风风头痛,亦为伤寒头痛。
寸口沉而横者,胁下有积,腹中有横积痛。
寸口浮大而实,宿食不消,浮滑亦然。
寸口沉而紧,寒结在心下痛。(《千金》云沉而紧,若心下有寒,时时痛,有积邪。)
寸口沉滑,胸中有水气,面目肿有微热,名为风水。
寸口沉而弱,寒热、疝瘕、少腹痛。
寸口微而弱,气血俱虚,男子吐血,妇人下血,呕汁出。
寸口弱而弦,胸中胁下腰背并痛。
寸口双弦,胁下拘急而痛,涩涩而寒。
寸口弦紧而细,痛在心下。
寸口洪而大,伤寒热病,并胸胁下满痛。
寸口细沉滑者,有积聚在胁下,左右皆满背相引痛。
寸口细而数,数即发热,细即反吐。
寸口缓而数者中风。
寸口沉而喘则寒热。
寸口盛而紧者,伤于食也。
寸口急疝瘕少腹痛。
寸口浮大而疾者,名曰阳中之阳病,苦烦满、身热、头痛、腹中热。
寸口沉细者,名曰阳之阴病,苦悲伤不乐,恶闻人声,少气时汗出,阴气不通,臂不能
举。
寸口脉壮大,尺中无有,此为阳干阴病,苦腰背痛,阴中伤,足胫寒。
寸口偏绝者,则臂偏不用,其人两手俱绝者,不治。
寸口脉弱而迟,弱即卫气微,迟即荣中寒,荣为血,血寒即发热。卫为气,气微即心中
饥,饥而虚满不能食。
寸口脉弱而缓,弱则阳气不足,缓即胃气有余,噫而吞酸,食卒不下,气填于膈上。(
一作下。)
寸口脉微而弱,微即无气,弱即血不足,血不足即不能呼,气不足则不能吸,呼吸不足
则胁满短气。
寸口脉微而涩,微即卫气不得,涩即荣气不逮,荣卫不能相将,三焦无所仰,身体痹不
仁,荣气不足即疼而烦满,口即难言,卫气虚即恶寒而数欠。
寸口脉微而涩,微即卫气衰,涩即荣气不足,卫衰其色黄,荣不足其色青。荣为根,卫
为叶,荣卫俱微即根叶枯槁,而寒栗、咳逆、唾腥、吐涎沫。
寸口脉微而缓,微即卫气疏,疏即肤空,缓即胃气足,足即谷消而水化,谷入于胃,脉
道乃地,水入于经,其血乃成,荣盛则其肤必疏,三焦绝,经名曰血崩。
寸口脉微而数,微即为风,数即为热,微为风,风即汗出,数为热振而寒栗。
寸口脉微而迟,尺脉沉即为血,滑即为实,血实内结入络胸臆,肺痿色薄,不能喘息,
而心坚脱色,口不能言,肝举筋厥,四逆,不识人。
寸口脉微而濡,濡即为弱,微即为寒,濡即恶寒,弱即发热,濡即厥逆,微濡相薄,即
为烦,其气在心。
寸口脉微,尺中紧,其人虚损多汗,知阴常在,绝不见阳。
寸口诸微为无阳,诸濡为无血,诸弱为发热,诸紧为寒,微濡为血不足。
寸口脉沉且紧的,是寒邪凝结在心下引起疼痛。(《千金方》说:脉沉而紧,如果心下有寒,时常疼痛,是有积滞的邪气。)
寸口脉沉滑的,是胸中有水气,面目浮肿且有轻微发热,这叫做风水病。
寸口脉微且弱的,是气血都虚弱,男子会吐血,妇女会下血,呕吐出汁液。
寸口脉双弦(两手寸口均呈弦象),胁下拘急且疼痛,感觉涩滞且发冷。
寸口脉细沉滑的,胁下有积聚,左右两侧都胀满,背部相互牵引疼痛。
寸口脉浮大且疾速的,名叫阳中之阳病,痛苦于烦闷胀满、身体发热、头痛、腹中热。
寸口脉沉细的,名叫阳之阴病,痛苦于悲伤不乐,厌恶听到人声,气短时常出汗,阴气不通畅,手臂不能举起。
寸口脉壮大,但尺部没有脉象,这是阳干阴病,痛苦于腰背痛,阴部受伤,足胫寒冷。
寸口脉偏侧断绝的,则手臂偏侧不能使用;如果两手寸口脉都断绝的,无法治愈。
寸口脉弱且迟,弱脉表示卫气微弱,迟脉表示营中有寒,营属血,血寒就会发热。卫属气,气微弱就会心中觉得饥饿,因虚满而不能进食。
寸口脉弱且缓,弱脉表示阳气不足,缓脉表示胃气有余,会出现打嗝吞酸,食物突然咽不下去,气堵塞在膈上。(另一版本作“膈下”。)
寸口脉微且弱,微脉表示无气,弱脉表示血不足,血不足就不能呼气,气不足就不能吸气,呼吸不足就会导致胁满气短。
寸口脉微且涩,微脉表示卫气不能到达,涩脉表示营气不能赶上,营卫不能相互配合,三焦无所依赖,身体麻木不仁,营气不足就会疼痛且烦闷,口难言语,卫气虚就会恶寒且频繁呵欠。
寸口脉微且涩,微脉表示卫气衰败,涩脉表示营气不足,卫气衰败面色发黄,营气不足面色发青。营为根,卫为叶,营卫都微弱就是根叶枯槁,出现寒战、咳嗽气逆、唾吐腥血、吐出涎沫。
寸口脉微且缓,微脉表示卫气疏泄,疏泄则肌肤空虚,缓脉表示胃气充足,充足则谷物消化而水液转化,谷物进入胃中,脉道才形成(地指脉道如大地承载万物,此处意指脉道充盈),水液进入经络,血液才能生成,营气旺盛则肌肤必然疏松,三焦隔绝,经脉名为血崩。
寸口脉微且数,微脉即为风邪,数脉即为热邪,微脉主风,风邪导致汗出,数脉主热,热导致振栗发冷。
寸口脉微且迟,尺脉沉即为血分病变,滑即为实证,血实内结进入络脉胸臆,肺痿面色淡薄,不能喘息,且心坚脱色,口不能言,肝气上举导致筋厥,四肢逆冷,不认识人。
寸口脉微且濡,濡脉即为弱,微脉即为寒,濡脉主恶寒,弱脉主发热,濡脉主厥逆,微与濡相互搏结,就会产生烦热,病气在心。
When the Cun Kou (Cun position of the radial artery) pulse is tight, it indicates headache due to wind-stroke or headache due to cold damage.
When the Cun Kou pulse is deep and horizontal, there is an accumulation in the hypochondrium and pain from a horizontal accumulation in the abdomen.
When the Cun Kou pulse is floating, large, and solid, it indicates undigested food retention; a floating and slippery pulse indicates the same condition.
When the Cun Kou pulse is deep and tight, cold congealing in the epigastrium causes pain. (*Qianjin Fang* states: A deep and tight pulse, if accompanied by cold in the epigastrium with frequent pain, indicates accumulated pathogenic factors.)
When the Cun Kou pulse is deep and slippery, there is water qi in the chest, facial swelling, and slight fever; this is named Feng Shui (Wind Water edema).
When the Cun Kou pulse is deep and weak, there are alternating chills and fever, hernia, jia masses (abdominal lumps), and lower abdominal pain.
When the Cun Kou pulse is faint and weak, both Qi and Blood are deficient; men may vomit blood, women may have vaginal bleeding, and they may vomit fluids.
When the Chun Kou pulse is weak and wiry, there is pain in the chest, hypochondrium, waist, and back.
When the Cun Kou pulses on both sides are wiry, there is tension and pain in the hypochondrium, accompanied by a rough sensation and coldness.
When the Cun Kou pulse is wiry, tight, and thin, the pain is located in the epigastrium.
When the Cun Kou pulse is surging and large, it indicates cold damage febrile disease, accompanied by fullness and pain in the chest and hypochondrium.
When the Cun Kou pulse is thin, deep, and slippery, there is an accumulation in the hypochondrium, with fullness on both sides and radiating pain to the back.
When the Cun Kou pulse is thin and rapid, rapidity indicates fever, while thinness indicates vomiting.
When the Cun Kou pulse is slow and rapid, it indicates wind-stroke.
When the Cun Kou pulse is deep and accompanied by panting, there are alternating chills and fever.
When the Cun Kou pulse is abundant and tight, it indicates injury from food.
A tense Cun Kou pulse indicates hernia, jia masses, and lower abdominal pain.
When the Cun Kou pulse is floating, large, and rapid, it is called Yang within Yang disease, characterized by distress from irritability and fullness, body heat, headache, and heat in the abdomen.
When the Cun Kou pulse is deep and thin, it is called Yin within Yang disease, characterized by distress from sadness and unhappiness, aversion to human voices, shortness of breath with spontaneous sweating, obstruction of Yin Qi, and inability to raise the arms.
When the Cun Kou pulse is strong and large but absent at the Chi position, it is Yang overcoming Yin disease, characterized by distress from lower back and waist pain, injury to the genitalia, and coldness in the calves.
If the Cun Kou pulse is absent on one side, that arm cannot be used; if the Cun Kou pulse is absent on both hands, the condition is incurable.
When the Cun Kou pulse is weak and slow, weakness indicates deficient Wei Qi (Defensive Qi), and slowness indicates Cold in Ying Qi (Nutritive Qi). Ying corresponds to Blood; Blood Cold leads to fever. Wei corresponds to Qi; deficient Qi leads to a feeling of hunger in the heart, but due to deficiency and fullness, eating is impossible.
When the Cun Kou pulse is weak and moderate, weakness indicates insufficient Yang Qi, and moderation indicates excess Stomach Qi, leading to belching and acid regurgitation, sudden inability to swallow food, and Qi blocking above the diaphragm. (Another version reads "below the diaphragm".)
When the Cun Kou pulse is faint and weak, faintness indicates lack of Qi, and weakness indicates insufficient Blood. Insufficient Blood prevents exhalation; lack of Qi prevents inhalation. Insufficient respiration leads to chest fullness and shortness of breath.
When the Cun Kou pulse is faint and choppy, faintness indicates Wei Qi failing to arrive, and choppy indicates Ying Qi failing to reach. When Ying and Wei cannot support each other, the San Jiao (Triple Burner) has no reliance, leading to numbness and insensitivity of the body. Insufficient Ying Qi causes pain and irritability/fullness, making speech difficult; deficient Wei Qi causes aversion to cold and frequent yawning.
When the Cun Kou pulse is faint and choppy, faintness indicates decline of Wei Qi, and choppy indicates insufficiency of Ying Qi. Decline of Wei Qi manifests as yellow complexion; insufficiency of Ying Qi manifests as blue/green complexion. Ying is the root, Wei is the leaf. If both Ying and Wei are faint, the root and leaf wither, leading to chills, coughing and reverse Qi flow, spitting bloody sputum, and vomiting saliva/foam.
When the Cun Kou pulse is faint and moderate, faintness indicates dispersed Wei Qi, which makes the skin porous; moderation indicates sufficient Stomach Qi. Sufficient Stomach Qi digests grain and transforms water. Grain enters the Stomach, and the pulse channels become established like the earth; water enters the meridians, and Blood is formed. If Ying Qi becomes excessive, the skin becomes loose, the San Jiao is cut off, and the meridian condition is named Blood Collapse.
When the Cun Kou pulse is faint and rapid, faintness indicates Wind, and rapidity indicates Heat. Faintness/Wind leads to sweating; rapidity/Heat leads to shivering and chills.
When the Cun Kou pulse is faint and slow, a deep Chi pulse indicates Blood pathology, and a slippery pulse indicates Excess. Blood Excess internally knots into the collaterals and chest/diaphragm. Lung萎 (Lung Flaccidity) presents with pale complexion, inability to breathe, firmness of the Heart with loss of color, inability to speak, Liver Qi rising leading to Sinew Jue (reversal), cold extremities, and unconsciousness.
When the Cun Kou pulse is faint and soggy, soggy indicates weakness, and faint indicates Cold. Soggy indicates aversion to cold, weak indicates fever, and soggy indicates reversal of cold. When faint and soggy interact, it causes irritability, with the pathogenic Qi located in the Heart.
When the Cun Kou pulse is faint and the Chi pulse is tight, the person is deficient and suffers from profuse sweating, indicating that Yin Qi is constantly present while Yang Qi is completely absent.
Various faint Cun Kou pulses indicate absence of Yang; various soggy pulses indicate absence of Blood; various weak pulses indicate fever; various tight pulses indicate Cold; faint and soggy together indicate Blood insufficiency.