脉虚气虚尺虚，是谓重虚。气虚者，言无常也。尺虚者，行步 然。脉虚者，不象阴也。如此者，滑则生
，涩则死。
气虚，语言轻微。尺虚，筋脉无力。脉虚亡血可知，故云不象阴也，滑则血未亡，故生。
寒气暴上，脉满而实，实而滑则生，实而逆则死。
脉满而实，伤寒之脉，尺寸俱紧也，逆，涩也。滑则阴血不亏。阴虚则涩，不任大寒也。
脉浮而涩，涩而身有热者死。
涩为无血，浮而身热，为邪盛，为孤阳。不必问四时，死。
乳子而病热，脉悬小者，手足温则生，寒则死。乳子中风热，喘而肩息者，脉实大也，缓则生，急
则死。
乳子，婴孩也。病热而脉悬小，阳证得阴脉，为大禁。乳子为纯阳，故手足温者生。脉实大而缓，为
有胃气，故生。
肠 便血，身热则死，寒则生。肠 下白沫，脉沉则生，
脉浮则死，肠 下脓血，脉悬绝则死，滑大则生。肠 之属，身不热，脉不悬绝，滑大则生，悬
涩者死，以脏期之。
肠 便血，赤痢也。身热则血败，而孤阳独存，故死。寒则营气未绝。故生。白沫，白痢。沉则阴
气无伤，浮则无阴而虚阳上泛，此死生之判也。脓血，赤白痢也。悬绝，搏而无胃气也。滑为阴血，大
为阳气，气血得存，故生。悬涩，异常涩也。肠 之久，大肠之气将绝，故自显其真脉。以脏期
之，则丙、丁、午、未，其期也。
癫疾脉搏大滑，久自己；脉小坚急，死不治。癫疾之脉，虚则可治，实则死。
搏，过于有力也，此为肝实。大为气有余，滑为血有余，故久自己。若脉来小而坚急，则肝之真脏脉
也，绝无胃气，故死不治。虚则邪气微，实则邪气盛，故虚可治。
消瘅脉实大，病久可治；脉悬小坚，病久不可治。
消瘅，消中而热，善饮善食也。脉实大，真气未漓。脉悬小坚，则胃气已竭，病久则死。
病温，汗出辄复热，而脉躁疾，不为汗衰，狂言不能食，病名阴阳交，死。热病已得汗而脉尚躁盛
，此阴脉之极也，死。其得汗而脉静者，生。热病脉尚躁疾而不得汗者，此阳脉之极也，脉躁疾得汗静者
，生。
脉象虚弱、气虚、尺部脉虚弱，这称为“重虚”。所谓气虚，表现为说话声音低微且断断续续。所谓尺部脉虚弱，表现为行走时脚步不稳、摇晃无力。所谓脉虚，表现为脉搏搏动不能反映阴血的充盈状态（即缺乏阴血滋养的柔和之象）。遇到这种情况，如果脉象滑利则预后良好（生），如果脉象涩滞则预后不良（死）。
气虚，表现为语言轻微短促。尺部脉虚弱，表现为筋脉无力。脉虚可以推断为亡血（失血过多），所以说它不像阴脉应有的样子；如果脉滑，说明血液尚未枯竭，所以能生还。
寒气突然上逆，脉象满实而有力，如果脉实而滑利则预后良好（生），如果脉实而逆乱（涩滞不畅）则预后不良（死）。
脉象满实而有力，这是伤寒病的脉象，寸部和尺部的脉都紧束；所谓的“逆”，指的就是脉涩。脉滑说明阴血没有亏损。如果阴虚则脉涩，身体无法承受大寒邪气的侵袭。
脉象浮而涩，如果同时伴有身体发热，则预后不良（死）。
涩脉代表无血，脉浮且身体发热，代表邪气盛极，是孤阳外越的表现。不必询问四季气候的变化，这也是死证。
婴儿患热病，脉象悬细而小，如果手足温暖则预后良好（生），如果手足寒冷则预后不良（死）。婴儿感受风热邪气，出现气喘且耸肩呼吸的症状，脉象应当实大，如果脉势缓和则预后良好（生），如果脉势紧急则预后不良（死）。
“乳子”指婴儿。患热病而脉象悬细而小，属于阳证见到阴脉，是大禁忌。因为婴儿是纯阳之体，所以如果手足温暖则能生还。脉象实大而缓和，说明还有胃气，所以能生还。
肠道病变导致便血，如果身体发热则预后不良（死），如果身体发凉则预后良好（生）。肠道病变排出白色粘液，脉象沉伏则预后良好（生），脉象浮取则预后不良（死）。肠道病变排出脓血，脉象悬绝（极度微弱或消失）则预后不良（死），脉象滑大则预后良好（生）。属于肠道病变的情况，如果身体不发热，脉象不悬绝，脉象滑大则预后良好（生），脉象悬而涩滞则预后不良（死），可以根据脏腑气血衰败的规律来推测死亡的时间。
肠道便血，即赤痢。身体发热则说明血液败坏，孤阳独存，所以死亡。身体发凉则说明营气尚未断绝，所以能生还。白沫，即白痢。脉沉说明阴气没有受伤，脉浮说明无阴而虚阳上浮，这是判断生死的关键。脓血，即赤白痢。脉悬绝表示搏动强烈但没有胃气。脉滑代表阴血尚存，脉大代表阳气尚存，气血得以保存，所以能生还。脉悬而涩，是异常涩滞的表现。肠道病变日久，大肠之气即将断绝，所以显现出真脏脉。根据脏腑规律推测死亡时间，丙日、丁日、午时、未时，就是其死亡的期限。
癫疾（癫痫）患者，如果脉搏盛大滑利，病程长久也能自愈；如果脉象细小坚急，则预后不良，无法治愈。癫疾的脉象，如果是虚脉则可以治疗，如果是实脉则预后不良（死）。
“搏”指脉搏过于有力，这属于肝气实证。脉大说明气有余，脉滑说明血有余，所以病程长久也能自愈。如果脉来细小而坚急，则是肝脏的真脏脉，完全没有胃气，所以预后不良，无法治愈。脉虚说明邪气轻微，脉实说明邪气盛极，所以脉虚可以治疗。
消瘅（类似糖尿病的热性病）患者，如果脉象实大，病程长久也可以治疗；如果脉象悬细而坚，病程长久则无法治疗。
消瘅，指中消症状，表现为多食易饥、口渴多饮。脉象实大，说明真气尚未耗散。脉象悬细而坚，说明胃气已经竭尽，病程长久则会死亡。
患温病，出汗后随即再次发热，而且脉象躁动急速，不因出汗而减弱，伴有胡言乱语和不能进食，这种病名叫做“阴阳交”，预后不良（死）。热病已经出汗但脉象仍然躁动旺盛，这是阴脉衰竭到了极点，预后不良（死）。如果出汗后脉象变得平静，则预后良好（生）。热病脉象仍然躁动急速且没有出汗，这是阳脉亢盛到了极点，如果脉象躁动急速但在出汗后变得平静，则预后良好（生）。
Pulse deficiency, Qi deficiency, and Chi (尺) pulse deficiency are collectively termed "Chong Xu" (Double Deficiency). Qi deficiency manifests as irregular speech. Chi pulse deficiency manifests as unsteady, swaying gait. Pulse deficiency indicates a failure to reflect Yin bloodfulness (lack of nourishment from Yin blood). In such cases, if the pulse is Hua (Slippery), survival is possible; if the pulse is Se (Choppy), death ensues.
Qi deficiency presents with faint speech. Chi pulse deficiency presents with weak tendons and vessels. Pulse deficiency allows one to infer blood loss (Wang Xue), hence it is said not to resemble a proper Yin pulse. If the pulse is Slippery, blood has not been exhausted, thus survival is possible.
When Cold pathogen suddenly ascends, the pulse becomes Man (Full) and Shi (Excess). If Excess and Slippery, survival is possible; if Excess and Ni (Rebellious/Obstructed), death ensues.
A Full and Excess pulse characterizes Shang Han (Cold Damage) disease, where both Cun (寸) and Chi (尺) pulses are Jin (Tight). "Ni" refers to Se (Choppy). Slipperiness indicates that Yin blood is not depleted. Yin deficiency leads to Choppy pulse, rendering the body unable to withstand severe Cold.
If the pulse is Fu (Floating) and Se (Choppy), accompanied by fever, death ensues.
Se (Choppy) indicates absence of blood. Floating pulse with fever indicates extreme pathogenic excess and solitary Yang floating outward. Regardless of the four seasons, this is a fatal condition.
For an infant (Ru Zi) suffering from heat disease, if the pulse is Xuan (Hanging/Fine) and Xiao (Small), warmth of the hands and feet indicates survival; coldness indicates death. If an infant contracts Wind-Heat, presenting with wheezing and shoulder breathing, the pulse should be Shi (Excess) and Da (Large); a Huan (Moderate/Relaxed) pulse indicates survival, while a Ji (Rapid/Tense) pulse indicates death.
"Ru Zi" refers to infants. Heat disease with a Fine and Small pulse represents a Yang syndrome manifesting with a Yin pulse, which is a major contraindication. Since infants are of Pure Yang constitution, warmth of the hands and feet ensures survival. A Large and Moderate pulse indicates the presence of Stomach Qi, ensuring survival.
In intestinal disorders causing bloody stool, fever indicates death, while coolness indicates survival. In intestinal disorders discharging white mucus, a Chen (Deep) pulse indicates survival, while a Fu (Floating) pulse indicates death. In intestinal disorders discharging pus and blood, a Xuan Jue (Extreme/Disconnected) pulse indicates death, while a Hua (Slippery) and Da (Large) pulse indicates survival. For intestinal disorders, if there is no fever and the pulse is not Disconnected, a Slippery and Large pulse indicates survival, while a Xuan (Extreme) and Se (Choppy) pulse indicates death. The time of death can be predicted based on the Zang organs.
Bloody stool constitutes Chi Li (Red Dysentery). Fever indicates blood corruption and solitary Yang remaining, leading to death. Coolness indicates that Ying Qi (Nutritive Qi) is not yet severed, allowing survival. White mucus constitutes Bai Li (White Dysentery). A Deep pulse indicates Yin Qi is uninjured; a Floating pulse indicates lack of Yin with floating Empty Yang, marking the distinction between life and death. Pus and blood constitute Chi Bai Li (Red-White Dysentery). Xuan Jue indicates forceful beating without Stomach Qi. Slipperiness represents preserved Yin blood; largeness represents preserved Yang Qi. With Qi and Blood preserved, survival is possible. Xuan Se indicates abnormal choppiess. Chronic intestinal disorders deplete Da Chang (Large Intestine) Qi, revealing the True Zang pulse. Predicting death by organ cycles points to Bing, Ding days, and Wu, Wei hours as the timeframe.
In Dian Ji (Epilepsy/Mental Disorder), if the pulse is Bo (Forceful), Da (Large), and Hua (Slippery), it may resolve spontaneously over time; if the pulse is Xiao (Small), Jian (Firm), and Ji (Tense), death ensues and is untreatable. For Dian Ji, a Xu (Deficient) pulse is treatable, while a Shi (Excess) pulse is fatal.
"Bo" indicates excessive force, representing Liver Excess. Largeness indicates Qi surplus; slipperiness indicates Blood surplus, allowing spontaneous resolution over time. If the pulse is Small, Firm, and Tense, it is the True Zang pulse of the Liver, completely lacking Stomach Qi, thus fatal and untreatable. Deficiency implies mild pathogenic factors; Excess implies strong pathogenic factors, hence deficiency is treatable.
In Xiao Dan (Consumption-Thirst, similar to diabetes), if the pulse is Shi (Excess) and Da (Large), long-standing disease is treatable; if the pulse is Xuan (Fine) and Xiao (Small) and Jian (Firm), long-standing disease is untreatable.
Xiao Dan refers to Xiao Zhong (Middle Consumption), characterized by excessive thirst and hunger. A Large pulse indicates that True Qi is not yet dissipated. A Fine, Small, and Firm pulse indicates that Stomach Qi is exhausted; long-standing disease leads to death.
In Wen Bing (Warm Disease), if sweating is followed immediately by recurrent fever, and the pulse is Zao Ji (Restless and Rapid), not subsiding with sweat, accompanied by delirium and inability to eat, the disease is named Yin Yang Jiao (Yin-Yang Intersection), which is fatal. If after sweating in Heat disease the pulse remains Restless and Vigorous, this is the extremity of Yin pulse deficiency, leading to death. If the pulse becomes calm after sweating, survival is possible. If the pulse remains Restless and Rapid without sweating, this is the extremity of Yang pulse hyperactivity; if the Restless pulse calms after sweating, survival is possible.