凡三部脉大都欲等,只如小人、细人、妇人脉小软,小儿四五岁者,脉呼吸八至细数吉
。(《千金翼》云∶人大而脉细,人细而脉大。人乐而脉实,人苦而脉虚,性急而脉缓,性
缓而脉躁,人壮而脉细,人羸而脉大,此皆为逆,逆则难治,反此为顺,顺则易治。凡妇人
脉欲常濡弱于丈夫,小儿四五岁者,脉自快疾,呼吸八至也。)三部脉或至或不至,冷气在
胃中,故令脉不通。 三部脉虚,其人长病得之死。虚而涩,长病亦死。虚而滑亦死,虚而
缓亦死,虚而弦急,癫病亦死。 三部脉实而长,长病得之死,实而滑,长病得之生,卒病
得之
部脉羸非其人,病得之死。 三部脉粗,长病得之死,卒病得之生。 三部脉细而软,长
病得之生。细而数亦生,微而紧亦生。 三部脉微而伏,长病得之死。 三部脉软,长病得
之不治自愈,治之反死,卒病得之生。 三部脉浮而结,长病得之死。 三部脉芤,长病得
之生。 三部脉弦而数,长病得之生,卒病得之死。 三部脉革,长病得之死,卒病得之生。
三部脉坚而数如银钗股,蛊毒必死。数而软,蛊毒病得之生。 三部脉 如羹上肥,长病
得之死,卒病得之生。 三部脉连连如蜘蛛丝,长病得之死,卒病得之生。 三部脉如霹雳,
长病得之死。 三部脉如角弓,长病得之死。 三部脉累累如贯珠,长病得之死。 三部脉
如水淹然流,长病不治自愈,治之反死。 三部脉如屋漏,长病十四日死。(《脉经》云∶
十日死。) 三部脉如雀啄,长病七日死。 三部脉如釜中汤沸,朝得暮死,夜半得日中死,
日中得夜半死。 三部脉急切,腹间病,又
凡是寸、关、尺三部脉象大体上应当相等。就像儿童、身材矮小者、女性的脉象细小柔和,四到五岁的儿童,脉搏在一呼一吸间跳动八次且细数,这是吉兆。(《千金翼方》说:人身体高大而脉象细弱,人身体瘦小而脉象洪大,人心情愉悦而脉象实大,人痛苦悲伤而脉象虚软,性格急躁而脉象迟缓,性格缓慢而脉象躁急,人身体壮实而脉象细弱,人身体消瘦而脉象洪大,这些都属于逆证,逆证则难以治疗,与此相反则为顺证,顺证则容易治疗。凡是女性的脉象应当常常比男性濡弱,四到五岁的儿童,脉象自然快速,一呼一吸间跳动八次。)如果三部脉有时有、有时没有,是因为寒气停留在胃中,所以导致脉气不通。
如果三部脉都虚,患有久病的人会死亡。脉虚且涩,患久病的人也会死亡。脉虚且滑也会死亡,脉虚且缓也会死亡,脉虚且弦急,患有癫病的人也会死亡。
如果三部脉实且长,患久病的人会死亡;实且滑,患久病的人能生存;突发疾病(卒病)得到……(原文此处似有缺漏,结合上下文及《脉经》等古籍,通常指“得之生”或类似含义,但依原文仅译可见部分)……三部脉羸弱不符合其人常态,患病的人会死亡。
如果三部脉粗大,患久病的人会死亡,突发疾病的人能生存。
如果三部脉细软,患久病的人能生存。细且数也能生存,微且紧也能生存。
如果三部脉微且伏,患久病的人会死亡。
如果三部脉软,患久病的人不治自愈,治疗反而致死;突发疾病的人能生存。
如果三部脉浮且结,患久病的人会死亡。
如果三部脉芤(中空如葱管),患久病的人能生存。
如果三部脉弦且数,患久病的人能生存,突发疾病的人会死亡。
如果三部脉革(外坚中空),患久病的人会死亡,突发疾病的人能生存。
如果三部脉坚硬且数,像银钗股一样,患有蛊毒必死。如果数且软,患有蛊毒的人能生存。
如果三部脉像羹汤上面的浮油,患久病的人会死亡,突发疾病的人能生存。
如果三部脉连绵不断像蜘蛛丝,患久病的人会死亡,突发疾病的人能生存。
如果三部脉像霹雳声,患久病的人会死亡。
如果三部脉像角弓反张时的僵硬感,患久病的人会死亡。
如果三部脉累累相连像串珠,患久病的人会死亡。
如果三部脉如水淹然流淌,患久病的人不治自愈,治疗反而致死。
如果三部脉像屋漏滴水,患久病的人在十四天后死亡。(《脉经》说:十天后死亡。)
如果三部脉像雀鸟啄食,患久病的人在七天后死亡。
如果三部脉像锅中的汤沸腾,早上得到这种脉象晚上就死,半夜得到这种脉象中午就死,中午得到这种脉象半夜就死。
Generally, the pulses at the Cun (Inch), Guan (Bar), and Chi (Cubit) positions should be roughly equal. For instance, in children, individuals of small stature, and women, the pulse is naturally fine and soft. In children aged four to five years, a pulse that is fine and rapid, beating eight times per respiratory cycle, is auspicious. (*Qianjin Yifang* states: A tall person with a fine pulse, a thin person with a large pulse, a joyful person with an excess pulse, a suffering person with a deficient pulse, an irritable person with a slow pulse, a sluggish person with a restless pulse, a robust person with a fine pulse, and a emaciated person with a large pulse are all considered "counterflow" (Ni, adverse conditions). Counterflow indicates difficult treatment; the opposite constitutes "smoothness" (Shun, favorable conditions), which indicates easy treatment. Generally, a woman's pulse should often be softer and weaker than a man's. Children aged four to five years naturally have a rapid pulse, beating eight times per respiratory cycle.) If the pulses at the three positions appear intermittently or are absent, it is due to cold qi stagnating in the Stomach, causing obstruction of the pulse Qi.
If the pulses at the three positions are all Deficient (Xu, lacking vitality/energy), a patient with a chronic illness will die. If the pulse is Deficient and Choppy (Se, rough and uneven), a patient with a chronic illness will also die. If the pulse is Deficient and Slippery (Hua, smooth and rolling), death ensues. If the pulse is Deficient and Slow (Huan, relaxed and leisurely), death ensues. If the pulse is Deficient and Wiry-Tense (Xian-Ji), a patient with Epilepsy (Dian Bing) will die.
If the pulses at the three positions are Excess (Shi, forceful and full) and Long (Chang, extending beyond the normal position), a patient with a chronic illness will die. If Excess and Slippery, a patient with a chronic illness will survive. [Text fragment missing] ... If the pulse is Emaciated (Lei, weak and depleted) and does not match the constitution of the person, a patient will die.
If the pulses at the three positions are Coarse (Cu, large and rough), a patient with a chronic illness will die, but one with an acute illness (Cu Bing, sudden onset disease) will survive.
If the pulses at the three positions are Fine and Soft, a patient with a chronic illness will survive. If Fine and Rapid, survival is possible. If Minute (Wei, faint and thin) and Tight (Jin, taut like a rope), survival is possible.
If the pulses at the three positions are Minute and Deep/Fixed (Fu, hidden and hard to feel), a patient with a chronic illness will die.
If the pulses at the three positions are Soft, a patient with a chronic illness may recover spontaneously without treatment, but treatment may cause death; a patient with an acute illness will survive.
If the pulses at the three positions are Floating (Fu, superficial) and Knotted (Jie, irregular with pauses), a patient with a chronic illness will die.
If the pulses at the three positions are Hollow (Kou, empty in the center like a scallion stalk), a patient with a chronic illness will survive.
If the pulses at the three positions are Wiry and Rapid, a patient with a chronic illness will survive, but one with an acute illness will die.
If the pulses at the three positions are Leathery (Ge, firm on the outside and hollow inside), a patient with a chronic illness will die, but one with an acute illness will survive.
If the pulses at the three positions are Firm and Rapid, resembling the shaft of a silver hairpin, and the patient suffers from Gu Poison (Gu Du, poisoning from parasites/toxins), death is certain. If Rapid and Soft, a patient with Gu Poison will survive.
If the pulses at the three positions resemble the floating oil on soup, a patient with a chronic illness will die, but one with an acute illness will survive.
If the pulses at the three positions are continuous and thread-like like a spider's silk, a patient with a chronic illness will die, but one with an acute illness will survive.
If the pulses at the three positions sound like thunderclaps, a patient with a chronic illness will die.
If the pulses at the three positions feel stiff like an arched bow, a patient with a chronic illness will die.
If the pulses at the three positions are piled up like a string of pearls, a patient with a chronic illness will die.
If the pulses at the three positions flow like water flooding, a patient with a chronic illness may recover spontaneously without treatment, but treatment may cause death.
If the pulses at the three positions resemble dripping water from a leaking roof, a patient with a chronic illness will die after fourteen days. (*Mai Jing* states: death occurs after ten days.)
If the pulses at the three positions resemble a sparrow pecking food, a patient with a chronic illness will die after seven days.
If the pulses at the three positions resemble boiling soup in a pot, death occurs in the evening if obtained in the morning, at noon if obtained at midnight, and at midnight if obtained at noon.
If the pulses at the three positions are urgent and tight, it indicates pathology in the Abdomen, and...