夫小儿脉。三岁以上。五岁以下。然可看候。与大人有异。呼吸八至。是其常也。九至
者病。十至者困。
小儿脉紧者。必风痫也。脉沉者。乳不消。脉弦急者为客忤。脉沉数者骨间有冷。脉浮
而数
长乍
小儿变蒸之时。身热而脉乱。汗出。不欲食乳。食乳则吐逆。不可用药。必自瘥矣。
小儿病困。汗出如珠。着身不流者不可治。
小儿久下痢。脉浮而腹痛者。不可治。
小儿有病。胸陷。口唇干。目直。口中气冷。头低。卧不举身。手足垂软。身体强直。
掌中冷。皆不可治。
脉一动一止二日死。一经云一日死。脉二动一止三日死。脉三动一止四日死。或五日死
。脉
一止
一经云
一经云
一经云
死。脉
脉来五十投而不止者。五脏皆受气。是荣卫不失。即无病也。脉来四十投而一止者。一
脏无
投而
脉一来而久住者。病在心主中。脉二来而久住者。病在肝支中。脉三来而久住者。病在
脾下。脉四来而久住者。病在肾间。脉五来而久住者。病在肺支间。
五脉病虚羸。人得此者死。所以然者。药不得而治。针不得而及。如是盛人可治。气全
故也。
脉病。人不病。来如屋漏雀啄者死。屋漏者。绝止时时复起。而不相连者也。雀啄者。
顿来其数而疾也。又经云。得病七八日。脉如屋漏雀啄者死。脉弹人手如黍米也。
脉来如弹石。去如解索者死。弹石者。辟辟急也。解索者。动数而随散乱。无复次绪也
顺则生。逆则死。所谓顺者。手足温。逆者手足冷也。病患脉如虾之游。如鱼之翔者死。如
虾游者。苒苒起寻复退没。不知所在。久乃复起。起辄迟。而没去速者是也。鱼翔者。似鱼
不行而但掉尾动头。诊而久住者是也。
脉浮短者其人肺伤诸气微少。不过一年死。法当嗽也。脉如转豆者死。脉如偃刀者死。
似侧刀刃也。脉涌涌不去者死。脉分绝者死。而上下分散也。
脉有表无里者死。经名曰结去。何谓结去。在指下如麻子动摇而去。属肾。名曰结去。
不可
而微
脉来洪大。盛而坚硬者。血气俱盛实也。
病若闭目不欲见人。脉当得汗脉强急而长。而反得肺脉浮短而涩者死。
病若开目而渴。心下牢者。脉当得紧实而数。反得濡而微者死。
病若吐血复鼻衄。脉当得沉细。而反浮大牢者死。
病若谵言妄语。身有热。脉当洪大。而反手足四逆。脉细而微者死。
病若大肠而泄。脉当微细涩。而反得紧大而滑者死。
又形脉与病相反者死。
病头痛目痛脉反短涩者死。
病若腹痛。脉反浮大而长者死。
病若腹满而喘。脉反滑利者死。
病若四肢厥逆。脉反浮大而短者死。
病若耳聋。脉反浮大而涩者死。
病若脑痛。脉反大而缓者死。
左有病右痛。下有病上痛。此为逆。逆者不可治。
脉来沉之绝濡。浮之不止。推手者半月死。
人形病脉不病者生。脉病形不病者死。
人病尸厥。呼之不应。脉绝者死。脉当大反小者死。
肥人脉细小如丝欲绝者死。羸人得躁脉者死。人自涩。而脉来往滑者死。人自滑。而脉
来涩者死。人自小。而脉来往大者死。人自短。而脉来往长者死。人自长。而脉来往短者死。
人
诊五脏六腑十二经脉。皆有相反。有一反逆。即为死候也。
小儿的脉象，在三岁以上、五岁以下的儿童身上，可以观察诊察，这与成人的脉象有所不同。正常呼吸八次脉搏跳动，这是常态。九至（每呼吸周期脉搏跳动九次）为病态，十至则为危重困顿之象。
小儿脉象紧者，必定是风痫（由风邪引起的癫痫类疾病）。脉象沉者，是乳食不消化所致。脉象弦急者，是客忤（外邪侵袭或惊吓所致的小儿急惊风）。脉象沉数者，骨骼间有寒气。脉象浮而数长乍现者，多见于小儿变蒸（婴幼儿生长发育过程中的生理现象）之时。此时身体发热而脉象紊乱，出汗，不想吃奶，吃了奶就会呕吐逆出，此时不可用药治疗，必然自行痊愈。
小儿病情危重，汗出如珍珠状，附着在身上但不流动者，不可治愈。
小儿患病，出现胸部凹陷，口唇干燥，眼睛直视，口中气息寒冷，头低垂，躺卧时不能翻身，手足下垂软弱，身体强直，手掌心发冷，这些症状都表明不可治愈。
脉搏跳动一次停顿一次，预示两日后死亡；另一说法是一日后死亡。脉搏跳动两次停顿一次，预示三日后死亡。脉搏跳动三次停顿一次，预示四日后死亡，或五日后死亡。
脉搏跳动五十次而不出现停顿的，说明五脏都接受了气血，营卫之气没有丧失，即无疾病。脉搏跳动四十次出现一次停顿的，说明一脏无气……（原文此处有缺漏/乱码，依文意推断为对应脏腑气绝）。
脉搏跳动一次后长时间停留者，病在心主中。脉搏跳动两次后长时间停留者，病在肝支中。脉搏跳动三次后长时间停留者，病在脾下。脉搏跳动四次后长时间停留者，病在肾间。脉搏跳动五次后长时间停留者，病在肺支间。
五种脉象显示病虚体瘦，人若得此脉则死。之所以如此，是因为药物无法治疗，针灸也无法触及。如果是体质强壮的人，尚可治愈，因为元气充足。
脉象与病情不符的情况：病人外表看似无病，但脉象如屋漏滴水或雀啄米般者死。“屋漏”指脉搏断续停止，时而复起，且不相连贯。“雀啄”指脉搏急促而来，频率快。另一经书说，患病七八日，脉象如屋漏、雀啄者死。脉象弹击人手，感觉像黍米一样坚硬短促。
脉搏来势如弹石般急硬，去势如解索般散乱者死。“弹石”指脉搏辟辟急硬。“解索”指脉搏数动随后散乱，没有次序。顺则生，逆则死。所谓“顺”，是指手足温暖；所谓“逆”，是指手足冰冷。病患脉象如虾游动、如鱼翔泳者死。如虾游者，指脉搏微弱起伏，随即隐没消失，不知去向，许久之后才再次出现，出现时缓慢，隐没时迅速。如鱼翔者，似鱼不前行只摆动尾巴和头部，诊察时脉搏长时间停留不动。
脉象浮短者，其人肺脏受损，诸气微弱稀少，不超过一年会死亡，法当咳嗽。脉象如转豆者死。脉象如偃刀（仰卧的刀刃）者死，类似侧刃的锋利感。脉象涌涌不去者死。脉象分绝者死，指上下分散离散。
脉象有表无里者死，经书称之为“结去”。什么是“结去”？指在指下感觉如麻子动摇而去，属肾脏，名为“结去”，不可……（原文此处有缺漏/乱码）。
脉搏来势洪大，盛大而坚硬者，是血气俱盛实。
病症表现为闭眼不愿见人，脉象应当得到汗脉（注：此处原文可能有误，通常应为缓脉或相应脉象），却反而得到肺脉（浮短而涩）者死。
病症表现为睁眼口渴，心下部硬满者，脉象应当得到紧实而数的脉象，反而得到濡而微的脉象者死。
病症表现为吐血又鼻衄（流鼻血），脉象应当得到沉细的脉象，反而得到浮大牢实的脉象者死。
病症表现为胡言乱语、妄语，身体发热，脉象应当洪大，反而出现四肢厥逆，脉象细而微者死。
病症表现为大肠泄泻，脉象应当微细涩，反而得到紧大而滑的脉象者死。
肥胖之人脉象细小如丝欲绝者死。消瘦之人得躁脉者死。人自身脉涩，而脉来往滑利者死。人自身脉滑，而脉来往涩滞者死。人自身脉小，而脉来往大者死。人自身脉短，而脉来往长者死。人自身脉长，而脉来往短者死。
The pulse of infants and young children, specifically those between three and five years of age, can be observed and diagnosed, differing from that of adults. Eight pulsations per respiration cycle is the normal state. Nine pulsations indicate disease, while ten pulsations indicate a critical and distressed condition.
A tight pulse in a child indicates Feng Xian (wind-induced epilepsy). A deep pulse indicates indigestion of milk. A wiry and rapid pulse indicates Ke Wu (external pathogenic invasion or fright-induced acute convulsion). A deep and rapid pulse indicates coldness in the bones. A floating, rapid, and long pulse appearing intermittently is often seen during Bian Zheng (physiological growth and development phases in infants). At this time, the body may be feverish with a chaotic pulse, sweating, anorexia for milk, and vomiting after feeding; medication should not be used, as spontaneous recovery will occur.
If a critically ill child sweats profusely like pearls that adhere to the skin without flowing, the condition is incurable.
If a child suffers from chronic dysentery accompanied by a floating pulse and abdominal pain, the condition is incurable.
If a sick child presents with sunken chest, dry lips, staring eyes, cold breath, drooping head, inability to turn over while lying down, flaccid limbs, rigid body, and cold palms, these signs indicate an incurable condition.
One pulsation followed by one pause predicts death in two days; another text states one day. Two pulsations followed by one pause predict death in three days. Three pulsations followed by one pause predict death in four or five days.
Fifty pulsations without any pause indicate that all five Zang organs are receiving Qi, Ying and Wei (Nutritive and Defensive) Qi are intact, and there is no disease. Forty pulsations with one pause indicate that one Zang organ lacks Qi... [Text corruption/omission in source].
A pulse that lingers long after one beat indicates pathology in the Heart Master. After two beats, it indicates pathology in the Liver branches. After three beats, it indicates pathology below the Spleen. After four beats, it indicates pathology in the Kidney region. After five beats, it indicates pathology in the Lung branches.
Five types of pulses indicating deficiency and emaciation lead to death if found in a patient. This is because neither medicine nor acupuncture can effectively treat such cases. However, robust individuals may still be curable due to sufficient Yuan Qi (Original Qi).
When the physical appearance does not match the pulse: if the patient appears healthy but the pulse resembles "House Leaking" (irregular, intermittent drops) or "Sparrow Pecking" (rapid, jerky strikes), death ensues. "House Leaking" refers to pulses that stop intermittently and restart without continuity. "Sparrow Pecking" refers to rapid, frequent strikes. Another classic states that if, after seven or eight days of illness, the pulse resembles House Leaking or Sparrow Pecking, death occurs. A pulse that feels like millet seeds striking the finger is also ominous.
A pulse coming hard like a bouncing stone and going scattered like untying a knot indicates death. "Bouncing Stone" means hard and urgent. "Untying a Knot" means rapid yet disordered and scattered without sequence. Following the natural order leads to life; reversing it leads to death. "Following" means warm extremities; "Reversing" means cold extremities. A pulse resembling a swimming shrimp or a gliding fish indicates death. "Swimming Shrimp" refers to a faint pulse that rises slightly then vanishes, reappearing only after a long delay, slowly rising and quickly disappearing. "Gliding Fish" refers to a pulse that seems stationary but moves its tail and head, lingering long during diagnosis.
A floating and short pulse indicates lung injury and scarcity of Qi, leading to death within a year, typically accompanied by coughing. A pulse like rolling beans indicates death. A pulse like an inverted knife (sharp edge) indicates death. A surging pulse that does not recede indicates death. A divided and severed pulse indicates dispersion and death.
A pulse present on the exterior but absent on the interior indicates death, termed "Jie Qu" (Knot Departure). In "Jie Qu," the pulse feels like moving hemp seeds under the fingers, associated with the Kidneys. [Text corruption/omission in source].
A洪大 (Hong Da - Vast and Large) pulse that is vigorous and hard indicates excess of both Blood and Qi.
If a patient closes their eyes and avoids people, the pulse should be soft/sweating-type; if instead a Lung pulse (floating, short, and choppy) is found, death ensues.
If a patient keeps their eyes open, feels thirsty, and has hardness in the epigastrium, the pulse should be tight, solid, and rapid; if instead a soggy and fine pulse is found, death ensues.
If a patient vomits blood and suffers epistaxis, the pulse should be deep and fine; if instead a floating, large, and firm pulse is found, death ensues.
If a patient speaks deliriously with hallucinations and has fever, the pulse should be vast and large; if instead extremities are cold (Si Ni) and the pulse is fine and minute, death ensues.
If a patient suffers from intestinal diarrhea, the pulse should be fine, minute, and choppy; if instead a tight, large, and slippery pulse is found, death ensues.
Furthermore, if the physical symptoms contradict the pulse, death ensues.
Headache and eye pain with a contrary short and choppy pulse indicate death. Abdominal pain with a contrary floating, large, and long pulse indicates death. Abdominal fullness with wheezing and a contrary slippery pulse indicate death. Extremity coldness (Si Ni) with a contrary floating, large, and short pulse indicates death. Deafness with a contrary floating, large, and choppy pulse indicates death. Headache with a contrary large and slow pulse indicates death.
Pain on the left side when the disease is on the right, or pain above when the disease is below, constitutes a Reversal (Ni). Reversals are incurable.
A pulse that is absent and soggy on deep pressure but unceasing on superficial pressure, with the hand pulse ceasing upon pushing, predicts death in half a month.
If the body is diseased but the pulse is normal, life is preserved. If the pulse is diseased but the body appears normal, death ensues.
In cases of Shi Jue (Corpse Fainting) where the patient is unresponsive to calls, a ceased pulse indicates death. A pulse that should be large but becomes small also indicates death.
A thin person with a wiry pulse like silk about to cease dies. An emaciated person with a restless pulse dies. If a person's constitution is rough/choppy but the pulse is smooth, they die. If a person's constitution is smooth but the pulse is rough/choppy, they die. If a person's pulse is naturally small but becomes large, they die. If naturally short but becomes long, they die. If naturally long but becomes short, they die.
Diagnosis of the Five Zang, Six Fu, and Twelve Meridians involves checking for contradictions. Any single contradiction indicates a fatal prognosis.