浮芤相传。中风衄血。浮滑相传。中风吐逆。浮实相传。中风下利。浮弦相传。中风拘急。浮紧相
传。中风体痛。浮洪相传。中风发热。
伤寒热盛。脉浮大者生。沉小者死。
伤寒头痛。脉洪大者可治。实牢者生。沉细者死。
伤寒已得汗。脉沉小者生。浮大者死。
伤寒咳嗽上气。脉散者死。(谓其形损故也)
温病三四日不得汗。脉细难得者死。
温病 大热。脉细小者死。
温病身体温。脉洪大者可治。微细者剧。
温病大便不利。腹中痛甚者死。
热病三五日。身体热。腹满痛。食饮如故。脉直而疾者。八日死。
热病七八日。气不喘。脉不数者。当后三日温汗。汗不出者死。
热病七八日。脉微细。小便黄赤。口燥舌焦干黑者死。
热病已得汗。脉安静者生。躁盛者气极也。必死。
热病汗后。脉静者当便瘥。喘热脉乱者死。
热病脉躁盛。得汗者生。不得汗者阳极也。十死不治。
热病已得汗。常大热不去者死。(脉必盛也)
热病已得汗。热未去。脉微躁者。切不得针灸。
热病发热甚者。其脉阴阳皆竭。切勿针灸。汗不出者必死。
水病脉洪者可治。微细者不可治。
水病腹大如鼓。脉实者生。虚者死。
水病阴闭。脉浮大者生。沉细虚小者死。
消渴脉数大者生。细小浮短者死。(一云虚小者死)
消渴脉实大。病久可治。脉小紧急不可治。(人病口甘而渴。此因数食甘美而多肥。五气之
溢也。谓之脾瘅。或病口苦而渴。此因数谋虑不决。胆气上溢也。谓之胆瘅。凡消瘅之脉。实大
病久可治。悬小坚病久不可治。)
浮脉与芤脉相继出现,主中风及鼻出血。
浮脉与滑脉相继出现,主中风及呕吐逆气。
浮脉与实脉相继出现,主中风及腹泻。
浮脉与弦脉相继出现,主中风及肢体拘挛紧急。
浮脉与紧脉相继出现,主中风及身体疼痛。
浮脉与洪脉相继出现,主中风及发热。
伤寒热势炽盛,若脉象浮大者预后良好(生),若脉象沉小者预后不良(死)。
伤寒伴有头痛,若脉象洪大者可以治疗,若脉象实牢者预后良好(生),若脉象沉细者预后不良(死)。
伤寒已经出汗,若脉象沉小者预后良好(生),若脉象浮大者预后不良(死)。
伤寒伴有咳嗽、气逆上冲,若脉象散乱者预后不良(死)。(这是因为形体亏损的缘故)
温病经过三四天仍不能出汗,若脉象细小难以触及者预后不良(死)。
温病高热,若脉象细小者预后不良(死)。
温病身体温热,若脉象洪大者可以治疗,若脉象微细者病情加重(剧)。
温病大便不通畅,腹部剧烈疼痛者预后不良(死)。
热病经过三五天,身体发热,腹部胀满疼痛,但饮食如常,若脉象直而快速者,第八天会死亡。
热病经过七八天,气息不喘促,脉率不快者,应当再过三天通过温和发汗法治疗,若汗不出者预后不良(死)。
热病经过七八天,脉象微细,小便黄赤,口燥舌干焦黑者预后不良(死)。
热病已经出汗,若脉象安静者预后良好(生),若脉象躁动旺盛者说明正气极度衰竭,必然死亡。
热病出汗后,若脉象平静者应当逐渐痊愈,若气喘、发热且脉象紊乱者预后不良(死)。
热病脉象躁动旺盛,若能出汗者预后良好(生),若不能出汗者说明阳气极盛,十例死亡无法救治。
热病已经出汗,但持续高热不退者预后不良(死)。(此时脉象必定盛大)
热病已经出汗,但热势未退,脉象微弱且躁动者,切记不可使用针灸治疗。
热病发热严重者,其脉象的阴部和阳部皆枯竭,切勿使用针灸,若汗不出者必然死亡。
水肿病脉象洪大者可以治疗,脉象微细者不可治疗。
水肿病腹部胀大如鼓,若脉象实者预后良好(生),若脉象虚者预后不良(死)。
水肿病阴邪闭塞,若脉象浮大者预后良好(生),若脉象沉细虚小者预后不良(死)。
消渴病脉象数大者预后良好(生),脉象细小浮短者预后不良(死)。(另一种说法认为脉象虚小者预后不良)
消渴病脉象实大,病程长久者可以治疗,脉象小且紧急者不可治疗。(人患病口中甘甜而口渴,这是因为经常食用甘美肥腻食物所致,属于五气溢出的病证,称为脾瘅。或者患病口中苦而口渴,这是因为思虑过多决断不力,导致胆气上溢所致,称为胆瘅。凡是消瘅病的脉象,脉实大且病程长久者可以治疗,脉悬小而坚劲且病程长久者不可治疗。)
When the Floating (Fu) and Knife-edge (Kou) pulses appear together, it indicates Wind-stroke (Zhongfeng) with epistaxis.
When the Floating (Fu) and Slippery (Hua) pulses appear together, it indicates Wind-stroke (Zhongfeng) with vomiting and regurgitation.
When the Floating (Fu) and Excess (Shi) pulses appear together, it indicates Wind-stroke (Zhongfeng) with diarrhea.
When the Floating (Fu) and Wiry (Xian) pulses appear together, it indicates Wind-stroke (Zhongfeng) with muscle spasm and stiffness.
When the Floating (Fu) and Tight (Jin) pulses appear together, it indicates Wind-stroke (Zhongfeng) with body pain.
When the Floating (Fu) and Surging (Hong) pulses appear together, it indicates Wind-stroke (Zhongfeng) with fever.
In Cold Damage (Shanghan) with intense heat, a Floating and Large (Da) pulse indicates survival, whereas a Deep (Chen) and Small (Xiao) pulse indicates death.
In Cold Damage (Shanghan) accompanied by headache, a Surging (Hong) and Large (Da) pulse is treatable; an Excess (Shi) and Firm (Lao) pulse indicates survival, while a Deep (Chen) and Fine (Xi) pulse indicates death.
After sweating in Cold Damage (Shanghan), a Deep (Chen) and Small (Xiao) pulse indicates survival, whereas a Floating (Fu) and Large (Da) pulse indicates death.
In Cold Damage (Shanghan) with cough and rebellious Qi ascending, a Scattered (San) pulse indicates death (due to physical depletion).
In Warm Disease (Wenbing), if after three or four days there is no sweat and the pulse is Fine (Xi) and difficult to feel, it indicates death.
In Warm Disease (Wenbing) with high fever, a Fine (Xi) and Small (Xiao) pulse indicates death.
In Warm Disease (Wenbing) with warm body temperature, a Surging (Hong) and Large (Da) pulse is treatable, whereas a Micro (Wei) and Fine (Xi) pulse indicates severe condition.
In Warm Disease (Wenbing) with difficulty in defecation and severe abdominal pain, it indicates death.
In Heat Disease (Rebing), after three or five days, if the body is hot, the abdomen is full and painful, but eating and drinking remain normal, and the pulse is straight and rapid, death will occur on the eighth day.
In Heat Disease (Rebing), after seven or eight days, if there is no panting and the pulse rate is not rapid, mild sweating should be induced after three days; if sweat does not occur, it indicates death.
In Heat Disease (Rebing), after seven or eight days, if the pulse is Micro (Wei) and Fine (Xi), urine is yellow and red, and the mouth is dry with a scorched, black tongue, it indicates death.
In Heat Disease (Rebing), after sweating, a calm pulse indicates survival, whereas a restless and vigorous pulse indicates extreme Qi exhaustion and inevitable death.
After sweating in Heat Disease (Rebing), a calm pulse suggests gradual recovery; however, panting, fever, and a chaotic pulse indicate death.
If the pulse in Heat Disease (Rebing) is restless and vigorous, sweating indicates survival, whereas lack of sweating indicates extreme Yang excess, which is incurable and fatal.
In Heat Disease (Rebing), if after sweating the high fever persists, it indicates death (the pulse must be vigorous).
In Heat Disease (Rebing), if after sweating the heat has not subsided and the pulse is micro and restless, acupuncture and moxibustion must strictly be avoided.
In Heat Disease (Rebing) with severe fever, both Yin and Yang aspects of the pulse are exhausted; acupuncture and moxibustion must strictly be avoided, and if sweat does not occur, death is certain.
For Water Disease (Shuibing - edema), a Surging (Hong) pulse is treatable, whereas a Micro (Wei) and Fine (Xi) pulse is untreatable.
In Water Disease (Shuibing) with a drum-like distended abdomen, an Excess (Shi) pulse indicates survival, whereas a Deficient (Xu) pulse indicates death.
In Water Disease (Shuibing) with Yin obstruction, a Floating (Fu) and Large (Da) pulse indicates survival, whereas a Deep (Chen), Fine (Xi), Deficient (Xu), and Small (Xiao) pulse indicates death.
In Xiao Ke (Wasting and Thirsting Syndrome), a Rapid (Shu) and Large (Da) pulse indicates survival, whereas a Fine (Xi), Small (Xiao), Floating (Fu), and Short (Duan) pulse indicates death (another view holds that a Deficient and Small pulse indicates death).
In Xiao Ke (Wasting and Thirsting Syndrome), an Excess (Shi) and Large (Da) pulse in a chronic case is treatable, whereas a Small (Xiao) and Urgent (Jin) pulse is untreatable. (A patient suffering from a sweet taste in the mouth and thirst due to frequent consumption of sweet and fatty foods suffers from Pi Dan [Spleen Mania], caused by the overflow of Five Qi. Alternatively, a bitter taste in the mouth and thirst due to excessive deliberation and indecision causes Dan Dan [Gallbladder Mania], caused by the upward overflow of Gallbladder Qi. Generally, for Xiao Dan [Wasting-Thirsty] syndromes, an Excess-Large pulse in a chronic case is treatable, whereas a Suspended-Small and firm pulse in a chronic case is untreatable.)