脉阳浮而阴弱。谓之伤风。(邪在六经俱弦。加之阳浮。卫中风也。阴弱。荣气弱也。
风伤阳。故浮虚。)
脉浮紧而无汗。谓之伤寒。(寒伤荣。荣实卫虚。阳脉紧。邪在上焦。主欲汗。)
脉浮。头项痛。腰脊强。病在太阳。
脉长。身热鼻干。目痛。不得卧。病在阳明。
脉弦。胸胁痛。耳聋。往来寒热。病在少阳。
脉沉细。咽干。腹满自利。病在太阴。
脉微缓。口燥舌干而渴。病在少阴。
脉沉涩。烦满囊缩。病在厥阴。
脉阴阳俱盛。重感于寒而紧涩。变为温疟。(阴阳紧盛。伤寒之脉。前病热未已。复感
于寒也。)
脉阳洪数。阴实大太过。湿热相合。变为湿毒。(洪数大皆热。两热相合也。)
脉阳濡弱。阴弦紧。更遇湿气。变为瘟疫。
病发热。脉沉细。表得太阳。名曰 病。
脉阳浮滑。阴濡而弱。更遇于风。变为风温。(阳脉浮滑。阴脉濡弱。皆风脉也。前脉
未除。风木乘热也。)
病太阳。关节疼痛而烦。脉沉细。名曰湿痹。
病太阳。身热疼痛。脉微弱弦芤。名曰中 。
若发汗已。身灼然热。名曰风温。(风温为病。脉阴阳俱浮。自汗出。身重。多眠睡。
鼾。
语难。更被下者。小便不利。若被火。微发黄色者。则惊痫。时螈 。若火熏。则死矣。)
脉沉细而疾。身凉四肢冷。烦躁不欲饮水。狂闷。名曰阳厥。伤寒热盛。脉浮而大者生
沉小者死。(已汗。沉小者生。大者死也。)
脉象寸部浮而尺部弱,称为伤风。(邪气在六经均表现为弦脉,加上寸脉浮,是卫分受中风邪。尺脉弱,是营气虚弱。风邪损伤阳气,所以脉象浮虚。)
脉象浮紧且无汗,称为伤寒。(寒邪损伤营分,导致营实卫虚。阳脉紧,说明邪气在上焦,主症为想要出汗但不得出。)
脉象浮,伴有头项疼痛、腰脊僵硬,病位在太阳经。
脉象沉细,伴有咽干、腹部胀满、自发性腹泻,病位在太阴经。
脉象沉涩,伴有烦闷、阴囊收缩,病位在厥阴经。
脉象阴阳两部都盛大,若再次感受寒邪而变得紧涩,会转变为温疟。(阴阳脉紧盛,是伤寒的脉象;前一种病的余热未消,又再次感受寒邪所致。)
脉象寸部洪数,尺部实大且太过,湿热相合,会转变为湿毒。(洪、数、大脉都属于热象,两种热邪相合所致。)
脉象寸部浮滑,尺部濡弱,若再遇到风邪,会转变为风温。(寸脉浮滑,尺脉濡弱,都是风邪的脉象。之前的脉象未除,风木之气乘热势而上扰。)
患太阳病,身体发热疼痛,脉象微弱、弦或芤,名为中喝(中暑)。
如果发汗后,身体灼热,名为风温。(风温这种病,脉象阴阳两部都浮,自汗出,身体沉重,嗜睡,打鼾,言语困难。如果再被误用泻下法,会导致小便不利;如果被误用火疗,轻微的发黄,则会出现惊痫、抽搐。如果火疗严重如火熏,则会死亡。)
脉象沉细而快速,身体凉爽四肢冰冷,烦躁不想喝水,神志狂乱闷乱,名为阳厥。伤寒热盛时,脉象浮大的预后良好,脉象沉小的预后不良。(已经发过汗的,脉象沉小者生,脉象大者死。)
The pulse is floating at the cun position and weak at the chi position. This is called Wind Injury (Shang Feng). (Pathogenic factors in the Six Channels all present with a wiry pulse; added to this, the yang pulse is floating, indicating Wei Qi has been struck by wind. The yin pulse is weak, indicating Ying Qi deficiency. Wind damages Yang, hence the floating and deficient quality.)
The pulse is floating and tight without sweating. This is called Cold Injury (Shang Han). (Cold damages Ying, making Ying excess and Wei deficiency. The yang pulse is tight, pathogen is in the Upper Jiao, primarily manifesting as a desire to sweat but inability to do so.)
The pulse is floating, accompanied by headache and stiffness of the head and neck, and stiffness of the waist and spine. The disease is in the Taiyang channel.
The pulse is long, accompanied by fever, dry nose, eye pain, and inability to lie down. The disease is in the Yangming channel.
The pulse is wiry, accompanied by hypochondriac pain, deafness, and alternating chills and fever. The disease is in the Shaoyang channel.
The pulse is deep and fine, accompanied by dry throat, abdominal fullness, and spontaneous diarrhea. The disease is in the Taiyin channel.
The pulse is slightly slow, accompanied by dry mouth and tongue with thirst. The disease is in the Shaoyin channel.
The pulse is deep and choppy, accompanied by irritability, fullness, and retraction of the scrotum. The disease is in the Jueyin channel.
Both yin and yang pulses are excessive. If additionally affected by cold, becoming tight and choppy, it transforms into Warm Malaria (Wen Nue). (Tight and excessive yin-yang pulses are characteristic of Cold Injury; the previous heat illness has not yet resolved, and cold is contracted again.)
The yang pulse is surging and rapid, and the yin pulse is solid, large, and excessive. Damp-heat combine to transform into Damp-Toxin (Shi Du). (Surging, rapid, and large pulses all indicate heat; two heats combining.)
The yang pulse is soft and weak, and the yin pulse is wiry and tight. If additionally exposed to dampness, it transforms into Plague (Wen Yi).
The patient has fever, and the pulse is deep and fine. The exterior syndrome belongs to Taiyang, named "He" Disease (Heat Stroke/Ye Zhong).
The yang pulse is floating and slippery, and the yin pulse is soft and weak. If additionally exposed to wind, it transforms into Wind-Warmth (Feng Wen). (Yang pulse floating and slippery, yin pulse soft and weak, both are wind pulses. The previous pulse pattern remains, and Wind Wood overcomes Heat.)
Taiyang disease presents with joint pain and irritability, and the pulse is deep and fine, named Damp Bi (Shi Bi).
Taiyang disease presents with fever and body pain, and the pulse is slight, weak, wiry, or knotted (Kou), named Zhong He (Heat Stroke).
If after inducing sweating, the body becomes burning hot, it is named Wind-Warmth (Feng Wen). (In Wind-Warmth disease, the yin and yang pulses are both floating, there is spontaneous sweating, heaviness of the body, excessive sleepiness, snoring, and difficulty speaking. If further subjected to purgation, urination will be difficult. If subjected to fire therapy, mild yellowing may occur, leading to fright and convulsions. If treated with severe fire like smoking, death ensues.)
The pulse is deep, fine, and rapid. The body is cool, limbs are cold, there is irritability, no desire to drink water, mania, and oppression. This is named Yang Jue (Yang Reversal). In Cold Injury with intense heat, a floating and large pulse indicates survival, while a deep and small pulse indicates death. (After sweating, a deep and small pulse indicates survival, while a large pulse indicates death.)