心所伏者肾,所敌者肺,所喜者苦,所伤者咸卤。应三变八蒸之脏,和则性情悦乐。疾主惊痫恐悸,谵语
狂烦,涎流口角。痘主红 。
肝所伏者肺,所敌者脾,所喜者酸,所伤者辛辣。应初变六蒸之脏,和则魂魄壮,意智生。疾主风挛搐
搦,眼目赤肿疼痛。痘主水 。
肺所伏者心,所敌者肝,所喜者辣,所伤者苦。应二变七蒸之脏。和则气爽神清魂
强。疾主喘满咳嗽,虚痰壅盛。痘主脓 。
脾所伏者肝,所敌者肾,所喜者甜,所伤者酸酽。应四变九蒸之脏。和则消谷食,美
滋味。疾主呕哕疳积,泻痢潮热,不思乳食。痘主结痴。
肾所伏者脾,所敌者心,所喜者咸,所伤者甘甜。应五变十蒸之脏。和则嬉戏笑语
精神。疾主黑齿崩沙, 耳脓汁。痘主黑陷。
左颊者肝之部,应左手关位风木之分。额为心之部,应左手寸口君火之分。鼻为脾之
部,应右手关位湿土之分。右颊为肺之部,应右手寸口燥金之分。颐为肾之部,应左手尺
部寒水之分。向有初气二气之说,颇不应,详见余别着脉覆中。
小儿五岁以下,未可诊寸关尺,惟看男左女右虎口。食指一节寅位为风关,脉见易
治。第二节卯位为气关,脉见为病深。第三节辰位为命关,脉见为病危。
色紫为热,色红伤寒,色青惊风,色白疳疾,惟黄色隐隐,为常候也。色黑者多危。
脉纹入掌为内钓。纹弯里为风寒。弯外为食积。病重时纹势弯入,犹可挽回,弯外者,万不救一。
五岁以上,以一指取寸关尺三部,六至为和平,七八至为热,四五至为寒。浮弦为
风痫,沉缓为伤食,促为惊,细为冷,单细为疳劳,洪为虫积,浮而迟,潮热者为胃寒。
半岁以下,于眉端发际之间,以名中食三指候之,儿头在左,举右手候,儿头在右。
举左手候,食指近发为上,名指近眉为下,中指为中。三指俱热,外感于风,鼻寒咳嗽。三
指俱冷,外感于寒,内伤饮食,发热吐泻。食中二指热,主上热下冷。名中二指热,主夹惊。食指热,主食滞。
心所克制的是肾,被肺所克制,喜好苦味,易受咸味伤害。作为对应三变八蒸的脏器,功能调和时则性情愉悦快乐。疾病主要表现为惊痫、恐惧心悸、胡言乱语、狂躁烦闷、口角流涎。痘疹表现为红色。
肝所克制的是肺,被脾所克制,喜好酸味,易受辛辣味伤害。作为对应初变六蒸的脏器,功能调和时则魂魄强健,意念智慧产生。疾病主要表现为风邪引起的痉挛抽搐,眼睛红肿疼痛。痘疹表现为水疱状。
肺所克制的是心,被肝所克制,喜好辣味(辛),易受苦味伤害。作为对应二变七蒸的脏器,功能调和时则气息清爽、神志清明、魂力强健。疾病主要表现为气喘胸满、咳嗽,虚痰壅盛。痘疹表现为化脓。
脾所克制的是肝,被肾所克制,喜好甜味,易受酸涩浓烈味道伤害。作为对应四变九蒸的脏器,功能调和时则能消化谷物食物,觉得滋味美好。疾病主要表现为呕吐呃逆、疳积,腹泻痢疾、潮热,不想吃奶或食物。痘疹表现为结痂。
肾所克制的是脾,被心所克制,喜好咸味,易受甘甜味道伤害。作为对应五变十蒸的脏器,功能调和时则嬉戏笑语、精神饱满。疾病主要表现为牙齿发黑、牙龈溃烂如沙崩,耳朵流出脓汁。痘疹表现为黑色下陷。
左脸颊是肝的部位,对应左手关部脉象中属风木的部分。额头是心的部位,对应左手寸口脉象中属君火的部分。鼻子是脾的部位,对应右手关部脉象中属湿土的部分。右脸颊是肺的部位,对应右手寸口脉象中属燥金的部分。下巴(颐)是肾的部位,对应左手尺部脉象中属寒水的部分。以往有初气、二气的说法,很不准确,详细内容见我另外撰写的《脉覆》中。
五岁以下的小儿,不可以诊察寸、关、尺三部脉,只看男左女右的虎口指纹。食指第一节寅位为风关,看到脉纹容易治疗。第二节卯位为气关,看到脉纹表示病深。第三节辰位为命关,看到脉纹表示病危。
颜色紫为热证,颜色红为伤寒,颜色青为惊风,颜色白为疳疾,只有隐隐约约的黄色,是正常的征候。颜色黑的多属危重。
脉纹进入手掌为内钓证。纹弯曲向里为风寒。弯曲向外为食积。病情重时纹势弯曲向内,还可以挽回,弯曲向外的,万中无一能救活。
五岁以上的小儿,用一根手指诊察寸、关、尺三部脉,脉搏跳动六次为平和,七八次为热证,四五次为寒证。浮弦脉为风痫,沉缓脉为伤食,促脉为受惊,细脉为冷证,单细脉为疳劳,洪大脉为虫积,浮而迟且伴有潮热的为胃寒。
半岁以下的小儿,在眉毛末端与发际之间,用无名指和中指、食指三指来候察,如果小儿头朝左,举起右手候察;如果小儿头朝右,举起左手候察。食指靠近发际为上,无名指靠近眉毛为下,中指为中。三指都热,是外感风邪,鼻寒咳嗽。三指都冷,是外感寒邪,内伤饮食,发热吐泻。食指和中指热,主上热下冷。无名指和中指热,主夹惊。食指热,主食滞。
The organ that subdues the Heart is the Kidney; the Heart is subdued by the Lung. The Heart favors the bitter taste and is injured by the salty flavor. As the zang-organ corresponding to three transformations and eight steamings, when in harmony, it results in a joyful and happy disposition. Diseases primarily manifest as fright epilepsy, fear, palpitations, delirious speech, mania, restlessness, and drooling from the corners of the mouth. In smallpox, the lesions are red.
The organ that subdues the Liver is the Lung; the Liver is subdued by the Spleen. The Liver favors the sour taste and is injured by pungent and spicy flavors. As the zang-organ corresponding to initial transformation and six steamings, when in harmony, it strengthens the Hun and Po spirits and generates intention and wisdom. Diseases primarily manifest as wind-induced spasms and convulsions, and red, swollen, painful eyes. In smallpox, the lesions are vesicular (water-like).
The organ that subdues the Lung is the Heart; the Lung is subdued by the Liver. The Lung favors the pungent (spicy) taste and is injured by the bitter taste. As the zang-organ corresponding to two transformations and seven steamings, when in harmony, it ensures clear breath, lucid spirit, and strong Hun. Diseases primarily manifest as wheezing, chest fullness, cough, and excessive accumulation of deficiency phlegm. In smallpox, the lesions suppurate.
The organ that subdues the Spleen is the Liver; the Spleen is subdued by the Kidney. The Spleen favors the sweet taste and is injured by sour and astringent flavors. As the zang-organ corresponding to four transformations and nine steamings, when in harmony, it aids digestion of grains and foods and enhances the perception of flavors. Diseases primarily manifest as vomiting, hiccups, infantile malnutrition (Gan syndrome), diarrhea, dysentery, tidal fever, and anorexia for milk or food. In smallpox, the lesions form scabs.
The organ that subdues the Kidney is the Spleen; the Kidney is subdued by the Heart. The Kidney favors the salty taste and is injured by the sweet taste. As the zang-organ corresponding to five transformations and ten steamings, when in harmony, it promotes playful laughter and robust spirit. Diseases primarily manifest as blackened teeth, gingival ulceration resembling sand collapse, and purulent discharge from the ears. In smallpox, the lesions are black and depressed.
The left cheek corresponds to the region of the Liver, aligning with the Guan position of the left hand pulse, representing the Wood of Wind. The forehead corresponds to the region of the Heart, aligning with the Cun position of the left hand pulse, representing the Fire of Sovereign. The nose corresponds to the region of the Spleen, aligning with the Guan position of the right hand pulse, representing the Earth of Dampness. The right cheek corresponds to the region of the Lung, aligning with the Cun position of the right hand pulse, representing the Metal of Dryness. The chin (Yi) corresponds to the region of the Kidney, aligning with the Chi position of the left hand pulse, representing the Water of Cold. Previously, there were theories regarding "Initial Qi" and "Second Qi," which are largely inaccurate; details can be found in my separate work, *Mai Fu*.
For children under five years old, the Cun, Guan, and Chi pulses cannot be diagnosed; instead, one observes the Tiger's Mouth (web between thumb and index finger) vein on the left for boys and the right for girls. The first segment of the index finger, at the Yin position, is the Wind Gate; if the vein is visible here, the disease is easy to treat. The second segment, at the Mao position, is the Qi Gate; if the vein extends here, the disease is deep. The third segment, at the Chen position, is the Life Gate; if the vein extends here, the disease is critical.
A purple color indicates Heat; red indicates Cold Damage (Shanghan); green indicates Fright Wind; white indicates Infantile Malnutrition (Gan disease). Only a faint yellow color is considered a normal sign. A black color indicates a critical condition.
If the vein enters the palm, it indicates Internal Hooking. If the vein curves inward, it indicates Wind-Cold. If it curves outward, it indicates Food Stagnation. When the disease is severe, if the vein curves inward, recovery is still possible; if it curves outward, fewer than one in ten thousand will survive.
For children over five years old, use one finger to palpate the Cun, Guan, and Chi positions. Six beats per respiration cycle indicate peace/health; seven to eight beats indicate Heat; four to five beats indicate Cold. A floating and wiry pulse indicates Wind Epilepsy; a deep and moderate pulse indicates Food Injury; a rapid pulse indicates Fright; a fine pulse indicates Cold; a single fine pulse indicates Gan Consumption; a surging pulse indicates Parasite Accumulation; a floating and slow pulse with tidal fever indicates Stomach Cold.
For infants under half a year old, examine the area between the eyebrow ends and the hairline using the middle, ring, and index fingers. If the infant's head is to the left, raise the right hand to examine; if the head is to the right, raise the left hand. The index finger near the hairline represents the Upper position; the ring finger near the eyebrows represents the Lower position; the middle finger represents the Middle position. If all three fingers are hot, it indicates external Wind invasion with nasal cold and cough. If all three fingers are cold, it indicates external Cold invasion and internal dietary injury, leading to fever, vomiting, and diarrhea. If the index and middle fingers are hot, it indicates Upper Heat and Lower Cold. If the ring and middle fingers are hot, it indicates complication with Fright. If only the index finger is hot, it indicates Food Stagnation.