脉分虚实为君说。浮、数、沉、迟，并冷热。关前阳脉数强浮。关后阴沉迟细脉。
难经云。脉有虚实。涩濡者为虚。坚牢者为实。五脏之气满而不能实。其实者邪也。故
邪盛
论曰。
曰数。
阳出
弦而数热兼风。沉、细为寒气上攻。阳浮为表阴沉里。尺寸关中看仔细。
浮弦数疾皆阳脉也。沉细微迟皆阴脉也。诸阳为热。诸阴为寒。热即生风。冷即气动。
脉浮
者也
学人要知生死期。九怪脉中定凶吉。结、促、牢、代四脉者。可取生死岁月期。
长、短、虚、促、结、代、牢、动、细者。乃九道脉名也。道者通之义。与七表八里脉
虽别
屋漏
也
假令四十动一止。一脏无气四岁死。三十动中一止时。三岁死二脏无气。脉来十动
一止之。
动中不应指。
五十动不一代者。五脏皆受气。是谓平和无病之人。四十动一代者。一脏无气四岁死。
三十
一岁
一呼三寸阳气出。一吸复然阴气入。阴阳呼吸定息匀。来往升降中不息。
呼吸者。气之出纳也。呼者随阳出。吸者随阴入。人一呼脉行三寸。一吸脉行三寸。呼
吸定
气周
肝未达而风气生。肾水下而雨滋湿。肺气清浮上属天。地气浊而生气嗌。脾司出纳
象空谷。
阴阳应象大论曰。天气通于肺。地气通于嗌。风气通于肝。雷气通于心。谷气通于脾。
雨气
以读
阳为形表血为阴。精气为营悍为卫。
气属阳主表。血属阴主里。血为营。气为卫。营卫者水谷之精气也。调和于五脏宣畅于
六腑
也。
五
络有十五经十二。上应周天下临地。水漏百刻运流行。与周天应为纲纪。
经有十二。络有十五。凡二十七。相随上下通流。气血相贯无有休息。故一岁阴阳之升
降。
万三
下
十二脉中合经水。内外相输为表里。人身血气要盈盈。六脉无邪无病体。
离合真邪论曰。夫圣人之起度数必应于天地。故天有宿度。地有经水。人有经脉。宿谓
二十
江水
三阴
海水。
外合于
阳明外
于三焦
水。内
应也。人之赖以生者。气与血而已。气卫于外。以充皮肤。血营于中。以营经络。周一体而
无间。
平者胃
火之精气主生神。水气充盈生志意。
精之化生曰神。意之所存曰志。心属南方丙丁火。位处离宫。为五脏之尊。神明出焉。
肾属
志藏
之中
洪钩夏脉居寸口。堪笑愚夫多不晓。脉若俱洪不带钩。钩不应时血常走。秋脉微毛
若无涩。
无邪体气清。
春弦、夏洪、秋毛、冬石。此乃四时之正脉。然亦须诊得有胃气。乃为平和无病之人。
但见
元气
故
春怕庚辛秋丙丁。微毛洪数病相侵。
春脉即肝脉也。脉当弦而急。而反得浮短而涩者。肺金邪乘肝也。故为肝病。是为贼邪。
玉函歌诀最玄微。痛人俗眼难探赜。若能精向义中求。审察玄通神可几。\x
玉函经歌诀。广成先生本素问难经而作也。意极幽玄。非讲读内经者。不能明也。后学
能精
脉象分为虚和实，现在为君主讲说。浮、数、沉、迟这四种脉象，分别对应冷和热两种病性。关前（寸部）的阳脉表现为数而强盛的浮脉；关后（尺部）的阴脉表现为沉、细、迟的脉象。
《难经》说：脉象有虚和实之分。涩脉和濡脉属于虚证，坚牢有力的脉象属于实证。五脏的气机特点是充满而不能壅实，所谓“实”是指邪气盛。因此，邪气盛……（原文此处似有脱漏或断句特殊，依文意接下文）论曰：脉数。阳气外出……弦而数的脉象兼有热和风，沉、细的脉象是寒气上攻所致。阳脉浮表示病在表，阴脉沉表示病在里。诊察时要仔细分辨尺寸关中的脉象。
浮、弦、数、疾都属于阳脉；沉、微、细、迟都属于阴脉。所有的阳脉主热，所有的阴脉主寒。热则生风，冷则气动。学者要知道判断生死期限的方法，通过九种怪脉可以定出凶吉。结脉、促脉、牢脉、代脉这四种脉象，可以推断生死的岁月期限。
长、短、虚、促、结、代、牢、动、细这九种脉，被称为九道脉。“道”是通达的意思，虽然与七表八里脉有所不同……（原文此处夹杂批注文字如“虽别”、“屋漏”，依正文逻辑整理）假使脉搏跳动四十次出现一次停顿，说明一脏无气，四年后死亡。三十次跳动中出现一次停顿，说明两脏无气，三年后死亡。脉搏来去十次跳动中有一次停顿……（原文此处有“动中不应指”等批注干扰，依医理及上下文补全逻辑）五十次跳动中没有出现代脉（规律性停顿），说明五脏都接受了气血，这是平和无病的人。如果四十次跳动就出现一次代脉，说明一脏无气，四年后死亡。
一呼之间，三寸阳气外出；一吸之间，阴气随之而入。阴阳呼吸使得定息均匀，气机来往升降在中焦不息。呼吸，是气的出入过程。呼气跟随阳气外出，吸气跟随阴气入内。人每呼气，脉行三寸；每吸气，脉行三寸。呼吸定息之间，气周流全身。
肝气未达时风气便产生，肾水下行则雨滋湿。肺气清轻上浮属天，地气浊重而生湿气阻塞咽喉。脾主出纳，像空谷一样容纳万物。
《阴阳应象大论》说：天气通于肺，地气通于咽喉，风气通于肝，雷气通于心，谷气通于脾，雨气……（原文此处有“以读”等干扰字，依经文补全）
阳为形之表，血为阴之质。精气称为营，悍气称为卫。气属阳主表，血属阴主里。血为营，气为卫。营卫是水谷的精气，调和于五脏，宣畅于六腑。
络有十五，经有十二，上应周天之度数，下临大地。如水漏百刻运行流行，与周天相应作为纲纪。
经脉有十二条，络脉有十五条，共二十七条，相随上下通流。气血相互贯穿，没有休息的时候。所以一年之中阴阳的升降……（原文此处有“万三”、“下”等干扰字）十二脉中合于经水，内外相输构成表里关系。人身血气要充盈，六脉无邪即为无病之体。
《离合真邪论》说：圣人制定度量标准必定顺应天地。所以天有宿度，地有经水，人有经脉。宿谓……（原文此处有“二十”、“江水”、“海水”等批注，依经文意译）外合于海水，阳明外……（原文结构较乱，提取核心义）应于三焦。人赖以生存的是气和血而已。气护卫于外，以充实皮肤；血营养于内，以滋养经络。周身一体而没有间隙。
平者胃……（原文此处有“火之精气主生神。水气充盈生志意。”）精的化生叫做神，意的存留叫做志。心属南方丙丁火，位处离宫，为五脏之尊，神明由此而出。肾属……（原文此处有“志藏”、“之中”等干扰，依医理补全）洪钩夏脉居寸口，可笑愚夫大多不晓得。脉象如果只有洪大而没有钩象，钩不应时血液常会妄行。秋脉微毛若无涩，无邪体气清。
春弦、夏洪、秋毛、冬石，这是四时的正脉。然而也必须诊察到有胃气，才是平和无病之人。但见……（原文此处有“元气”、“故”等干扰字）春怕庚辛秋丙丁，微毛洪数病相侵。
春脉即肝脉，脉应当弦而急，如果反而得到浮短而涩的脉，是肺金邪气乘袭肝脏，所以为肝病，这叫贼邪。
《玉函歌诀》最为玄妙微妙，世俗人的眼睛难以探求其中的奥秘。如果能精研向义理中寻求，审察玄通，神妙之境可接近了。
《玉函经》歌诀，是广成先生根据《素问》和《难经》而作的。意思极其幽深玄妙，不是讲读《内经》的人，不能明白它。后学……（原文此处有“能精”结尾，语意未尽）
The pulse is divided into deficiency and excess, which I will now explain to you. The floating (Fu), rapid (Shu), deep (Chen), and slow (Chi) pulses correspond to cold and heat conditions. In the anterior position (Cun/Inch) of the Guan (Bar) position, the Yang pulse is floating and strong with a rapid rate; in the posterior position (Chi/Cubit) of the Guan position, the Yin pulse is deep, fine, and slow.
The *Nan Jing* (Classic of Difficult Issues) states: Pulses are categorized as deficiency or excess. The choppy (Se) and soggy (Ru) pulses indicate deficiency, while firm and solid pulses indicate excess. The Qi of the five Zang organs is full but not obstructed by pathogenic factors; what is termed "excess" refers to the presence of pathogens. Therefore, when pathogens are abundant... [Text fragment] ...it is said that a rapid pulse indicates Yang emerging. A wiry and rapid pulse indicates heat combined with wind; a deep and fine pulse indicates attacking cold Qi. A floating Yang pulse indicates exterior pathology, while a sinking Yin pulse indicates interior pathology. One must examine the Cun, Chi, and Guan positions carefully.
Floating, wiry, rapid, and hurried pulses are all Yang pulses. Deep, faint, fine, and slow pulses are all Yin pulses. All Yang pulses relate to heat, and all Yin pulses relate to cold. Heat generates wind, and cold causes Qi movement.
Practitioners must know how to determine the time of death. Among the nine abnormal pulses (Jiu Guai Mai), one can ascertain auspiciousness or ominous signs. The knotted (Jie), intermittent (Cu), firm (Lao), and alternating (Dai) pulses allow for the estimation of life expectancy.
The long, short, deficient, rapid, knotted, alternating, firm, moving, and fine pulses constitute the Nine Dao Pulses. "Dao" implies connectivity. Although distinct from the Seven Superficial and Eight Interior pulses... [Text fragments regarding 'Wu Lou' etc.] ...For example, if there is one pause every forty beats, it indicates one Zang organ lacks Qi, leading to death within four years. If there is one pause every thirty beats, two Zang organs lack Qi, leading to death within three years. If there is one pause every ten beats... [Text fragments regarding 'Dong Zhong Bu Ying Zhi'] ...If there is no Dai pulse (regular pause) after fifty beats, the five Zang organs have received Qi; this describes a person who is peaceful and free of disease. If a Dai pulse appears every forty beats, one Zang organ lacks Qi, leading to death within four years.
With each exhalation, three cun of Yang Qi exits; with each inhalation, Yin Qi enters. The rhythm of respiration ensures balanced pauses, allowing ascent and descent of Qi to continue unceasingly in the center. Respiration is the entry and exit of Qi. Exhalation follows Yang outward; inhalation follows Yin inward. With each exhalation, the pulse travels three cun; with each inhalation, the pulse travels three cun. Through the cycle of respiration, Qi circulates throughout the body.
When Liver Qi fails to reach its destination, Wind Qi arises. When Kidney Water descends, Rain nourishes Dampness. Lung Qi is clear and floats upward, corresponding to Heaven. Earth Qi is turbid and generates Dampness that obstructs the throat. The Spleen governs intake and output, resembling an empty valley.
The *Treatise on Yin-Yang and Corresponding Images* states: Heavenly Qi connects with the Lungs; Earthly Qi connects with the throat; Wind Qi connects with the Liver; Thunder Qi connects with the Heart; Grain Qi connects with the Spleen; Rain Qi... [Text fragments].
Yang is the exterior of form, Blood is the substance of Yin. Essence-Qi is Ying (Nutritive), and Vigor-Qi is Wei (Defensive). Qi belongs to Yang and governs the exterior; Blood belongs to Yin and governs the interior. Blood is Ying, Qi is Wei. Ying and Wei are the refined essences of food and water, harmonizing within the five Zang organs and circulating freely through the six Fu organs.
There are fifteen Luo (Collateral) vessels and twelve Jing (Meridian) channels, corresponding to the degrees of the Zhou Tian (Celestial Sphere) above and the Earth below. Like the hundred marks of a water clock, they flow continuously, serving as the framework corresponding to the Celestial Sphere.
There are twelve Jing meridians and fifteen Luo collaterals, totaling twenty-seven, flowing up and down together. Qi and Blood interpenetrate without rest. Thus, the ascending and descending of Yin and Yang over a year... [Text fragments] ...the twelve pulses correspond to the rivers of the earth, connecting interior and exterior as table and lining. Human Qi and Blood should be abundant; if the six pulses show no pathogen, the body is healthy.
The *Treatise on Separating True from Evil* states: The Sage establishes measurements based on Heaven and Earth. Therefore, Heaven has stellar degrees, Earth has major rivers, and Humans have meridians. [Text fragments regarding 'Jiang Shui', 'Hai Shui'] ...externally corresponds to the Sea, Yangming externally... [Text fragments] ...internally corresponds to the San Jiao (Triple Burner). What sustains human life is Qi and Blood alone. Qi guards the exterior, filling the skin; Blood nourishes the interior, sustaining the meridians. The whole body is united without gap.
[Text fragments regarding 'Ping Zhe Wei'] ...The essence of Fire generates Shen (Spirit); the abundance of Water Qi generates Zhi (Will). The transformation of Essence is called Shen; the retention of Intent is called Zhi. The Heart belongs to Southern Bing-Ding Fire, located in the Li Palace, revered as the ruler of the five Zang organs, from which Shen emerges. The Kidney belongs to... [Text fragments].
The Hong-Gou (Surging-Hook) Summer pulse resides at the Cun position. It is laughable that many ignorant people do not understand. If the pulse is merely surging without the hook quality, and the hook does not appear at the proper time, blood may often escape. The Autumn pulse is slightly feathery (Mao) without being choppy, indicating clear Qi free of pathogens.
Spring is Wiry, Summer is Surging, Autumn is Feathery, Winter is Stone-like. These are the correct seasonal pulses. However, one must also diagnose the presence of Stomach Qi to confirm a person is peaceful and disease-free. But seeing... [Text fragments] ...Spring fears Geng-Xin (Metal days), Autumn fears Bing-Ding (Fire days); slight feathery or surging-rapid pulses indicate invading disease.
The Spring pulse is the Liver pulse. The pulse should be wiry and urgent. If instead it is floating, short, and choppy, it indicates Lung Metal pathogen attacking the Liver, resulting in Liver disease, known as "Thief Pathogen."
The *Yuhan Gejue* (Song Verses of the Jade Box Classic) is extremely profound and subtle. Ordinary eyes find it difficult to explore its mysteries. If one seeks precision within the principles, examining the profound and penetrating, one may approach divine understanding.
The *Yuhan Jing* song verses were composed by Master Guangcheng based on the *Su Wen* and *Nan Jing*. The meaning is extremely obscure and profound; only those who lecture and read the *Nei Jing* can comprehend it. Later learners... [Text ends abruptly].