浮如指下捻葱叶。 浮者，阳也。主风虚运动之候。浮应东方木。木生风。故脉高虚而
浮泛
下捻
紧。
关浮
芤则中虚有两头。 芤者阳也。荣卫妄行。失血之候也。气则关膈不能续。故脉来指下
寻之
气既
谓
血
滑似动珠往来利。 滑者阳也。主气交并。逆动之候也。滑应北、方壬癸水。故脉往来流利
。圆滑如珠。象水貌也。其状指下寻之。三关如珠动。按之则定不出。圆圆凑指滑利。若按
动珠之状。谓之滑。滑者。阴气壅阳气虚。滑而数者。主寒热。滑而洪者。主吐逆翻胃。紧
滑者。主体倦小肠急痛。微滑上部或冷逆。下部则下痢气痛。寸滑、主上吐逆。关滑、胃中
积冷。尺滑、主上热下冷而虚躁也。
实向浮中取次求。 实者、阳也。象中央戊己土之位。故体来实。高下取之皆有。主三
焦满
沉。
中
弦若筝弦时带数。 弦者阳也。象东方木位。气血收敛之貌。指下寻之、脉若筝弦而小
直。气血收敛。筋脉不能舒畅。故脉象弦貌。按之不足。举之有余、若筝弦小直。时带数、
曰弦。主拘急、劳急。体痛、乏力、虚汗。寸弦。头目痛。关弦。胸积冷。胃中时逆、恶寒。
尺
紧伏琴弦促轸留。 紧者阳也。主三阳并盛。风气搏击。伏于阳络之候也。故寻之三关
通度
。紧急如促琴轸。此由阴阳相搏。气血交争。指下寻之有余。举之指下数而并非洪也。紧脉
形大于弦。故似琴弦状、曰紧。紧主狂躁。而神乱不定。或紧滑。则吐逆寒热。紧而甚数。
主热体疼。寸紧。主头疼。关紧。主胸膈疼。尺紧。主丹田急痛。
洪举有余来极大。七阳为表定其由。 洪者阳也。应南方火。主荣络大热而气灼烁之候。
脉
实
吐
浮脉在指下感觉像捻动葱叶一样。浮脉属于阳脉，主要主风邪虚损导致的动摇不定之候。浮脉对应东方木行，木能生风，所以脉象高而空虚且浮泛于下，按之紧束。关部见浮脉兼芤脉，则提示中焦空虚而有两头（芤脉中间空两边实）。芤脉也属阳，是营卫之气妄行、失血的表现。气机方面，关部膈间之气不能接续，所以脉来指下寻按时，气既断绝，称为血脉滑利如珠往来流利。滑脉属阳，主要主气机交并逆乱之候。滑脉对应北方壬癸水，所以脉象往来流利，圆滑如珠，象征水的形态。其状在指下寻按时，三关部位如珠滚动，按之则定而不外溢，圆圆凑近指端滑利，若按动珠子的状态，称为滑脉。滑脉是阴气壅盛而阳气虚弱所致。滑而数的脉，主寒热病；滑而洪的脉，主呕吐逆气翻胃；紧滑的脉，主体倦和小肠急痛；微滑在上部则冷逆，在下部则下痢气痛；寸部滑，主上吐逆；关部滑，主胃中积冷；尺部滑，主上热下冷而虚躁。
实脉在浮中取时次求可得。实脉属阳，象征中央戊己土之位，所以脉体来势实，高下取之皆有。主三焦满闷沉滞。
弦脉如筝弦时常带数象。弦脉属阳，象征东方木位，是气血收敛的形态。指下寻按时，脉如筝弦小而直。气血收敛，筋脉不能舒畅，所以脉象呈弦状。按之不足，举之有余，如筝弦小直，时带数象，称为弦脉。主拘急、劳急、身体疼痛、乏力、虚汗。寸部弦，主头目痛；关部弦，主胸中积冷，胃中时逆、恶寒；尺部...
紧脉如琴弦促轸留驻。紧脉属阳，主三阳并盛，风气搏击，伏于阳络之候。所以寻按三关通度紧急如促琴轸。此由阴阳相搏，气血交争，指下寻之有余，举之指下数而并非洪大。紧脉形大于弦，故似琴弦状，称为紧脉。紧脉主狂躁而神乱不定。或紧滑，则吐逆寒热；紧而甚数，主热体疼。寸部紧，主头疼；关部紧，主胸膈疼；尺部紧，主丹田急痛。
A floating pulse feels under the fingers like rolling a scallion leaf. Floating indicates Yang, primarily governing conditions of wind deficiency and tremor. Floating corresponds to Wood in the East; Wood generates Wind. Thus, the pulse is high, empty, and floats superficially, becoming tight when pressed down. A floating pulse at the Guan position accompanied by a knifelike (Kou) pulse indicates emptiness in the middle with solidity at both ends. Kou is also Yang, representing reckless movement of Ying and Wei Qi, indicating blood loss. In terms of Qi, the Qi at the Guan and Diaphragm cannot continue, so when seeking the pulse under the fingers, the Qi seems interrupted, referred to as a Blood pulse.
A slippery pulse flows smoothly like pearls moving back and forth. Slippery is Yang, primarily governing the intertwining and rebellious movement of Qi. Slippery corresponds to Water (Ren-Gui) in the North. Therefore, the pulse flows smoothly, round and slippery like a pearl, resembling water. Its condition is sought under the fingers; across the three positions, it moves like a pearl. When pressed, it settles and does not escape; it gathers roundly against the fingers, slippery and smooth, resembling the sensation of pressing a moving pearl. This is called a Slippery pulse. Slipperiness indicates excess Yin Qi and deficient Yang Qi. A slippery and rapid pulse governs cold and heat; a slippery and large pulse governs vomiting and reverse flow of stomach Qi; a tight and slippery pulse governs body fatigue and acute pain in the small intestine; slightly slippery above indicates cold reversal, below indicates dysentery with Qi pain. A Slippery pulse at the Cun position governs upper vomiting and reversal; at the Guan position, accumulated cold in the stomach; at the Chi position, upper heat and lower cold with deficiency and restlessness.
A solid pulse is sought secondarily at the Floating and Middle levels. Solid is Yang, symbolizing the position of Wu-Ji Earth in the Center. Thus, the pulse body comes solidly; whether taken from high or low, it is present. It governs fullness and stagnation in the Triple Burner.
A wiry pulse resembles the string of a zither, often carrying a rapid quality. Wiry is Yang, symbolizing the position of Wood in the East, representing the gathering and converging of Qi and Blood. When sought under the fingers, the pulse is small and straight like a zither string. Qi and Blood gather and converge, tendons and vessels cannot stretch freely, thus the pulse appears wiry. Pressing reveals insufficiency, lifting reveals excess; it is small and straight like a zither string, occasionally rapid, called Wiry. It governs spasm, labor-induced tension, body pain, weakness, and spontaneous sweating. A Wiry pulse at the Cun position governs headache and eye pain; at the Guan position, accumulated cold in the chest, occasional reversal in the stomach, and aversion to cold; at the Chi position...
A tight pulse is like the tuning peg of a zither remaining fixed. Tight is Yang, governing the exuberance of the Three Yang channels, where Wind Qi battles and lies hidden in the Yang collaterals. Thus, seeking through the three positions, the passage is urgent like a tightened zither peg. This arises from the struggle between Yin and Yang, and the contention of Qi and Blood. Seeking under the fingers reveals excess; lifting reveals rapidity under the fingers but not largeness. The shape of a Tight pulse is larger than a Wiry one, thus resembling a zither string, called Tight. Tight governs mania and agitation, with unsettled spirit. If Tight and Slippery, it indicates vomiting, reverse flow, and cold/heat; if Tight and very rapid, it governs heat and body pain. A Tight pulse at the Cun position governs headache; at the Guan position, chest and diaphragm pain; at the Chi position, acute pain in the Dantian.
A large (Hong) pulse has excess upon lifting and comes with great magnitude, determined by the Seven Yang as exterior. Large is Yang, corresponding to Fire in the South, governing excessive heat in the Ying collaterals and the scorching of Qi. Pulse... Solid... Vomiting...