七表脉者是客邪伤。乃阴乘阳也。其证身热恶寒。是外阳而内阴见也。七表脉。但热而
不恶
如七表证自汗恶风。却得八里脉者。当用麻黄桂枝各半汤。如八里证自汗恶风。得七表
脉。
脉如
三阳
有阴
说非谓
受客阴
里。是
此乃
阴者
三阳
为三
此
染
略说八里乃阳乘阴也。其证身凉四肢厥恶热。是外阴而内阳。但寒不热不渴者。是内外
皆阴
下者
一说六脉交变。浮滑长为三阳。乃阳中有阴。沉涩短为三阴。乃阴中有阳。当审察表里。
分
标热
惟阳
脉。
阳脉
长曰
碍。故长脉发之。
短脉下之。是滑与涩交。滑
皆损气血。滑居尺寸、皆助
云岐子云∶左手三部寸关尺受邪。非谓主位之脉。皆客邪之脉也。
一。浮者阳也。主咳嗽气促。冷汗自出。背膊劳强。夜卧不安。按之不足。举之有余。
阴
柴胡 黄芩 五味子 半夏制（各半两） 白芍药 人参 桑白皮（各二钱半） 上
咀。
每服
按之不足举有余。冉冉寻之指下浮。脏中积冷荣中热。欲可生精要补虚。
脏中积冷。按之不足。荣中有热。举之有余。阳有余阴不足也。治之宜地骨皮散。
人参 地骨皮 柴胡 黄 生地黄（各一两半） 白茯苓（半两） 知母（一两） 石
膏（二两）
服生
精补虚
寸浮中风头热痛。 主脉浮客脉又浮。主客同宫。主太阳中风头痛。有汗脉浮缓桂枝汤。
无
太
关浮腹胀胃虚空。 主脉弦客脉浮。风寒热相合。致胃中虚空。何谓胃虚？夫脉浮者风
邪也
为寒
制浓朴 陈皮（去白） 制半夏（各一两） 白术（一两半） 人参（五钱） 甘草（炙
三钱）
上
尺部见之风入肺。大便干涩故难通。 肾脉沉反见浮脉。为风火所乘。肺气虚而不能生
水。
肺者何
肺。燥
薄其
槟榔 木香 羌活 川芎 桂（各半两） 大黄 郁李仁（各一两） 上为细末。蜜丸
桐子
大。
二。芤者阳也。主淋沥。气入小肠脱血。病者皆从太阳。在寸则吐血。在下泻血。在中
者
芤脉在上。加减栀子汤。
栀子（四个碎） 香鼓（半两） 先以水二盏煮栀子仁。至七分入豉。煮三五沸。去滓、
温
服。
芤脉在中。宜泻黄散。
藿香叶 山栀子仁 甘草（各半两） 防风（三两） 石膏（一两） 上 咀、水二盏。
煎一
盏。
芤脉在下。宜猪苓汤
猪苓 滑石 泽泻 阿胶（炒各等分） 上 咀。水二盏。用前味煎至一盏、去滓。后
入
阿胶
指下寻之中且虚。邪风透入小肠居。患时淋沥兼疼痛。大作汤丸必自除。
云岐子云∶芤主血凝而不流。凡人之十二经络。以应沟渠。是荣卫气血不散。不能盈满
经络
一云
寸芤积血在胸中。 主脉浮。客脉芤。浮芤相合。血积胸中。热之甚也。治之以犀角地
黄汤
生地黄（二两） 黄芩（一两半） 黄连（一两） 大黄（一两半） 上 咀。水二盏。
秤一两。
煎
关内逢芤肠里痈。 主脉弦。客脉芤。弦芤相合。积血于肠中。是肺先受邪。传入大肠。
当
大黄 水蛭（炒裂各半两） 虻虫（三钱） 上 咀、为细末、炼蜜为丸、桐子大、每服二
十丸
、食后温水下。利为度、未利加数服之。
尺部见之虚在肾。小便遗沥血凝浓。 主脉沉。客脉芤。沉芤相合。积血在下。抵当丸。
抵
桃仁（半两） 甘草（二钱半） 大黄（一两） 桂（三钱） 上 咀。每服一两。水
二盏。姜
七片
又云上焦有血。先便后血。下焦有血。先血后便。中焦有血。便血齐作。
三。滑者阳也。主四肢困弊、脚手酸疼、小便赤涩。仲景曰∶卫气前通。小便赤涩。腰
中气
赤芍药 柴胡（各一两） 枳实 大黄 黄芩（各半两） 甘草（三钱） 上 咀。每
服一
两。水
滑脉如珠动曰阳。腰中生气透前肠。胫酸只为生寒热。大泻三焦必得康。
云岐云∶夫小便赤涩。腰中生气。是命门所生。其脉流利数而疾。宜大承气汤主之。热
多寒
浓朴制（一两） 枳实（麸炒） 大黄（各半两） 芒硝（三钱） 上 咀。用水一碗。
姜十片。
先
晚
滑脉寸来多呕逆。 主脉浮。客脉滑。浮滑相合而为呕。生姜半夏汤主之。有往来寒热
者小
制半夏（一两） 茯苓（二两） 上 咀。每服一两。水二钟。姜七片。煎至一半。去
滓、
食后
关滑胃寒不下食。 主脉弦。客脉滑。弦滑相合。引寒入胃。致不能食。春夏平胃散。
秋冬
柴胡 黄芩 赤芍药（各一两） 人参（半两） 甘草（炙三钱） 桂（四钱） 上 咀。
每服一两
。水二盏。姜七片。煎去滓。温服。
尺部见之脐似水。饮水下焦声沥沥。 主脉沉。客脉滑。沉滑相合。寒结膀胱。附子四
逆汤
炮附子 炮生姜（各半两） 白术（一两） 甘草（三钱） 桂（七钱） 上 咀。每
服一两。
水二
四。实者阳也。主伏阳在内。脾虚不食。四肢劳倦。
实脉寻之举有余。伏阳蒸内致脾虚。食少只缘生胃壅。温和汤药乃痊除。
洁古云∶脾脉本缓。反得客脉实。缓实相合。主胃中有热。故脾气温反实。故不食也。
食少
于胃
藿香叶 制半夏（各一两） 丁香（半两） 上为粗末。每服三钱。水一钟半。姜七片。
煎
去滓
云岐曰∶脾受热而反虚。故不能食。温和汤药。乃平胃散是也。
实脉关前胸热甚。 主脉浮。客脉实。浮实相合。阳气有余。胸中热、其实在上焦。宜
凉膈
山栀子仁（一两） 连翘 黄芩（各二两） 大黄（半两） 薄荷（一两半） 上为粗
末。每服
一两
当关切痛中焦任。 主脉弦。客脉实。弦实相合。热在胃中。可用调胃承气汤。实在中
焦。
水胜
火也
此二
附子（炮半两） 白术（一两） 甘草（炙三钱） 上 咀。每服半两。水一大盏半。
煎至一
钟。
五。弦者阳也。主劳风乏力。盗汗多生。手足酸疼。皮毛枯槁。弦脉五脏俱伤。盖木克
土故
弦脉为阳状若弦。四肢更被气相煎。三度解劳方始退。常须固脐下丹田。
脉如筝弦紧而急。主四肢相煎。木旺土衰。四肢者。辰戌丑未四末也。土位也。固脐丹
田者
为脾
寸部脉紧一条弦。胸中伏痛状绳牵。 主脉浮。客脉弦。浮弦相合。胸中急痛。属少阳。
以
关中有弦寒在胃。 主客脉俱弦。知木气有余。致寒气大实于胃中。附子理中丸主之。
弦在
下焦停水满丹田。 主脉沉。客脉弦。沉弦相合。风寒气有余。下焦停水。术附汤主之。
弦
六。紧者阳也。主风气。此太阳少阳相合。主伏阳上冲。变为狂病。宜黄连泻心汤。
黄连 生地黄 知母（各半两） 黄芩（二两）
甘草（半两） 上 咀。每服一两。水一盏半。煎服。
紧脉三关数又弦。上来风是正根元。忽然狂语人惊怕。不遇良医不得痊。
洁古云∶此是三阳合病。紧数。太阳也。弦多。少阳阳明也。故实则谵语。云岐曰∶其
脉
紧
生地黄 黄芩 山栀子仁（各一两） 大黄（半两） 上 咀。水煎一两。以利为度
紧脉关前头里痛。 主脉浮。客脉紧。浮紧相合。诸头痛皆属三阳。太阳头痛。羌活汤
主之
痛。
紧在上焦。
到关切痛无能动。 主脉弦。客脉紧。弦紧相合。太阴受邪。脾中切痛。治之以芍药汤。
赤芍药（二两） 甘草（半两） 桂（三钱） 上 咀。水煎一两。加生姜七片服。如
实痛加
大黄
隐指寥寥入尺来。缴结绕脐常手捧。 主脉沉。客脉紧。沉紧相合。绕脐痛者太阴。与
芍药
桂（一两） 芍药 炙甘草（各半两） 上 咀。每服一两，入姜枣煎服。
七。洪者阳也。主头痛。四肢浮热。大肠不通。燥粪结涩。口干。
遍体疼痛。洁古云∶
者按之实。举之盛。
洪者
证虚
可下
洪脉根元本是阳。遇其季夏自然昌。若逢秋季及冬季。发汗通肠始得凉。
云岐曰∶其脉举按皆盛。本为相火之象。发汗从表里。从表宜麻黄汤。从里宜大承气汤。
麻黄汤
麻黄 芍药（各一两） 葛根（一两三钱） 豉（一百） 葱白（三茎） 上 咀、每
服一
两。水二
诊知其
洪脉关前热在胸。 主脉浮。客脉洪。浮洪相合。热结于胸中。凉膈散加减用之。或连
翘汤
连翘（二两） 柴胡 当归 生地黄 芍药（各半两） 黄芩（一两） 大黄（三钱） 上
咀。一
到关翻胃几十重。 主脉弦。客脉洪。弦洪相合。胃热不停。翻胃衄吐。以酸苦药除之。
或
大黄（比众药减半） 葛根 黄芩 芍药 桔梗 茯苓 本 白术 甘草（炙各等分）
上
余热
得入
更向尺中还若是。小便赤涩脚酸疼。 洁古云∶洪尺。由阴不及阳也。从下至上。先损
肾肝
宜
赤茯苓 泽泻（各半两） 桑白皮 山栀子仁（各一两） 上 咀。水煎一两。服之得
小便
利为
凡此七表。虽名阳脉。有用热药者何。答曰。阳中有阴故也。通上下中二十一道脉证。
用药
景之
实下
七表脉是外邪侵袭所致。这是阴气乘袭阳位。其症状表现为身体发热、怕冷，这是外显阳证而内见阴象的表现。如果是七表脉证，只发热而不怕冷……如果七表证出现自汗、恶风，却得到八里脉的脉象，应当使用麻黄桂枝各半汤。如果是八里证出现自汗、恶风，却得到七表脉的脉象……
（此处原文有缺漏或错简，根据上下文逻辑补全大意）：简要来说，八里脉是阳气乘袭阴位。其症状表现为身体发凉、四肢厥冷、怕热，这是外显阴象而内见阳证。如果只有寒象而没有热象、不口渴，这是内外皆属阴……
另一种说法认为六脉交错变化：浮、滑、长属于三阳脉，这是阳中有阴；沉、涩、短属于三阴脉，这是阴中有阳。应当审察表里，分清标本。……只有阳脉……脉象……长脉称为……阻碍。所以长脉用发汗法治疗。短脉用泻下法治疗。这是滑与涩的交错。滑脉……都会损伤气血。滑脉出现在寸部或尺部，都会助长……
云岐子说：左手三部寸、关、尺受邪，并不是指主位之脉，都是客邪之脉。
一、浮脉属阳。主咳嗽、气促、冷汗自出、背膊僵硬酸痛、夜间睡眠不安。按之无力，举之有余。
药材：柴胡、黄芩、五味子、制半夏（各半两）、白芍药、人参、桑白皮（各二钱半）。以上药物切碎。每服……
按之无力，举之有余，轻轻寻取指下感觉浮起。脏中有积冷，营分中有热。想要生精，关键在于补虚。
脏中有积冷，按之无力；营中有热，举之有余。这是阳有余而阴不足。治疗适宜用地骨皮散。
药材：人参、地骨皮、柴胡、黄芪、生地黄（各一两半）、白茯苓（半两）、知母（一两）、石膏（二两）。
服用生……以生精补虚。
寸部脉浮，中风导致头部热痛。主脉浮，客脉又浮，主客同宫，主太阳中风头痛。有汗且脉浮缓者，用桂枝汤。无……太……
关部脉浮，腹胀胃中空虚感。主脉弦，客脉浮，风寒热相合，导致胃中虚空。什么是胃虚？脉浮者是风邪……为寒……
药材：制厚朴、陈皮（去白）、制半夏（各一两）、白术（一两半）、人参（五钱）、炙甘草（三钱）。
以上……
尺部见浮脉，风入肺经。大便干涩故难通。肾脉本应沉，反见浮脉，为风火所乘。肺气虚而不能生水。
肺是什么……肺燥……薄其……
药材：槟榔、木香、羌活、川芎、桂（各半两）、大黄、郁李仁（各一两）。以上研为细末，蜜丸如梧桐子大。
二、芤脉属阳。主淋沥不尽。气入小肠脱血。患者病多从太阳经起。在寸部则吐血，在下部则便血，在中部……
芤脉在上部，用加减栀子汤。
药材：栀子（四个捣碎）、香豉（半两）。先用水两盏煮栀子仁，至七分时加入豉，煮三五沸，去渣，温服。
芤脉在中部，宜用泻黄散。
药材：藿香叶、山栀子仁、甘草（各半两）、防风（三两）、石膏（一两）。以上切碎，水两盏，煎取一盏。
芤脉在下部，宜用猪苓汤。
药材：猪苓、滑石、泽泻、阿胶（炒，各等分）。以上切碎，水两盏，煎至一盏，去渣，后入阿胶……
指下寻取感觉中空且虚，邪风透入小肠居住。患病时淋沥兼疼痛，大作汤剂或丸剂必能去除。
云岐子说：芤脉主血凝滞而不流动。凡人的十二经络，对应沟渠，是营卫气血不散，不能充盈满布经络。
一说……
寸部芤脉，积血在胸中。主脉浮，客脉芤，浮芤相合，血积胸中，热势很盛。治疗用犀角地黄汤。
药材：生地黄（二两）、黄芩（一两半）、黄连（一两）、大黄（一两半）。以上切碎，水两盏，秤一两……煎……
关部逢芤脉，肠中痈肿。主脉弦，客脉芤，弦芤相合，积血于肠中，这是肺先受邪，传入大肠。当……
药材：大黄、水蛭（炒裂，各半两）、虻虫（三钱）。以上切碎，为细末，炼蜜为丸，梧桐子大，每服二十丸，食后温水送下。以利为度，未利增加服药次数。
尺部见芤脉，肾虚在肾。小便遗沥，血凝浓稠。主脉沉，客脉芤，沉芤相合，积血在下部，用抵当丸。
抵当丸药材：桃仁（半两）、甘草（二钱半）、大黄（一两）、桂（三钱）。以上切碎，每服一两，水二盏，姜七片……
又说上焦有血，先大便后出血；下焦有血，先出血后大便；中焦有血，便血同时发生。
三、滑脉属阳。主四肢困倦疲弊、手脚酸疼、小便赤涩。张仲景说：卫气前通，小便赤涩，腰中气……
药材：赤芍药、柴胡（各一两）、枳实、大黄、黄芩（各半两）、甘草（三钱）。以上切碎，每服一两，水……
滑脉如珠滚动称为阳脉。腰中生气透向前肠。小腿酸疼只因产生寒热。大泻三焦必然得康。
云岐说：小便赤涩，腰中生气，是命门所生。其脉流利数而疾。宜用大承气汤主治。热多寒少……
药材：制厚朴（一两）、麸炒枳实、大黄（各半两）、芒硝（三钱）。以上切碎，用水一碗，姜十片。先……晚……
滑脉在寸部来势多呕逆。主脉浮，客脉滑，浮滑相合而为呕吐。生姜半夏汤主治。有往来寒热者用小柴胡汤……
药材：制半夏（一两）、茯苓（二两）。以上切碎，每服一两，水二钟，姜七片，煎至一半，去渣，食后……
关部滑脉，胃寒不下食。主脉弦，客脉滑，弦滑相合，引寒入胃，导致不能进食。春夏用平胃散加减，秋冬……
药材：柴胡、黄芩、赤芍药（各一两）、人参（半两）、炙甘草（三钱）、桂（四钱）。以上切碎，每服一两，水二盏，姜七片，煎去渣，温服。
尺部见滑脉，脐部似有水声。饮水后下焦声音沥沥作响。主脉沉，客脉滑，沉滑相合，寒结膀胱。附子四逆汤主治。
药材：炮附子、炮生姜（各半两）、白术（一两）、甘草（三钱）、桂（七钱）。以上切碎，每服一两，水二……
四、实脉属阳。主伏阳在内，脾虚不食，四肢劳倦。
实脉寻取举之有余。伏阳蒸腾内部导致脾虚。食少只因为生胃壅塞。温和汤药才能痊愈。
洁古说：脾脉本缓，反得客脉实，缓实相合，主胃中有热，故脾气温和反而现实脉，故不食也。食少……于胃……
药材：藿香叶、制半夏（各一两）、丁香（半两）。以上为粗末，每服三钱，水一钟半，姜七片，煎去渣……
云岐说：脾受热而反虚，故不能食。温和汤药，就是平胃散。
实脉在关前，胸部热甚。主脉浮，客脉实，浮实相合，阳气有余，胸中热，其实在上焦。宜用凉膈散……
药材：山栀子仁（一两）、连翘、黄芩（各二两）、大黄（半两）、薄荷（一两半）。以上为粗末，每服一两……
当关切痛在中焦任脉。主脉弦，客脉实，弦实相合，热在胃中。可用调胃承气汤。实在中焦，水胜火也……此二……
药材：附子（炮半两）、白术（一两）、炙甘草（三钱）。以上切碎，每服半两，水一大盏半，煎至一钟。
五、弦脉属阳。主劳风乏力，盗汗多生，手足酸疼，皮毛枯槁。弦脉五脏俱伤，盖因木克土……
弦脉为阳状若琴弦。四肢更被气相煎熬。三次解除疲劳方始退去。常须固护脐下丹田。
脉如筝弦紧而急，主四肢相煎熬。木旺土衰。四肢者，辰戌丑未四末也，土位也。固护脐丹田者……为脾……
寸部脉紧一条弦。胸中伏痛状如绳牵拉。主脉浮，客脉弦，浮弦相合，胸中急痛，属少阳。以……
关部有弦脉，寒在胃。主客脉俱弦，知木气有余，致寒气大实于胃中。附子理中丸主治。
弦在……
下焦停水满丹田。主脉沉，客脉弦，沉弦相合，风寒气有余，下焦停水。术附汤主治。
弦……
六、紧脉属阳。主风气。此为太阳少阳相合。主伏阳上冲，变为狂病。宜用黄连泻心汤。
药材：黄连、生地黄、知母（各半两）、黄芩（二两）、甘草（半两）。以上切碎，每服一两，水一盏半，煎服。
紧脉在三关数而又弦。上来风是正根元。忽然狂语人惊怕，不遇良医不得痊。
洁古说：此是三阳合病。紧数，太阳也。弦多，少阳阳明也。故实则谵语。云岐说：其脉……
紧……
药材：生地黄、黄芩、山栀子仁（各一两）、大黄（半两）。以上切碎，水煎一两，以利为度。
紧脉在关前头里痛。主脉浮，客脉紧，浮紧相合，诸头痛皆属三阳。太阳头痛，羌活汤主治。
痛……紧在上焦。
到关切痛无能动。主脉弦，客脉紧，弦紧相合，太阴受邪，脾中切痛。治之以芍药汤。
药材：赤芍药（二两）、甘草（半两）、桂（三钱）。以上切碎，水煎一两，加生姜七片服。如实痛加大黄……
隐指寥寥入尺来。缴结绕脐常手捧。主脉沉，客脉紧，沉紧相合，绕脐痛者属太阴。与芍药……
药材：桂（一两）、芍药、炙甘草（各半两）。以上切碎，每服一两，入姜枣煎服。
七、洪脉属阳。主头痛，四肢浮热，大肠不通，燥粪结涩，口干，遍体疼痛。
洁古说：……者按之实，举之盛。洪者……证虚可下……
洪脉根元本是阳。遇其季夏自然昌。若逢秋季及冬季，发汗通肠始得凉。
云岐说：其脉举按皆盛，本为相火之象。发汗从表里，从表宜用麻黄汤，从里宜用大承气汤。
麻黄汤药材：麻黄、芍药（各一两）、葛根（一两三钱）、豉（一百）、葱白（三茎）。以上切碎，每服一两，水二……诊知其……
洪脉在关前热在胸。主脉浮，客脉洪，浮洪相合，热结于胸中。凉膈散加减用之。或连翘汤……
药材：连翘（二两）、柴胡、当归、生地黄、芍药（各半两）、黄芩（一两）、大黄（三钱）。以上切碎，一……
到关翻胃几十重。主脉弦，客脉洪，弦洪相合，胃热不停，翻胃衄吐。以酸苦药除之。或……
药材：大黄（比众药减半）、葛根、黄芩、芍药、桔梗、茯苓、本、白术、炙甘草（各等分）。上……余热得入……
更向尺中还若是。小便赤涩脚酸疼。洁古说：洪脉在尺，由阴不及阳也。从下至上，先损肾肝……宜……
药材：赤茯苓、泽泻（各半两）、桑白皮、山栀子仁（各一两）。以上切碎，水煎一两，服之得小便利为……
凡此七表脉，虽名为阳脉，为何有用热药者？回答曰：阳中有阴的缘故。通上下中二十一道脉证，用药……景之……实下……
The Seven Superficial Pulses (Qi Biao Mai) are caused by the invasion of exogenous pathogens. This represents Yin encroaching upon Yang. The symptoms include fever and aversion to cold, indicating an exterior manifestation of Yang with an interior presentation of Yin. If the pulse is one of the Seven Superficial types, presenting only heat without aversion to cold... If a condition characteristic of the Seven Superficial pulses presents spontaneous sweating and wind aversion, yet the pulse corresponds to the Eight Interior Pulses (Ba Li Mai), Mahuang Guizhi Ge Ban Tang (Mahuang and Guizhi Half-Dose Decoction) should be used. If a condition characteristic of the Eight Interior Pulses presents spontaneous sweating and wind aversion, yet the pulse corresponds to the Seven Superficial pulses...
(Briefly stated) The Eight Interior Pulses represent Yang encroaching upon Yin. The symptoms include coolness of the body, cold extremities (Jue Ni), and aversion to heat, indicating an exterior manifestation of Yin with an interior presentation of Yang. If there is only cold without heat and no thirst, this indicates both interior and exterior are Yin...
Another theory states that the six pulses interchanging: Floating (Fu), Slippery (Hua), and Long (Chang) belong to the Three Yang pulses, representing Yang containing Yin; Deep (Chen), Choppy (Se), and Short (Duan) belong to the Three Yin pulses, representing Yin containing Yang. One must examine the exterior and interior, distinguishing the root from the branch. ... Only Yang pulses... Pulse... Long pulse is termed... Obstruction. Therefore, a Long pulse is treated with diaphoresis (Fa Han). A Short pulse is treated with purgation (Xia Zhi). This is the interaction between Slippery and Choppy pulses. Slippery pulses... will both damage Qi and Blood. If a Slippery pulse appears at the Cun or Chi positions, it will assist...
Yun Qi Zi said: When the three positions (Cun, Guan, Chi) on the left hand are affected by pathogens, these are not the principal pulses of the main organs, but rather pulses of exogenous pathogens (Ke Xie).
1. Floating (Fu) is Yang. It governs cough, shortness of breath, spontaneous cold sweat, stiffness and soreness in the back and shoulders, and restlessness at night. Pressing reveals insufficiency, while lifting reveals excess.
Herbs: Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Wu Wei Zi (Schisandrae Fructus), Zhi Ban Xia (Pinelliae Rhizoma Preparatum) (each 0.5 liang); Bai Shao Yao (Paeoniae Radix Alba), Ren Shen (Ginseng Radix), Sang Bai Pi (Mori Cortex) (each 2.5 qian). The above herbs are cut into small pieces. Each dose...
Pressing reveals insufficiency, lifting reveals excess; gently searching, the pulse feels floating under the fingers. Cold accumulation in the Zang organs, Heat in the Ying (Nutritive) level. To generate Essence, the key is to tonify deficiency.
Cold accumulation in the Zang organs, pressing reveals insufficiency; Heat in the Ying level, lifting reveals excess. This is Excess of Yang and Deficiency of Yin. Treatment is suitable with Digupi San (Digupi Powder).
Herbs: Ren Shen (Ginseng Radix), Di Gu Pi (Lycii Cortex), Chai Hu (Bupleuri Radix), Huang Qi (Astragali Radix), Sheng Di Huang (Rehmanniae Radix) (each 1.5 liang); Bai Fu Ling (Poria) (0.5 liang); Zhi Mu (Anemarrhenae Rhizoma) (1 liang); Shi Gao (Gypsum Fibrosum) (2 liang).
Take to generate Essence and tonify deficiency.
Floating pulse at the Cun position indicates Wind-Stroke causing heat and pain in the head. Principal pulse is Floating, guest pulse is also Floating; principal and guest occupy the same palace, indicating Taiyang Wind-Stroke headache. With sweating and a floating-slow pulse, use Guizhi Tang (Guizhi Decoction). Without... Tai...
Floating pulse at the Guan position indicates abdominal distension and a sensation of emptiness in the stomach. Principal pulse is Wiry (Xian), guest pulse is Floating; Wind, Cold, and Heat combine, causing emptiness in the stomach. What is stomach emptiness? A floating pulse indicates Wind pathogen... due to Cold...
Herbs: Zhi Hou Po (Magnoliae Officinalis Cortex Preparata), Chen Pi (Citri Reticulatae Pericarpium) (peeled), Zhi Ban Xia (Pinelliae Rhizoma Preparatum) (each 1 liang); Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1.5 liang); Ren Shen (Ginseng Radix) (5 qian); Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparatum) (3 qian).
The above...
Floating pulse appearing at the Chi position indicates Wind entering the Lung meridian. Dryness and astringency of the stool make passage difficult. The Kidney pulse should naturally be Deep, but instead shows Floating, indicating being overcome by Wind-Fire. Lung Qi is deficient and cannot generate Water.
What is the Lung... Lung dryness... thinning it...
Herbs: Bing Lang (Arecae Semen), Mu Xiang (Aucklandiae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gui (Cinnamomi Ramulus) (each 0.5 liang); Da Huang (Rhei Radix et Rhizoma), Yu Li Ren (Pruni Semen) (each 1 liang). The above are ground into fine powder and formed into pills with honey, sized like wu-tong seeds.
2. Knotted (Kou) pulse is Yang. It governs dribbling urination. Qi enters the Small Intestine causing blood loss. Patients' illnesses often originate from the Taiyang channel. At the Cun position, it causes hematemesis; below, melena; in the middle...
Knotted pulse at the upper position: Use Jiajian Zhizi Tang (Modified Gardenia Decoction).
Herbs: Zhi Zi (Gardeniae Fructus) (4 grains, crushed), Xiang Chi (Fermented Soybean) (0.5 liang). First, boil Zhi Zi Ren in two cups of water until reduced to 70%, then add Chi, boil for three to five boils, strain, and take warm.
Knotted pulse at the middle position: Use Xie Huang San (Drain Yellow Powder).
Herbs: Huo Xiang Ye (Agastaches Folium), Shan Zhi Zi Ren (Gardeniae Fructus) (each 0.5 liang); Fang Feng (Saposhnikoviae Radix) (3 liang); Shi Gao (Gypsum Fibrosum) (1 liang). The above are cut, boiled in two cups of water to yield one cup.
Knotted pulse at the lower position: Use Zhuling Tang (Polyporus Decoction).
Herbs: Zhu Ling (Polyporus), Hua Shi (Talcum), Ze Xie (Alismatis Rhizoma), E Jiao (Colla Corii Asini) (stir-fried, equal parts). The above are cut, boiled in two cups of water to yield one cup, strained, then E Jiao is added...
Searching under the fingers reveals hollowness and deficiency; evil wind penetrates and resides in the Small Intestine. During illness, dribbling urination accompanied by pain; decoctions or pills made vigorously will certainly remove it.
Yun Qi Zi said: The Kou pulse governs blood coagulation and stagnation. The twelve meridians of the human body correspond to ditches; if Ying and Wei Qi and Blood do not disperse, they cannot fill the meridians completely.
One says...
Knotted pulse at the Cun position indicates accumulated blood in the chest. Principal pulse is Floating, guest pulse is Kou; Floating and Kou combine, blood accumulates in the chest, heat is severe. Treat with Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction).
Herbs: Sheng Di Huang (Rehmanniae Radix) (2 liang); Huang Qin (Scutellariae Radix) (1.5 liang); Huang Lian (Coptidis Rhizoma) (1 liang); Da Huang (Rhei Radix et Rhizoma) (1.5 liang). The above are cut, boiled in two cups of water, weigh one liang... decoct...
At the Guan position encountering Kou pulse, intestinal abscess. Principal pulse is Wiry, guest pulse is Kou; Wiry and Kou combine, blood accumulates in the intestines. This is because the Lung first suffered pathogen invasion, transmitting to the Large Intestine. Should...
Herbs: Da Huang (Rhei Radix et Rhizoma), Shui Zhi (Hirudo) (stir-fried and cracked, each 0.5 liang); Meng Chong (Blattaria) (3 qian). The above are cut, ground into fine powder, refined honey used to form pills, sized like wu-tong seeds. Take twenty pills per dose, with warm water after meals. Stop when diarrhea occurs; if not, increase dosage.
Appearing at the Chi position indicates deficiency in the Kidney. Dribbling urination, blood coagulation and thickening. Principal pulse is Deep, guest pulse is Kou; Deep and Kou combine, blood accumulates in the lower part. Use Didang Wan (Didang Pill).
Didang Pill Herbs: Tao Ren (Persicae Semen) (0.5 liang); Gan Cao (Glycyrrhizae Radix et Rhizoma) (2.5 qian); Da Huang (Rhei Radix et Rhizoma) (1 liang); Gui (Cinnamomi Ramulus) (3 qian). The above are cut, take one liang per dose, boil in two cups of water with seven slices of ginger...
It is also said that blood in the Upper Jiao presents as stool followed by blood; blood in the Lower Jiao presents as blood followed by stool; blood in the Middle Jiao presents with simultaneous bloody stool.
3. Slippery (Hua) pulse is Yang. It governs fatigue and weakness of the four limbs, soreness and pain in hands and feet, and dark, astringent urination. Zhang Zhongjing said: When Wei Qi flows forward, urination becomes dark and astringent, and Qi in the waist...
Herbs: Chi Shao Yao (Paeoniae Radix Rubra), Chai Hu (Bupleuri Radix) (each 1 liang); Zhi Shi (Aurantii Fructus Immaturus), Da Huang (Rhei Radix et Rhizoma), Huang Qin (Scutellariae Radix) (each 0.5 liang); Gan Cao (Glycyrrhizae Radix et Rhizoma) (3 qian). The above are cut, take one liang per dose, water...
Slippery pulse moving like pearls is called Yang pulse. Qi generated in the waist penetrates to the anterior intestine. Calf soreness is solely due to generating cold and heat. Great purgation of the Triple Burner leads to recovery.
Yun Qi said: Dark and astringent urination, Qi generated in the waist, is produced by the Gate of Life (Ming Men). Its pulse is slippery, rapid, and swift. Da Chengqi Tang (Major Order the Qi Decoction) is indicated. More heat than cold...
Herbs: Zhi Hou Po (Magnoliae Officinalis Cortex Preparata) (1 liang); Zhi Shi (Aurantii Fructus Immaturus) (bran-fried), Da Huang (Rhei Radix et Rhizoma) (each 0.5 liang); Mang Xiao (Natrii Sulfas) (3 qian). The above are cut, use one bowl of water, ten slices of ginger. First... evening...
Slippery pulse coming to the Cun position often causes nausea and vomiting. Principal pulse is Floating, guest pulse is Slippery; Floating and Slippery combine to cause vomiting. Shengjiang Banxia Tang (Fresh Ginger and Pinellia Decoction) governs. For those with alternating chills and fever, use Xiao Chaihu Tang (Minor Bupleurum Decoction)...
Herbs: Zhi Ban Xia (Pinelliae Rhizoma Preparatum) (1 liang); Fu Ling (Poria) (2 liang). The above are cut, take one liang per dose, two zhong of water, seven slices of ginger, decoct until half remains, strain, after meal...
Guan position Slippery pulse indicates Stomach Cold preventing food intake. Principal pulse is Wiry, guest pulse is Slippery; Wiry and Slippery combine, drawing Cold into the Stomach, causing inability to eat. In Spring and Summer, use Pingwei San (Stomach-Pacifying Powder) modified; in Autumn and Winter...
Herbs: Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Chi Shao Yao (Paeoniae Radix Rubra) (each 1 liang); Ren Shen (Ginseng Radix) (0.5 liang); Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparatum) (3 qian); Gui (Cinnamomi Ramulus) (4 qian). The above are cut, take one liang per dose, two cups of water, seven slices of ginger, decoct, strain, take warm.
Appearing at the Chi position, the navel sounds like water. After drinking, gurgling sounds in the Lower Jiao. Principal pulse is Deep, guest pulse is Slippery; Deep and Slippery combine, Cold knotting in the Bladder. Fuzi Sini Tang (Aconite Counterflow Decoction) governs.
Herbs: Pao Fu Zi (Prepared Aconiti Lateralis Radix), Pao Sheng Jiang (Prepared Zingiberis Rhizoma) (each 0.5 liang); Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 liang); Gan Cao (Glycyrrhizae Radix et Rhizoma) (3 qian); Gui (Cinnamomi Ramulus) (7 qian). The above are cut, take one liang per dose, water two...
4. Full (Shi) pulse is Yang. It governs hidden Yang inside, Spleen deficiency with anorexia, and fatigue of the four limbs.
Full pulse, searching reveals excess upon lifting. Hidden Yang steaming internally causes Spleen deficiency. Low food intake is due to generating Stomach congestion. Mild and warm decoctions lead to recovery.
Jiegu said: The Spleen pulse is naturally Slow (Huan). If it unexpectedly receives a Guest pulse that is Full, Slow and Full combine, governing Heat in the Stomach. Thus, the Spleen's mild nature appears Full, hence anorexia. Low food intake... in the Stomach...
Herbs: Huo Xiang Ye (Agastaches Folium), Zhi Ban Xia (Pinelliae Rhizoma Preparatum) (each 1 liang); Ding Xiang (Caryophylli Flos) (0.5 liang). The above are made into coarse powder. Take three qian per dose, one and a half zhong of water, seven slices of ginger, decoct, strain...
Yun Qi said: The Spleen suffers Heat and thus becomes deficient, hence inability to eat. Mild and warm decoctions refer to Pingwei San (Stomach-Pacifying Powder).
Full pulse before the Guan position indicates severe heat in the chest. Principal pulse is Floating, guest pulse is Full; Floating and Full combine, Yang Qi is excessive, heat in the chest, actually located in the Upper Jiao. Use Liangge San (Cool the Chest Powder) modified...
Herbs: Shan Zhi Zi Ren (Gardeniae Fructus) (1 liang); Lian Qiao (Forsythiae Fructus), Huang Qin (Scutellariae Radix) (each 2 liang); Da Huang (Rhei Radix et Rhizoma) (0.5 liang); Bo He (Menthae Haplocalycis Herba) (1.5 liang). The above are made into coarse powder, take one liang per dose...
When Guan position encounters pain in the Middle Jiao Ren meridian. Principal pulse is Wiry, guest pulse is Full; Wiry and Full combine, Heat in the Stomach. Tiaowei Chengqi Tang (Regulate the Stomach Order the Qi Decoction) can be used. Fullness in the Middle Jiao, Water overcomes Fire... these two...
Herbs: Fu Zi (Prepared Aconiti Lateralis Radix) (0.5 liang); Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 liang); Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparatum) (3 qian). The above are cut, take half liang per dose, one and a half large cups of water, decoct to one zhong.
5. Wiry (Xian) pulse is Yang. It governs labor-wind fatigue, frequent night sweats, soreness and pain in hands and feet, and withered skin and hair. The Wiry pulse damages all five Zang organs, primarily because Wood overacts on Earth...
Wiry pulse is Yang-like, resembling a string. Four limbs are further tormented by Qi. Three times resolving labor allows it to recede. One must constantly secure the Dantian below the navel.
Pulse like a zither string, tight and urgent, governs torment of the four limbs. Wood is prosperous, Earth is declining. The four limbs are the four ends of Chen, Xu, Chou, Wei, belonging to the Earth position. Securing the navel Dantian... belongs to the Spleen...
Cun position pulse tight and wiry like a single thread. Hidden pain in the chest feels like rope pulling. Principal pulse is Floating, guest pulse is Wiry; Floating and Wiry combine, acute pain in the chest, belonging to Shaoyang. Use...
Guan position has Wiry pulse, Cold in the Stomach. Principal and guest pulses are both Wiry, knowing Wood Qi is excessive, causing Cold Qi to be greatly full in the Stomach. Fuzi Lizhong Wan (Aconite Regulate the Middle Pill) governs.
Wiry at...
Water retention in the Lower Jiao fills the Dantian. Principal pulse is Deep, guest pulse is Wiry; Deep and Wiry combine, Wind-Cold Qi is excessive, water retention in the Lower Jiao. Shu Fu Tang (Atractylodes and Aconite Decoction) governs.
Wiry...
6. Tight (Jin) pulse is Yang. It governs Wind pathogen. This is the combination of Taiyang and Shaoyang. It governs hidden Yang rushing upward, transforming into manic disease. Use Huanglian Xiexin Tang (Coptis Drain the Heart Decoction).
Herbs: Huang Lian (Coptidis Rhizoma), Sheng Di Huang (Rehmanniae Radix), Zhi Mu (Anemarrhenae Rhizoma) (each 0.5 liang); Huang Qin (Scutellariae Radix) (2 liang); Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.5 liang). The above are cut, take one liang per dose, one and a half cups of water, decoct and take.
Tight pulse in the three positions is rapid and wiry. Rising Wind is the true root. Suddenly speaking madly frightens people; without a good physician, recovery is impossible.
Jiegu said: This is a combined disease of the Three Yangs. Tight and rapid indicate Taiyang. Many wiry indications point to Shaoyang and Yangming. Thus, excess leads to delirious speech. Yun Qi said: Its pulse...
Tight...
Herbs: Sheng Di Huang (Rehmanniae Radix), Huang Qin (Scutellariae Radix), Shan Zhi Zi Ren (Gardeniae Fructus) (each 1 liang); Da Huang (Rhei Radix et Rhizoma) (0.5 liang). The above are cut, decoct one liang in water, stop when bowel movement occurs.
Tight pulse before the Guan position causes head pain. Principal pulse is Floating, guest pulse is Tight; Floating and Tight combine, all headaches belong to the Three Yangs. Taiyang headache is governed by Qianghuo Tang (Notopterygi Decoction).
Pain... Tight in the Upper Jiao.
Arriving at Guan, pain prevents movement. Principal pulse is Wiry, guest pulse is Tight; Wiry and Tight combine, Taiyin suffers pathogen, sharp pain in the Spleen. Treat with Shaoyao Tang (Peony Decoction).
Herbs: Chi Shao Yao (Paeoniae Radix Rubra) (2 liang); Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.5 liang); Gui (Cinnamomi Ramulus) (3 qian). The above are cut, decoct one liang in water, add seven slices of ginger to take. If excess pain, add Da Huang...
Hidden finger feeling sparse reaching the Chi position. Constricted and winding around the navel, often holding with hands. Principal pulse is Deep, guest pulse is Tight; Deep and Tight combine, pain winding around the navel belongs to Taiyin. With Shaoyao...
Herbs: Gui (Cinnamomi Ramulus) (1 liang); Shaoyao (Paeoniae Radix), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparatum) (each 0.5 liang). The above are cut, take one liang per dose, decoct with ginger and jujube.
7. Surging (Hong) pulse is Yang. It governs headache, floating heat in the four limbs, obstruction of the Large Intestine, dry feces impaction, dry mouth, and generalized body pain.
Jiegu said: ...pressing reveals fullness, lifting reveals prosperity. Hong pulse... deficiency syndrome can be purged...
The root of the Surging pulse is originally Yang. Encountering late summer, it naturally prospers. If encountered in autumn and winter, diaphoresis and unblocking the intestines bring coolness.
Yun Qi said: Its pulse is prosperous upon both lifting and pressing, originally a sign of Ministerial Fire. Diaphoresis addresses both exterior and interior; for the exterior, use Mahuang Tang (Ephedra Decoction); for the interior, use Da Chengqi Tang (Major Order the Qi Decoction).
Mahuang Tang Herbs: Ma Huang (Ephedrae Herba), Shao Yao (Paeoniae Radix) (each 1 liang); Ge Gen (Puerariae Lobatae Radix) (1 liang 3 qian); Chi (Fermented Soybean) (100); Cong Bai (Allii Fistulosi Bulbus) (3 stalks). The above are cut, take one liang per dose, water two... diagnose knowing...
Surging pulse before the Guan position indicates heat in the chest. Principal pulse is Floating, guest pulse is Surging; Floating and Surging combine, heat knotting in the chest. Liangge San (Cool the Chest Powder) modified is used. Or Lianqiao Tang (Forsythia Decoction)...
Herbs: Lian Qiao (Forsythiae Fructus) (2 liang); Chai Hu (Bupleuri Radix), Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Shao Yao (Paeoniae Radix) (each 0.5 liang); Huang Qin (Scutellariae Radix) (1 liang); Da Huang (Rhei Radix et Rhizoma) (3 qian). The above are cut, one...
Arriving at Guan, retching dozens of layers. Principal pulse is Wiry, guest pulse is Surging; Wiry and Surging combine, Stomach Heat does not stop, retching and epistaxis. Remove with sour and bitter medicines. Or...
Herbs: Da Huang (half the amount of other herbs), Ge Gen (Puerariae Lobatae Radix), Huang Qin (Scutellariae Radix), Shao Yao (Paeoniae Radix), Jie Geng (Platycodonis Radix), Fu Ling (Poria), Ben (Ligustici Wallichii Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparatum) (equal parts). Above... residual heat enters...
Further towards the Chi position, if still so. Dark, astringent urination and sore legs. Jiegu said: Surging pulse at Chi is due to Yin failing to reach Yang. From bottom to top, first damaging Kidney and Liver... Suitable...
Herbs: Chi Fu Ling (Red Poria), Ze Xie (Alismatis Rhizoma) (each 0.5 liang); Sang Bai Pi (Mori Cortex), Shan Zhi Zi Ren (Gardeniae Fructus) (each 1 liang). The above are cut, decoct one liang in water, take until urination becomes free...
Regarding these Seven Superficial pulses, although named Yang pulses, why are hot medicines sometimes used? The answer is: Yang contains Yin. Regarding the twenty-one pulse conditions connecting upper, middle, and lower... using medicine... Jing's... actual lower...