黄帝曰∶余闻九针于夫子。众多博大。不可胜数。余愿闻要道。以属子孙。传之后世。
着
下副
九焉
以
有
地以候肾。人以候脾。帝曰∶中部之候奈何。岐伯曰∶亦有天。亦有地。亦有人。天以候肺
。地以候胸中之气。人以候心。帝曰∶上部何以候之。岐伯曰∶亦有天。亦有地。亦有人。
天以候头角之气。人以候耳目之气。地以候口齿之气。三部各有天。各有地。各有人。三而
成天。三而成地。三而成人。合则为九。九分为九野。为九藏。故神藏五。形藏四。合为九
藏。五藏已败。其色必夭。夭必死矣。帝曰∶以候奈何。岐伯曰。必先度其形之肥瘦。以调
其气之虚实。实则泻之。虚则补之。必先去其血脉而后调之。无问其病。以平为期。帝曰∶
决死生奈何。岐伯曰∶形盛脉细。少气不足以息者危。形瘦脉大。胸中多气者死。形气相得
者生。参伍不调者病。三部九候皆相失者死。上下左右之脉。相应如参舂者病甚。上下左右
相失。不可数者死。中部之候虽独调。与众相失者。皆死也。
凡诊脉。视其人大小长短。及性气缓急之脉。皆如其人形性则吉。反之者则凶。
夫脉者血之府也。长则气理。短者气病。数则心烦。大则病进。上盛则气高。下盛则气
胀。
短而急者病在上。长而缓者病在下。弦而沉者病在内。浮而洪者病在外。
滑而微浮病在肺。下紧上虚病在脾。长而弦者病在肝。脉少血少病在心。大而紧者病在
肾。
脉实者病在内。脉虚者病在外。
浮而大者风。浮而涩者气。沉细疾者热。迟紧者为寒。
诸腑脉为阳主热。诸脏脉为阴主寒。阳微则汗。阴为自下。阳数则口疮。阴数则恶寒。
阳芤
脉与肌肉相得。久持之至者。可下之。弦小紧者可下之。弦迟者宜温药。紧数者可发汗。
寸口脉浮大而病者。名曰阳中之阳。病苦烦满身热头痛腹中热。寸口脉沉细者。名曰阳中之
阴。病苦悲伤不乐。恶闻人声。少气。时时汗出。阴气不通。两臂不举。尺脉沉细。名曰阴
中之阴。苦两胫酸疼。不能久立。阴气衰。小便余沥。阴下湿痒。尺寸脉牢而长。关中无此
。为
痛。
寸口脉紧者。中风。风攻头痛。夫疟脉自弦。弦数多热。弦迟多寒。初持脉如躁之状。
久久
脉来乍大乍小。乍短乍长。为祸祟。脉来但实者。为心劳。脉来洪大袅袅者。为祸祟。
寸口脉弦中手短者。头痛。脉来过寸口入鱼际者。遗尿。脉来中手弦长者。腰疼。足胫
痛。
脉来中手弦从上紧者。肩背痛。脉但数细。心下热盛。
脉盛滑紧者。痛在外。脉小实紧者。痛在内。脉小弱而浮滑。久病。脉涩浮而病。新病。
脉沉而弦者。其人有 。腹内痛。脉来缓滑者。热在胃中。脉来盛紧者。腹胀。脉弦急。
疝
者
迟
下重痢。脉滑而浮散者。有风。脉短而滑者。病酒。脉紧而滑者。吐逆。脉迟而缓者。脾胃
有寒。脉弦而钩。胁下如刀刺。状如飞。脉沉而迟。腹藏有冷病。脉浮而细滑。伤于寒饮。
脉沉而数。其人中酒。冬时不治自愈。脉滑者。阳气盛。脉微而紧者。有寒。脉涩细而紧者
。痹病。脉沉而滑。为下重。背膂痛。脉短而数。心痛必烦。脉紧而数。寒热俱发。必当下
之乃愈。脉微弱者。有寒。少气。脉迟紧者。胃中有寒。若不能食。时时利者。当难治。脉
弦而紧。胁下痛。脉大细滑。中有短气。脉细小者。血气俱少。脉涩者、少血多气。脉滑者
、多血少气。脉大者。血气俱多。两手脉前部阳绝者。苦心下寒。内中热。脉洪大紧急。病
在外。苦头痛。发痈肿。脉细小紧急。病在中。寒疝瘕。积聚。腹中痛。脉浮大。中风头重
鼻塞。脉微浮。秋吉冬病。脉来疾者。为热。迟者。为寒湿。为鬼疰。弦。为切痛。脉沉重
而直前绝者。腹间血。病在内。脉沉重而中散者。因寒食成症。脉沉而急。病伤暑。暴发虚
热。脉来中散绝者。病渴。脉沉重。前不至寸口徘徊绝者。在肌肉遁尸。脉累累如贯珠不前
至。有风寒在大肠。伏留不去。脉来累累而止。不至寸口软者。结热在小肠膜中。而伏留不
去。脉微。即阳气不足。虚热汗出。凡无阳即厥。无阴即呕。阳微不能呼。阴微不能吸。
呼吸不足。胸中气促。前大后小。即头痛目眩。前小后大。即胸满短气。上部有脉。下部无
脉。其人当吐。不吐者死。阳邪来见浮洪。阴邪来见沉细。水谷来见实坚。浮而滑者宿食。
洪大伤寒热病。弦小者寒癖。浮滑之脉速疾者。食不消脾不磨也。关脉紧而滑者。蛔虫也。
三部或至或不至。冷气在胃中。故令脉不通也。尺脉沉滑者。寸白虫也。脉紧而急者、为遁
尸。脉紧而长过寸口者。疰病。关脉浮。积聚。热在胃中。尺脉浮者、客热在下焦。诸浮诸
紧。诸弦诸沉。诸涩诸滑。若在寸口。膈以上病。若在关上。胃以下病。若在尺中。肾以下
病。寸口脉沉。胸中短气。若弦上寸口者。宿食头痛。若有表有里者。邪之所止。得鬼病。
何谓表里。寸尺为表。关上为里。两头有脉。关中绝不至也。尺脉上不至关为阴绝。寸脉下
不至关为阳绝。阴绝与阳绝皆死。不可治也。
黄帝说：我从您那里听到了关于九针的论述，内容众多且博大精深，数不胜数。我希望聆听其中的关键道理，以便传授给子孙，流传后世。
岐伯说：下部的人部脉候察脾脏，地部脉候察肾脏。黄帝问：中部的脉象如何诊察？岐伯回答：中部也有天、地、人三部。天部脉候察肺脏，地部脉候察胸中之气，人部脉候察心脏。黄帝问：上部如何诊察？岐伯回答：上部也有天、地、人三部。天部脉候察头角之气，地部脉候察口齿之气，人部脉候察耳目之气。这三部各有天、地、人，三三相乘成为天、地、人，合起来就是九候。九候分为九野，对应九个脏腑。所以神脏有五个，形脏有四个，合为九个脏腑。如果五脏精气败坏，面色必然枯槁无华，面色枯槁无华必定死亡。黄帝问：如何根据脉象判断病情？岐伯回答：必须先衡量病人的形体肥瘦，以调节其气的虚实。实证用泻法，虚证用补法。必须先去疏通血脉，然后再进行调理。无论什么疾病，以恢复平衡为最终目的。黄帝问：如何决断生死？岐伯回答：形体壮盛但脉象细弱，气息短少不足以呼吸的，危险。形体消瘦但脉象洪大，胸中气多胀满的，死亡。形体与脉气相协调的，生存。脉气参差错乱不调和的，生病。上、中、下三部九候脉象都失常的，死亡。上下左右脉象相应，如同捣米一样参差不齐的，病重。上下左右脉象失调，无法计数的，死亡。中部的脉象虽然单独调和，但与其余各部脉象不相一致的，也主死亡。
凡是诊脉，要观察病人的体型大小长短，以及性情气质的缓急，脉象都与人的形体性格相符则为吉兆，反之则为凶兆。
脉是血液汇聚的地方。脉长则气机理顺，脉短则气机有病。脉数则心烦，脉大则病势进展。上部脉盛则气逆于上，下部脉盛则气滞于下导致腹胀。
脉短而急促的病在上部，脉长而迟缓的病在下部。脉弦而沉的病在体内，脉浮而洪大的病在体表。
脉滑而微浮的病在肺，脉下紧上虚的病在脾，脉长而弦的病在肝，脉象显示血少的病在心，脉大而紧的病在肾。
脉实的病在体内，脉虚的病在体表。
脉浮而大的属风邪，脉浮而涩的属气病，脉沉细疾速的属热，脉迟紧的属寒。
六腑的脉象属阳，主热；五脏的脉象属阴，主寒。阳气微弱则出汗，阴气虚弱则下部泄利（注：原文“阴为自下”疑为阴气虚或阴邪致下利，此处依语境译为下部泄利或阴虚下陷之意，结合后文“阴数则恶寒”，此处可能指阴寒内盛或阴虚，暂译作下部异常）。阳气数动则生口疮，阴气数动则恶寒。
脉芤（中空之脉）且与肌肉相得，久按至骨者，可以用攻下法。脉弦小紧的可以用攻下法。脉弦迟的适宜用温药。脉紧数的可以发汗。
寸口脉浮大且患病的，称为阳中之阳。病人苦于烦闷、全身发热、头痛、腹中热。寸口脉沉细的，称为阳中之阴。病人苦于悲伤不乐，厌恶听到人声，气短，经常出汗，阴气不通，双臂不能举起。尺脉沉细的，称为阴中之阴。病人苦于两小腿酸痛，不能久站，阴气衰弱，小便余沥不尽，阴部潮湿瘙痒。尺寸脉牢而长，关部没有这种脉象的，主痛。
寸口脉紧的，是中风，风邪攻击导致头痛。疟疾的脉象自然呈弦脉，弦数脉多热，弦迟脉多寒。初切脉时感觉躁动不安，久久之后脉来忽大忽小，忽短忽长的，是祸祟（鬼神作怪或精神类疾病）所致。脉来单纯的实脉，是心劳所致。脉来洪大且摇曳不定的，是祸祟所致。
寸口脉弦且按之短的，头痛。脉来过寸口直达鱼际的，遗尿。脉来按之弦长的，腰疼，足胫痛。
脉来按之弦且从上往下逐渐变紧的，肩背痛。脉单纯数细的，心下热盛。
脉盛滑紧的，疼痛在体表；脉小实紧的，疼痛在体内。脉小弱而浮滑的，是久病；脉涩浮而病的，是新病。
脉沉而弦的，其人腹部有积气（注：原文缺字，据《素问》补为“疝”或“积气”，此处依常见语境译为腹部积气或疝痛），腹内痛。脉来缓滑的，热在胃中。脉来盛紧的，腹胀。脉弦急的，疝气。脉迟的，里急后重的痢疾。脉滑而浮散的，有风邪。脉短而滑的，酒病。脉紧而滑的，呕吐逆气。脉迟而缓的，脾胃有寒。脉弦而钩（如石投水复起）的，胁下如刀刺，状如飞动。脉沉而迟的，腹内脏腑有冷病。脉浮而细滑的，伤于寒饮。脉沉而数的，其人饮酒过度，冬季若不治疗也会自愈。脉滑的，阳气盛。脉微而紧的，有寒。脉涩细而紧的，痹病。脉沉而滑的，为里急后重，背脊痛。脉短而数的，心痛必烦。脉紧而数的，寒热俱发，必须用攻下法才能痊愈。脉微弱的，有寒，气短。脉迟紧的，胃中有寒，如果不能进食，经常腹泻的，难治。脉弦而紧的，胁下痛。脉大细滑的，中间有短气。脉细小的，气血俱少。脉涩的，血少气多。脉滑的，血多气少。脉大的，气血俱多。两手脉前部（寸部）阳绝的，苦心下寒冷，内部有热。脉洪大紧急的，病在体表，苦于头痛，发生痈肿。脉细小紧急的，病在体内，寒疝瘕聚，积聚，腹中痛。脉浮大的，中风，头重鼻塞。脉微浮的，秋季吉利，冬季发病。脉来疾速的，为热；迟的，为寒湿，为鬼疰（慢性传染病或精神异常）。脉弦的，为剧烈疼痛。脉沉重而直前绝止的，腹间有瘀血，病在体内。脉沉重而中段的散乱的，因寒食形成症块。脉沉而急的，病伤暑，暴发虚热。脉来中段散绝的，病渴。脉沉重，前段不到达寸口徘徊绝止的，在肌肉层有遁尸（潜伏的邪气）。脉累累如贯珠但不前进到达寸口的，有风寒在大肠，伏留不去。脉来累累但中途停止，不到达寸口且软的，结热在小肠膜中，伏留不去。脉微的，即阳气不足，虚热出汗。凡无阳则四肢厥冷，无阴则呕吐。阳气微弱不能呼气，阴气微弱不能吸气。呼吸不足，胸中气促。前大后小的，即头痛目眩；前小后大的，即胸满短气。上部有脉，下部无脉，其人应当呕吐，不呕吐的死亡。阳邪来临见浮洪脉，阴邪来临见沉细脉，水谷停滞见实坚脉。浮而滑的是宿食。洪大的是伤寒热病。弦小的是寒癖。浮滑且脉速疾的，食物不消化，脾不磨运。关脉紧而滑的，蛔虫。三部脉或至或不至，冷气在胃中，所以令脉不通。尺脉沉滑的，寸白虫（绦虫）。脉紧而急的，为遁尸。脉紧而长过寸口的，疰病。关脉浮的，积聚，热在胃中。尺脉浮的，客热在下焦。诸浮、诸紧、诸弦、诸沉、诸涩、诸滑的脉，如果在寸口，病在膈以上；如果在关上，病在胃以下；如果在尺中，病在肾以下。寸口脉沉的，胸中短气。如果弦脉上过寸口，是宿食头痛。如果有表有里的症状，是邪气停留之处，得鬼病。什么叫表里？寸部和尺部为表，关部为里。两头（寸、尺）有脉，关部绝而至不到的，是阴绝与阳绝。尺脉上不至关为阴绝，寸脉下不至关为阳绝。阴绝与阳绝都主死亡，不可治愈。
Huangdi said: I have heard from you about the Nine Needles. The content is vast and profound, innumerable. I wish to hear the essential principles so that I may pass them on to my descendants and transmit them to future generations.
Qibo said: The human position of the lower section observes the Spleen, and the earth position observes the Kidney. Huangdi asked: How are the pulses of the middle section observed? Qibo replied: There is also heaven, earth, and humanity in the middle section. The heaven position observes the Lung, the earth position observes the Qi in the chest, and the human position observes the Heart. Huangdi asked: How is the upper section observed? Qibo replied: There is also heaven, earth, and humanity in the upper section. The heaven position observes the Qi of the head and horns (temples), the earth position observes the Qi of the mouth and teeth, and the human position observes the Qi of the ears and eyes. Each of the three sections has its own heaven, earth, and humanity. Three times three constitute heaven, earth, and humanity. Combined, they form nine positions. These nine positions are divided into nine fields, corresponding to nine Zang organs. Thus, there are five Shen (Spirit) Zang and four Xing (Form) Zang, totaling nine Zang organs. If the essence of the Five Zang organs fails, the complexion will inevitably become withered and lifeless; a withered complexion indicates death. Huangdi asked: How should one observe [the pulse] to judge the condition? Qibo replied: One must first measure the patient's fatness or thinness to regulate the deficiency or excess of their Qi. For excess conditions, use draining methods; for deficiency conditions, use tonifying methods. One must first unblock the blood vessels before regulating the body. Regardless of the disease, the goal is to restore balance. Huangdi asked: How does one determine life and death? Qibo replied: If the body is robust but the pulse is thin, and there is shortness of breath insufficient for respiration, the condition is critical. If the body is emaciated but the pulse is large, with excessive Qi in the chest causing distension, death ensues. If the form and Qi are harmonious, the patient lives. If the Qi is disordered and irregular, illness occurs. If all nine positions in the upper, middle, and lower sections are inconsistent, death ensues. If the pulses above and below, left and right correspond to each other like the rhythmic pounding of a mortar, the disease is severe. If the pulses above and below, left and right are inconsistent and cannot be counted, death ensues. Even if the pulse of the middle section alone is harmonious, if it is inconsistent with the others, death ensues.
When palpating the pulse, one must observe the patient's size, length, and temperament, as well as the slowness or urgency of their nature. If the pulse matches the person's physical form and character, it is auspicious; if contrary, it is inauspicious.
The pulse is the residence of Blood. A long pulse indicates regulated Qi; a short pulse indicates diseased Qi. A rapid pulse indicates heart vexation; a large pulse indicates advancing disease. Excess in the upper part indicates Qi rising; excess in the lower part indicates Qi stagnation and abdominal distension.
A short and urgent pulse indicates disease in the upper part; a long and slow pulse indicates disease in the lower part. A wiry and deep pulse indicates internal disease; a floating and surging pulse indicates external disease.
A slippery and slightly floating pulse indicates Lung disease; a tight lower and deficient upper pulse indicates Spleen disease; a long and wiry pulse indicates Liver disease; a pulse indicating deficient Blood indicates Heart disease; a large and tight pulse indicates Kidney disease.
An excess pulse indicates internal disease; a deficient pulse indicates external disease.
A floating and large pulse indicates Wind; a floating and choppy pulse indicates Qi disorder; a deep, thin, and rapid pulse indicates Heat; a slow and tight pulse indicates Cold.
The pulses of the Fu organs are Yang and primarily indicate Heat; the pulses of the Zang organs are Yin and primarily indicate Cold. Yang deficiency leads to sweating; Yin deficiency leads to lower tract issues. Yang heat leads to mouth ulcers; Yin heat leads to aversion to cold.
A Kun (hollow) pulse that feels consistent with the muscle and remains distinct upon prolonged pressing can be treated with purgatives. A wiry, small, and tight pulse can be treated with purgatives. A wiry and slow pulse is suitable for warming medicines. A tight and rapid pulse can be treated with diaphoresis.
If the Cun Kou (radial artery at the wrist) pulse is floating and large in a diseased state, it is called Yang within Yang. The patient suffers from vexation, generalized fever, headache, and internal heat. If the Cun Kou pulse is deep and thin, it is called Yin within Yang. The patient suffers from sadness and unhappiness, aversion to human voices, shortness of Qi, frequent sweating, obstruction of Yin Qi, and inability to raise both arms. If the Chi pulse is deep and thin, it is called Yin within Yin. The patient suffers from soreness and pain in both calves, inability to stand for long periods, deficiency of Yin Qi, dribbling urination, and dampness and itching in the genital area. If the Cun and Chi pulses are firm and long, but absent at the Guan (middle) position, it indicates pain.
A tight pulse at the Cun Kou indicates Zhong Feng (Wind Stroke), where wind attacks causing headache. The pulse of Nue (Malaria) is naturally wiry. A wiry and rapid pulse indicates much Heat; a wiry and slow pulse indicates much Cold. Initially, if the pulse feels restless, and after a while comes alternately large and small, short and long, it indicates Huo Sui (malevolent spirits or psychosomatic disorders). A purely excess pulse indicates Xin Lao (Heart Exhaustion). A surging, large, and wavering pulse indicates Huo Sui.
A wiry pulse at the Cun Kou that is short upon palpation indicates headache. A pulse that extends past the Cun Kou to the Yu Ji point indicates enuresis. A wiry and long pulse upon palpation indicates lumbar pain and shin pain.
A wiry pulse upon palpation that becomes tight from top to bottom indicates shoulder and back pain. A purely rapid and fine pulse indicates excessive heat in the epigastrium.
A surging, slippery, and tight pulse indicates pain in the exterior; a small, solid, and tight pulse indicates pain in the interior. A small, weak, and floating-slippery pulse indicates chronic disease; a choppy, floating, and diseased pulse indicates acute disease.
A deep and wiry pulse indicates abdominal accumulation or hernia and internal pain. A slow and slippery pulse indicates Heat in the Stomach. A surging and tight pulse indicates abdominal distension. A wiry and urgent pulse indicates Shan (Hernia). A slow pulse indicates Li Ji Hou Zhong (tenesmus/dysentery). A slippery and floating-scattered pulse indicates Wind. A short and slippery pulse indicates alcohol-induced disease. A tight and slippery pulse indicates vomiting and reflux. A slow and moderate pulse indicates Cold in the Spleen and Stomach. A wiry and hook-like pulse (resembling a stone sinking and rising) indicates stabbing pain under the ribs, feeling as if flying. A deep and slow pulse indicates Cold disease in the abdominal viscera. A floating, thin, and slippery pulse indicates injury by Cold-Fluid retention. A deep and rapid pulse indicates excessive alcohol consumption; if untreated in winter, it may heal spontaneously. A slippery pulse indicates abundant Yang Qi. A minute and tight pulse indicates Cold. A choppy, thin, and tight pulse indicates Bi Syndrome (obstruction). A deep and slippery pulse indicates tenesmus and back/spine pain. A short and rapid pulse indicates Heart pain with vexation. A tight and rapid pulse indicates simultaneous Cold and Heat; purgation is required for recovery. A minute and weak pulse indicates Cold and shortness of Qi. A slow and tight pulse indicates Cold in the Stomach; if accompanied by anorexia and frequent diarrhea, it is difficult to treat. A wiry and tight pulse indicates hypochondriac pain. A large, thin, and slippery pulse indicates shortness of Qi in the center. A small and fine pulse indicates deficiency of both Blood and Qi. A choppy pulse indicates less Blood and more Qi. A slippery pulse indicates more Blood and less Qi. A large pulse indicates abundance of both Blood and Qi. Absence of Yang pulse in the anterior part (Cun) of both hands causes vexation due to Cold in the epigastrium and Heat internally. A surging, large, and urgent pulse indicates external disease, suffering from headache and abscesses. A small, fine, and urgent pulse indicates internal disease, Cold Hernia, Jia Ma (masses), accumulations, and abdominal pain. A floating and large pulse indicates Zhong Feng with heavy head and nasal congestion. A minute and floating pulse is auspicious in Autumn but indicates disease in Winter. A rapid pulse indicates Heat; a slow pulse indicates Cold-Dampness or Gui Zhu (ghostly transmission/chronic infectious disease). A wiry pulse indicates cutting pain. A heavy pulse that stops abruptly moving forward indicates blood stasis in the abdomen and internal disease. A heavy pulse that scatters in the middle indicates masses formed by Cold and food retention. A deep and urgent pulse indicates Summerheat injury with sudden onset of Deficient Heat. A pulse that scatters and stops in the middle indicates thirst disease. A heavy pulse that does not reach the Cun Kou and lingers/stops indicates Dun Shi (latent pathogen) in the muscles. A pulse that is bead-like but does not advance to the Cun Kou indicates Wind-Cold lodged in the Large Intestine, lingering without departing. A pulse that is bead-like but stops before reaching the soft Cun Kou indicates accumulated Heat in the membranes of the Small Intestine, lingering without departing. A minute pulse indicates insufficiency of Yang Qi, leading to deficient Heat and sweating. Where there is no Yang, there is Jue (cold limbs); where there is no Yin, there is vomiting. Yang deficiency prevents exhalation; Yin deficiency prevents inhalation. Insufficient respiration leads to shortness of Qi in the chest. Anterior large and posterior small indicates headache and dizziness; anterior small and posterior large indicates chest fullness and shortness of Qi. If there is a pulse in the upper section but none in the lower, the patient should vomit; if they do not vomit, death ensues. When Yang pathogens appear, the pulse is floating and surging; when Yin pathogens appear, the pulse is deep and thin; when water and grain stagnate, the pulse is solid and hard. Floating and slippery indicates retained food. Surging and large indicates Shang Han (Cold Damage) and Re Bing (Heat Disease). Wiry and small indicates Han Pi (Cold Phlegm/Stagnation). Floating, slippery, and rapid indicates indigestion due to Spleen failure to grind. Tight and slippery at the Guan position indicates roundworms. If the three sections show pulses intermittently or absent, Cold Qi in the Stomach obstructs the pulse. Deep and slippery at the Chi position indicates Taenia (tapeworm). Tight and urgent pulses indicate Dun Shi. Tight and long pulses extending past the Cun Kou indicate Zhu Bing (infectious/chronic disease). Floating at the Guan position indicates accumulations and Heat in the Stomach. Floating at the Chi position indicates wandering Heat in the Lower Jiao. For all floating, tight, wiry, deep, choppy, and slippery pulses: if at the Cun Kou, the disease is above the diaphragm; if at the Guan, below the Stomach; if at the Chi, below the Kidneys. Deep at the Cun Kou indicates shortness of Qi in the chest. If the wiry pulse extends past the Cun Kou, it indicates retained food and headache. If there are both exterior and interior signs, it indicates the location of the pathogen, resulting in "Ghost Disease." What are exterior and interior? Cun and Chi are exterior; Guan is interior. If pulses exist at both ends (Cun and Chi) but are absent at the Guan, it indicates Yin Jue and Yang Jue. If the Chi pulse does not reach up to the Guan, it is Yin Jue; if the Cun pulse does not reach down to the Guan, it is Yang Jue. Both Yin Jue and Yang Jue indicate death and are incurable.