大便燥结须分气血阳数而实阴迟而涩此言燥结脉证宜分气血而当别阴阳也燥结一证大抵
血液少而火气盛也但以脉合证而属气属血自井然矣火气盛者为阳脉必有余故数实也血液少者
为阴脉必不足故迟涩也气血一判辩证用药无余蕴矣
癫乃重阴狂乃重阳浮洪吉兆沉急凶殃此言癫狂脉病宜别也癫云重阴谓偏重于阴也发时语
言错乱神意迷惑无有灵明此癫邪入于阴而阴实也狂云重阳谓偏重于阳也发时叫号骂詈逾垣上
屋不避死生此狂邪入于阳而阳实也其脉浮洪者是为阳脉阳狂得之与证相宜即阴癫得之亦从阴
转阳自里达表之象故均为吉兆若沉而急沉则入阴迫里急则强急不柔是无胃气之脉也无论癫阴
狂阳自无生理所以谓之凶殃也
痫脉宜虚实急者恶浮阳沉阴滑痰数热此言痫病脉证宜别也痫之始发卒然跌仆口噤作声或
吐痰沫又有牛马猪羊鸡五痫之别总之因惊以动脏气不平郁而生痰生涎闭塞诸经或在母腹受惊
或感六气或饮食不节逆于脏气而成也其脉总宜虚而不宜实若实而急是无胃气也浮则痫发于阳
沉则痫发于阴滑则痫发多痰数则痫发多热因病见脉因脉知病亦理之自然耳
喉痹之脉数热迟寒缠喉走马微伏则难此言喉痹脉证宜别也痹者闭也闭塞不通之谓乃火盛
气结以致喉咙肿胀呼吸难通痰涎壅塞水浆不下一二日即能杀人其脉多数数则为热故耳间有脉
迟者乃是外寒袭入经脉经气不利郁滞于所过之处故亦为痹而且当温散也更有一种缠喉风或麻
或痒又肿又痛缠绵于内一种走马喉痹须臾之间痛而肿肿而闭闭而气绝暴发暴死二者俱火中挟
风风火交煽故发病凶暴如此其脉应浮大洪数而反见微伏是邪盛正衰欲其生也不亦难乎
大便燥结需要区分气血、阳数而实，阴迟而涩。这是在说燥结的脉证应当区分气血，并辨别阴阳。燥结这一病证，大抵是血液亏少而火气旺盛。只要以脉象结合症状，判断属于气还是属于血，自然条理清晰。火气旺盛的属于阳，脉象必然有余，所以表现为数而实；血液亏少的属于阴，脉象必然不足，所以表现为迟而涩。气血一旦判别清楚，辨证用药就没有遗漏了。
癫证属于重阴，狂证属于重阳。脉象浮洪为吉兆，沉急为凶殃。这是在说癫狂的病脉应当辨别。所谓“癫”为重阴，是指偏重于阴。发作时言语错乱，神志迷惑，没有清明之态，这是癫邪侵入阴分而阴气实证。所谓“狂”为重阳，是指偏重于阳。发作时叫喊辱骂，翻墙爬屋，不顾生死，这是狂邪侵入阳分而阳气实证。其脉象若见浮洪，这是阳脉，阳狂见到此脉与证候相适宜；即使是阴癫见到此脉，也是从阴转阳、由里达表的征象，所以都算是吉兆。如果脉象沉而急，沉则入阴迫于里，急则强急不柔，这是无胃气的脉象。无论癫属阴还是狂属阳，见到这种脉象都没有生机，所以称为凶殃。
痫病的脉象宜虚不宜实，急者预后不良，浮脉主阳，沉脉主阴，滑脉主痰，数脉主热。这是在说痫病的脉证应当辨别。痫病刚开始发作时，突然跌倒，口噤有声，或者吐出痰沫，又有牛、马、猪、羊、鸡五痫的区别。总之是因为惊恐导致脏气不平，郁而生痰生涎，闭塞诸条经脉。有的在母腹中受惊，有的感受六淫之气，有的饮食不节，逆乱脏气而形成。其脉象总宜虚而不宜实，如果实而急，就是无胃气的表现。浮脉表示痫发于阳，沉脉表示痫发于阴，滑脉表示痫发多痰，数脉表示痫发多热。因病见脉，因脉知病，这也是道理的自然体现。
喉痹的脉象：数主热，迟主寒。缠喉风、走马喉痹，若脉微伏则难治。这是在说喉痹的脉证应当辨别。“痹”就是闭，指闭塞不通，是由于火盛气结导致喉咙肿胀，呼吸难以通利，痰涎壅塞，水浆不能下咽，一两天内就能致死。其脉象多数，数则为热，所以如此。间或有脉迟的，那是外寒侵袭经脉，经气不利，郁滞于所经过的地方，所以也形成痹证，而且应当用温散法治疗。还有一种叫缠喉风，或麻或痒，又肿又痛，缠绵于内；一种叫走马喉痹，须臾之间，痛而肿，肿而闭，闭而气绝，暴发暴死。这两种都是火中挟风，风火交煽，所以发病凶暴如此。其脉象应当浮大洪数，反而见到微伏，这是邪气盛正气衰，想要它生还，不也很难吗？
Stool dryness and constipation must be differentiated by Qi and Blood, Yang (excess/heat) presenting with rapid and full pulses, and Yin (deficiency/cold) presenting with slow and choppy pulses. This states that the pulse and symptoms of dryness and constipation should distinguish between Qi and Blood, and differentiate Yin and Yang. Generally, this syndrome involves deficient Blood and excessive Fire. By correlating the pulse with the symptoms to determine whether it belongs to Qi or Blood, the pattern becomes clear. Excessive Fire belongs to Yang; the pulse must be surplus, thus appearing rapid and full. Deficient Blood belongs to Yin; the pulse must be insufficient, thus appearing slow and choppy. Once Qi and Blood are distinguished, syndrome differentiation and medication leave no room for omission.
Dian (catatonia) is Heavy Yin, Kuang (mania) is Heavy Yang. Floating and洪 (full/hong) pulses are auspicious omens; sinking and urgent pulses are inauspicious disasters. This states that the pathological pulses of Dian and Kuang should be differentiated. "Dian" as Heavy Yin refers to a bias towards Yin. During attacks, speech is disordered, spirit is confused, lacking clarity; this is Dian pathogen entering the Yin aspect resulting in Yin excess. "Kuang" as Heavy Yang refers to a bias towards Yang. During attacks, shouting, cursing, climbing walls and roofs, disregarding life and death; this is Kuang pathogen entering the Yang aspect resulting in Yang excess. If the pulse is floating and full, this is a Yang pulse. For Yang Kuang, this matches the syndrome; even for Yin Dian, it indicates a transformation from Yin to Yang, moving from interior to exterior, so both are considered auspicious. If the pulse is sinking and urgent, sinking indicates entering Yin and pressing on the interior; urgent indicates rigidity without flexibility, which is a pulse lacking Stomach Qi. Regardless of whether it is Yin Dian or Yang Kuang, such a pulse indicates no physiological vitality, hence termed an inauspicious disaster.
The pulse of Xian (epilepsy) should be deficient rather than excess; urgent indicates poor prognosis; floating indicates Yang; sinking indicates Yin; slippery indicates Phlegm; rapid indicates Heat. This states that the pulse and symptoms of epilepsy should be differentiated. At the onset of epilepsy, there is sudden falling, jaw locking, sounds, or vomiting of phlegm foam. There are distinctions among the five types: Ox, Horse, Pig, Sheep, and Chicken epilepsy. In essence, it arises from fright disturbing Zang-Qi imbalance, leading to stagnation generating Phlegm and Saliva, blocking the meridians. It may result from fright in the womb, exposure to Six Evils, or irregular diet disrupting Zang-Qi. The pulse generally should be deficient rather than excess; if excess and urgent, it indicates lack of Stomach Qi. Floating indicates epilepsy arising from Yang; sinking indicates epilepsy arising from Yin; slippery indicates abundant Phlegm; rapid indicates abundant Heat. Observing the pulse through disease, and knowing the disease through the pulse, is the natural order of principles.
The pulse of Hou Bi (sore throat obstruction): rapid indicates Heat, slow indicates Cold. Chan Hou Feng (winding throat wind) and Zou Ma Hou Bi (running horse sore throat), if the pulse is faint and deep, is difficult to treat. This states that the pulse and symptoms of Hou Bi should be differentiated. "Bi" means obstruction, referring to blockage and non-patency, caused by excessive Fire and Qi stagnation leading to throat swelling, difficulty in breathing, accumulation of saliva and phlegm, inability to swallow fluids, which can be fatal within one or two days. The pulse is mostly rapid; rapid indicates Heat. Occasionally, the pulse is slow, indicating external Cold invading the meridians, causing meridian Qi dysfunction and stagnation at the affected site, thus also forming a Bi syndrome, which requires warm dispersal treatment. Another type is Chan Hou Feng, characterized by numbness or itching, swelling and pain, lingering internally. Another is Zou Ma Hou Bi, where within moments, pain leads to swelling, swelling leads to closure, closure leads to breath cessation, occurring suddenly and causing sudden death. Both involve Fire carrying Wind, with Wind and Fire fanning each other, making the onset violent. The pulse should be floating, large, full, and rapid; instead, if faint and deep pulses appear, this indicates pathogenic excess and righteous deficiency. Is it not difficult for survival?