诸风眩晕有火有痰左涩死血右大虚看此言眩晕脉证宜别也眩者目乍黑乍明 不定也晕
者头昏冒旋转岑岑欲倒也故眩晕者多属诸风又不独一风也有因于火者有因于痰者有因于死血
者有因于虚者夫火性上炎冲于巅顶动摇转旋不言可知胸中痰浊随气上升淆浊之气扰乱其间欲
其不眩不晕不可得矣其脉必征于左者以左心主血肝藏血肾主液为血之源耳诸阳上行于头诸脉
上注于目血死则脉凝泣滞涩而不流利眩晕时时作矣其脉右手必大而无力以右肺主气脾生气命
门真火为气之根右大无力气虚眩晕端可知矣
头痛多弦浮风紧寒热洪湿细缓滑厥痰气虚弦软血虚微涩肾厥弦坚真痛短涩此言头痛脉证
之义也头乃六阳所聚弦乃阴脉邪束于外阳郁于中安得不痛故头痛者多弦多弦不皆弦也亦有脉
浮而痛者属风脉紧而痛者属寒脉洪而痛者属热脉细而痛者属湿脉缓滑而痛者属痰脉弦软而痛
者属气虚脉微涩而痛者属血虚脉弦坚而痛者属肾虚肾气厥逆（难经六十难所云）厥头痛者是
也
厥痛不已甚则入肾而为真头痛也其脉短涩者短则阳脱于上涩则阴衰于下若手足厥寒至节者必
死不治虽然头痛不止此数种五脏六腑皆能病此但宜细察其脉与兼见之证以别脏腑阴阳寒热虚
实而施治焉则万举万当矣
心腹之痛其类有九细迟从吉浮大延久此言心腹疼痛脉证之义也心腹之痛其类甚多此仅言
有九者亦举其要耳曰饮曰食曰风曰寒曰热曰悸曰虫曰忤曰疰饮者痰饮也痰饮留中故痛食者食
物也食物停积故痛风者风邪也邪正相搏故痛寒者寒邪也荣脉凝泣故痛热者火也火郁不发故痛
悸者心中动悸也中气空虚故痛虫者虫积也虫动攻冲上下故痛忤者客忤也不正之邪乱其清道故
痛疰者尸疰也痛无定所即传尸气也以上诸痛若脉见细迟是气减舒徐厥邪衰退之象理应从吉设
或大浮知邪方盛况心腹里证而得表脉更非所宜虽不至于殒躯亦难愈也
诸风引起的眩晕，病因有火、有痰、有左脉涩滞的死血（瘀血）、右脉大的虚证。看这些关于眩晕脉证的论述，应当加以辨别。眩，是指眼睛忽然发黑或忽明忽暗，视物不定；晕，是指头昏沉冒昧，感觉旋转，昏昏沉沉想要跌倒。所以眩晕多归属于诸风病，但并非只有风邪一种原因，有的因火引起，有的因痰引起，有的因死血（瘀血）引起，有的因虚引起。火的性质是向上炎升，冲击到头顶，其动摇旋转的特性不言而喻。胸中的痰浊随着气机上升，浑浊之气扰乱在头部中间，想要不眩不晕是不可能的。其脉象必然反映在左手，因为左手对应心主血、肝藏血、肾主液，这是血的源头。所有的阳经都上行于头，所有的经脉都上注于目。如果血液凝滞不行，脉道就会凝涩滞缓而不流利，眩晕就会时时发作。其脉象右手必定大而无力，因为右手对应肺主气、脾生气、命门真火为气的根本。右手脉大而无力的，气虚导致的眩晕是可以知道的。
头痛多表现为弦脉或浮脉，紧脉属寒，洪脉属热，细脉属湿，缓滑脉属厥逆之痰，软脉属气虚，微涩脉属血虚，弦坚脉属肾厥，短涩脉属真痛。这里讲的是头痛脉证的意义。头部是六条阳经汇聚的地方，弦脉属于阴脉，邪气束缚于外，阳气郁结于内，怎么能不痛呢？所以头痛多表现为弦脉，但并非都是弦脉。也有脉浮而痛的，属于风邪；脉紧而痛的，属于寒邪；脉洪而痛的，属于热邪；脉细而痛的，属于湿邪；脉缓滑而痛的，属于痰邪；脉弦软而痛的，属于气虚；脉微涩而痛的，属于血虚；脉弦坚而痛的，属于肾虚。肾气厥逆（即《难经·六十难》所说的），就是厥头痛。
厥痛如果不愈，严重时就会入肾成为真头痛。其脉象短涩的，短则阳气脱失于上，涩则阴气衰败于下。如果手足冰冷直到关节，必定死亡，无法医治。虽然如此，头痛不止这几种情况，五脏六腑都能导致头痛，这里只是列举主要的几种。应当仔细诊察脉象和伴随的症状，来辨别脏腑、阴阳、寒热、虚实，从而施以治疗，这样就能万无一失。
心腹部的疼痛，其类别有九种：细迟脉从吉，浮大脉病程延长。这里讲的是心腹疼痛脉证的意义。心腹部的疼痛类别很多，这里只说有九种，也是举出其中的要点罢了。说是饮、食、风、寒、热、悸、虫、忤、疰。饮，指痰饮，痰饮停留在中焦所以疼痛；食，指食物，食物停积所以疼痛；风，指风邪，邪正相搏所以疼痛；寒，指寒邪，营脉凝涩所以疼痛；热，指火邪，火郁结不发所以疼痛；悸，指心中动悸，中气空虚所以疼痛；虫，指虫积，虫动攻冲上下所以疼痛；忤，指客忤，不正的邪气扰乱清道所以疼痛；疰，指尸疰，疼痛没有固定位置，即传尸气。以上各种疼痛，如果脉象出现细迟，是气减舒徐、邪气衰退的现象，理应从吉（预后良好）。如果出现大浮脉，说明邪气正盛，心腹部里证却得到表脉，更加不适宜，虽然不至于丧命，也难以痊愈。
Vertigo caused by various wind pathogens may stem from fire, phlegm, stasis blood (blood stasis) indicated by a choppy left pulse, or deficiency indicated by a large right pulse. Examining these descriptions of vertigo's pulse and symptoms requires differentiation. "Xuan" (dizziness/blindness) refers to eyes suddenly turning black or alternating between light and dark, with unstable vision. "Yun" (vertigo/dizziness) refers to a heavy, muddled sensation in the head, feeling as if rotating, dizzy and wanting to fall. Therefore, vertigo mostly belongs to various wind diseases, but it is not solely due to wind; some are caused by fire, some by phlegm, some by stasis blood (blood stasis), and some by deficiency. The nature of fire is to flare upward, striking the vertex, making its shaking and rotating characteristics self-evident. Turbid phlegm in the chest rises with qi, and turbid qi disturbs the interior of the head; it is impossible for one not to experience dizziness or vertigo. The pulse manifestation must be seen on the left side, because the left side corresponds to the Heart governing blood, the Liver storing blood, and the Kidney governing fluids, which is the source of blood. All yang meridians ascend to the head, and all vessels pour into the eyes. If blood stagnates, the vessels become congealed, choppy, sluggish, and unsmooth, causing vertigo to occur frequently. The pulse on the right hand must be large but forceless, because the right side corresponds to the Lung governing qi, the Spleen generating qi, and the Mingmen (Gate of Life) true fire being the root of qi. A large yet forceless right pulse indicates that vertigo due to qi deficiency can be known.
Headache often presents with a wiry or floating pulse; a tight pulse indicates cold, a surging pulse indicates heat, a fine pulse indicates dampness, a slow and slippery pulse indicates jue-type phlegm, a soft pulse indicates qi deficiency, a slightly choppy pulse indicates blood deficiency, a wiry and firm pulse indicates kidney jue, and a short and choppy pulse indicates true headache. This discusses the meaning of headache's pulse and symptoms. The head is the gathering place of the six yang meridians. A wiry pulse is a yin pulse; when evil binds externally and yang is constrained internally, how can there be no pain? Thus, headaches often present with a wiry pulse, but not always. There are cases where the pulse is floating and painful, indicating wind; tight and painful, indicating cold; surging and painful, indicating heat; fine and painful, indicating dampness; slow, slippery, and painful, indicating phlegm; wiry, soft, and painful, indicating qi deficiency; slightly choppy and painful, indicating blood deficiency; wiry, firm, and painful, indicating kidney deficiency. Rebellious qi of the Kidney (as stated in *Nan Jing* Chapter 60) constitutes jue-type headache.
If jue-type headache persists, it may enter the Kidney and become true headache. A short and choppy pulse indicates that shortness signifies yang collapsing upward, and choppy signifies yin declining downward. If cold hands and feet extend to the joints, death is certain and untreatable. Nevertheless, headache is not limited to these types; the five zang and six fu organs can all cause headache. This text merely lists the primary ones. One should carefully observe the pulse and accompanying symptoms to differentiate the zang-fu, yin-yang, cold-heat, and deficiency-excess conditions, thereby applying appropriate treatment, ensuring success in every case.
Pain in the heart and abdomen has nine categories: a fine and slow pulse is auspicious, while a floating and large pulse indicates a prolonged course. This discusses the meaning of heart and abdominal pain's pulse and symptoms. The categories of heart and abdominal pain are numerous; this mentions only nine, highlighting the essentials. They are categorized as Yin (fluid retention), Shi (food retention), Feng (wind), Han (cold), Re (heat), Ji (palpitations), Chong (parasites), Wu (sudden shock/antipathy), and Zhu (pestilential qi). Yin refers to phlegm-fluid; fluid retention in the middle jiao causes pain. Shi refers to food; food accumulation causes pain. Feng refers to wind pathogen; struggle between evil and righteous qi causes pain. Han refers to cold pathogen; coagulation and stagnation of Ying (nutritive) vessels cause pain. Re refers to fire; suppressed fire causes pain. Ji refers to palpitations; emptiness of middle qi causes pain. Chong refers to parasite accumulation; moving parasites attacking up and down cause pain. Wu refers to sudden shock; improper evil disturbing the clear pathways causes pain. Zhu refers to corpse-zhu (pestilential transmission); pain without fixed location, i.e., transmitting corpse qi. For the above pains, if the pulse appears fine and slow, it indicates reduced qi, leisurely movement, and衰退 of evil, which is auspicious. If a large and floating pulse appears, it indicates flourishing evil. An interior syndrome of the heart and abdomen presenting with an exterior pulse is highly inappropriate. Although it may not lead to death, recovery will be difficult.