虚寒相搏其名为革男子失精女子失血此言革脉之为病也脉弦而芤此名为革弦则为寒芤则
为虚既虚且寒徒革于外而中则空在男则为亡血失精在女则为半产漏下是皆中空之验也
阳盛则促肺痈阳毒阴盛则结疝瘕积郁此言促结二脉之为病也数脉时见一止名曰促数则为
热为阳盛主上焦热聚成毒或成肺痈脉气流行为其阻碍时一止也缓脉时见一止名曰结为阴盛主
阴分或腹中聚疝痼瘕久积郁气坚结不散脉气亦为所碍故一止也是又当审止歇之多寡而断病之
轻重耳
代则气衰或泄脓血伤寒心悸女胎三月此言代脉之为病也代亦有止之脉促结之止内有所碍
虽止无常数而脉不全断中有还意代则止而不还有常数如更代者非元气衰微之甚不至此也泄泻
脓血者则荣血耗竭故见此欲脱不续之状也伤寒心悸乃中气下陷汗后里虚故见此代脉也女胎十
月而产三月之时心包络用事胎赖血养若分气及胎脉必虚代矣
脉之主病有宜不宜阴阳顺逆凶吉可推此言脉之阴阳顺逆吉凶皆可类推也有是病则有是脉
如影之随形也脉病相宜则顺不相宜则逆逆之与顺何从区别是又在乎阴阳耳如表病见阳脉里病
见阴脉皆顺而相宜者也反此则逆而病之吉凶从可推矣
中风浮缓急实则忌浮滑中痰沉迟中气尸厥沉滑卒不知人入脏身冷入腑身温此言脉之主病
各有宜忌风中于表脉宜浮缓急强而实则主病重故忌若浮而滑此则中痰如中风者若沉而迟则不
在表而在里名曰中气尸厥亦类中风卒然僵仆昏不知人其邪入于脏者气陷从阴则身必冷其邪入
于腑者气出从阳则身必温也
虚邪与寒邪相互搏结，这种脉象称为革脉。男子出现遗精滑泄，女子出现崩漏失血，这是论述革脉所主疾病的情况。脉象弦而中空如葱管（芤），这就叫做革脉。弦脉主寒证，芤脉主虚证。既然既虚又寒，脉象仅在表面呈现紧绷之象，而内部则是空虚的。在男性表现为亡血或失精，在女性表现为小产或经血淋漓不尽，这些都是脉象中空的验证。
阳气偏盛则出现促脉，主肺痈、阳毒；阴气偏盛则出现结脉，主疝气、瘕积、郁结之气。这是论述促脉和结脉所主疾病的情况。数脉（快速脉）偶尔出现一次停跳，称为促脉。数脉主热证，因阳气偏盛，主要反映上焦热邪聚集成毒，或者形成肺痈。脉气在体内流行运行，因为受到阻碍而偶尔出现一次停跳。缓脉（缓慢脉）偶尔出现一次停跳，称为结脉。这主阴气偏盛，主要反映阴分病变，或者是腹中有积聚的疝气、久积不散的瘕块以及郁结之气，导致脉气运行受阻，所以出现一次停跳。这种情况还应当审察停跳次数的多少，从而判断病情的轻重。
代脉主元气衰微，或者出现泄泻脓血、伤寒伴随心悸、孕妇怀孕三个月等情况。这是论述代脉所主疾病的情况。代脉也是一种有停跳的脉象。促脉和结脉的停跳是因为内部有所阻碍，虽然停跳没有固定的规律，但脉搏并未完全中断，中间还有接续之意。而代脉则是停跳后不再立即接续，且有固定的规律，如同更替更换一样。如果不是元气极度衰微，是不会出现这种情况的。出现泄泻脓血，是因为营血耗竭，所以呈现出想要脱失而不能接续的状态。伤寒伴随心悸，是因为中气下陷，发汗之后里气虚弱，所以出现这种代脉。妇女怀孕十个月分娩，在怀孕三个月的时候，心包络当令主管，胎儿依靠血液滋养，如果此时分气及胎脉必然虚弱而出现代脉。
脉象所主疾病有适宜和不适宜之分，阴阳的顺逆、凶吉是可以推断出来的。这是论述脉象的阴阳顺逆吉凶都可以类推。有这样的病就有这样的脉，就像影子跟随形体一样。脉象与病情相适宜就是顺，不相适宜就是逆。逆和顺如何区别呢？这又在于阴阳的判断。例如表证见到阳脉，里证见到阴脉，都是顺且相宜的。与此相反就是逆，疾病的凶吉就可以据此推断。
中风脉象见浮缓为宜，若见急实则忌讳；浮滑脉主中痰，沉迟脉主中气，沉滑脉主尸厥。突然不知人事，邪气入脏则身体冰冷，邪气入腑则身体温暖。这是论述脉象所主疾病各有适宜和忌讳。风邪侵袭体表，脉象宜见浮缓。若脉象急强而实，说明病情严重，所以忌讳。如果脉象浮而滑，这是中痰，类似于中风的情况。如果脉象沉而迟，说明病邪不在体表而在体内，称为中气。尸厥也类似中风，突然僵倒昏迷不省人事。邪气侵入脏，气机下陷属于阴，所以身体必定寒冷；邪气侵入腑，气机外出属于阳，所以身体必定温暖。
When deficiency and cold pathogens combine, the pulse is named *Ge* (Reed Pulse). In men, it manifests as seminal emission or loss of essence; in women, as hemorrhage. This passage discusses the diseases associated with the *Ge* pulse. A pulse that is wiry (*Xian*) and hollow like a scallion stalk (*Kou*) is called *Ge*. The wiry quality indicates cold, while the hollow quality indicates deficiency. Since there is both deficiency and cold, the pulse appears taut on the exterior but empty within. In men, this results in blood loss or loss of essence; in women, it results in miscarriage or metrorrhagia. These are all manifestations of an empty interior pulse.
Exuberant Yang leads to the *Cu* (Surging) pulse, indicating lung abscess (*Fei Yong*) or toxic heat; exuberant Yin leads to the *Jie* (Knotted) pulse, indicating hernia (*Shan*), mass accumulation (*Jia*), and stagnant Qi. This passage discusses the diseases associated with the *Cu* and *Jie* pulses. When a rapid pulse (*Shu Mai*) occasionally stops, it is called *Cu*. The rapid quality indicates heat and Yang exuberance, primarily reflecting toxic heat gathering in the upper Jiao or forming a lung abscess. The flow of pulse Qi is obstructed, causing occasional stops. When a slow pulse (*Huan Mai*) occasionally stops, it is called *Jie*. This indicates Yin exuberance, primarily reflecting pathology in the Yin aspect, such as abdominal hernias, chronic masses (*Jia*), or long-standing stagnant Qi that has hardened and accumulated, obstructing the flow of pulse Qi and causing occasional stops. In such cases, one must examine the frequency of the pauses to determine the severity of the disease.
The *Dai* (Intermittent) pulse indicates Qi decline, or conditions such as diarrhea with pus and blood, Taiyang disease accompanied by palpitations, or pregnancy at three months. This passage discusses the diseases associated with the *Dai* pulse. The *Dai* pulse is also a type of pulse with pauses. The pauses in the *Cu* and *Jie* pulses are due to internal obstructions; although they stop irregularly, the pulse does not completely cease and retains a sense of continuity. In contrast, the *Dai* pulse features pauses without immediate resumption and follows a regular pattern, resembling a succession or replacement. Only extreme depletion of Yuan Qi (Original Qi) would lead to this state. Diarrhea with pus and blood indicates exhaustion of Ying Blood (Nutritive Blood), presenting as a state of impending collapse and discontinuity. Palpitations in Taiyang disease result from sinking of Middle Qi and interior deficiency after sweating, leading to the appearance of the *Dai* pulse. In women, during the ten-month gestation period, at three months, the Pericardium Meridian governs. The fetus relies on blood for nourishment; if the Qi distribution and fetal pulse become deficient, a *Dai* pulse will appear.
Pulses indicating diseases have appropriate and inappropriate presentations; the smoothness or reversal of Yin and Yang, and thus auspiciousness or inauspiciousness, can be deduced. This passage states that the Yin-Yang dynamics, smooth/reversal nature, and prognosis of pulses can be analogized. Where there is a disease, there is a corresponding pulse, just as a shadow follows a form. If the pulse and disease correspond appropriately, it is "Smooth" (Shun); if not, it is "Reversal" (Ni). How to distinguish between Reversal and Smooth? This depends on Yin and Yang. For example, a Yang pulse appearing with a Exterior syndrome, or a Yin pulse appearing with an Interior syndrome, are both Smooth and appropriate. The opposite constitutes Reversal, from which the prognosis can be inferred.
For Wind-Stroke (*Zhong Feng*), a Floating-Slow (*Fu Huan*) pulse is appropriate; an Urgent-Excess (*Ji Shi*) pulse is contraindicated. A Floating-Slippery (*Fu Hua*) pulse indicates Phlegm obstruction (*Zhong Tan*); a Deep-Slow (*Chen Chi*) pulse indicates Qi obstruction (*Zhong Qi*); a Deep-Slippery (*Chen Hua*) pulse indicates Corpse Syncope (*Shi Jue*). Sudden unconsciousness occurs when pathogens enter the Zang organs, resulting in cold limbs; when they enter the Fu organs, the body remains warm. This passage discusses the specific indications and contraindications of pulses in various diseases. When wind pathogen attacks the Exterior, the pulse should be Floating-Slow. An Urgent-Excess pulse indicates severe pathology, hence it is contraindicated. A Floating-Slippery pulse indicates Phlegm obstruction, resembling stroke-like symptoms. A Deep-Slow pulse indicates the pathogen is not in the Exterior but in the Interior, termed *Zhong Qi*. *Shi Jue* (Corpse Syncope) also resembles stroke, characterized by sudden collapse and unconsciousness. When the pathogen enters the Zang organs, Qi sinks into Yin, causing the body to become cold. When the pathogen enters the Fu organs, Qi moves outward into Yang, causing the body to remain warm.