夫三部之中，俱见一脉，所主杂病，略而言之。《脉经》曰∶阳邪来，见浮洪；阴
邪来，见微细；水谷之邪来，见实坚；寒 之邪来，见弦小。又曰∶浮而滑者，宿
食也。短而滑者，酒病也。迟而滑者，脉满也。洪而大者，伤寒也。浮而数者，伤
风也。浮而急者，饮食不消，脾不磨也。沉而弦者，寒气结而阴痛也。浮而缓者，皮
肤不仁也。滑而散者，瘫痪也。迟而缓者，寒症也。浮而涩者，霍乱也。弱而涩者，反
胃也。紧而滑者，吐逆也。短而数者，心痛也。弦而数者，为疟也。紧而急者，尸
遁也。实小而坚者，病在内而冷也。浮滑而紧者，病在外而热也。短而急者，病在
上也。长而缓者，病在下也。长而弦者，病在肝也。滑而洪者，病在心也。微而软者，
病在脾也。浮而涩者，病在肺也。沉而紧者，病在肾也。又诀曰∶诸浮为风，或为
虚也。诸紧为痛，或为积也。诸涩为痹，诸弦为饮，诸数为热，诸迟为寒，芤则为失
血，软则为虚，若脉沉沉泽泽，四肢不仁者，亡祟也；或大而 ，社祟也；若脉
来乍大乍小，乍短乍长者，鬼祟也。
（寸部主上焦头面之疾）凡诊脉按之骨而
见者，谓之有力；按至骨而无者，谓之无力。余皆仿此。
浮而有力主风，无力主虚。主头面眼目，虚浮体重，风寒齿痛，口眼 斜。
沉而有力主积，无力主气。主胸膈痞满，咳嗽气急，膈气反胃，胸满不食。
迟而有力主痛，无力主冷。主呕吐痞满，不入水谷，虚汗拘急，疼痛不已。
数而有力主热，无力主疮。主上焦烦躁，口苦嗌干，客热烦渴，头痛口疮。
（关部主中焦胸腹之疾）
浮而有力主风，无力主虚。主两胁拘挛，不能举运，背脊筋疼，身体麻木。
沉而有力主积，无力主气。主膨胀虚鸣，心腹疼痛，上下关格，不思饮食。
迟而有力主积，无力主冷。主 癖腹痛，游走不定，上下攻刺，反胃吐食。
数而有力主热，无力主疮。主口热作渴，呕吐霍乱，怔忡烦躁，寒热交争。
（尺部主下焦腰足之疾）
浮而有力主风，无力主虚。主寒邪腰痛，腿膝麻木，阴茎肿痛，二便不利。
沉而有力主积，无力主气。主脐下肿痛，脚膝酸痛，下虚盗汗，小便频数。
迟而有力主痛，无力主冷。主小腹急痛，外肾偏坠，小便频数，大便泄泻。
数而有力主热，无力主疮。主小便不通，大便闭塞，或作肾痈，烦渴不止。
（五脏见浮脉，主风虚之病）
心脉浮 主心虚，触事易惊，神不守舍，舌强不语，语言错乱。
肝脉浮 主中风瘫痪，筋脉挛搐，面肿牙疼，肠风下血。
脾脉浮 主脾虚作膨，饮食不进，上气喘急，呕逆泄泻。
肺脉浮 主咳嗽气急，大便风秘，面浮面疮，吐血唾脓。
肾脉浮 主腰疼牙痛，小腹气痛，腿足生疮，足膝无力。
（五脏见沉脉，主积气之病）
心脉沉 主小便淋沥，咯血尿血，小
便不通，寤而不寐，心惊。
肝脉沉 主怒气伤肝，胁痛肥气，眼目昏痛，肚腹胀满。
脾脉沉 主中满不食，痞气色黄，手足不仁，呕吐泄泻，贪睡。
肺脉沉 主咳嗽多痰，上气喘急，呕血失音，息贲肺痈。
肾脉沉 主风滞腰痛，小便小利，阴 作胀，奔豚腹满。
（五脏见迟脉，主冷痛之病）
心脉迟 主小便频数，心疼呕水，怔忡多悸，伏梁脐痛。
肝脉迟 主筋挛骨痛，目昏多泪，触事易惊，转筋麻木。
脾脉迟 主咳嗽泄泻，腹中有虫，痰涎多壅，饮食不化。
肺脉迟 主寒嗽喘满，大便溏泻，皮肤燥涩，梦涉大水。
肾脉迟 主小便频数，滑精不禁，膝胫酸疼，阴湿盗汗。
（五脏见数脉，主疮热之病）
心脉数 主烦躁狂言，舌上生疮，小便赤涩，眼目昏花。
肝脉数 主眼痛翳膜，目昏多泪，头风眩晕，妇人血热骨蒸及中风。
脾脉数 主口臭胃翻，齿痛牙宣，多食不饱，四肢不举。
肺脉数 主咳嗽唾血，喉腥目赤，大便闭结，面赤痱痤。
肾脉数 主消渴不止，小便血淋，下疰生疮，阴囊湿痒。
在寸、关、尺三部脉象中，如果每一部都只呈现一种特定的脉象，其所主的各种杂病，简要说明如下。《脉经》说：阳邪侵袭时，脉象表现为浮洪；阴邪侵袭时，脉象表现为微细；水谷之邪侵袭时，脉象表现为实坚；寒邪侵袭时，脉象表现为弦小。又说：脉象浮而滑的，是宿食（食物停滞不化）所致。脉象短而滑的，是饮酒过度引起的酒病。脉象迟而滑的，是脉气满盛的表现。脉象洪大而有力的，是伤寒病。脉象浮而数的，是伤风病。脉象浮而急的，是饮食不消化、脾胃运化功能减弱所致。脉象沉而弦的，是寒气凝结导致的阴分疼痛。脉象浮而缓的，是皮肤感觉迟钝（麻木）。脉象滑而散的，是瘫痪症。脉象迟而缓的，是寒证。脉象浮而涩的，是霍乱病。脉象弱而涩的，是反胃症。脉象紧而滑的，是呕吐逆气。脉象短而数的，是心痛症。脉象弦而数的，是疟疾病。脉象紧而急的，是尸遁病（一种因惊恐或邪祟引起的精神异常病症）。脉象实小而坚硬的，是病位在体内且伴有寒冷症状。脉象浮滑而紧的，是病位在体表且伴有热象。脉象短而急的，是病位在上焦。脉象长而缓的，是病位在下焦。脉象长而弦的，是肝脏有病。脉象滑而洪的，是心脏有病。脉象微而软的，是脾脏有病。脉象浮而涩的，是肺脏有病。脉象沉而紧的，是肾脏有病。又有口诀说：凡是浮脉，多主风邪或虚证。凡是紧脉，多主疼痛或积滞。凡是涩脉，多主痹证。凡是弦脉，多主饮邪（水液代谢障碍形成的病理产物）。凡是数脉，多主热证。凡是迟脉，多主寒证。芤脉（中空如葱管）主失血。软脉（即濡脉，浮细无力）主虚证。如果脉象深沉且润泽，四肢麻木不仁的，是亡祟（鬼怪作祟或严重的精神失常）。如果脉象大而空豁，是社祟（土地神祟或类似的邪气干扰）。如果脉象忽大忽小，忽短忽长的，是鬼祟（邪气侵扰）。
（寸部主要主管上焦及头面部的疾病）凡诊脉时，轻按至骨头处仍能感觉到脉搏跳动有力的，称为有力；按至骨头处却感觉不到脉搏的，称为无力。其余情况仿照此法判断。
浮脉有力主风邪，无力主虚证。主要涉及头面部和眼目疾病，如虚浮、身体沉重、风寒引起的齿痛、口眼歪斜。
沉脉有力主积滞，无力主气滞。主要涉及胸膈痞闷胀满、咳嗽气急、膈气、反胃、胸满不想进食。
迟脉有力主疼痛，无力主寒冷。主要涉及呕吐痞满、无法进食饮水、虚汗、筋脉拘挛紧急、疼痛不止。
数脉有力主热证，无力主疮疡。主要涉及上焦烦躁、口苦咽干、客热烦渴、头痛、口疮。
（关部主要主管中焦胸腹部的疾病）
浮脉有力主风邪，无力主虚证。主要涉及两胁拘挛、不能抬举活动、背脊筋脉疼痛、身体麻木。
沉脉有力主积滞，无力主气滞。主要涉及腹部膨胀虚鸣、心腹疼痛、上下关格（指上下阴阳之气不相顺接，导致呕吐与二便不通）、不思饮食。
迟脉有力主积滞，无力主寒冷。主要涉及癖块腹痛、游走不定、上下攻刺疼痛、反胃吐食。
数脉有力主热证，无力主疮疡。主要涉及口热口渴、呕吐霍乱、怔忡烦躁、寒热交替发作。
（尺部主要主管下焦腰足部的疾病）
浮脉有力主风邪，无力主虚证。主要涉及寒邪腰痛、腿膝麻木、阴茎肿痛、大小便不利。
沉脉有力主积滞，无力主气滞。主要涉及脐下肿痛、脚膝酸痛、下焦虚弱盗汗、小便频数。
迟脉有力主疼痛，无力主寒冷。主要涉及小腹急痛、外肾偏坠、小便频数、大便泄泻。
数脉有力主热证，无力主疮疡。主要涉及小便不通、大便闭塞、或者形成肾痈、烦渴不止。
（五脏出现浮脉，主要主风虚类疾病）
心脉浮，主心气虚弱，遇事容易惊吓，神志不守舍，舌强不能言语，语言错乱。
肝脉浮，主中风瘫痪，筋脉拘挛抽搐，面部肿胀牙疼，肠风下血（便血）。
脾脉浮，主脾虚腹胀，饮食不进，上气喘急，呕吐泄泻。
肺脉浮，主咳嗽气急，大便因风邪秘结，面部浮肿面部生疮，吐血唾脓。
肾脉浮，主腰疼牙痛，小腹气痛，腿足生疮，足膝无力。
（五脏出现沉脉，主要主积气类疾病）
心脉沉，主小便淋漓不尽，咯血尿血，小便不通，醒着却无法入睡，心惊胆战。
肝脉沉，主怒气伤肝，胁痛肥气（肝肿大），眼目昏痛，肚腹胀满。
脾脉沉，主中焦痞满不想进食，痞气面色发黄，手足麻木，呕吐泄泻，贪睡。
肺脉沉，主咳嗽多痰，上气喘急，呕血失音，息贲（肺气上逆）、肺痈。
肾脉沉，主风滞腰痛，小便不利，阴器作胀，奔豚（气从少腹上冲心胸）、腹满。
（五脏出现迟脉，主要主冷痛类疾病）
心脉迟，主小便频数，心疼呕吐清水，怔忡心悸，伏梁（腹内结块）脐痛。
肝脉迟，主筋挛骨痛，眼睛昏花多泪，遇事容易惊吓，转筋麻木。
脾脉迟，主咳嗽泄泻，腹中有虫，痰涎多壅塞，饮食不消化。
肺脉迟，主寒嗽喘满，大便溏泻，皮肤干燥涩滞，梦中涉水。
肾脉迟，主小便频数，滑精不禁，膝胫酸疼，阴部潮湿盗汗。
（五脏出现数脉，主要主疮热类疾病）
心脉数，主烦躁狂言，舌上生疮，小便赤涩，眼目昏花。
肝脉数，主眼痛翳膜，眼目昏花多泪，头风眩晕，妇人血热骨蒸（阴虚发热）及中风。
脾脉数，主口臭胃翻，齿痛牙宣（牙龈萎缩出血），多食不饱，四肢不能抬举。
肺脉数，主咳嗽唾血，喉腥目赤，大便闭结，面赤痱痤（痤疮）。
肾脉数，主消渴不止，小便血淋，下疰生疮，阴囊湿痒。
Among the three pulse positions (Cun, Guan, Chi), if each position exhibits only one specific pulse type, the various miscellaneous diseases they indicate are briefly explained as follows. The *Mai Jing* (Classic of Pulse Diagnosis) states: When Yang pathogens arrive, the pulse appears floating and surging (Fu Hong); when Yin pathogens arrive, the pulse appears faint and fine (Wei Xi); when water and grain pathogens arrive, the pulse appears solid and firm (Shi Jian); when Cold pathogens arrive, the pulse appears wiry and small (Xian Xiao). It further states: A pulse that is floating and slippery indicates retained food (Su Shi). A pulse that is short and slippery indicates alcohol-related disease (Jiu Bing). A pulse that is slow and slippery indicates fullness of the pulse qi. A pulse that is surging and large indicates Cold Damage (Shang Han). A pulse that is floating and rapid indicates Wind Injury (Shang Feng). A pulse that is floating and urgent indicates indigestion and weakened Spleen grinding function. A pulse that is deep and wiry indicates pain in the Yin aspect caused by凝结 of Cold Qi. A pulse that is floating and moderate indicates insensitivity of the skin (numbness). A pulse that is slippery and scattered indicates paralysis (Tan Huan). A pulse that is slow and moderate indicates Cold syndromes. A pulse that is floating and choppy indicates Cholera (Huo Luan). A pulse that is weak and choppy indicates regurgitation (Fan Wei). A pulse that is tight and slippery indicates vomiting and rebellious Qi. A pulse that is short and rapid indicates Heart pain. A pulse that is wiry and rapid indicates Malaria (Nie). A pulse that is tight and urgent indicates Shi Dun disease (a condition involving spirit disturbance or fright). A pulse that is solid, small, and firm indicates an internal disease with cold symptoms. A pulse that is floating, slippery, and tight indicates an external disease with heat signs. A pulse that is short and urgent indicates a disease located in the Upper Jiao. A pulse that is long and moderate indicates a disease located in the Lower Jiao. A pulse that is long and wiry indicates Liver disease. A pulse that is slippery and surging indicates Heart disease. A pulse that is faint and soft indicates Spleen disease. A pulse that is floating and choppy indicates Lung disease. A pulse that is deep and tight indicates Kidney disease. Another verse states: All floating pulses primarily indicate Wind or Deficiency. All tight pulses primarily indicate Pain or Accumulation. All choppy pulses primarily indicate Bi syndrome (obstruction). All wiry pulses primarily indicate Fluid retention (Yin). All rapid pulses primarily indicate Heat. All slow pulses primarily indicate Cold. A Kou pulse (Kou Mai, hollow like a scallion) indicates blood loss. A soft pulse (Ruo Mai, also known as Ru Mai) indicates Deficiency. If the pulse is deep and moist, accompanied by numbness of the four limbs, it indicates Wang Su (loss of spirit/possession). If the pulse is large and empty, it indicates She Su (earth god possession). If the pulse comes alternately large and small, short and long, it indicates Gui Su (ghostly possession).
(The Cun position primarily governs diseases of the Upper Jiao and head/face) Whenever palpating the pulse, if the pulse can be felt strongly even when pressed to the bone, it is called "forceful" (You Li); if the pulse cannot be felt when pressed to the bone, it is called "non-forceful" (Wu Li). Other situations follow this pattern.
A floating pulse that is forceful indicates Wind; non-forceful indicates Deficiency. It primarily involves diseases of the head, face, and eyes, such as flaccidity, heavy body, toothache due to Wind-Cold, and deviation of the mouth and eye (Kou Yan Xie Pian).
A deep pulse that is forceful indicates Accumulation; non-forceful indicates Qi stagnation. It primarily involves chest and diaphragm stuffiness and fullness, coughing with急促 breathing, Ge Qi, regurgitation, chest fullness, and lack of appetite.
A slow pulse that is forceful indicates Pain; non-forceful indicates Cold. It primarily involves vomiting and stuffiness, inability to eat or drink, spontaneous sweating, tendon cramping and urgency, and unceasing pain.
A rapid pulse that is forceful indicates Heat; non-forceful indicates Sores/Ulcers. It primarily involves Upper Jiao irritability, bitter taste and dry throat, exogenous heat with thirst, headache, and oral ulcers.
(The Guan position primarily governs diseases of the Middle Jiao, chest, and abdomen)
A floating pulse that is forceful indicates Wind; non-forceful indicates Deficiency. It primarily involves cramping and contraction of both hypochondria, inability to lift or move, back spine tendon pain, and body numbness.
A deep pulse that is forceful indicates Accumulation; non-forceful indicates Qi stagnation. It primarily involves abdominal distension and borborygmus, heart and abdominal pain, Shang Xia Guan Ge (blockage preventing upward vomiting and downward urination/defecation), and lack of desire for food.
A slow pulse that is forceful indicates Accumulation; non-forceful indicates Cold. It primarily involves Pi Xi abdominal pain (wandering masses), moving unpredictably, stabbing pain up and down, regurgitation, and vomiting.
A rapid pulse that is forceful indicates Heat; non-forceful indicates Sores/Ulcers. It primarily involves oral heat and thirst, vomiting and cholera, palpitations and irritability, and alternating chills and fever.
(The Chi position primarily governs diseases of the Lower Jiao, waist, and feet)
A floating pulse that is forceful indicates Wind; non-forceful indicates Deficiency. It primarily involves Cold pathogen lower back pain, leg and knee numbness, penile swelling and pain, and difficulty in urination and defecation.
A deep pulse that is forceful indicates Accumulation; non-forceful indicates Qi stagnation. It primarily involves swelling and pain below the umbilicus, soreness and pain in legs and knees, Lower Jiao deficiency with night sweats, and frequent urination.
A slow pulse that is forceful indicates Pain; non-forceful indicates Cold. It primarily involves acute pain in the lower abdomen, descent of the external genitalia, frequent urination, and diarrhea.
A rapid pulse that is forceful indicates Heat; non-forceful indicates Sores/Ulcers. It primarily involves urinary obstruction, fecal impaction, or formation of Kidney Abscess (Shen Yong), and incessant thirst.
(When the Five Zang organs present a Floating pulse, it primarily indicates Wind-Deficiency diseases)
Heart pulse floating indicates Heart Qi Deficiency, easily startled by events, unsettled Spirit, stiff tongue unable to speak, and disordered speech.
Liver pulse floating indicates Wind-Stroke paralysis, tendon cramping and convulsions, facial swelling and toothache, and intestinal wind bleeding (hematochezia).
Spleen pulse floating indicates Spleen Deficiency causing bloating, inability to eat, upper asthma and急促 breathing, vomiting, and diarrhea.
Lung pulse floating indicates coughing with急促 breathing, constipation due to Wind, facial edema and sores, hemoptysis, and spitting pus.
Kidney pulse floating indicates lower back pain and toothache, Qi pain in the lower abdomen, sores on legs and feet, and weakness in feet and knees.
(When the Five Zang organs present a Deep pulse, it primarily indicates Qi-Accumulation diseases)
Heart pulse deep indicates dribbling urination, hemoptysis and hematuria, urinary obstruction, insomnia while awake, and heart palpitations/fear.
Liver pulse deep indicates anger injuring the Liver, hypochondriac pain, Fei Qi (hepatomegaly), dim and painful eyes, and abdominal distension.
Spleen pulse deep indicates middle Jiao fullness and anorexia, Pi Qi with yellow complexion, numbness of hands and feet, vomiting and diarrhea, and excessive sleepiness.
Lung pulse deep indicates coughing with much phlegm, upper asthma and急促 breathing, hematemesis and aphonia, Xi Ben (rebellious lung Qi) and Lung Abscess.
Kidney pulse deep indicates Wind-stagnation lower back pain, difficult urination, distension of the genitals, Ben Tun (rushing pig/Qi rushing from lower abdomen to chest) and abdominal fullness.
(When the Five Zang organs present a Slow pulse, it primarily indicates Cold-Pain diseases)
Heart pulse slow indicates frequent urination, Heart pain with vomiting clear fluid, palpitations and frequent fright, Fu Liang (abdominal mass) and umbilical pain.
Liver pulse slow indicates tendon cramping and bone pain, dim vision with excessive tearing, easily startled, muscle spasms and numbness.
Spleen pulse slow indicates coughing and diarrhea, worms in the abdomen, excessive phlegm and saliva congestion, and undigested food.
Lung pulse slow indicates Cold cough with wheezing and fullness, loose stools, dry and rough skin, and dreaming of wading in water.
Kidney pulse slow indicates frequent urination, involuntary seminal emission, soreness and pain in knees and shins, and dampness in the yin area with night sweats.
(When the Five Zang organs present a Rapid pulse, it primarily indicates Sores-Heat diseases)
Heart pulse rapid indicates irritability and manic speech, sores on the tongue, red and scanty urine, and dim vision.
Liver pulse rapid indicates eye pain with nebula, dim vision with excessive tearing, Head Wind dizziness, Blood Heat and bone-steaming fever in women, and Wind-Stroke.
Spleen pulse rapid indicates bad breath and stomach reversal, toothache and receding gums, eating much but not feeling full, and inability to raise the four limbs.
Lung pulse rapid indicates coughing and spitting blood, foul throat and red eyes, fecal impaction, red face with acne (Fei Cuo).
Kidney pulse rapid indicates incessant Xiao Ke (wasting-thirst), bloody strangury, lower chancre sores, and damp itching of the scrotum.