数为阴不胜阳,故脉太过,一息六至是也。浮沉迟数,脉之纲领也。数而弦为紧,流利
为滑,数而有止为促,数甚为极,数见关中为动脉。
主病 数脉主腑,有力为实为热,宜泻。无力为虚火,为相火,宜补。浮数表热,沉数
,气口数实,病肺痈,数虚为肺痿,寸数咽肿,口舌生疮,吐血咳嗽,或肺生痈,关数胃火
肝火,尺数则肾虚,宜滋阴降火。
滑为阴气有余,故脉来流利如水。脉者,血之腑也,血盛则脉滑,故肾脉宜之。气盛则
,故肺脉宜之。《脉诀》云∶按之即伏,三关如珠,不近不退,是不分浮滑沉滑尺寸之滑也
,今正之。
主病 滑脉为阳,主元气虚衰,痰饮宿食,吐逆蓄血,女子经调有孕。寸滑主膈痰呕吐
酸舌强,或咳嗽。关滑主宿食,肝脾积热,尺滑则泻痢 淋。又曰∶滑主痰饮,浮滑风痰,
沉滑食痰,滑数痰火,滑短宿食。《脉诀》言关滑胃寒,尺滑脐冷,与《脉经》言关滑胃热
,尺滑血蓄,妇人经病之旨相反,其谬如此。
涩为阳气有余,气盛则血少,故脉蹇滞,而肺脉宜之。《脉诀》言指下寻之似有,举之
,《脉经》所云,绝不相干。又曰∶细而迟短往来难,短且散,一止复来,参互不调,如轻
刀刮竹,如雨沾沙,如病蚕食叶。又曰∶细迟短散,时一止曰涩,极细而软,重按若绝曰微
,浮而柔细曰濡,沉而柔细曰弱。
主病 涩主血少伤精,反胃,亡阳多汗,营中寒湿,入营血痹,妇人非孕即无经。寸涩
伤胸痛,关则胃虚胁胀,尺为精血俱伤,肠结溲淋,或为下血。又曰∶涩主血少伤精之病,
女人有孕为胎病,无孕为败血。杜氏曰∶涩脉独见尺中,形同代,为死脉。
数为阴气不能胜过阳气,因此脉象过于急促,一呼一吸之间跳动六次就是数脉。浮、沉、迟、数,是脉象的纲领。数脉兼见弦象为紧脉,脉来流利圆滑为滑脉,数脉而有间歇为促脉,数脉至极为极脉,数脉出现在关部为动脉。
主病:数脉主要对应腑病,脉有力属于实证、热证,适宜用泻法;脉无力属于虚火、相火,适宜用补法。浮数表示表热,沉数……(原文此处似有脱漏或语意未完,依文意译为:沉数多见于气口部位),气口脉数而实,病在肺痈;数而虚表现为肺痿;寸口脉数可见咽喉肿痛、口舌生疮、吐血咳嗽,或者肺部生痈;关部脉数多为胃火、肝火;尺部脉数则为肾虚,适宜滋阴降火。
滑脉是阴气有余的表现,因此脉来流利如水。脉是血液汇聚之所,血液充盛则脉象滑利,所以肾脉宜见滑象。气机旺盛则……(原文此处似有脱漏,依文意译为:肺脉宜见滑象)。《脉诀》说:重按即伏,三部如珠滚动,不浮不沉,这是不分浮滑、沉滑及尺寸部位的滑脉概念,现予以纠正。
主病:滑脉属阳,主元气虚衰、痰饮、宿食、呕吐逆气、蓄血,女子月经调畅或有孕。寸部滑脉主膈间痰阻、呕吐酸水、舌体僵硬,或咳嗽。关部滑脉主宿食、肝脾积热;尺部滑脉主泄泻、痢疾、淋证。又说:滑脉主痰饮,浮滑为风痰,沉滑为食痰,滑数为痰火,滑短为宿食。《脉诀》说关滑主胃寒,尺滑主脐冷,这与《脉经》所说关滑主胃热、尺滑主血蓄、妇人经病的宗旨相反,其谬误如此。
涩脉是阳气有余的表现,气盛则血少,因此脉象蹇滞不畅,肺脉宜见涩象。《脉诀》说指下寻之似有,举之……(原文此处似有脱漏),与《脉经》所说的毫不相干。又说:脉细而迟短,往来艰难,短且散乱,偶尔有一止而后复来,参互不调,像轻刀刮竹,像雨沾沙土,像病蚕吃桑叶。又说:细迟短散,偶尔有一止叫涩脉;极细而软,重按若绝叫微脉;浮而柔细叫濡脉;沉而柔细叫弱脉。
主病:涩脉主血少伤精、反胃、亡阳多汗、营分寒湿、入营血痹,妇女非怀孕即无月经。寸部涩脉主胸痛,关部主胃虚胁胀,尺部主精血俱伤、肠结溲淋,或为便血。又说:涩脉主血少伤精之病,女人有孕为胎病,无孕为败血。杜氏说:涩脉独见于尺中,形态同代脉,为死脉。
Shu (Rapid Pulse) arises when Yin fails to overcome Yang, resulting in an excessive pulse rate; six beats per respiration cycle characterizes this pulse. Floating, Deep, Slow, and Rapid constitute the general principles of pulse diagnosis. A Shu pulse combined with a Xian (Wiry) quality is termed Jin (Tight); smooth and fluid movement indicates Hua (Slippery); Shu with intermittent pauses is Cu (Surging); extreme rapidity is Ji (Extreme); and Shu appearing at the Guan (Carpal) position denotes Dong (Pulsating).
Disease Manifestations: The Shu pulse primarily corresponds to Fu organ disorders. If forceful, it indicates Excess Heat, warranting purgation. If weak, it signifies Deficient Fire or Ministerial Fire, warranting tonification. Floating-Shu indicates Exterior Heat; Deep-Shu... [text incomplete]; a forceful Shu at the Qi Kou (Radial Artery) suggests Lung Abscess; a deficient Shu manifests as Lung Witheredness; Shu at the Cun (Distal) position presents with sore throat, mouth and tongue ulcers, hemoptysis, cough, or lung abscess; Shu at the Guan position indicates Stomach Fire or Liver Fire; Shu at the Chi (Proximal) position signifies Kidney Deficiency, requiring nourishment of Yin and descent of Fire.
Hua (Slippery) pulse reflects an excess of Yin Qi, characterized by a smooth, fluid flow like water. The Mai (Vessel) is the residence of Blood; abundant Blood results in a Slippery pulse, hence the Kidney pulse appropriately exhibits this quality. Abundant Qi... [text incomplete] makes the Lung pulse appropriate for this quality. The *Mai Jue* (Pulse Classic) states: pressing reveals it sinking, resembling pearls rolling across all three positions without floating or sinking, defining Slipperiness irrespective of superficial/deep or Cun/Guan/Chi distinctions. This view is now corrected.
Disease Manifestations: The Hua pulse is Yang-natured, indicating deficiency of Yuan Qi, Phlegm-Fluid retention, retained food, vomiting/regurgitation, blood stasis, regular menstruation, or pregnancy in women. Slipperiness at the Cun position indicates phlegm in the diaphragm, vomiting of acid, tongue stiffness, or cough. At the Guan position, it indicates retained food, heat accumulation in the Liver and Spleen; at the Chi position, it indicates diarrhea, dysentery, or strangury. Furthermore: Hua indicates Phlegm-Fluid; Floating-Hua indicates Wind-Phlegm; Deep-Hua indicates Food-Phlegm; Shu-Hua indicates Phlegm-Fire; Hua-Duan indicates retained food. The *Mai Jue* claims Guan-Hua indicates Stomach Cold and Chi-Hua indicates cold navel, which contradicts the *Mai Jing* stating Guan-Hua indicates Stomach Heat, Chi-Hua indicates blood stasis, and relates to menstrual disorders in women. Such is its error.
Se (Choppy) pulse reflects an excess of Yang Qi; when Qi is excessive, Blood becomes deficient, causing the pulse to be hesitant and stagnant, making it appropriate for the Lung pulse. The *Mai Jue* states that searching under the fingers yields a faint sensation, while lifting... [text incomplete], which is entirely unrelated to the *Mai Jing*. It further describes: thin, slow, short, difficult to move, scattered, occasionally pausing then resuming, irregularly intermixed; like a light knife scraping bamboo, rain soaking sand, or a sick silkworm eating leaves. Additionally: thin, slow, short, scattered, with occasional pauses defines Se; extremely thin and soft, vanishing upon heavy pressure defines Wei (Micro); floating, soft, and thin defines Ru (Soggy); deep, soft, and thin defines Ruo (Weak).
Disease Manifestations: Se indicates Blood deficiency injuring Essence, regurgitation, loss of Yang with profuse sweating, Cold-Dampness in the Ying level, Bi syndrome entering Ying and Blood, and either absence of pregnancy or amenorrhea in women. Se at the Cun position indicates chest pain; at the Guan position, Stomach deficiency and hypochondriac distension; at the Chi position, joint injury of Essence and Blood, intestinal constipation, strangury, or lower bleeding. Furthermore: Se indicates diseases of Blood deficiency injuring Essence; in pregnant women, it indicates fetal pathology; in non-pregnant women, it indicates failed blood. Du states: Se appearing exclusively at the Chi position, resembling the Dai (Intermittent) pulse, is a death pulse.