浮脉法天,有轻清在上之象,在卦为干,在时为秋,在人为肺。又曰毛,太过则中坚旁
如循鸡羽,病在外也,不及则气来毛微,病在中也,《脉诀》言寻之如太过,乃浮兼洪紧之
象,非浮脉也。
主病 浮脉为阳主表,有力表实,无力表虚,浮迟中风,浮数风热,浮紧风寒,浮缓风
浮虚伤暑,浮芤失血,浮洪虚热,浮散劳极,寸浮主头痛眩晕,或风痰在胃,关主土衰木旺
,尺主后便不通。
沉脉法地,有渊泉在下之象,在卦为坎,在时为冬,在人为肾。又为石亦曰营,太过则
石,按之益坚,病在外也。不及则气来虚微,去如数者,病在中也。《脉诀》言缓度三关
,状如烂绵者,非也。沉有缓数各部之沉,烂绵乃弱
主病 沉脉主里,有力里实,无力里虚,沉则为气,沉涩气郁,沉弱寒热,沉缓寒湿,
沉紧
迟为阳不胜阴,故阴至不及。《脉诀》言重手乃得,是有沉无浮,一息三至,甚为易见
曰隐隐状且难,是涩脉矣,其谬可知。然二至为迟,有力为缓,无力为涩,有止为结,迟甚
为败,浮而软为虚。黎氏曰∶迟小而实,缓大而慢,迟为阴盛阳虚,缓为卫盛营弱,宜别之
主病 迟脉主脏,有力冷痛,无力虚寒,浮迟表寒,沉迟里寒,且主多痰,沉痼 瘕,
寸迟则上焦有寒,关迟则中寒腹痛,尺迟则后便不禁,肾虚腰痛。
浮脉效法天道,具有轻清在上的意象,在八卦中对应乾卦,在季节中对应秋季,在人体中对应肺脏。又说它像“毛”(形容脉象轻虚),如果太过,中间坚实而两边空虚,如同触摸鸡羽,这是病邪在体表;如果不及,气来微弱如毛,这是病在体内。《脉诀》中说寻按觉得太过,那是浮脉兼见洪大紧实的象,并非单纯的浮脉。
主病:浮脉属阳,主表证。有力为表实证,无力为表虚证。浮迟脉主中风,浮数脉主风热,浮紧脉主风寒,浮缓脉主风邪袭表,浮虚脉主伤暑,浮芤脉主失血,浮洪脉主虚热,浮散脉主极度劳损。寸部浮脉主头痛眩晕,或胃中有风痰;关部浮脉主脾土衰弱肝木亢盛;尺部浮脉主大便不通。
沉脉效法地道,具有深渊泉水在下的意象,在八卦中对应坎卦,在季节中对应冬季,在人体中对应肾脏。又被称为“石”,也称“营”。如果太过,按之更加坚硬,这是病邪在体表(注:此处原文逻辑可能有误或特指深伏之邪,依原文直译);如果不及,气来虚微,去时急促,这是病在体内。《脉诀》中说缓缓度过三关,状如烂棉的,是错误的说法。沉脉有各部缓、数之沉,所谓“烂绵”乃是弱脉的特征。
主病:沉脉主里证。有力为里实证,无力为里虚证。沉脉主气滞,沉涩脉主气机郁结,沉弱脉主寒热往来,沉缓脉主寒湿,沉紧脉……(原文此处中断)。
迟脉是阳气不能胜过阴气,所以阴气至而不及。《脉诀》说重手才能触及,这是只有沉脉没有浮脉,一息跳动三次,很容易见到。如果说隐隐约约且难以辨认,那是涩脉了,其谬误可知。然而,二至为迟,有力为缓,无力为涩,有间歇为结,迟脉至极为败脉,浮而软为虚脉。黎氏说:迟脉小而实,缓脉大而慢。迟脉主阴盛阳虚,缓脉主卫气盛营气弱,应当加以区别。
主病:迟脉主脏病。有力为冷痛,无力为虚寒。浮迟脉主表寒,沉迟脉主里寒,且主多痰,以及沉痼积聚瘕块。寸部迟脉则上焦有寒,关部迟脉则中焦寒腹痛,尺部迟脉则大便失禁,肾虚腰痛。
The floating pulse (Fumai, 浮脉) models the Heavenly Way, possessing the imagery of lightness and clarity residing above. In the Eight Trigrams, it corresponds to Qian (Heaven); in the seasons, to Autumn; and in the human body, to the Lung. It is also described as "Mao" (feather-like). If excessive, the center is firm while the sides are empty, resembling touching a chicken feather; this indicates pathogenic factors in the exterior. If deficient, the qi comes weakly like a feather; this indicates disease in the interior. The *Mai Jue* (Pulse Classic) states that feeling excessive upon searching is actually an image of floating combined with洪 (Hong, surging) and紧 (Jin, tight) pulses, not a pure floating pulse.
Main Pathologies: The floating pulse is Yang and governs exterior syndromes. With force, it indicates excess in the exterior; without force, deficiency in the exterior. Floating and slow indicates wind-stroke; floating and rapid indicates wind-heat; floating and tight indicates wind-cold; floating and relaxed indicates wind attacking the surface; floating and empty indicates injury by summer-heat; floating and knotted (Kou, 芤) indicates blood loss; floating and surging indicates deficient heat; floating and scattered indicates extreme exhaustion. Floating at the Cun (Inch) position governs headache and vertigo, or wind-phlegm in the Stomach; floating at the Guan (Bar) position governs decline of Earth (Spleen) and hyperactivity of Wood (Liver); floating at the Chi (Cubit) position governs constipation.
The sinking pulse (Chenmai, 沉脉) models the Earthly Way, possessing the imagery of deep springs residing below. In the Eight Trigrams, it corresponds to Kan (Water); in the seasons, to Winter; and in the human body, to the Kidney. It is also called "Shi" (stone) or "Ying" (nutrient). If excessive, it feels like stone, becoming harder upon pressure; this indicates disease in the exterior [Note: Textual anomaly]. If deficient, the qi comes weakly and vacuously, and departs rapidly; this indicates disease in the interior. The *Mai Jue* states that slowly passing through the three positions, resembling rotten cotton, is incorrect. Sinking pulses vary by position and rate (slow/rapid); the description "rotten cotton" characterizes the Weak pulse (Ruomai, 弱脉).
Main Pathologies: The sinking pulse governs interior syndromes. With force, it indicates excess in the interior; without force, deficiency in the interior. Sinking indicates Qi stagnation; sinking and choppy indicates Qi depression; sinking and weak indicates alternating cold and fever; sinking and slow indicates cold-dampness; sinking and tight... [Text cuts off here].
The slow pulse (Chimai, 迟脉) occurs when Yang fails to overcome Yin, thus Yin arrives but is insufficient. The *Mai Jue* says it requires heavy pressure to feel, implying only sinking without floating, beating three times per respiration, which is easily seen. To say it is faint and difficult to discern describes the Choppy pulse (Semai, 涩脉), revealing the error therein. However, two beats per respiration is extremely slow; with force, it is Relaxed (Huanmai, 缓脉); without force, it is Choppy; with interruptions, it is Knotted (Jiemai, 结脉); extreme slowness indicates failure; floating and soft indicates Deficiency. Mr. Li said: Slow pulse is small and solid; Relaxed pulse is large and slow. Slow pulse indicates Yin excess and Yang deficiency; Relaxed pulse indicates Wei (Defensive) excess and Ying (Nutrient) weakness; these must be distinguished.
Main Pathologies: The slow pulse governs Zang organ diseases. With force, it indicates cold pain; without force, it indicates deficient cold. Floating and slow indicates exterior cold; sinking and slow indicates interior cold; it also governs abundant phlegm, and chronic accumulations and masses (Jijia, 积聚瘕). Slow at the Cun position indicates cold in the Upper Jiao; slow at the Guan position indicates middle-jiao cold abdominal pain; slow at the Chi position indicates fecal incontinence and lower back pain due to Kidney deficiency.