详无三阴脉,应古阙文也。难经云∶太阴之至,紧大而长;少阴之至,紧细而微;厥阴之至,沉短以敦。”)
夫平心脉来,累累如连珠,如循琅 ,曰心平。(按∶连珠,言其至之相续无间,且如玉之润泽也。琅 ,
玉之光润者,注言珠类,误矣。)夏以胃气为本。(按∶万物生于土,人养于胃,故四季各有土,而人无胃气
则死也。)病心脉来,喘喘连属,其中微曲,曰心病。死心脉来,前曲后居,如操带钩,曰心死。(居,不动
也。操,执持也。钩谓革带之钩。按∶凡病死之脉,体状颇不相符,观者得其大意而已。)
平肺脉来,厌厌聂聂,如落榆荚,曰肺平。(浮薄而虚者也。)秋以胃气为本。病肺脉来,不上不下,如
循鸡羽,曰肺病。(谓中央坚而两旁虚。)死肺脉来,如物之浮,如风吹毛,曰肺死。(按∶肺脉固属轻虚,
然过于浮薄则死。如物之浮,如风吹毛,轻浮无根之象也。)
平肝脉来,软弱招招,如揭长竿末梢,曰肝平。(如竿末梢,言长软也。)春以胃气为本。病肝脉来,
盈实而滑,如循长竿,曰肝病。(长而不软,故若循竿。)死肝脉来,急益劲,如新张弓弦,曰肝死。(劲谓
劲强,急之甚也。)
平脾脉来,和柔相离,如鸡践地,曰脾平。(按∶脾脉尤贵平缓,脉缓而平,是谓和柔而不近于弱,若鸡
之缓行而不急走也。)
长夏以胃气为本。(按,长夏,夏季十八日也。土分王于四季,而夏季独尊之为长者,以夏火生土,而土尤王
故也。土王于长夏,而胃本属土,人不再食则饥,饥至七日则死,是故长夏虽当土王之时,亦以胃气为本也。)
病脾脉来,实而盈数,如鸡举足,曰脾病。(按∶脾宜安静,故动则为病,如鸡举足,状其动之急。)死脾脉来,
锐坚如鸟之喙,如鸟之距,如屋之漏,如水之流,曰脾死。(喙距,言锐坚也。水流屋漏,言其至也。水流谓
平至不鼓,屋漏谓时动复住。按∶羽属之足皆曰距,鸡距动稍急,故病,鸟距动尤速,故死也。)
平肾脉来,喘喘累累,如钩,按之而坚,曰肾平。(按∶越人云∶“其来上大下兑,濡滑如雀之喙曰平。”
吕广曰∶“上大者足太阳,下兑者足少阴,阴阳得所为胃气强,故谓之平。雀喙者,本大而未兑也。”按此但
言肾之平脉如是,非解经文也。喘累如钩等义原不可解,阙疑可也。)冬以胃气为本。病肾脉来,如引葛,按之
益坚,曰肾病。(按,引葛义亦不可解。)死肾脉来,发如夺索,辟辟如弹石,曰肾死。(辟辟如弹石,言促
且坚也。按∶肾宜沉敛,夺索者解散之意。冬脉虽宜如石,然弹石则搏击应手而无和缓之气矣。)
详细查看没有三阴脉的记载,这应当是遵循古代文献中缺漏文字的做法。《难经》说:“太阴脉至时,脉象紧大而长;少阴脉至时,脉象紧细而微;厥阴脉至时,脉象沉短而敦厚。”
平和的心脉,来势累累相连如串珠,如同抚摸温润的美玉,称为心脉平和。(按语:连珠,指脉搏跳动连续不断,且像玉石一样润泽。琅玕,是光亮润泽的玉石,注释中说像珠子一类,是错误的。)夏季以胃气为本。(按语:万物生于土,人依靠胃气滋养,所以四季都有土气对应,而人如果没有胃气就会死亡。)患病的心脉,来势急促连绵,其中略微弯曲,称为心病。死亡的心脉,来势前曲后硬,如同拿着带钩的革带,称为心死。(居,指不动。操,指执持。钩指革带上的钩扣。按语:凡是病死之脉,形态特征往往不完全相符,观察者掌握其大意即可。)
平和的肺脉,来势轻盈柔和,如同榆荚飘落,称为肺脉平和。(指浮薄而虚的脉象。)秋季以胃气为本。患病的肺脉,来势不上不下,如同抚摸鸡羽,称为肺病。(指中间坚实而两旁虚弱。)死亡的肺脉,如同物体漂浮,如同风吹羽毛,称为肺死。(按语:肺脉固然属于轻虚,但如果过于浮薄则主死。如物体漂浮,如风吹羽毛,是轻浮无根的征象。)
平和的肝脉,来势软弱招展,如同高举长竿的末梢,称为肝脉平和。(如同竿梢,形容长而柔软。)春季以胃气为本。患病的肝脉,来势盈实而滑,如同抚摸长竿,称为肝病。(长而不软,所以感觉像抚摸竹竿。)死亡的肝脉,来势急迫强劲,如同新拉开的弓弦,称为肝死。(劲指劲强,是急迫之甚的表现。)
平和的脾脉,来势和柔相离,如同鸡在地上行走,称为脾脉平和。(按语:脾脉尤其贵在平缓,脉缓而平,这叫和柔而不近于弱,就像鸡缓慢行走而不急跑一样。)长夏以胃气为本。(按语:长夏,指夏季的最后十八天。土气分旺于四季,而夏季特别尊称为“长”,是因为夏火生土,而土气尤为旺盛的缘故。土气王于长夏,而胃本属土,人不再进食就会饥饿,饥饿到七天就会死亡,所以长夏虽然处于土气旺盛之时,也以胃气为本。)患病的脾脉,来势实而盈数,如同鸡举足,称为脾病。(按语:脾宜安静,所以动则为病,如鸡举足,形容动作之急促。)死亡的脾脉,来势锐坚如同鸟嘴,如同鸟爪距,如同屋顶漏水滴落,如同水流不止,称为脾死。(喙距,形容锐坚。水流屋漏,形容脉来的状态。水流指平至不鼓动,屋漏指时而跳动时而停止。按语:羽类动物的脚都叫距,鸡距跳动稍急,所以主病,鸟距跳动更快,所以主死。)
平和的肾脉,来势喘喘累累,如同钩状,重按而坚实,称为肾脉平和。(按语:越人(扁鹊)说:“脉来上大下兑,濡滑如雀之喙称为平和。”吕广说:“上大是指足太阳膀胱经,下兑是指足少阴肾经,阴阳调和作为胃气强盛,所以称为平和。雀喙,是指本大而未兑。”按语:这里只是说肾的平和脉象如此,并非解释经文。喘累如钩等含义原本难以理解,存疑即可。)冬季以胃气为本。患病的肾脉,来势如同牵引葛藤,重按更加坚实,称为肾病。(按语:引葛的含义也难以理解。)死亡的肾脉,来势如同争夺绳索,辟辟作响如同弹石,称为肾死。(辟辟如弹石,形容脉来急促且坚硬。按语:肾脉宜沉敛,夺索有解散之意。冬脉虽然应该像石头一样沉实,但如果是弹石般的脉象,则搏击应手而没有和缓之气了。)
The detailed absence of the three Yin pulses should be attributed to following the practice of leaving blank spaces for missing text in ancient documents. The *Nan Jing* (Classic of Difficult Issues) states: "When the Taiyin pulse arrives, it is tight, large, and long; when the Shaoyin pulse arrives, it is tight, thin, and minute; when the Jueyin pulse arrives, it is deep, short, and solid."
A healthy Heart pulse comes continuously like linked pearls, similar to touching polished jade, indicating a balanced Heart state. (Commentary: 'Linked pearls' implies the beats are continuous without interruption, and lustrous like jade. 'Langgan' refers to bright, lustrous jade; the annotation claiming it resembles beads is incorrect.) Summer relies on Stomach Qi as its foundation. (Commentary: All things are born from Earth, and humans are nourished by the Stomach; thus, each season corresponds to Earth elements, and without Stomach Qi, death ensues.) A diseased Heart pulse comes hurriedly and continuously, with a slight curvature within, indicating Heart disease. A dying Heart pulse comes with an initial curve followed by rigidity, resembling handling a leather belt hook, indicating impending death of the Heart. ('Ju' means immobile. 'Cao' means holding. 'Hook' refers to the buckle of a leather belt. Commentary: The morphological characteristics of fatal pulses often do not perfectly align; observers should grasp the general meaning.')
A healthy Lung pulse comes lightly and softly, like falling elm seeds, indicating a balanced Lung state. (This describes a floating, thin, and deficient pulse.) Autumn relies on Stomach Qi as its foundation. A diseased Lung pulse comes neither ascending nor descending, similar to tracing a chicken feather, indicating Lung disease. (This refers to a pulse that is firm in the center but deficient on both sides.) A dying Lung pulse floats like an object adrift or blows like wind-driven feathers, indicating death of the Lung. (Commentary: While Lung pulses are naturally light and void, excessive floating and thinness indicate death. Floating like an object or blowing like wind represents a rootless, excessively superficial image.)
A healthy Liver pulse comes soft and swaying, like the tip of a long pole held high, indicating a balanced Liver state. (Like the tip of a pole, describing length and softness.) Spring relies on Stomach Qi as its foundation. A diseased Liver pulse comes full, solid, and slippery, similar to tracing a long pole, indicating Liver disease. (Long but not soft, hence feeling like tracing a pole.) A dying Liver pulse comes urgent and increasingly forceful, like a newly drawn bowstring, indicating death of the Liver. ('Jin' refers to stiffness and strength, representing extreme urgency.)
A healthy Spleen pulse comes harmonious and distinct, like a chicken walking on the ground, indicating a balanced Spleen state. (Commentary: The Spleen pulse is especially valued for being gentle and level. A slow and level pulse is called harmonious and soft, not approaching weakness, much like a chicken walking slowly rather than running urgently.) The Long Summer relies on Stomach Qi as its foundation. (Commentary: The Long Summer refers to the last eighteen days of summer. Earth qi dominates all four seasons, but summer is uniquely honored as 'long' because Summer Fire generates Earth, making Earth qi particularly prosperous. Since Earth qi reigns during the Long Summer, and the Stomach belongs to Earth, if one stops eating, hunger ensues, leading to death after seven days. Therefore, even though the Long Summer is the time of Earth's dominance, it still relies on Stomach Qi as its foundation.) A diseased Spleen pulse comes solid, full, and rapid, like a chicken lifting its foot, indicating Spleen disease. (Commentary: The Spleen prefers tranquility, so movement indicates disease. Like a chicken lifting its foot, this describes the urgency of movement.) A dying Spleen pulse comes sharp and hard like a bird's beak, like a bird's spur, like water leaking from a roof, or like flowing water, indicating death of the Spleen. ('Beak' and 'spur' describe sharpness and hardness. Flowing water and leaking roof describe the arrival pattern. Flowing water means flat arrival without pulsation; leaking roof means intermittent beating. Commentary: The feet of birds are called spurs. The chicken spur moves slightly urgently, indicating disease; the bird spur moves even faster, indicating death.)
A healthy Kidney pulse comes hurriedly and continuously, like a hook, becoming firm upon pressure, indicating a balanced Kidney state. (Commentary: Yue Ren [Bian Que] said: "If the pulse comes larger at the top and narrower at the bottom, moist and smooth like a sparrow's beak, it is balanced." Lu Guang said: "'Larger at the top' refers to the Foot-Taiyang bladder meridian, 'narrower at the bottom' refers to the Foot-Shaoyin kidney meridian; when Yin and Yang harmonize as strong Stomach Qi, it is called balanced. 'Sparrow's beak' means large at the base but narrow at the tip.' Commentary: This merely describes the balanced pulse of the Kidney, not an explanation of the classic text. The meanings of 'hurried/continuous like a hook' are originally difficult to interpret; it is best to leave them as questions.) Winter relies on Stomach Qi as its foundation. A diseased Kidney pulse comes like pulling on a vine, becoming firmer upon pressure, indicating Kidney disease. (Commentary: The meaning of 'pulling on a vine' is also difficult to interpret.) A dying Kidney pulse comes like ropes being pulled in contention, clicking like stones being struck, indicating death of the Kidney. ('Clicking like stones' describes urgency and hardness. Commentary: The Kidney pulse should be deep and收敛 (collecting). 'Ropes in contention' implies dispersion. Although the Winter pulse should be like stone, if it strikes the hand like stones, it lacks the gentle and relaxed Qi.)