中央直前者,手少阴也。动,苦心痛微坚,腹胁急。实坚者,为感忤;纯虚者,为下利,肠鸣。滑者,为有娠,女
子阴中痒痛,痛出玉门上一分前。中央直中者,手心主也。动,苦心痛,面赤,食苦,咽多,喜怒。微浮者,苦悲伤,
恍惚不乐也。涩为心下寒。沉为恐怖,如人捕之状也。时寒热,有血气。中央直后者,手太阴也。动,苦咳逆,气不得
息。浮为内风。紧涩者,胸中有积热,时咳血也,有沉热。上手三阴脉。
从少阴斜至太阳,是阳维也。动,苦肌肉痹痒。
从少阴斜至太阳,是阳维也。动,苦颠,僵仆羊鸣,手足相引,甚者失音,不能言,癫疾。直取客主人,两阳维脉,
在外踝绝骨下二寸。
从少阳斜至厥阴,是阴维也。动,苦癫痫,僵仆羊鸣。
从少阳斜至厥阴,是阴维也。动,苦僵仆,失音,肌肉淫,痒痹。汗出恶风。
脉来暂大暂小,是阴络也(一作结)。动,苦肉痹,应时自发,身洗洗也。
脉来暂小暂大者,是阳络也。(一作结)。动,苦皮肤痛,下部不仁,汗出而寒也。
肺脉之来也。如循榆叶,曰平。如风吹毛,曰病。状如连珠者死,期丙丁日,禺中日中。
心脉之来也,如反笋莞大,曰平。如连珠,曰病。前曲后居如带钩者,死。期壬癸日,人定夜半。
肝脉之来也,搏而弱,曰平。如张新弓弦,曰病。如鸡践地者,死。期庚辛日,晡时日入。
脾脉之来也,阿阿如缓,曰平。来如鸡举足,曰病。如鸟之啄,如水之漏者,死。期甲乙日,平旦日出。
肾脉之来也,微细以长,曰平。来如弹石,曰病。去如解索者,死,期戊己日,食时、日 、黄昏、鸡鸣。
寸口中脉躁竟尺,关中无脉应,阳干阴也。动,苦腰背、腹痛,阴中若伤,足寒。刺足太阳,少阴直绝骨,入九分,
灸太阴五壮。尺中脉坚实竟尺,寸口无脉,应阴干阳也。动,苦两胫腰重,少腹痛,癫疾。刺足太阴踝上三寸,针入五
分。又灸太阳、阳跷,在足外踝上三寸直绝骨是也。
寸口脉紧,直至鱼际下,小按之如持维子(一作鸡毛)状,其病肠鸣,足痹痛酸,腹满,不能食,得之寒湿。剌阳
维,在外踝上三寸间也,入五分。此脉出鱼(一作原)际。
寸口脉沉着骨,反仰其手,乃得之,此肾脉也。动,苦少腹痛,腰体酸,癫疾。刺肾俞,入七分。又刺阴维,入五
分。初持寸口中脉,如细坚状,久按之,大而深。动,苦心下有寒,胸胁苦痛,阴中痛,不欲近丈夫也,此阴逆。刺期
门,入六分。又刺肾俞,入五分,可灸胃脘七壮。初持寸口中脉,如躁状洪大,久按之,细而牢坚。动,苦腰腹相引痛,
以下至足 重也,不能食。刺肾俞,入四分至五分,亦可灸胃脘七壮。
尺寸俱沉,但有关上脉,苦寒,心下痛。
尺寸俱沉,关上无有者,苦心下喘。
尺寸俱数,有热;俱迟,有寒。
尺寸俱微,厥,血气不足,其人少气。
尺寸俱濡弱,发热,恶寒,汗出。(一云内温热,手足逆冷,汗出)
寸口沉,胸中痛,引背。(一云短气)
关上沉,心痛,上吞酸。
尺中沉,引背痛。
寸口伏,胸中有逆气。
关上伏,有水气,泄溏。
尺中伏,水谷不消。
寸口弦,胃中拘急。(一作心下 )
关上弦,胃中有寒,心下拘急。
尺中弦,少腹、脐下拘急。
寸口紧,头痛,逆气。
关上紧,心下痛。
尺中紧,脐下少腹痛。
寸口涩,无阳,少气。
关上涩,无血,厥冷。
尺中涩,无阴,厥冷。
寸口微,无阳,外寒。
关上微,中实(一作胃虚),能食,故里急。(一作无胃气)
尺中微,无阴,厥冷,腹中拘急。
寸口滑,胸满逆。
关上滑,中实逆。
尺中滑,下利,少气。
寸口数,即吐。
关上数,胃中有热。
尺中数,恶寒,小便赤黄。
寸口实,即生热;虚,即生寒。
关上实,即痛;虚,即胀满。
尺中实,即小便难,少腹牢痛;虚,即闭涩。
寸口芤,吐血;微芤,衄血。
关上芤,胃中虚。
尺中芤,下血;微芤,小便血。
寸口浮,其人中风,发热、头痛。
关上浮,腹痛,心下满。
尺中浮,小便难。
寸口迟,上焦有寒。
关上迟,弱无胃气有热。
尺中迟,下焦有寒,背痛。
寸口濡,阳弱,自汗出。
关上濡,下重。
尺中濡,少血,发热,恶寒。
寸弱,阳气少。
少关(无缺)
尺弱,少血。
位于中央直前位置的脉象,对应手少阴心经。若脉动异常,患者会感到心痛且脉微坚,伴有腹部和胁肋部拘急紧缩感。若脉象实而坚,是感受了邪气冲逆所致;若脉象纯虚,则会导致腹泻、肠鸣。脉滑者,表示怀孕,女子阴道内会瘙痒疼痛,疼痛部位在玉门(女性外生殖器)上方一分处的前方。
位于中央正中位置的脉象,对应手厥阴心包经。若脉动异常,患者会感到心痛,面色发红,进食时感觉食物味道苦涩,咽喉多涎唾,情绪喜怒无常。脉象微浮者,患者会感到悲伤痛苦,精神恍惚不快乐。脉涩表示心下部寒冷。脉沉表示恐惧,如同被人追捕时的状态。有时出现寒热往来,体内有瘀血或气滞。
位于中央直后位置的脉象,对应手太阴肺经。若脉动异常,患者会感到咳嗽气逆,气息无法顺畅呼吸。脉浮表示内有风邪。脉紧涩者,胸中有积热,时常咳血,伴有深层的热邪。这是上肢手三阴经脉的脉象表现。
从少阴脉斜向延伸至太阳脉,是阳维脉。若脉动异常,患者会感到肌肉麻木瘙痒。
从少阴脉斜向延伸至太阳脉,是阳维脉。若脉动异常,患者会感到癫痫发作,突然跌倒,发出如羊叫的声音,手足相互牵引抽搐,严重的失音,不能说话,这是癫疾。治疗应直接取客主人穴(即上关穴),以及两旁的阳维脉,位置在外踝绝骨下方二寸处。
从少阳脉斜向延伸至厥阴脉,是阴维脉。若脉动异常,患者会感到癫痫发作,突然跌倒,发出如羊叫的声音。
从少阳脉斜向延伸至厥阴脉,是阴维脉。若脉动异常,患者会感到突然跌倒,失音,肌肉淫乱瘙痒麻木。出汗且怕风。
脉象来时暂时变大又暂时变小,这是阴络脉(另一种说法是结脉)。若脉动异常,患者会感到肌肉麻木痹痛,症状随时自发,身体会有瑟瑟发冷的感觉。
脉象来时暂时变小又暂时变大,这是阳络脉(另一种说法是结脉)。若脉动异常,患者会感到皮肤疼痛,下半身麻木不仁,出汗且发冷。
肺脉的来势,如果像抚摸榆叶那样柔和,称为平脉(正常脉象)。如果像风吹羽毛那样散乱无根,称为病脉。如果脉状像连珠一样急促坚硬,主死,死亡时间可能在丙丁日,或者在禺中、日中时分。
心脉的来势,如果像反卷的莞草那样宽大,称为平脉。如果像连珠一样急促,称为病脉。如果脉象前曲后居像带钩一样坚硬,主死,死亡时间可能在壬癸日,或者在人定、夜半时分。
肝脉的来势,搏动有力但柔和,称为平脉。如果像拉开的新弓弦那样紧绷,称为病脉。如果像鸡踩地那样短促无力,主死,死亡时间可能在庚辛日,或者在晡时、日入时分。
脾脉的来势,舒缓从容,称为平脉。如果像鸡抬脚那样轻浮急促,称为病脉。如果像鸟啄食那样急促,或者像水漏下那样断续无力,主死,死亡时间可能在甲乙日,或者在平旦、日出时分。
肾脉的来势,微细而长,称为平脉。如果像弹石那样坚硬,称为病脉。如果去势像解开的绳索那样散乱,主死,死亡时间可能在戊己日,或者在食时、日昳、黄昏、鸡鸣时分。
寸口处的脉搏躁动直达尺部,关部和中部没有脉象响应,这是阳干犯阴。若脉动异常,患者会感到腰背、腹痛,阴部好像受伤了一样,足部寒冷。应针刺足太阳膀胱经和足少阴肾经,在绝骨直下进针九分,艾灸足太阴脾经五壮。
尺部脉搏坚实直达寸口,寸口处没有脉象响应,这是阴干犯阳。若脉动异常,患者会感到两小腿和腰部沉重,小腹痛,癫疾。应针刺足太阴脾经,在内踝上三寸处,进针五分。另外艾灸足太阳膀胱经和阳跷脉,位置在足外踝上三寸,直对绝骨处。
寸口脉紧,一直延伸到鱼际穴下方,轻轻按压时像拿着鸡毛一样的感觉,这种病证是肠鸣,足部麻木疼痛酸楚,腹部胀满,不能进食,这是由于寒湿之邪引起的。应针刺阳维脉,位置在外踝上三寸之间,进针五分。此脉出自鱼际(另一种说法是原穴)。
寸口脉沉着于骨,需要翻转手掌才能摸到,这是肾脉。若脉动异常,患者会感到小腹痛,腰体酸痛,癫疾。应针刺肾俞穴,进针七分。另外针刺阴维脉,进针五分。
初诊寸口脉时,脉象如细硬状,久按之后,脉象变得大而深。若脉动异常,患者会感到心下部寒冷,胸胁部痛苦疼痛,阴部疼痛,不愿意亲近男子,这是阴气逆乱。应刺期门穴,进针六分。另外刺肾俞穴,进针五分,可以艾灸胃脘穴七壮。
初诊寸口脉时,脉象如躁动洪大状,久按之后,脉象变得细而牢坚。若脉动异常,患者会感到腰腹相互牵引疼痛,以下至足部沉重,不能进食。应刺肾俞穴,进针四分至五分,也可以艾灸胃脘穴七壮。
尺寸两部脉都沉,只有关上脉存在,患者会感到寒冷,心下部疼痛。
尺寸两部脉都沉,关上脉没有的,患者会感到心下部气喘。
尺寸两部脉都濡弱,发热,恶寒,出汗。(另一种说法是内部温热,手足逆冷,出汗)
关上脉沉,心痛,向上泛酸水。
尺中脉沉,牵引背部疼痛。
关上脉伏,有水气停留,大便溏泄。
尺中脉伏,水谷不消化。
尺中脉弦,小腹部、脐下拘急痉挛。
寸口脉紧,头痛,气逆。
关上脉紧,心下部疼痛。
尺中脉紧,脐下小腹痛。
寸口脉涩,无阳气,气少。
关上脉微,中焦实证(另一种说法是胃虚),能进食,但故里急迫(另一种说法是无胃气)。
尺中脉滑,腹泻,气少。
寸口脉数,立即呕吐。
关上脉数,胃中有热。
关上脉实,立即疼痛;脉虚,立即胀满。
尺中脉实,立即小便困难,小腹部牢固疼痛;脉虚,立即闭涩不通。
寸口脉芤,吐血;微芤,鼻出血。
关上脉芤,胃中虚。
尺中脉芤,下部出血;微芤,小便出血。
尺中脉浮,小便困难。
寸口脉迟,上焦有寒。
关上脉濡,下身沉重。
寸部脉弱,阳气少。
少关部(此处文字缺失)
尺部脉弱,血少。
The pulse position located centrally and anteriorly corresponds to the Hand-Shaoyin Heart Meridian. If the pulse movement is abnormal, the patient suffers from heart pain with a slightly firm pulse, accompanied by urgency and tightness in the abdomen and hypochondrium. If the pulse is excess and firm, it indicates contraction of pathogenic qi; if the pulse is purely deficient, it leads to diarrhea and borborygmus. A slippery pulse indicates pregnancy; in women, there is itching and pain in the vagina, with the pain located one fen anterior to the upper margin of Yumen (external genitalia).
The pulse position located centrally and medially corresponds to the Hand-Jueyin Pericardium Meridian. If the pulse movement is abnormal, the patient suffers from heart pain, red face, bitter taste in food, excessive salivation in the throat, and emotional instability (anger or joy). A slightly floating pulse causes sorrow and distress, with a trance-like state and unhappiness. A choppy pulse indicates cold in the epigastrium. A deep pulse indicates fear, resembling the sensation of being hunted. There may be alternating chills and fever, with blood stasis or qi stagnation present.
The pulse position located centrally and posteriorly corresponds to the Hand-Taiyin Lung Meridian. If the pulse movement is abnormal, the patient suffers from cough and rebellious qi, with difficulty breathing. A floating pulse indicates internal wind. A tight and choppy pulse indicates accumulated heat in the chest, with occasional hemoptysis and deep heat. These are the pulse manifestations of the three Yin meridians of the upper limbs.
Slanting from Shaoyin to Taiyang is the Yang-Wei Vessel. If the pulse movement is abnormal, the patient suffers from muscle bi-syndrome with numbness and itching.
Slanting from Shaoyin to Taiyang is the Yang-Wei Vessel. If the pulse movement is abnormal, the patient suffers from epilepsy, sudden collapse, bleating like a sheep, pulling and twitching of the hands and feet. In severe cases, there is loss of voice and inability to speak, which is Dian disease (epilepsy). Treatment should directly target the Keyuren point (Shangguan), as well as the bilateral Yang-Wei vessels, located two cun below the Jiegu point at the lateral malleolus.
Slanting from Shaoyang to Jueyin is the Yin-Wei Vessel. If the pulse movement is abnormal, the patient suffers from epilepsy, sudden collapse, and bleating like a sheep.
Slanting from Shaoyang to Jueyin is the Yin-Wei Vessel. If the pulse movement is abnormal, the patient suffers from sudden collapse, loss of voice, and excessive itching/numbness of the muscles. There is sweating and aversion to wind.
When the pulse comes temporarily large and then temporarily small, this is the Yin Luo vessel (alternatively described as a Knot pulse). If the pulse movement is abnormal, the patient suffers from muscle bi-syndrome, with symptoms spontaneously arising at any time, and the body feeling chilly.
When the pulse comes temporarily small and then temporarily large, this is the Yang Luo vessel (alternatively described as a Knot pulse). If the pulse movement is abnormal, the patient suffers from skin pain, insensitivity in the lower part of the body, sweating, and coldness.
The arrival of the Lung pulse: if it feels like stroking elm leaves, it is called a Normal Pulse (Ping). If it feels like wind blowing feathers, it is called a Disease Pulse. If the shape resembles connected pearls, death occurs, likely on Bing-Ding days, or during Yuzhong or Zhongri periods.
The arrival of the Heart pulse: if it is wide like a rolled-up rush mat, it is called a Normal Pulse. If it resembles connected pearls, it is called a Disease Pulse. If the pulse is curved anteriorly and stationary posteriorly like a belt hook, death occurs, likely on Ren-Gui days, or during Rending or Yeaban periods.
The arrival of the Liver pulse: if it beats strongly but softly, it is called a Normal Pulse. If it is taut like a newly strung bowstring, it is called a Disease Pulse. If it resembles a chicken stepping on the ground, death occurs, likely on Geng-Xin days, or during Bushi or Ruri periods.
The arrival of the Spleen pulse: if it is slow and leisurely, it is called a Normal Pulse. If it resembles a chicken lifting its foot, it is called a Disease Pulse. If it resembles a bird pecking or water leaking, death occurs, likely on Jia-Yi days, or during Pingdan or Richu periods.
The arrival of the Kidney pulse: if it is fine, thin, and long, it is called a Normal Pulse. If it resembles flicking stones, it is called a Disease Pulse. If the departure resembles untying a rope, death occurs, likely on Wu-Ji days, or during Shishi, Riye, Huanghun, or Jiming periods.
If the pulse at Cun Kou agitates all the way to Chi, without response at Guan and Zhong, this is Yang invading Yin. If the pulse movement is abnormal, the patient suffers from back and abdominal pain, a sensation of injury in the yin region, and cold feet. One should needle the Foot-Taiyang and Foot-Shaoyin meridians, entering nine fen straight down from Jiegu, and moxa the Foot-Taiyin meridian five Zhu.
If the pulse at Chi is firm and solid all the way to Cun Kou, without response at Cun Kou, this is Yin invading Yang. If the pulse movement is abnormal, the patient suffers from heaviness in both shins and waist, lower abdominal pain, and epilepsy. One should needle the Foot-Taiyin meridian three cun above the medial malleolus, entering five fen. Additionally, moxa the Foot-Taiyang and Yang-Qiao vessels, located three cun above the lateral malleolus, straight opposite Jiegu.
If the Cun Kou pulse is tight, extending all the way to below Yuji, and feels like holding a chicken feather when lightly pressed, the disease involves borborygmus, numbness and painful soreness in the feet, abdominal fullness, and inability to eat, caused by cold-dampness. One should needle the Yang-Wei vessel, located between three cun above the lateral malleolus, entering five fen. This pulse originates from Yuji (alternatively said to be Yuan source points).
If the Cun Kou pulse sinks deeply into the bone and requires turning the hand over to feel, this is the Kidney pulse. If the pulse movement is abnormal, the patient suffers from lower abdominal pain, soreness of the waist and body, and epilepsy. One should needle Shenshu, entering seven fen. Additionally, needle the Yin-Wei vessel, entering five fen.
Upon initially grasping the Cun Kou pulse, if it feels thin and hard, but upon prolonged pressing becomes large and deep, and the pulse movement is abnormal, the patient suffers from cold in the epigastrium, painful distension in the chest and hypochondrium, pain in the yin region, and aversion to men. This is Yin rebellion. One should needle Qimen, entering six fen. Additionally, needle Shenshu, entering five fen, and moxa Weiwuan seven Zhu.
Upon initially grasping the Cun Kou pulse, if it feels agitated and large, but upon prolonged pressing becomes fine and firm, and the pulse movement is abnormal, the patient suffers from drawing pain between the waist and abdomen, heaviness from below to the feet, and inability to eat. One should needle Shenshu, entering four to five fen, and may also moxa Weiwuan seven Zhu.
If both Chi and Cun pulses are deep, but only the Guan pulse exists, the patient suffers from cold and epigastric pain.
If both Chi and Cun pulses are deep, but the Guan pulse is absent, the patient suffers from panting in the epigastrium.
If both Chi and Cun pulses are rapid, there is heat; if both are slow, there is cold.
If both Chi and Cun pulses are faint, there is jue (cold extremities), deficiency of blood and qi, and the person has little qi.
If both Chi and Cun pulses are soft and weak, there is fever, aversion to cold, and sweating. (Another version says internal warmth, cold extremities, and sweating.)
If Cun Kou is deep, there is chest pain radiating to the back. (Another version says shortness of breath.)
If Guan is deep, there is heart pain and upward reflux of acid.
If Chi is deep, there is back pain radiating from elsewhere.
If Cun Kou is hidden (Fu), there is rebellious qi in the chest.
If Guan is hidden (Fu), there is fluid retention and loose stools.
If Chi is hidden (Fu), there is indigestion of water and grain.
If Cun Kou is wiry (Xian), there is spasmodic tension in the stomach. (Another version says epigastric stuffiness.)
If Guan is wiry (Xian), there is cold in the stomach and spasmodic tension in the epigastrium.
If Chi is wiry (Xian), there is spasmodic tension in the lower abdomen and below the umbilicus.
If Cun Kou is tight, there is headache and rebellious qi.
If Guan is tight, there is epigastric pain.
If Chi is tight, there is lower abdominal pain below the umbilicus.
If Cun Kou is choppy, there is absence of Yang and little qi.
If Guan is choppy, there is absence of blood and jue (cold extremities).
If Chi is choppy, there is absence of Yin and jue (cold extremities).
If Cun Kou is faint, there is absence of Yang and external cold.
If Guan is faint, there is interior excess (another version says stomach deficiency), ability to eat, but urgency in the gut (another version says absence of Stomach Qi).
If Chi is faint, there is absence of Yin, jue (cold extremities), and abdominal spasmodic tension.
If Cun Kou is slippery, there is chest fullness and rebellious qi.
If Guan is slippery, there is interior excess and rebellious qi.
If Chi is slippery, there is diarrhea and little qi.
If Cun Kou is rapid, there is immediate vomiting.
If Guan is rapid, there is heat in the stomach.
If Chi is rapid, there is aversion to cold and dark yellow urine.
If Cun Kou is excess, heat is generated immediately; if deficient, cold is generated immediately.
If Guan is excess, pain is generated immediately; if deficient, fullness is generated immediately.
If Chi is excess, difficulty urinating and firm lower abdominal pain are generated immediately; if deficient, closure and obstruction are generated immediately.
If Cun Kou is hollow (Kou), there is hematemesis; if slightly hollow, there is epistaxis.
If Guan is hollow (Kou), there is stomach deficiency.
If Chi is hollow (Kou), there is lower bleeding; if slightly hollow, there is hematuria.
If Cun Kou is floating, the person has Wind-Stroke, with fever and headache.
If Guan is floating, there is abdominal pain and epigastric fullness.
If Chi is floating, there is difficulty urinating.
If Cun Kou is slow, there is cold in the Upper Jiao.
If Guan is slow, there is weakness and absence of Stomach Qi, yet presence of heat.
If Chi is slow, there is cold in the Lower Jiao and back pain.
If Cun Kou is soft (Ru), Yang is weak, with spontaneous sweating.
If Guan is soft (Ru), there is heaviness in the lower body.
If Chi is soft (Ru), there is little blood, fever, and aversion to cold.
If Cun is weak, Yang qi is little.
Shao Guan (text missing)
If Chi is weak, there is little blood.