左手关前寸口阳绝者，无小肠脉也。苦脐痹，小腹中有疝瘕，王月（王字一本作五）即冷上抢心。刺手心主经，治
阴。心主在掌后横理中。（即太陵穴也）
左手关前寸口阳实者，小肠实也。苦心下急痹（一作急痛）。小肠有热，小便赤黄。刺手太阳经，治阳（一作手少阳
者，非）。太阳在手小指外侧本节陷中（即后溪穴也）。
左手关前寸口阴绝者，无心脉也。苦心下毒，痛，掌中热，时时善呕，口中伤烂。刺手太阳经，治阳。
左手关前寸口阴实者，心实也。苦心下有水气，忧恚发之。刺手心主经，治阴。
左手关上阳绝者，无胆脉也。苦膝疼，口中苦， 目善畏，如见鬼状，多惊，少力。刺足厥阴经，治阴。在足大指
间（即行间穴也），或刺三毛中。
左手关上阳实者，胆实也。苦腹中实不安，身躯习习也，刺足少阳经，治阳。在足上第二指本节后一寸。（第二指当
云小指、次指，即临泣穴也）
左手关上阴绝者，无肝脉也。苦癃，遗溺，难言，胁下有邪气，善吐。刺足少阳经，治阳。
左手关上阴实者，肝实也。苦肉中痛，动善转筋。刺足厥阴经，治阴。
左手关后尺中阳绝者，无膀胱脉也。苦逆冷，妇人月使不调，王月则闭，男子失精，尿有余沥。刺足少阴经，治阴，
在足内踝下动脉。（即太溪穴也）
左手关后尺中阳实者，膀胱实也。苦逆冷，胁下有邪气相引痛。刺足太阳经，治阳。在足小指外侧本节后陷中。（即
束骨穴也）
左手关后尺中阴绝者，无肾脉也。苦足下热，两髀里急，精气竭少，劳倦所致。刺足太阳经，治阳。
左手关后尺中阴实者，肾实也。苦恍惚，健忘，目视KT KT ，耳聋怅怅，善鸣。刺足少阴经，治阴。
右手关前寸口阳绝者，无大肠脉也。苦少气，心下有水气，立秋节即咳。刺手太阴经，治阴。在鱼际间。（即太渊穴
也）
右手关前寸口阳实者，大肠实也。苦肠中切痛，如锥刀所刺，无休息时。刺手阳明经，治阳。在手腕中。（即阳溪穴
也）
右手关前寸口阴绝者，无肺脉也。苦短气咳逆，喉中塞，噫逆。刺手阳明经，治阳。
右手关前寸口阴实者，肺实也。苦少气，胸中满彭彭，与肩相引，刺手太阴经。治阴。
右手关上阳绝者，无胃脉也。苦吞酸，头痛，胃中有冷。刺足太阴经，治阴。在足大指本节后一寸。（即公孙穴也）
右手关上阳实者，胃实也。苦肠中伏伏（一作 ），不思食物，得食不能消。刺足阳明经，治阳，在足上动脉。（即
冲阳穴也）
右手关上阴绝者，无脾脉也。苦少气，下利，腹满，身重，四肢不欲动，善呕。刺足阳明经，治阳。
右手关上阴实者，脾实也。苦肠中伏伏如坚状，大便难。刺足太阴经，治阴。
右手关后尺中阳绝者，无子户脉也。苦足逆寒，绝产，带下，无子，阴中寒。刺足少阴经，治阴。
右手关后尺中阳实者，膀胱实也。苦少腹满，引腰痛。刺足太阳经，治阳。
右手关后尺中阴绝者，无肾脉也。苦足逆冷，上抢胸痛，梦入水见鬼，善厌寐，黑色物来掩人上。刺足太阳经，治
阳。
右手关后尺中阴实者，肾实也。苦骨疼，腰脊痛，内寒热。刺足少阴经，治阴。上脉二十四气事。
左手关前寸口脉象显示阳气断绝，意味着小肠的脉气缺失。患者会感到脐部痹阻疼痛，小腹中有疝气和癥瘕积聚，每逢五月（有的版本作“五”月），寒气会上冲心胸。治疗应针刺手厥阴心包经，以调理阴分。心包经的原穴位于手掌后横纹中点。（即太陵穴）
左手关前寸口脉象显示阳气实盛，意味着小肠实证。患者会感到心下急迫痹痛（有的版本作“急痛”）。小肠有热邪，导致小便颜色深红发黄。治疗应针刺手太阳小肠经，以调理阳分（有的版本误作手少阳三焦经，这是不对的）。手太阳经的输穴位于手小指外侧本节后的凹陷处。（即后溪穴）
左手关前寸口脉象显示阴气断绝，意味着心脏的脉气缺失。患者会感到心下有剧烈毒痛，掌心发热，时常呕吐，口腔黏膜溃烂。治疗应针刺手太阳小肠经，以调理阳分。
左手关前寸口脉象显示阴气实盛，意味着心脏实证。患者会感到心下有停饮之气，常因忧怒等情绪诱发。治疗应针刺手厥阴心包经，以调理阴分。
左手关上脉象显示阳气断绝，意味着胆的脉气缺失。患者会感到膝盖疼痛，口中发苦，眼睛容易受惊恐惧，好像看见鬼怪一样，多受惊吓，体力不足。治疗应针刺足厥阴肝经，以调理阴分。穴位在足大趾与次趾之间（即行间穴），或者刺入足大趾爪甲角旁的毛发丛中（即大敦穴）。
左手关上脉象显示阳气实盛，意味着胆实证。患者会感到腹中胀满不安，身体感觉异样不适（习习然）。治疗应针刺足少阳胆经，以调理阳分。穴位在足第二趾本节后方一寸处。（注：此处原文“第二指”当为“小指、次指”，即足临泣穴）
左手关上脉象显示阴气断绝，意味着肝脏的脉气缺失。患者会感到小便淋漓不畅，遗尿，言语困难，胁下有邪气阻滞，容易呕吐。治疗应针刺足少阳胆经，以调理阳分。
左手关上脉象显示阴气实盛，意味着肝脏实证。患者会感到肌肉内部疼痛，经常发生转筋抽搐。治疗应针刺足厥阴肝经，以调理阴分。
左手关后尺中脉象显示阳气断绝，意味着膀胱的脉气缺失。患者会感到四肢逆冷，妇女月经失调，每逢五月则闭经，男子滑精，小便有余沥不尽之感。治疗应针刺足少阴肾经，以调理阴分。穴位在足内踝下方的动脉搏动处。（即太溪穴）
左手关后尺中脉象显示阳气实盛，意味着膀胱实证。患者会感到四肢逆冷，胁下有邪气牵引作痛。治疗应针刺足太阳膀胱经，以调理阳分。穴位在足小指外侧本节后的凹陷处。（即束骨穴）
左手关后尺中脉象显示阴气断绝，意味着肾脏的脉气缺失。患者会感到足底发热，两大腿内侧拘急，精气枯竭减少，这是由于过度劳累所致。治疗应针刺足太阳膀胱经，以调理阳分。
左手关后尺中脉象显示阴气实盛，意味着肾脏实证。患者会感到神志恍惚，健忘，视力模糊不清，耳聋且神情怅惘，耳朵里常有鸣响。治疗应针刺足少阴肾经，以调理阴分。
右手关前寸口脉象显示阳气断绝，意味着大肠的脉气缺失。患者会感到气短，心下有停饮之气，到了立秋节气就会咳嗽。治疗应针刺手太阴肺经，以调理阴分。穴位在鱼际部位。（即太渊穴）
右手关前寸口脉象显示阳气实盛，意味着大肠实证。患者会感到肠中剧烈疼痛，像被锥子或刀子刺扎一样，没有休息的时候。治疗应针刺手阳明大肠经，以调理阳分。穴位在手腕中间。（即阳溪穴）
右手关前寸口脉象显示阴气断绝，意味着肺脏的脉气缺失。患者会感到气短、咳嗽气逆，喉咙堵塞感，嗳气反逆。治疗应针刺手阳明大肠经，以调理阳分。
右手关前寸口脉象显示阴气实盛，意味着肺脏实证。患者会感到气短，胸中胀满膨隆，疼痛牵连肩部。治疗应针刺手太阴肺经，以调理阴分。
右手关上脉象显示阳气断绝，意味着胃腑的脉气缺失。患者会感到吞酸水，头痛，胃中有寒邪。治疗应针刺足太阴脾经，以调理阴分。穴位在足大趾本节后方一寸处。（即公孙穴）
右手关上脉象显示阳气实盛，意味着胃腑实证。患者会感到腹部痞闷不适（一作“伏伏”），不想吃东西，即使吃了也不能消化。治疗应针刺足阳明胃经，以调理阳分，穴位在足背上的动脉搏动处。（即冲阳穴）
右手关上脉象显示阴气断绝，意味着脾脏的脉气缺失。患者会感到气短，腹泻，腹部胀满，身体沉重，四肢不愿活动，容易呕吐。治疗应针刺足阳明胃经，以调理阳分。
右手关上脉象显示阴气实盛，意味着脾脏实证。患者会感到肠中痞闷坚硬如石状，大便困难。治疗应针刺足太阴脾经，以调理阴分。
右手关后尺中脉象显示阳气断绝，意味着子宫（子户）的脉气缺失。患者会感到双脚逆冷，不孕，白带过多，无法生育，外阴寒冷。治疗应针刺足少阴肾经，以调理阴分。
右手关后尺中脉象显示阳气实盛，意味着膀胱实证。患者会感到小腹胀满，牵引腰部疼痛。治疗应针刺足太阳膀胱经，以调理阳分。
右手关后尺中脉象显示阴气断绝，意味着肾脏的脉气缺失。患者会感到双脚逆冷，寒气上冲胸痛，梦中进入水中见到鬼怪，嗜睡多梦，仿佛有黑色物体遮盖在人身上。治疗应针刺足太阳膀胱经，以调理阳分。
右手关后尺中脉象显示阴气实盛，意味着肾脏实证。患者会感到骨头疼痛，腰脊疼痛，体内忽冷忽热。以上讲述了二十四种气脉的情况。
If the Yang pulse at Cun Kou (Radial Pulse Position) on the left hand, anterior to the Guan (Bar) position, is absent (Jue), it indicates the absence of the Small Intestine pulse. The patient suffers from Bi syndrome (obstruction and pain) in the umbilical region, with hernia and mass accumulation in the lower abdomen. In the fifth month (some editions read "five"), cold qi rushes upward to the heart. Treatment involves needling the Pericardium Meridian of Hand-Jueyin to regulate Yin. The Yuan-Source point of the Pericardium is located in the middle of the transverse crease of the palm. (i.e., Taoling PC7)
If the Yang pulse at Cun Kou on the left hand, anterior to the Guan position, is excess (Shi), it indicates an Excess pattern of the Small Intestine. The patient suffers from urgent obstruction or pain in the epigastrium (some editions read "urgent pain"). Heat in the Small Intestine causes dark yellow urine. Treatment involves needling the Small Intestine Meridian of Hand-Taiyang to regulate Yang (some editions erroneously suggest the Sanjiao Meridian of Hand-Shaoyang, which is incorrect). The Shu-Stream point of the Small Intestine Meridian is located in the depression lateral to the base of the little finger. (i.e., Houxi SI3)
If the Yin pulse at Cun Kou on the left hand, anterior to the Guan position, is absent (Jue), it indicates the absence of the Heart pulse. The patient suffers from toxic pain in the epigastrium, heat in the palms, frequent vomiting, and ulceration of the mouth. Treatment involves needling the Small Intestine Meridian of Hand-Taiyang to regulate Yang.
If the Yin pulse at Cun Kou on the left hand, anterior to the Guan position, is excess (Shi), it indicates an Excess pattern of the Heart. The patient suffers from fluid retention in the epigastrium, often triggered by worry and anger. Treatment involves needling the Pericardium Meridian of Hand-Jueyin to regulate Yin.
If the Yang pulse at the Guan (Bar) position on the left hand is absent (Jue), it indicates the absence of the Gallbladder pulse. The patient suffers from knee pain, bitter taste in the mouth, fearfulness of the eyes as if seeing ghosts, frequent fright, and weakness. Treatment involves needling the Liver Meridian of Foot-Jueyin to regulate Yin. The point is located between the first and second toes (i.e., Xingjian LR2), or one may needle the hair tuft at the tip of the big toe (i.e., Dazhun LR1).
If the Yang pulse at the Guan position on the left hand is excess (Shi), it indicates an Excess pattern of the Gallbladder. The patient suffers from abdominal fullness and discomfort, and a sensation of tingling or uneasiness in the body. Treatment involves needling the Gallbladder Meridian of Foot-Shaoyang to regulate Yang. The point is located one cun posterior to the base of the second toe. (Note: The text "second toe" should be interpreted as the fourth toe, i.e., Linqi GB41)
If the Yin pulse at the Guan position on the left hand is absent (Jue), it indicates the absence of the Liver pulse. The patient suffers from strangury, urinary incontinence, difficulty speaking, pathogenic factors under the hypochondrium, and frequent vomiting. Treatment involves needling the Gallbladder Meridian of Foot-Shaoyang to regulate Yang.
If the Yin pulse at the Guan position on the left hand is excess (Shi), it indicates an Excess pattern of the Liver. The patient suffers from pain within the muscles and frequent tendon spasms. Treatment involves needling the Liver Meridian of Foot-Jueyin to regulate Yin.
If the Yang pulse at Chi (Cubit) position, posterior to the Guan, on the left hand is absent (Jue), it indicates the absence of the Bladder pulse. The patient suffers from cold extremities, irregular menstruation in women (amenorrhea in the fifth month), seminal emission in men, and dribbling after urination. Treatment involves needling the Kidney Meridian of Foot-Shaoyin to regulate Yin. The point is located at the arterial pulse below the medial malleolus. (i.e., Taixi KI3)
If the Yang pulse at Chi position, posterior to the Guan, on the left hand is excess (Shi), it indicates an Excess pattern of the Bladder. The patient suffers from cold extremities and pulling pain in the hypochondrium due to pathogenic factors. Treatment involves needling the Bladder Meridian of Foot-Taiyang to regulate Yang. The point is located in the depression lateral to the base of the little toe. (i.e., Shugu BL65)
If the Yin pulse at Chi position, posterior to the Guan, on the left hand is absent (Jue), it indicates the absence of the Kidney pulse. The patient suffers from heat in the soles of the feet, tightness in the inner thighs, depletion of essence and Qi, caused by fatigue and overwork. Treatment involves needling the Bladder Meridian of Foot-Taiyang to regulate Yang.
If the Yin pulse at Chi position, posterior to the Guan, on the left hand is excess (Shi), it indicates an Excess pattern of the Kidney. The patient suffers from mental confusion, forgetfulness, blurred vision, deafness with a sense of emptiness, and tinnitus. Treatment involves needling the Kidney Meridian of Foot-Shaoyin to regulate Yin.
If the Yang pulse at Cun Kou on the right hand, anterior to the Guan position, is absent (Jue), it indicates the absence of the Large Intestine pulse. The patient suffers from shortness of breath, fluid retention in the epigastrium, and cough starting at the Liqiu solar term. Treatment involves needling the Lung Meridian of Hand-Taiyin to regulate Yin. The point is located in the area of Yuji. (i.e., Taiyuan LU9)
If the Yang pulse at Cun Kou on the right hand, anterior to the Guan position, is excess (Shi), it indicates an Excess pattern of the Large Intestine. The patient suffers from severe cutting pain in the intestines, as if pierced by awls or knives, without relief. Treatment involves needling the Large Intestine Meridian of Hand-Yangming to regulate Yang. The point is located in the center of the wrist. (i.e., Yangxi LI5)
If the Yin pulse at Cun Kou on the right hand, anterior to the Guan position, is absent (Jue), it indicates the absence of the Lung pulse. The patient suffers from shortness of breath, cough and rebellious Qi, throat obstruction, and belching. Treatment involves needling the Large Intestine Meridian of Hand-Yangming to regulate Yang.
If the Yin pulse at Cun Kou on the right hand, anterior to the Guan position, is excess (Shi), it indicates an Excess pattern of the Lung. The patient suffers from shortness of breath, distension and fullness in the chest, with pain radiating to the shoulder. Treatment involves needling the Lung Meridian of Hand-Taiyin to regulate Yin.
If the Yang pulse at the Guan position on the right hand is absent (Jue), it indicates the absence of the Stomach pulse. The patient suffers from acid regurgitation, headache, and cold in the stomach. Treatment involves needling the Spleen Meridian of Foot-Taiyin to regulate Yin. The point is located one cun posterior to the base of the big toe. (i.e., Gongsun SP4)
If the Yang pulse at the Guan position on the right hand is excess (Shi), it indicates an Excess pattern of the Stomach. The patient suffers from abdominal stagnation and discomfort, lack of appetite, and inability to digest food even after eating. Treatment involves needling the Stomach Meridian of Foot-Yangming to regulate Yang. The point is located at the arterial pulse on the dorsum of the foot. (i.e., Chongyang ST42)
If the Yin pulse at the Guan position on the right hand is absent (Jue), it indicates the absence of the Spleen pulse. The patient suffers from shortness of breath, diarrhea, abdominal fullness, heaviness of the body, reluctance to move the limbs, and frequent vomiting. Treatment involves needling the Stomach Meridian of Foot-Yangming to regulate Yang.
If the Yin pulse at the Guan position on the right hand is excess (Shi), it indicates an Excess pattern of the Spleen. The patient suffers from abdominal stagnation feeling hard like stone, and difficult defecation. Treatment involves needling the Spleen Meridian of Foot-Taiyin to regulate Yin.
If the Yang pulse at Chi position, posterior to the Guan, on the right hand is absent (Jue), it indicates the absence of the Zi Hu (Uterus/Sub-heavenly) pulse. The patient suffers from cold extremities, sterility, leukorrhea, inability to conceive, and cold in the vagina. Treatment involves needling the Kidney Meridian of Foot-Shaoyin to regulate Yin.
If the Yang pulse at Chi position, posterior to the Guan, on the right hand is excess (Shi), it indicates an Excess pattern of the Bladder. The patient suffers from lower abdominal fullness and pulling pain in the lower back. Treatment involves needling the Bladder Meridian of Foot-Taiyang to regulate Yang.
If the Yin pulse at Chi position, posterior to the Guan, on the right hand is absent (Jue), it indicates the absence of the Kidney pulse. The patient suffers from cold extremities, cold rushing upward causing chest pain, dreams of entering water and seeing ghosts, excessive sleepiness, and sensations of black objects covering the person. Treatment involves needling the Bladder Meridian of Foot-Taiyang to regulate Yang.
If the Yin pulse at Chi position, posterior to the Guan, on the right hand is excess (Shi), it indicates an Excess pattern of the Kidney. The patient suffers from bone pain, lower back and spine pain, and alternating internal cold and heat. This concludes the discussion on the twenty-four Qi pulses.