诊妇人漏血下赤白,日下血数升,脉急疾者,死;迟者,生。
诊妇人漏下赤白不止,脉小虚滑者,生;大紧实数者,死。
诊妇人新生乳子,脉沉小滑者,生;实大坚弦急者,死。
诊妇人疝、瘕、积、聚,脉弦急者,生;虚弱小者,死。
诊妇人新生乳子。因得热病,其脉悬小,四肢温者,生;寒清者,死。
诊妇人生产,因中风、伤寒、热病,喘鸣而肩息,脉实大浮缓者,生;小急者,死。
诊妇人生产之后,寸口脉焱疾不调者,死;沉微附骨不绝者,生。金疮在阴处,出血不绝,阴脉不能至阳者,死;
接阳而复出者,生。
小儿脉,呼吸八至者平,九至者伤,十至者困。
诊小儿脉,多雀斗,要以三部脉为主。若紧为风痫,沉者乳不消,弦急者客忤气。
小儿是其日数应变蒸之时,身热而脉乱,汗不出,不欲食,食辄吐 者,脉乱无苦也。
小儿脉沉而数者,骨间有热,欲以腹按冷清也。
小儿大便赤,青瓣,飧泄,脉小,手足寒,难已;脉小,手足温,易已。
小儿病困,汗出如珠,着身不流者,死。
(手检图三十一部)
经言∶肺者,人之五脏华盖也,上以应天,解理万物,主行精气,法五行、四时,知五味。
寸口之中,阴阳交会,中有五部。前、后、左、右,各有所主,上、下、中央,分为九道。浮、沉、结、散,知邪
所在,其道奈何?岐伯曰∶脉大而弱者,气实血虚也;脉大而长者,病在下候;浮直上下交通者,阳脉也。坚在肾,急
在肝,实在肺。前如外者,足太阳也;中央如外者,足阳明也;后如外者,足少阳也。中央直前者,手少阴也;中央直
中者,手心主也;中央直后者,手太阴也。前如内者,足厥阴也;中央如内者,足太阴也。后如内者,足少阴也。前部
左右弹者,阳跷也;中部左右弹者,带脉也;后部左右弹者,阴跷也。从少阳之厥阴者,阴维也;从少阴之太阳者,阳
维也。来大时小者,阴络也;来小时大者,阳络也。前如外者,足太阳也。动,苦头、项、腰、痛,浮为风,涩为寒热,
紧为宿食。前如外者,足太阳也。动,苦目眩,头、颈、项腰、背强痛也。男子阴下湿,女子月水不利,少腹痛,引命
门、阴中痛,子脏闭。浮为风,涩为寒血,滑为劳热,紧为宿食,针入九分。却至六分。中央如外者,足阳明也。动,
苦头痛,面赤,微滑,苦大便不利,肠鸣,不能食,足胫痹。中央如外者,足阳明也。动,苦头痛,面赤热,浮微滑,
苦大便不利,喜气满。滑者为饮,涩为嗜卧,肠鸣不能食,足 痹。针入九分,却至六分。后如外者,足少阳也。动,
苦腰、背、 、股、肢节痛。后如外者,足少阳也。浮为气涩,涩为风、血,急为转筋,弦为劳。针入九分,却至六分。
诊断妇人漏下赤白,每日失血量达数升,若脉象急疾者,主死;若脉象迟缓者,主生。
诊断妇人漏下赤白不止,若脉象小、虚、滑者,主生;若脉象大、紧、实、数者,主死。
诊断妇人刚分娩或哺乳期间,若脉象沉、小、滑者,主生;若脉象实、大、坚、弦、急者,主死。
诊断妇人患有疝气、瘕积、积聚等病,若脉象弦、急者,主生;若脉象虚弱、小者,主死。
诊断妇人刚分娩或哺乳期间,又患热病,若脉象悬、小,四肢温暖者,主生;若四肢寒冷者,主死。
诊断妇人在生产时,因感受风邪、伤寒或热病,出现喘息有声且耸肩呼吸的症状,若脉象实、大、浮、缓者,主生;若脉象小、急者,主死。
诊断妇人生产之后,若寸口脉象迅速且不调和者,主死;若脉象沉、微,按之至骨仍有脉动不绝者,主生。金创(金属利器造成的创伤)位于阴部,出血不止,阴脉之气不能通达阳位者,主死;若阳气接续而复出者,主生。
小儿的脉搏,一呼一吸间跳动八次为平脉,九次为伤脉,十次为困脉。
诊断小儿脉象,虽然常见如雀鸟啄食般急促杂乱,但必须以寸、关、尺三部脉为主进行判断。若脉紧,多为风痫;脉沉,多为乳食不消;脉弦急,多为客忤气(外邪惊扰所致的气机逆乱)。
小儿在日数应验“变蒸”(婴幼儿生长发育过程中的生理性发热现象)之时,身体发热而脉象紊乱,无汗,不想进食,进食即吐,此时脉象紊乱无需担忧。
小儿脉象沉而数,表示骨骼间有热,应用腹部按压以感知冷热情况。
小儿大便色赤,带有青色瓣状物,呈完谷不化的泄泻,若脉象小,手足寒冷,难愈;若脉象小,手足温暖,易愈。
小儿病情危重,出汗如珍珠状,附着在身上但不流动者,主死。
(手检图第三十一部)
经文说:肺,是人的五脏中位置最高的华盖,向上对应天,分解梳理万物,主管运行精气,效法五行、四时,通晓五味。
在寸口脉中,阴阳交会,中间分为五部。前、后、左、右,各有所主,上、下、中央,分为九道。通过浮、沉、结、散等脉象,可以知晓邪气所在,其道理如何?岐伯说:脉象大而弱的,是气实血虚;脉象大而长的,病候在下部;浮直上下交通的,是阳脉。坚硬在肾,紧急在肝,实在于肺。前部偏向外的,属于足太阳膀胱经;中央偏向外的,属于足阳明胃经;后部偏向外的,属于足少阳胆经。中央直前的,属于手少阴心经;中央直中的,属于手厥阴心包经;中央直后的,属于手太阴肺经。前部偏向内的,属于足厥阴肝经;中央偏向内的,属于足太阴脾经;后部偏向内的,属于足少阴肾经。前部左右弹动的,是阳跷脉;中部左右弹动的,是带脉;后部左右弹动的,是阴跷脉。从少阳连至厥阴的,是阴维脉;从少阴连至太阳的,是阳维脉。来时大去时小的,是阴络;来时小去时大的,是阳络。
前部偏向外者,属足太阳膀胱经。动脉,痛苦表现为头、项、腰疼痛,浮脉主风,涩脉主寒热,紧脉主宿食。前部偏向外者,属足太阳膀胱经。动脉,痛苦表现为目眩,头、颈、项、腰、背强痛。男子阴部潮湿,女子月经不利,少腹痛,牵引命门及阴中疼痛,子宫闭塞。浮脉主风,涩脉主寒血,滑脉主劳热,紧脉主宿食,针刺深度九分,退针至六分。
中央偏向外者,属足阳明胃经。动脉,痛苦表现为头痛,面红,微滑脉,痛苦表现为大便不利,肠鸣,不能进食,足胫痹痛。中央偏向外者,属足阳明胃经。动脉,痛苦表现为头痛,面赤热,浮微滑脉,痛苦表现为大便不利,喜气满闷。滑脉主饮邪,涩脉主嗜卧,肠鸣不能进食,足痹。针刺深度九分,退针至六分。
后部偏向外者,属足少阳胆经。动脉,痛苦表现为腰、背、髀、股、肢节疼痛。后部偏向外者,属足少阳胆经。浮脉主气涩,涩脉主风、血,急脉主转筋,弦脉主劳损。针刺深度九分,退针至六分。
Diagnosing women with leukorrhea and bleeding (leaking blood mixed with white discharge), if the daily blood loss amounts to several sheng (a unit of volume) and the pulse is rapid and urgent, death ensues; if the pulse is slow, survival is indicated.
Diagnosing women with continuous leukorrhea and bleeding, if the pulse is small, deficient, and slippery, survival is indicated; if the pulse is large, tight, solid, and rapid, death ensues.
Diagnosing women who have just given birth or are nursing, if the pulse is deep, small, and slippery, survival is indicated; if the pulse is excess, large, firm, wiry, and urgent, death ensues.
Diagnosing women suffering from hernia, mass (Jia), accumulation (Ji), and gathering (Ju), if the pulse is wiry and urgent, survival is indicated; if the pulse is weak and small, death ensues.
Diagnosing women who have just given birth or are nursing and subsequently contract a heat disease, if the pulse is suspended and small but the four limbs are warm, survival is indicated; if the limbs are cold, death ensues.
Diagnosing women during childbirth who, due to wind-stroke, cold damage, or heat disease, exhibit wheezing with audible sounds and shoulder breathing, if the pulse is excess, large, floating, and slow, survival is indicated; if the pulse is small and urgent, death ensues.
Diagnosing women after childbirth, if the Cun Kou (inch position) pulse is rapid and irregular, death ensues; if the pulse is deep and minute, yet unceasing when pressed to the bone, survival is indicated. For metal wounds located in the yin region, if bleeding does not cease and the yin pulse cannot reach the yang aspect, death ensues; if yang qi reconnects and re-emerges, survival is indicated.
For children, a pulse rate of eight beats per respiration cycle is normal; nine beats indicates injury; ten beats indicates exhaustion.
When diagnosing children's pulses, although they often appear erratic like a sparrow pecking, one must primarily rely on the three positions (Cun, Guan, Chi). A tight pulse indicates wind epilepsy; a deep pulse indicates indigestion of milk; a wiry and urgent pulse indicates Ke Wu Qi (qi rebellion caused by external shock/evil).
During the period of "Bian Zheng" (physiological fever associated with infant growth and development), if a child has a fever, chaotic pulse, no sweat, anorexia, and vomiting upon eating, the chaotic pulse is not a cause for concern.
A deep and rapid pulse in a child indicates heat in the bones; abdominal palpation should be used to assess coldness or warmth.
If a child has red stool with green fragments and undigested food diarrhea, and the pulse is small with cold hands and feet, recovery is difficult; if the pulse is small but the hands and feet are warm, recovery is easy.
If a critically ill child sweats profusely like pearls that adhere to the body but do not flow, death ensues.
(Hand Examination Diagram, Part 31)
The Classics state: The Lung is the canopy (Hua Gai) of the five zang organs in humans, positioned highest to correspond with Heaven, resolving and organizing all things, governing the circulation of essence and qi, mirroring the Five Phases and Four Seasons, and understanding the Five Flavors.
At the Cun Kou pulse site, yin and yang intersect, forming five sections within. Anterior, posterior, left, and right each have their specific dominions; upper, lower, and central divide into nine pathways. Through floating, sinking, knotted, and scattered pulses, one can locate the pathogen. How does this work? Qibo said: A pulse that is large yet weak indicates excess qi and deficient blood; a pulse that is large and long indicates pathology in the lower sector; a straight, vertically communicating floating pulse is a yang pulse. Firmness resides in the Kidney, urgency in the Liver, and fullness in the Lung. The anterior section extending outward corresponds to the Foot Taiyang Bladder Meridian; the central section extending outward corresponds to the Foot Yangming Stomach Meridian; the posterior section extending outward corresponds to the Foot Shaoyang Gallbladder Meridian. The central section extending directly forward corresponds to the Hand Shaoyin Heart Meridian; the central section extending directly inward corresponds to the Hand Jueyin Pericardium Meridian; the central section extending directly backward corresponds to the Hand Taiyin Lung Meridian. The anterior section extending inward corresponds to the Foot Jueyin Liver Meridian; the central section extending inward corresponds to the Foot Taiyin Spleen Meridian; the posterior section extending inward corresponds to the Foot Shaoyin Kidney Meridian. The anterior section vibrating left and right corresponds to the Yang Qiao Vessel; the middle section vibrating left and right corresponds to the Dai Mai (Girdle Vessel); the posterior section vibrating left and right corresponds to the Yin Qiao Vessel. Connecting from Shaoyang to Jueyin is the Yin Wei Vessel; connecting from Shaoyin to Taiyang is the Yang Wei Vessel. Coming large and departing small indicates Yin Collaterals; coming small and departing large indicates Yang Collaterals.
The anterior section extending outward belongs to the Foot Taiyang Bladder Meridian. An active pulse here causes pain in the head, neck, and waist. Floating indicates wind, choppy indicates cold-heat, and tight indicates retained food. The anterior section extending outward belongs to the Foot Taiyang Bladder Meridian. An active pulse here causes dizziness, and stiffness/pain in the head, neck, waist, and back. In men, it causes dampness in the genital area; in women, it causes menstrual difficulties, lower abdominal pain radiating to Mingmen and the vagina, and uterine closure. Floating indicates wind, choppy indicates cold-blood, slippery indicates consumption-fever, and tight indicates retained food. Acupuncture depth: insert 9 fen, withdraw to 6 fen.
The central section extending outward belongs to the Foot Yangming Stomach Meridian. An active pulse here causes headache, facial redness, slight slipperiness causing difficulty in defecation, borborygmus, inability to eat, and bi-syndrome in the calves. The central section extending outward belongs to the Foot Yangming Stomach Meridian. An active pulse here causes headache, facial redness and heat, slight floating and slipperiness causing difficulty in defecation and a sensation of fullness with joy. Slippery indicates fluid retention, choppy indicates lethargy, borborygmus, inability to eat, and foot bi-syndrome. Acupuncture depth: insert 9 fen, withdraw to 6 fen.
The posterior section extending outward belongs to the Foot Shaoyang Gallbladder Meridian. An active pulse here causes pain in the waist, back, thighs, legs, and joints. The posterior section extending outward belongs to the Foot Shaoyang Gallbladder Meridian. Floating indicates qi stagnation, choppy indicates wind and blood issues, urgent indicates muscle cramps, and wiry indicates consumption. Acupuncture depth: insert 9 fen, withdraw to 6 fen.