滑为实、为下,(又为阳气衰。)数为虚、为热。浮为风、为虚。动为痛、为惊。
沉为水、为实,(又为鬼疰。)弱为虚、为悸。
迟则为寒,涩则少血,缓则为虚,洪则为气。(一作热)紧则为寒,弦数为疟。
疟脉自弦,弦数多热,弦迟多寒。微则为虚,代散则死。弦为痛痹(一作浮为风疰)。偏弦为饮,双弦则胁下拘急而
痛,其人涩涩恶寒。
脉大,寒热在中。
伏者,霍乱。
安卧,脉盛,谓之脱血。
凡亡汗,肺中寒饮,冷水咳嗽,下利,胃中虚冷,此等其脉并紧。
浮而大者,风。
浮大者,中风,头重,鼻塞。
浮而缓,皮肤不仁,风寒入肌肉。
滑而浮散者,摊缓风。
滑者,鬼疰。
涩而紧,痹病。
浮洪大长者,风眩癫疾。
大坚疾者,癫病。
弦而钩,胁下如刀刺,状如蜚尸,至困不死。
紧而急者,遁尸。
洪大者,伤寒热病。
浮洪大者,伤寒。秋吉,春成病。
浮而滑者,宿食。
浮滑而疾者,食不消,脾不磨。
短疾而滑,酒病。
浮而细滑,伤饮。
迟而涩,中寒,有 结。
快而紧,积聚,有击痛。
弦急,疝瘕,小腹痛,又为癖病。(一作痹病)
迟而滑者,胀。
盛而紧曰,胀。
弦小者,寒癖。
沉而弦者,悬饮,内痛。
弦数,有寒饮,冬夏难治。
紧而滑者,吐逆。
小弱而涩,胃反。
迟而缓者,有寒。
微而紧者,有寒。
沉而迟,腹脏有冷病。
微弱者,有寒,少气。
实紧,胃中有寒,苦不能食。时时利者,难治(一作时时呕稽留难治)。
滑数,心下结,热盛。
滑疾,胃中有热。
缓而滑,曰热中。
沉(一作浮)而急,病伤寒,暴发虚热。
浮而绝者,气。
辟大而滑,中有短气。
浮短者,其人肺伤。诸气微少,不过一年死。法当嗽也。
沉而数,中水。冬不治自愈。
短而数,心痛,心烦。
弦而紧,胁痛,脏伤,有瘀血。(一作有寒血)
沉而滑,为下重,亦为背膂痛。
脉来细而滑,按之能虚,因急持直者,僵仆,从高堕下,病在内。
微浮,秋吉,冬成病。
微数,虽甚不成病,不可劳。
浮滑疾紧者,以合百病,人易愈。
阳邪来,见浮洪。
阴邪来,见沉细。
水谷来,见坚实。
脉来乍大乍小、乍长乍短者,为崇。
脉来洪大袅袅者,社崇。
脉来沉沉泽泽,四肢不仁而重,土崇。
脉与肌肉相得,久持之至者,可下之。
弦小紧者,可下之。
紧而数,寒热俱发,必下乃愈。
弦迟者,宜温药。
紧数者,可发其汗。
滑脉主实证、气机下陷,(又主阳气衰微。)数脉主虚证、热证。浮脉主风邪、虚证。动脉主疼痛、惊悸。
迟脉主寒证,涩脉主血少,缓脉主虚证,洪脉主气盛。(另一版本作热证)紧脉主寒证,弦数脉主疟疾。
疟疾的脉象自呈弦象,弦而数者多热,弦而迟者多寒。微脉主虚证,代脉或散脉主死证。弦脉主痛痹(另一版本作浮脉主风疰)。单侧弦脉主痰饮,双侧弦脉则胁下拘急且疼痛,患者感觉瑟瑟恶寒。
脉大,主体内有寒热错杂。
安静卧床,但脉象盛大,称为脱血。
凡是亡汗(大汗淋漓),肺中有寒饮,冷水咳嗽,腹泻,胃中虚冷,这些情况的脉象都表现为紧脉。
脉浮而大,主风邪。
脉浮而缓,主皮肤麻木不仁,风寒之邪侵入肌肉。
脉滑,主鬼疰病。
脉涩而紧,主痹病。
脉浮洪大长,主风眩癫疾。
脉大坚疾,主癫病。
脉弦而钩,主胁下如刀刺般疼痛,状如蜚尸病,虽病情危困但不致死。
脉紧而急,主遁尸病。
脉洪大,主伤寒热病。
脉浮洪大,主伤寒。秋季得此脉为吉,春季得此脉则成病。
脉浮而滑,主宿食(积食)。
脉浮滑而疾,主食物不消化,脾运化功能减弱。
脉短疾而滑,主酒病(饮酒过度所致疾病)。
脉浮而细滑,主伤饮(饮水不当致病)。
脉迟而涩,主中寒,体内有结块。
脉迟而滑,主胀满。
脉盛而紧,称为胀满。
脉弦小,主寒癖。
脉弦数,主有寒饮,冬夏两季难治。
脉紧而滑,主呕吐逆气。
脉迟而缓,主有寒。
脉微而紧,主有寒。
脉沉而迟,主腹内脏器有冷病。
脉微弱,主有寒,气短。
脉实紧,主胃中有寒,痛苦于不能进食。若时时腹泻,则难治(另一版本作时时呕吐,邪气稽留难治)。
脉滑数,主心下痞结,热势亢盛。
脉滑疾,主胃中有热。
脉缓而滑,称为热中(中焦有热)。
脉沉(另一版本作浮)而急,主患伤寒,突发虚热。
脉浮而绝(断绝感),主气病。
脉辟大而滑,主中有短气。
脉浮短,主其人肺脏受损。诸气微弱稀少,不超过一年会死亡。按医理应当出现咳嗽。
脉沉而数,主中水毒。冬季不治也会自愈。
脉弦而紧,主胁痛,脏器受伤,有瘀血。(另一版本作有寒血)
脉沉而滑,主下重(里急后重),也主背脊疼痛。
脉来细而滑,重按能感到虚弱,因紧急持脉时脉管挺直者,主猝然昏倒,从高处坠落,病位在内。
脉微浮,秋季为吉,冬季成病。
脉微数,即使病重也不致成大病,但不可劳累。
脉浮滑疾紧,可合百病,人容易痊愈。
阳邪来袭,脉见浮洪。
阴邪来袭,脉见沉细。
水谷之气来袭,脉见坚实。
脉来忽大忽小、忽长忽短,主祟病(鬼神作祟类疾病)。
脉来洪大袅袅,主社崇(土地神祟)。
脉来沉沉泽泽,四肢麻木沉重,主土崇。
脉与肌肉相得,久按至脉搏规律者,可用下法治疗。
脉弦小紧,可用下法治疗。
脉弦迟,宜用温药。
脉紧数,可发其汗。
Hua (Slippery) pulse indicates Excess and Qi sinking, (also indicates decline of Yang Qi). Shu (Rapid) pulse indicates Deficiency and Heat. Fu (Floating) pulse indicates Wind and Deficiency. Dong (Moving) pulse indicates Pain and Fright.
Chen (Deep) pulse indicates Fluid retention and Excess, (also indicates Gui Zhu disease [ghostly transmission]). Ruo (Weak) pulse indicates Deficiency and Palpitations.
Chi (Slow) pulse indicates Cold. Se (Choppy) pulse indicates Blood deficiency. Huan (Moderate/Relaxed) pulse indicates Deficiency. Hong (Surging) pulse indicates Qi abundance. (Another version reads Heat). Jin (Tight) pulse indicates Cold. Xian-Shu (Wiry-Rapid) pulse indicates Malaria.
The pulse in Malaria naturally presents as Wiry. Wiry and Rapid indicates more Heat; Wiry and Slow indicates more Cold. Wei (Fine/Micro) pulse indicates Deficiency. Dai (Intermittent) or San (Scattered) pulse indicates Death. Xian (Wiry) pulse indicates Painful Bi syndrome (another version reads Fu [Floating] pulse indicates Feng Zhu [windy transmission]). A single-sided Xian (Wiry) pulse indicates Yin (Fluid retention); bilateral Xian (Wiry) pulses indicate stiffness and pain under the hypochondrium, with the patient feeling chilly and aversion to cold.
Da (Large) pulse indicates Cold and Heat within the Middle Jiao.
Fu (Hidden) pulse indicates Huo Luan (Cholera-like disorder).
Lying quietly but with a Sheng (Full/Excessive) pulse is called Tuo Xue (Blood depletion).
In cases of Wang Han (profuse sweating), Cold-Fluid retention in the Lung, coughing from cold water, diarrhea, and Cold-Deficiency in the Stomach, the pulse in all these conditions is Jin (Tight).
Fu (Floating) and Da (Large) indicates Wind.
Fu (Floating) and Da (Large) indicates Zhong Feng (Wind Strike), accompanied by heavy head and nasal congestion.
Fu (Floating) and Huan (Relaxed) indicates skin insensitivity (numbness), with Wind-Cold invading the muscles.
Hua (Slippery) and Fu (Floating) San (Scattered) indicates Tan Huan Feng (Paralytic Wind).
Hua (Slippery) pulse indicates Gui Zhu disease (ghostly transmission).
Se (Choppy) and Jin (Tight) indicates Bi disease (Obstruction syndrome).
Fu (Floating), Hong (Surging), Da (Large), and Chang (Long) indicates Feng Xuan Dian Ji (Wind-dizziness and Epilepsy).
Da (Large), Jian (Firm), and Ji (Rapid) indicates Dian Bing (Epilepsy).
Xian (Wiry) and Gou (Hooked) indicates stabbing pain under the hypochondrium, resembling Fei Shi disease (flying corpse), which is critical but not fatal.
Jin (Tight) and Ji (Urgent) indicates Dun Shi disease (escaping corpse).
Hong (Surging) and Da (Large) indicates Shang Han Re Bing (Cold Damage Heat Disease).
Fu (Floating), Hong (Surging), and Da (Large) indicates Shang Han (Cold Damage). Auspicious in Autumn; becomes a disease in Spring.
Fu (Floating) and Hua (Slippery) indicates Su Shi (retained food).
Fu (Floating), Hua (Slippery), and Ji (Rapid) indicates indigestion and Spleen failing to transform.
Duan (Short), Ji (Rapid), and Hua (Slippery) indicates Jiu Bing (wine-induced disease).
Fu (Floating), Xi (Fine), and Hua (Slippery) indicates Shang Yin (injury from drinking fluids).
Chi (Slow) and Se (Choppy) indicates internal Cold with Jie (knots/masses).
Kuai (Fast) and Jin (Tight) indicates Ji Ju (accumulations and masses) with striking pain.
Xian (Wiry) and Ji (Urgent) indicates Shan Jia (hernia and mass), lower abdominal pain, and also Pi Bing (masses). (Another version reads Bi disease).
Chi (Slow) and Hua (Slippery) indicates Zhang (distension).
Sheng (Full) and Jin (Tight) is called Zhang (distension).
Xian (Wiry) and Xiao (Small) indicates Han Pi (cold masses).
Chen (Deep) and Xian (Wiry) indicates Xuan Yin (hanging fluid) and internal pain.
Xian (Wiry) and Shu (Rapid) indicates presence of Cold-Fluid retention, difficult to treat in Winter and Summer.
Jin (Tight) and Hua (Slippery) indicates Tu Ni (vomiting and reflux).
Xiao (Small), Ruo (Weak), and Se (Choppy) indicates Fan Fan (regurgitation/reverse flow).
Chi (Slow) and Huan (Relaxed) indicates Cold.
Wei (Fine) and Jin (Tight) indicates Cold.
Chen (Deep) and Chi (Slow) indicates Cold disease in the abdominal Zang organs.
Wei (Micro) and Ruo (Weak) indicates Cold and shortness of breath.
Shi (Excess) and Jin (Tight) indicates Cold in the Stomach, suffering from inability to eat. If there is frequent diarrhea, it is difficult to treat (another version reads frequent vomiting with pathogen stagnation, difficult to treat).
Hua (Slippery) and Shu (Rapid) indicates Jie (knotting) below the heart and excessive Heat.
Hua (Slippery) and Ji (Rapid) indicates Heat in the Stomach.
Huan (Relaxed) and Hua (Slippery) is called Re Zhong (Heat in the Middle).
Chen (Deep) (another version reads Fu [Floating]) and Ji (Urgent) indicates Shang Han (Cold Damage) with sudden onset of Deficient Heat.
Fu (Floating) and Jue (Cut off/Abrupt) indicates Qi disease.
Pi (Wide) and Da (Large) and Hua (Slippery) indicates shortness of breath within.
Fu (Floating) and Duan (Short) indicates Lung injury in the person. With Qi being weak and scarce, death occurs within one year according to law. Coughing should occur.
Chen (Deep) and Shu (Rapid) indicates Zhong Shui (water toxicity). It heals spontaneously if untreated in Winter.
Duan (Short) and Shu (Rapid) indicates Heart pain and mental restlessness.
Xian (Wiry) and Jin (Tight) indicates Hypochondriac pain, Zang organ injury, and blood stasis. (Another version reads cold blood).
Chen (Deep) and Hua (Slippery) indicates heavy sensation below (tenesmus) and also back and spine pain.
When the pulse comes Fine and Slippery, and feels empty upon pressing, and when held tightly the vessel becomes straight, it indicates sudden collapse/fainting, falling from a height, with the pathology inside.
Wei (Micro) and Fu (Floating) is auspicious in Autumn, becomes a disease in Winter.
Wei (Micro) and Shu (Rapid) indicates that even if severe, it does not become a major disease, but labor should be avoided.
Fu (Floating), Hua (Slippery), Ji (Rapid), and Jin (Tight) combined can correspond to hundred diseases, and the person is likely to recover easily.
When Yang pathogens arrive, the pulse appears Fu (Floating) and Hong (Surging).
When Yin pathogens arrive, the pulse appears Chen (Deep) and Xi (Fine).
When Water and Grain pathogens arrive, the pulse appears Shi (Solid) and Jian (Firm).
When the pulse varies suddenly between Large and Small, Long and Short, it indicates Chong (spiritual affliction).
When the pulse is Hong (Surging) and Da (Large) yet Miao Miao (fluttering/thin), it indicates She Chong (earth god spirit affliction).
When the pulse is Chen Chen Ze Ze (deep and moist/heavy), and limbs are numb and heavy, it indicates Tu Chong (earth spirit affliction).
When the pulse matches the flesh, and upon prolonged holding the pulse arrives regularly, purgation may be used.
Xian (Wiry), Xiao (Small), and Jin (Tight) indicates purgation may be used.
Jin (Tight) and Shu (Rapid) indicates simultaneous Cold and Heat; purgation is necessary for recovery.
Xian (Wiry) and Chi (Slow) indicates warm herbs are suitable.
Jin (Tight) and Shu (Rapid) indicates diaphoresis (sweating method) may be used.