诊伤寒,热盛,脉浮大者,生;沉小者,死。
伤寒,已得汗,脉沉小者,生;浮大者,死。
温病,三、四日以下,不得汗,脉大疾者,生;脉细小难得者,死,不治。
温病,穣穣大热,其脉细小者,死。(《千金》穣穣作时行)
温病,下利,腹中痛甚者,死,不治。
温病,汗不出,出不至足者,死;厥逆汗出,脉坚强急者,生;虚缓者,死。
温病,二、三日,身体热,腹满,头痛,食饮如故,脉直而疾者,八日死。四、五日。
头痛,腹痛而吐,脉来细强,十二日死。八、九日头不疼,身不痛,目不赤,色不变,而反利,脉来牒牒,按之不
弹手,时大,心下坚,十七日死。
热病,七、八日,脉不软(一作喘),不散(一作数)者,当喑。喑后三日,温汗不出者,死。
热病,七、八日,其脉微细,小便不利,加暴口燥,脉代,舌焦干黑者,死。
热病,未得汗,脉盛躁疾,得汗者,生;不得汗者,难瘥。
热病,已得汗,脉静安者,生;脉躁者,难治。
热病,已得汗,常大热不去者,亦死。(大,一作专)
热病,已得汗,热未去,脉微躁者,慎不得刺治。
热病,发热,热甚者,其脉阴阳皆竭,慎勿刺。不汗出,必下利。
诊人被风,不仁痿蹶,其脉虚者,生;坚急疾者,死。
诊癫病,虚则可治,实则死。
癫疾,脉实坚者,生;脉沉细小者,死。
癫疾,脉抟大滑者,久久自已。其脉沉小急实,不可治;小坚急,亦不可疗。
诊头痛、目痛、久视无所见者,死。(久视,一作卒视)
诊人心腹积聚,其脉坚强急者,生;虚弱者,死。又实强者,生;沉者,死。其脉大,腹大胀,四肢逆冷,其人脉
形长者,死。腹胀满,便血,脉大时绝,极下血;脉小疾者,死。
心腹痛,痛不得息,脉细小迟者,生;坚大疾者,死。
肠 ,便血,身热则死,寒则生。
肠 下白沫,脉沉则生,浮则死。
肠 ,下脓血,脉悬绝则死,滑大则生。
肠 之属,身热,脉不悬绝,滑大者,生;悬涩者,死。以脏期之。
肠 ,下脓血,脉沉小流连者,生;数疾且大,有热者,死。
肠 ,筋挛,其脉小细安静者,生;浮大紧者,死。
洞泄,食不化,不得留,下脓血,脉微小连者,生;紧急者,死。
泄注,脉缓,时小结者,生;浮大数者,死。
蚀阴 ,其脉虚小者,生;紧急者,死。
咳嗽,脉沉紧者,死;浮直者,生;浮软者,生;小沉伏匿者,死。
咳嗽,羸瘦,脉形坚大者,死。
咳,脱形,发热,脉小坚急者,死;肌瘦,下(一本云不)脱形,热不去者,死。
咳而呕,腹胀且泄,其脉弦急欲绝者,死。
吐血、衄血、脉滑小弱者,生;实大者,死。
汗出若衄,其脉小滑者,生;大躁者,死。
唾血,脉紧强者,死;滑者,生。
吐血而咳,上气,其脉数,有热,不得卧者,死。
上气,脉数者,死。谓其形损故也。
上气,喘息低昂,其脉滑,手足温者,生;脉涩,四肢寒者,死。
上气,面浮肿,肩息,其脉大,不可治,加利必死。(一作又甚)
上气,注液,其脉虚宁宁伏匿者,生;坚强者死。
寒气上攻,脉实而顺滑者,生;实而逆涩则死。(《太素》云∶寒气暴上,脉满实何如?曰∶实而滑则生,实而逆则
死矣。其形尽满何如?曰;举形尽满者,脉急大坚,尺满而不应,如是者,顺则生,逆则死。何谓顺则生,逆则死?曰∶
所谓顺者,手足温也;谓逆者,手足寒也)
瘅,脉实大,病久可治;脉悬小坚急,病久不可治。
消渴,脉数大者,生;细小浮短者,死。
消渴,脉沉小者,生;实坚大者,死。
水病,脉洪大者,可治;微细者,不可治。
水病,胀闭,其脉浮大软者,生;沉细虚小者,死。
水病,腹大如鼓,脉实者,生;虚者,死。
卒中恶,吐血数升,脉沉数细者,死;浮大疾快者,生。
卒中恶,腹大,四肢满,脉大而缓者,生;紧大而浮者,死;紧细而微者,亦生。
病疮,腰脊强急,螈 者,皆不可治。
寒热,螈 ,其脉代、绝者,死。
金疮,血出太多,其脉虚细者,生;数实大者,死。
金疮出血、脉沉小者,生;浮大者,死。
斫疮,出血一、二石,脉来大,二十日死。
斫刺俱有,病多,少血,出不自止断者,其脉止,脉来大者,七日死;滑细者,生。
从高顿仆,内有血,腹胀满,其脉坚强者,生;小弱者,死。
人为百药所中伤,脉浮涩而疾者,生;微细者,死;洪大而迟者,生。(《千金》迟作速)
人病甚而脉不调者,难瘥。人病甚而脉洪者,易瘥。
人内外俱虚,身体冷而汗出,微呕而烦扰,手足厥逆,体不得安静者,死。
脉实满,手足寒,头热,春秋生,冬夏死。老人脉微,阳羸阴强者,生;脉焱大加息(一作如急)者,死。阴弱阳
强,脉至而代,奇(一作寄)月而死。
尺脉涩而坚,为血实气虚也。其发病腹痛、逆满、气上行,此为妇人胞中绝伤,有恶血,久成结瘕。得病以冬时,
黍赤而死。
尺脉细而微者,血气俱不足,细而来有力者,是谷气不充,病得节辄动,枣叶生而死。此病秋时得之。
左手寸口脉偏动,乍大乍小,不齐,从寸口至关,关至尺,三部之位,处处动摇,各异不同,其人病,仲夏得之此
脉,桃花落而死。(花,一作叶)
右手寸口脉偏沉伏,乍小乍大,朝来浮大,暮夜沉伏。浮大即太过,上出鱼际。沉伏即下不至关中。往来无常,时
时复来者,榆叶枯落而死。(叶,一作英)
右手尺部,脉三十动一止,有顷更还,二十动一止,乍动乍疏,连连相因,不与息数相应,其人虽食谷,犹不愈,
蘩草生而死。
左手尺部,脉四十动而一止,止而复来,来逆如循直木,如循张弓弦, 然如两人共引一索,至立冬死。(《千金》
作至立春而死)
诊断伤寒病,若热势亢盛,脉象浮大者,预后良好,可生;若脉象沉小者,预后不良,主死。
伤寒病,已经出汗后,脉象沉小者,预后良好,可生;若脉象浮大者,预后不良,主死。
温病,发病在三、四日以内,无汗出,脉象大而疾数者,预后良好,可生;若脉象细小且难以触及者,预后不良,主死,属于不治之症。
温病,身体高热炽盛,但脉象细小者,预后不良,主死。(《千金方》中“穣穣”写作“时行”,指流行性疫病)
温病,出现下利(腹泻),腹部疼痛剧烈者,预后不良,主死,属于不治之症。
温病,无汗出,或汗出不到足部者,预后不良,主死;若出现四肢厥冷并伴有汗出,脉象坚强急疾者,预后良好,可生;若脉象虚弱和缓者,预后不良,主死。
温病,发病二、三日,身体发热,腹部胀满,头痛,饮食如常,脉象直而疾数者,八日后死亡。
发病四、五日,头痛,腹痛且呕吐,脉象来势细而强直者,十二日后死亡。
发病八、九日,头部不痛,身体不痛,眼睛不红,面色无改变,反而出现下利,脉象往来急促(牒牒),重按之下不弹手,时而变大,心下部坚硬者,十七日后死亡。
热病,发病七、八日,脉象不柔软(另一版本作喘促),不散乱(另一版本作数疾)者,应当出现失音症状。失音后三日,若仍无汗出者,预后不良,主死。
热病,发病七、八日,脉象微细,小便不利,突然发生口燥,脉象代止(间歇),舌面焦干发黑者,预后不良,主死。
热病,尚未出汗,脉象盛大躁动疾数,若能出汗者,预后良好,可生;若不能出汗者,难以痊愈。
热病,已经出汗,脉象平静安和者,预后良好,可生;若脉象躁动者,难以治疗。
热病,已经出汗,但持续高热不退者,预后不良,主死。(“大”,另一版本作“专”)
热病,已经出汗,热势未退,脉象微躁者,谨慎起见,不得进行针刺治疗。
热病,发热,热势严重者,其寸关尺三部脉象阴阳之气皆竭绝,谨慎起见,切勿针刺。若不汗出,必然导致下利。
诊断被风邪所伤,出现肌肤麻木不仁、肢体痿软厥逆者,脉象虚弱者,预后良好,可生;脉象坚急疾数者,预后不良,主死。
诊断癫病,脉象虚者可以治疗,脉象实者预后不良,主死。
癫疾,脉象实坚者,预后良好,可生;脉象沉细小者,预后不良,主死。
癫疾,脉象搏指、大且滑利者,久病后可自行痊愈。若脉象沉小急实,不可治疗;脉象小且坚急者,亦无法治愈。
诊断头痛、目痛、长时间视物模糊甚至失明者,预后不良,主死。(“久视”,另一版本作“卒视”,即突然视力丧失)
诊断人心腹积聚病,脉象坚强急者,预后良好,可生;脉象虚弱者,预后不良,主死。又若脉象实强者,可生;脉象沉者,主死。若脉象大,腹部胀大,四肢逆冷,脉形长者,预后不良,主死。若腹胀满,便血,脉大且时有断绝,大量下血;脉象小且疾数者,预后不良,主死。
心腹痛,疼痛剧烈以致呼吸受限,脉象细小迟者,预后良好,可生;脉象坚大疾者,预后不良,主死。
肠澼,排出白色粘液,脉象沉者主生,脉象浮者主死。
肠澼,排出脓血,脉象悬绝(极度异常)者主死,脉象滑大者可生。
肠澼这类疾病,身体发热,脉象不悬绝,脉象滑大者可生;脉象悬涩者主死。根据脏腑气旺之时推断死期。
肠澼,排出脓血,脉象沉小且连绵不断者可生;脉象数疾且大,伴有热象者主死。
肠澼,伴有筋脉拘挛,脉象小细安静者可生;脉象浮大紧者主死。
洞泄(严重腹泻),食物不消化,留不住,排出脓血,脉象微小连绵者可生;脉象紧急者主死。
泄注(急性腹泻),脉象缓和,偶尔小结者,可生;脉象浮大数疾者,主死。
蚀阴疮(外阴溃疡),脉象虚小者可生;脉象紧急者主死。
咳嗽,脉象沉紧者主死;脉象浮直者可生;脉象浮软者可生;脉象小沉伏匿者主死。
咳嗽,形体消瘦,脉象坚大者主死。
咳嗽,形体脱失,发热,脉象小坚急者主死;肌肉消瘦,未至形体脱失,但热势不退者,主死。
吐血、鼻衄,脉象滑小弱者,可生;脉象实大者,主死。
汗出或鼻衄,脉象小滑者可生;脉象大且躁动者,主死。
唾血,脉象紧强者主死;脉象滑者可生。
上气(气喘),脉象数疾者,主死。这是因为形体受损的缘故。
上气,喘息有声,脉象滑利,手足温暖者可生;脉象涩滞,四肢寒冷者,主死。
上气,面部浮肿,抬肩呼吸,脉象大,不可治疗,若兼见下利必死。(另一版本作“又甚”)
上气,流涎,脉象虚宁宁伏匿者可生;脉象坚强者主死。
寒气上攻,脉象实而顺滑者可生;脉象实而逆涩者主死。(《太素》记载:寒气暴上,脉象满实如何?回答是:实而滑则生,实而逆则死。全身皆满实如何?回答是:周身脉象急大坚,尺部脉满而不应指,像这样的情况,顺证则生,逆证则死。什么是顺证则生,逆证则死?回答是:所谓顺证,是指手足温暖;所谓逆证,是指手足寒冷。)
瘅病(热病),脉象实大,病程长久仍可治疗;脉象悬小坚急,病程长久则不可治疗。
消渴病,脉象数大者可生;脉象细小浮短者,主死。
消渴病,脉象沉小者可生;脉象实坚大者,主死。
水病(水肿),脉象洪大者可治;脉象微细者,不可治。
卒中恶病(突发性危重症),吐血数升,脉象沉数细者,主死;脉象浮大疾快者可生。
卒中恶病,腹部胀大,四肢胀满,脉象大而缓者可生;脉象紧大而浮者,主死;脉象紧细而微者,亦可生。
金创(金属利器创伤),出血过多,脉象虚细者可生;脉象数实大者,主死。
金创出血,脉象沉小者可生;脉象浮大者,主死。
斫疮(砍伤),出血一、二石,脉象来势大者,二十日后死亡。
斫刺伤同时存在,病情复杂,血量少,出血不能自止,脉象停止跳动,若脉来大者,七日后死亡;脉象滑细者可生。
从高处置坠落,体内有瘀血,腹部胀满,脉象坚强者可生;脉象小弱者,主死。
人被各种药物毒害损伤,脉象浮涩而疾者可生;脉象微细者,主死;脉象洪大而迟者可生。(《千金方》中“迟”作“速”)
人病势沉重而脉象不调和者,难以痊愈。人病势沉重而脉象洪大者,容易痊愈。
人内外俱虚,身体寒冷且汗出,轻微呕吐且烦躁不安,手足厥冷,身体无法安宁者,主死。
脉象实满,手足寒冷,头部发热,春季秋季患病可生,冬季夏季患病主死。老人脉象微弱,阳气衰弱而阴气强盛者可生;脉象焱大且急促者,主死。阴气弱而阳气强,脉象出现代止,在寄月(闰月)死亡。
尺脉涩而坚,表示血实气虚。其发病表现为腹痛、气逆胀满、气上行,这是妇人胞宫受损,有恶血停留,日久形成结瘕(肿块)。若在冬季得病,到黍米变红时死亡。
尺脉细而微,表示气血俱不足,细而有力者,是谷气不充,病情随节气变动,到枣叶生长时死亡。此病若在秋季得之。
左手寸口脉偏动,忽大忽小,不齐整,从寸口至关部,关部至尺部,三部脉位处处动摇,各不相同,此人患病,若在仲夏得此脉,桃花凋落时死亡。(“花”,另一版本作“叶”)
右手寸口脉偏沉伏,忽小忽大,早晨浮大,夜晚沉伏。浮大即为太过,向上溢出鱼际部位。沉伏即为向下不到关部。往来无常,时时复现者,榆树叶子枯落时死亡。(“叶”,另一版本作“英”)
右手尺部,脉象三十次跳动有一次停顿,片刻后又恢复,二十次跳动有一次停顿,忽动忽疏,连连相因,不与呼吸节律相应,此人虽进食谷物,仍不痊愈,白蒿草生长时死亡。
左手尺部,脉象四十次跳动有一次停顿,停顿后复来,来势逆乱如同触摸直木,如同触摸张开的弓弦,激烈如同两人共同拉一根绳索,到立冬时死亡。(《千金方》作“到立春时死亡”)
Diagnosing Shanghan (Cold Damage) disease, if the heat is excessive and the pulse is floating and large, the prognosis is favorable (life); if the pulse is sunken and small, the prognosis is unfavorable (death).
In Shanghan disease, after sweating has occurred, if the pulse is sunken and small, the prognosis is favorable (life); if the pulse is floating and large, the prognosis is unfavorable (death).
In Wenbing (Warm Disease), within three or four days of onset, without sweating, if the pulse is large and rapid, the prognosis is favorable (life); if the pulse is fine and minute and difficult to feel, the prognosis is unfavorable (death), and it is considered incurable.
In Wenbing, with intense high fever, if the pulse is fine and small, the prognosis is unfavorable (death). (In *Qianjin Fang*, "rangrang" is written as "shixing", referring to epidemic diseases.)
In Wenbing, with diarrhea and severe abdominal pain, the prognosis is unfavorable (death), and it is considered incurable.
In Wenbing, without sweating, or if sweating does not reach the feet, the prognosis is unfavorable (death); if there is cold extremities (Jue-ni) accompanied by sweating, and the pulse is firm, urgent, and rapid, the prognosis is favorable (life); if the pulse is weak and moderate, the prognosis is unfavorable (death).
In Wenbing, on the second or third day, with body heat, abdominal fullness, headache, but normal appetite, and a straight and rapid pulse, death will occur on the eighth day.
On the fourth or fifth day, with headache, abdominal pain, and vomiting, and a pulse that comes forth fine and strong, death will occur on the twelfth day.
On the eighth or ninth day, if the head does not hurt, the body does not ache, the eyes are not red, the complexion does not change, but diarrhea occurs instead, and the pulse is frequent and hurried (die-die), pressing heavily yields no rebound, sometimes becoming larger, with hardness in the epigastrium, death will occur on the seventeenth day.
In Rebing (Heat Disease), on the seventh or eighth day, if the pulse is not soft (another version reads "chuan", panting) and not scattered (another version reads "shu", rapid), aphonia (loss of voice) should occur. Three days after aphonia, if there is still no sweating, the prognosis is unfavorable (death).
In Rebing, on the seventh or eighth day, if the pulse is minute and fine, urination is difficult, sudden dryness of the mouth occurs, the pulse is intermittent (dai), and the tongue is scorched, dry, and black, the prognosis is unfavorable (death).
In Rebing, before sweating occurs, if the pulse is盛大 (sheng-zao, vigorous and restless), and sweating occurs, the prognosis is favorable (life); if sweating does not occur, recovery is difficult.
In Rebing, after sweating has occurred, if the pulse is calm and peaceful, the prognosis is favorable (life); if the pulse is restless, it is difficult to treat.
In Rebing, after sweating has occurred, if high fever persists, the prognosis is unfavorable (death). ("Da", another version reads "zhuan".)
In Rebing, after sweating has occurred, if the heat has not subsided and the pulse is slightly restless, acupuncture treatment should be avoided with caution.
In Rebing, with fever, especially severe fever, if the Yin and Yang pulses at all positions are exhausted, acupuncture must be strictly avoided. If there is no sweating, diarrhea will inevitably occur.
Diagnosing injury by Wind pathogen, presenting with numbness (Bu-ren) and flaccid paralysis (Wei-jue), if the pulse is weak, the prognosis is favorable (life); if the pulse is firm, urgent, and rapid, the prognosis is unfavorable (death).
Diagnosing Dianbing (Epilepsy/Mental Disorder), if the pulse is weak, it is treatable; if the pulse is excess, the prognosis is unfavorable (death).
Dianji (Epileptic Seizures), if the pulse is excess and firm, the prognosis is favorable (life); if the pulse is sunken, fine, and small, the prognosis is unfavorable (death).
Dianji, if the pulse is pounding, large, and slippery, the chronic condition may resolve spontaneously. If the pulse is sunken, small, urgent, and excess, it is untreatable; if the pulse is small and firm-urgent, it is also uncurable.
Diagnosing headache, eye pain, and blindness from prolonged viewing (or sudden vision loss), the prognosis is unfavorable (death). ("Jiu-shi", another version reads "Zu-shi", sudden vision loss.)
Diagnosing accumulation and mass in the heart and abdomen, if the pulse is firm, urgent, and hard, the prognosis is favorable (life); if the pulse is weak, the prognosis is unfavorable (death). Furthermore, if the pulse is excess and strong, life is possible; if sunken, death. If the pulse is large, the abdomen is distended, the limbs are cold, and the pulse shape is long, the prognosis is unfavorable (death). If there is abdominal fullness, bloody stool, a large pulse with intermittent cessation, and massive bleeding; or a small and rapid pulse, the prognosis is unfavorable (death).
Heart and abdominal pain, so severe that breathing is restricted, if the pulse is fine, small, and slow, the prognosis is favorable (life); if the pulse is firm, large, and rapid, the prognosis is unfavorable (death).
Changpi (Dysentery), with bloody stool, if the body is hot, death ensues; if the body is cold, life ensues.
Changpi, discharging white mucus, if the pulse is sunken, life ensues; if floating, death ensues.
Changpi, discharging pus and blood, if the pulse is Xuanjue (extremely abnormal/detached), death ensues; if slippery and large, life ensues.
For Changpi-type diseases, if the body is hot, and the pulse is not Xuanjue but slippery and large, life ensues; if the pulse is Xuanse (detached and choppy), death ensues. The time of death can be predicted based on the Zang organ cycles.
Changpi, discharging pus and blood, if the pulse is sunken, small, and continuous, life ensues; if rapid, frequent, and large, with heat signs, death ensues.
Changpi, with muscle spasms, if the pulse is small, fine, and quiet, life ensues; if floating, large, and tight, death ensues.
Dongxie (Severe Diarrhea), with undigested food, inability to retain contents, and discharge of pus and blood, if the pulse is minute, small, and continuous, life ensues; if urgent and tight, death ensues.
Xiezhu (Acute Diarrhea), if the pulse is slow/moderate, occasionally small and knotted, life ensues; if floating, large, and rapid, death ensues.
Shiyin Chuang (Genital Ulceration), if the pulse is weak and small, life ensues; if urgent and tight, death ensues.
Cough, if the pulse is sunken and tight, death ensues; if floating and straight, life ensues; if floating and soft, life ensues; if small, sunken, and hidden, death ensues.
Cough, with emaciation, if the pulse shape is firm and large, death ensues.
Cough, with wasting away, fever, and a small, firm, and urgent pulse, death ensues; with muscle thinning, without total wasting away, but with persistent heat, death ensues.
Cough with vomiting, abdominal distension and diarrhea, if the pulse is wiry, urgent, and nearly severed, death ensues.
Hematemesis (Vomiting Blood) and Epistaxis (Nosebleed), if the pulse is slippery, small, and weak, life ensues; if excess and large, death ensues.
Sweating or nosebleed, if the pulse is small and slippery, life ensues; if large and restless, death ensues.
Spitting Blood, if the pulse is tight and strong, death ensues; if slippery, life ensues.
Hematemesis with cough, Qi rebelling upward, if the pulse is rapid, with heat signs, and inability to lie down, death ensues.
Shangqi (Rebellious Qi/Asthma), if the pulse is rapid, death ensues. This is due to the damage of the physical form.
Shangqi, with wheezing and varying pitch, if the pulse is slippery and the hands and feet are warm, life ensues; if the pulse is choppy and the four limbs are cold, death ensues.
Shangqi, with facial edema and shoulder-breathing, if the pulse is large, it is untreatable; if accompanied by diarrhea, death is certain. (Another version reads "worse").
Shangqi, with drooling, if the pulse is weak, quiet, sunken, and hidden, life ensues; if firm and strong, death ensues.
Cold Qi attacking upwards, if the pulse is excess and smooth/slipping, life ensues; if excess and reverse/choppy, death ensues. (*Tai Su* records: How is the pulse when Cold Qi violently ascends? Answer: Excess and smooth means life, excess and reverse means death. How is it when the whole body is full/excess? Answer: When the entire body shows excess, the pulse is urgent, large, and firm, with the Chi position being full but unresponsive. In such cases, Shun (smooth/normal direction) means life, Ni (reverse/abnormal direction) means death. What is Shun vs. Ni? Answer: Shun refers to warm hands and feet; Ni refers to cold hands and feet.)
Danbing (Febrile Disease), if the pulse is excess and large, even if the illness is long-standing, it is treatable; if the pulse is Xuanxiao (detached, small, firm, and urgent), even if the illness is short, it is untreatable.
Xiaoke (Wasting-Thirst/Diabetes), if the pulse is rapid and large, life ensues; if fine, small, floating, and short, death ensues.
Xiaoke, if the pulse is sunken and small, life ensues; if excess, firm, and large, death ensues.
Shuibing (Water Disease/Edema), if the pulse is Hongda (Surging and Large), it is treatable; if minute and fine, it is untreatable.
Shuibing, with abdominal distension and obstruction, if the pulse is floating, large, and soft, life ensues; if sunken, fine, empty, and small, death ensues.
Shuibing, with an abdomen large like a drum, if the pulse is excess, life ensues; if empty/weak, death ensues.
Zhongfeng E (Sudden Evil Attack/Collapse), with profuse hematemesis (several sheng), if the pulse is sunken, rapid, and fine, death ensues; if floating, large, and rapid/fast, life ensues.
Zhongfeng E, with abdominal distension and fullness of the four limbs, if the pulse is large and slow/moderate, life ensues; if tight, large, and floating, death ensues; if tight, fine, and minute, life is also possible.
Chuangyang (Sores/Ulcers), with stiffness and urgency of the waist and spine, and convulsions, are all untreatable.
Hanre (Alternating Chills and Fever), with convulsions, if the pulse is Dai (intermittent) or Jue (severed), death ensues.
Jinchuang (Metal Weapon Wound), with excessive blood loss, if the pulse is weak and fine, life ensues; if rapid, excess, and large, death ensues.
Jinchuang with bleeding, if the pulse is sunken and small, life ensues; if floating and large, death ensues.
Zhuochuang (Chopping Wound), with blood loss of one or two sheng, if the pulse comes forth large, death occurs in twenty days.
Combined chopping and stabbing wounds, with complex pathology, low blood volume, and bleeding that does not stop spontaneously, if the pulse ceases and then returns large, death occurs in seven days; if slippery and fine, life ensues.
Falling from a height, with internal blood stasis and abdominal distension, if the pulse is firm and strong, life ensues; if small and weak, death ensues.
Poisoning by various medicines, if the pulse is floating, choppy, and rapid, life ensues; if minute and fine, death ensues; if surging, large, and slow, life ensues. (In *Qianjin Fang*, "slow" is read as "fast".)
When the disease is severe but the pulse is discordant, recovery is difficult. When the disease is severe but the pulse is Hong (Surging), recovery is easy.
When both interior and exterior are deficient, with a cold body and sweating, slight vomiting, restlessness, cold extremities, and bodily unrest, death ensues.
If the pulse is excess and full, with cold hands and feet and a hot head, life ensues in Spring and Autumn, but death in Winter and Summer. For the elderly, if the pulse is minute, with Yang deficiency and Yin excess, life ensues; if the pulse is blazing large and accelerated, death ensues. With Yin weakness and Yang excess, if the pulse presents with Dai (intermittence), death occurs in the intercalary month.
Chi pulse choppy and firm indicates Blood excess and Qi deficiency. Onset involves abdominal pain, rebellious Qi causing fullness, and Qi moving upward. This indicates injury to the uterus in women, with retained evil blood, eventually forming a Jiajia (mass). If contracted in Winter, death occurs when millet turns red.
Chi pulse fine and minute indicates deficiency of both Blood and Qi. If fine but forceful, it indicates insufficient Gu Qi (Grain Qi), and the illness fluctuates with solar terms, leading to death when jujube leaves emerge. This illness is contracted in Autumn.
Left Cun Kou pulse moves unevenly, alternating between large and small, irregular. From Cun to Guan, and Guan to Chi, all three positions show trembling and variation. If this pulse appears in Mid-Summer, death occurs when peach blossoms fall. ("Flower", another version reads "Leaf".)
Right Cun Kou pulse is biased towards sunken and hidden, alternating between small and large. Floating and large in the morning, sunken and hidden at night. Floating and large indicates excess, extending above the Yuji point. Sunken and hidden indicates failing to reach the Guan position. Erratic movement, recurring intermittently, leads to death when elm leaves wither. ("Leaf", another version reads "Ying" / flower petal).
Right Chi position, pulse stops once every thirty beats, recovers briefly, then stops once every twenty beats, alternating between active and sparse, continuously linked, not corresponding to respiration rate. Even if eating grain, the patient does not recover, and death occurs when fancao (white mugwort) grows.
Left Chi position, pulse stops once every forty beats, stops then returns, coming forcefully like touching a straight piece of wood, or a drawn bowstring, violently like two people pulling a single rope, death occurs at Lidong (Start of Winter). (In *Qianjin Fang*, it reads "death at Lichun (Start of Spring)".)