甲胆乙肝丙小肠。丁心戊胃己脾行。庚属大肠辛属肺。壬乃膀胱癸肾堂。
乙酉金。丙戌水。丁亥木。戊子火。乙卯金。丙辰水。丁巳木。戊午火。己未土。己丑土。
火。左寸脉微洪。(心小肠)火如有沉脉。是右尺脉。属水。是水克火。曰病。木。左关脉微弦(肝胆) 木如有涩
脉。是右寸脉属金。是金克木。曰病。水。左尺脉微沉。(肾膀胱) 水如有缓脉。是右关脉。属土。是土克水。曰病。
金。右寸脉微涩。(肺大肠) 金如有微脉。是左寸脉。火克金。曰病。
土。右关脉微缓。(脾胃) 土如有弦脉。是左关脉。木克土。曰病。
火。右尺脉微数。(命门三焦)火如有沉迟。是左尺脉。水克火。曰病。
左寸脉浮。心有余。沉迟。不足。
左关脉浮。肝有余。沉迟。不足。
左尺脉浮。肾有余。沉迟。不足。
右寸脉浮。肺有余。沉迟。不足。
右关脉浮。脾有余。沉迟不足。
右尺脉浮弦者。命门三焦有余。沉迟。不足。
左手脉(心小肠)火。关脉(肝胆)木。尺脉(肾膀胱)水。
右手脉(肺大肠)金。关脉(脾胃)土。尺脉(命门三焦)水。
左心脉微洪曰平。洪多胃气少。曰病。如脉沉。是肾肝心也。夫克妻。洪甚。用黄连解毒汤主之。沉迟清心莲子饮
主之。
左关浮脉微弦曰平。弦多胃气少曰病。如有涩脉。是金克木。有余弦紧。用桃仁承气汤主之。不足。木香化滞汤主
之。
左尺脉沉曰平。沉多胃气少曰病。如有缓脉。是土克水。有余。滋肾丸加黄柏知母泻之。不足。附子四逆汤温之。
肾无有余。多不足。
右寸脉微涩曰平。涩多胃气少曰病。如有数脉在内。是心火邪伤。有余。用知母茯苓汤泻之。不足。用麦门冬饮子
补之。
右关脉微缓曰平。缓多胃气少曰病。如有弦脉。是肝木克土。有余。用调胃承气汤下之。不足。用治中汤补之。
右尺脉微数曰平。数多胃气少曰病。有余。用凉膈散主之。不足。用四逆汤补之。
甲对应胆,乙对应肝,丙对应小肠,丁对应心,戊对应胃,己对应脾。庚对应大肠,辛对应肺,壬对应膀胱,癸对应肾。
乙酉属金,丙戌属水,丁亥属木,戊子属火,乙卯属金,丙辰属水,丁巳属木,戊午属火,己未属土,己丑属土。
火(心与小肠):左寸脉微洪为正常。若出现沉脉,则是右尺脉(属水),这是水克火,称为病。
木(肝与胆):左关脉微弦为正常。若出现涩脉,则是右寸脉(属金),这是金克木,称为病。
水(肾与膀胱):左尺脉微沉为正常。若出现缓脉,则是右关脉(属土),这是土克水,称为病。
金(肺与大肠):右寸脉微涩为正常。若出现微脉(此处指代火性之脉或误读,原文意指火克金之象,结合下文“火克金”,此处应理解为出现代表火的脉象特征,如数或洪,但原文写“如有微脉”可能有误或特指某种细微变化,依文意译为:若出现...脉,是左寸脉,火克金,称为病。注:原文逻辑稍显跳跃,按字面翻译:若出现微脉,是左寸脉,火克金,称为病。*修正理解:通常金脉本涩,若见火脉则病。原文“金如有微脉”可能指金脉中夹杂其他脉象,或者此处“微脉”为笔误/特指。根据后文“火克金”,推测是指出现了火的脉象。但为了忠实原文,保留“微脉”并指出其归属左寸及相克关系*)。
土(脾与胃):右关脉微缓为正常。若出现弦脉,则是左关脉(属木),这是木克土,称为病。
火(命门与三焦):右尺脉微数为正常。若出现沉迟脉,则是左尺脉(属水),这是水克火,称为病。
左寸脉浮,表示心气有余;沉迟,表示心气不足。
左关脉浮,表示肝气有余;沉迟,表示肝气不足。
左尺脉浮,表示肾气有余;沉迟,表示肾气不足。
右寸脉浮,表示肺气有余;沉迟,表示肺气不足。
右关脉浮,表示脾气有余;沉迟,表示脾气不足。
右尺脉浮弦,表示命门与三焦气有余;沉迟,表示命门与三焦气不足。
左手脉:寸部对应心与小肠(属火),关部对应肝与胆(属木),尺部对应肾与膀胱(属水)。
右手脉:寸部对应肺与大肠(属金),关部对应脾与胃(属土),尺部对应命门与三焦(属水,注:此处原文称水,与前文右尺属火矛盾,但依原文提取)。
左心脉微洪为平脉。若洪脉多而胃气少,则为病脉。若脉沉,则是肾、肝、心相克(水克火等复杂关系,原文简略)。若洪甚,用黄连解毒汤主治。若脉沉迟,用清心莲子饮主治。
左关脉浮且微弦为平脉。若弦脉多而胃气少,则为病脉。若出现涩脉,则是金克木。若弦紧有力(有余),用桃仁承气汤主治。若虚弱(不足),用木香化滞汤主治。
左尺脉沉为平脉。若沉脉多而胃气少,则为病脉。若出现缓脉,则是土克水。若有余,用滋肾丸加黄柏、知母泻之。若不足,用附子四逆汤温之。肾无有余之证,多为不足。
右寸脉微涩为平脉。若涩脉多而胃气少,则为病脉。若内部出现数脉,则是心火邪气伤害。若有余,用知母茯苓汤泻之。若不足,用麦门冬饮子补之。
右关脉微缓为平脉。若缓脉多而胃气少,则为病脉。若出现弦脉,则是肝木克土。若有余,用调胃承气汤下之。若不足,用治中汤补之。
右尺脉微数为平脉。若数脉多而胃气少,则为病脉。若有余,用凉膈散主治。若不足,用四逆汤补之。
Jia corresponds to the Gallbladder, Yi to the Liver, Bing to the Small Intestine, Ding to the Heart, Wu to the Stomach, and Ji to the Spleen. Geng corresponds to the Large Intestine, Xin to the Lungs, Ren to the Bladder, and Gui to the Kidneys.
Yi You belongs to Metal, Bing Xu to Water, Ding Hai to Wood, Wu Zi to Fire, Yi Mao to Metal, Bing Chen to Water, Ding Si to Wood, Wu Wu to Fire, Ji Wei to Earth, and Ji Chou to Earth.
Fire (Heart and Small Intestine): A slightly surging pulse at the left Cun position is normal. If a deep pulse appears, it indicates the right Chi position (belonging to Water), representing Water overcoming Fire, which signifies disease.
Wood (Liver and Gallbladder): A slightly wiry pulse at the left Guan position is normal. If a choppy pulse appears, it indicates the right Cun position (belonging to Metal), representing Metal overcoming Wood, which signifies disease.
Water (Kidneys and Bladder): A slightly deep pulse at the left Chi position is normal. If a moderate/slow pulse appears, it indicates the right Guan position (belonging to Earth), representing Earth overcoming Water, which signifies disease.
Metal (Lungs and Large Intestine): A slightly choppy pulse at the right Cun position is normal. If a fine pulse appears [Note: Context implies a pulse indicating Fire overcoming Metal], it indicates the left Cun position, representing Fire overcoming Metal, which signifies disease.
Earth (Spleen and Stomach): A slightly moderate/slow pulse at the right Guan position is normal. If a wiry pulse appears, it indicates the left Guan position (belonging to Wood), representing Wood overcoming Earth, which signifies disease.
Fire (Mingmen and Sanjiao/Triple Burner): A slightly rapid pulse at the right Chi position is normal. If a deep and slow pulse appears, it indicates the left Chi position (belonging to Water), representing Water overcoming Fire, which signifies disease.
A floating pulse at the left Cun indicates excess in the Heart; a deep and slow pulse indicates deficiency in the Heart.
A floating pulse at the left Guan indicates excess in the Liver; a deep and slow pulse indicates deficiency in the Liver.
A floating pulse at the left Chi indicates excess in the Kidneys; a deep and slow pulse indicates deficiency in the Kidneys.
A floating pulse at the right Cun indicates excess in the Lungs; a deep and slow pulse indicates deficiency in the Lungs.
A floating pulse at the right Guan indicates excess in the Spleen; a deep and slow pulse indicates deficiency in the Spleen.
A floating and wiry pulse at the right Chi indicates excess in the Mingmen and Sanjiao; a deep and slow pulse indicates deficiency in the Mingmen and Sanjiao.
Left Hand Pulse: The Cun position corresponds to the Heart and Small Intestine (Fire); the Guan position corresponds to the Liver and Gallbladder (Wood); the Chi position corresponds to the Kidneys and Bladder (Water).
Right Hand Pulse: The Cun position corresponds to the Lungs and Large Intestine (Metal); the Guan position corresponds to the Spleen and Stomach (Earth); the Chi position corresponds to the Mingmen and Sanjiao (Water).
A slightly surging pulse at the left Heart position is a balanced pulse. If the surging quality is excessive with little Stomach Qi, it is a pathological pulse. If the pulse is deep, it involves interaction among the Kidneys, Liver, and Heart. If the surging quality is severe, treat with Huanglian Jiedu Tang (Coptis Decoction for Detoxification). If the pulse is deep and slow, treat with Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction).
A floating and slightly wiry pulse at the left Guan position is a balanced pulse. If the wiry quality is excessive with little Stomach Qi, it is a pathological pulse. If a choppy pulse appears, it indicates Metal overcoming Wood. If there is excess with wiry and tight qualities, treat with Taoren Chengqi Tang (Peach Kernel and Rhubarb Decoction). If there is deficiency, treat with Muxiang Zhizhi Tang (Costus Regulating Stagnation Decoction).
A deep pulse at the left Chi position is a balanced pulse. If the deep quality is excessive with little Stomach Qi, it is a pathological pulse. If a moderate/slow pulse appears, it indicates Earth overcoming Water. If there is excess, purge with Zishen Wan (Kidney Nourishing Pill) added with Huangbai (Phellodendron Bark) and Zhimu (Anemarrhena Rhizome). If there is deficiency, warm with Fuzi Sini Tang (Aconite Reversal Decoction). The Kidneys generally do not present with excess conditions but rather deficiencies.
A slightly choppy pulse at the right Cun position is a balanced pulse. If the choppy quality is excessive with little Stomach Qi, it is a pathological pulse. If a rapid pulse appears internally, it indicates pathogenic Fire from the Heart causing injury. If there is excess, purge with Zhimu Fuling Tang (Anemarrhena and Poria Decoction). If there is deficiency, tonify with Maidong Yinzi (Ophiopogon Drink).
A slightly moderate/slow pulse at the right Guan position is a balanced pulse. If the moderate/slow quality is excessive with little Stomach Qi, it is a pathological pulse. If a wiry pulse appears, it indicates Liver Wood overcoming Earth. If there is excess, purge downward with Tiaowei Chengqi Tang (Regulate the Stomach and Rhubarb Decoction). If there is deficiency, tonify with Zhizhong Tang (Regulate the Middle Decoction).
A slightly rapid pulse at the right Chi position is a balanced pulse. If the rapid quality is excessive with little Stomach Qi, it is a pathological pulse. If there is excess, treat with Liangge San (Cool the Diaphragm Powder). If there is deficiency, tonify with Sini Tang (Reversal Decoction).