五行大抵要相生。表里脉刑。须要精。要取秋冬并春夏。自然指下见分明。
五行者。水火木金土也。诊脉下指之法。切要精专。凝心定志少时。然后诊之。辨认四季五行旺相。阴阳逆顺。七
表八里。虚实轻重。相克相生。指上便见有灾咎疾病。若得旺相之脉。则有喜庆之事。春肝脉弦而紧。夏心脉洪而大。
秋肺脉涩而微。冬肾脉沉而滑。此乃四季旺相之脉也。脾脉四季脉见之宽缓而细。取此以为旺相脉也。
心脉分明紧秀洪。此人必定是三公。专寻三按俱无绝。到老须持国柄雄。
凡心脉紧秀而洪大者。必为至贵之人。三公之位。又须详审指按。调调不绝。若人有此脉。其人至老须将相。若春
夏得紧细洪脉为善。秋冬为灾。
当春心脉要洪弦。看取清明节候边。须见迁除并喜事。脉未宽缓一生贤。
心脉洪秀弦紧。此得时之脉也。主有喜悦之事。春见之。子母旺而相生。
至四六月见喜也。若宽而浮者。定主贤哲之人。自然无灾。更主有绍祖宗子孙。
忽然无脉少精神。须有惊惶忧恐心。天性沉吟多毒害。更加心腹似荆林。心者。五脏之主也。其中浮而大。是旺相
之脉也。忽然无脉。是心中有惊疑。须见精神恍惚。沉细者。是不顺之脉。主心中有不明之事。兼心腹有毒害。如荆林
之棘。主有惊忧之事也。
五行脉法大抵以相生为要。表里脉象的刑克关系，必须诊察精微。诊脉需兼顾秋冬与春夏的不同时令特点，如此指下自然感觉分明。
所谓五行，即水、火、木、金、土。诊脉时手指切按的方法，关键在于精专。需凝神定志片刻，然后进行诊察。辨认四季中五行的旺相状态，以及阴阳的逆顺、七表八里（表证与里证的脉象分类）、虚实的轻重、相克与相生的关系，手指上便能察觉是否有灾祸疾病。若得到旺相之脉，则预示有喜庆之事。春季肝脉表现为弦而紧；夏季心脉表现为洪而大；秋季肺脉表现为涩而微；冬季肾脉表现为沉而滑。这是四季旺相的脉象。脾脉在四季中均可见到，表现为宽缓而细，以此作为旺相脉的标准。
心脉若分明、紧秀且洪大，此人必定是三公高位之人。若仔细寻按三部（寸、关、尺）皆无断绝之象，到老仍能掌握国家权柄。
凡是心脉紧秀而洪大的，必定是极其尊贵的人，处于三公之位。又须详细审察指下的按压感，脉气调匀不绝。若人有此脉，到老必将为将相之才。若在春夏季出现紧细洪脉为吉，在秋冬季则为凶兆。
春季心脉应当洪大兼弦。观察清明节气前后的脉象。必然会有升迁除旧及喜事发生。若脉象未显宽缓，其人一生贤德。
心脉洪秀弦紧，这是得时的脉象。主有喜悦之事。春季见到此脉，因子母相生而旺盛。到了四、六月也会见喜。若脉象宽而浮，必定主事贤哲之人，自然没有灾祸，更主有继承祖宗基业的子孙。
忽然脉象微弱或无脉，且精神萎靡，必有惊惶忧恐之心。天性多疑沉吟，易受毒害侵扰，加之心腹不适如荆棘丛林般刺痛。心是五脏的主宰。其脉浮大而有力，是旺相之脉。忽然无脉，说明心中有惊疑，会出现精神恍惚。脉象沉细者，是不顺之脉，主心中有不明之事，兼有心腹毒害，如荆棘之刺，主有惊忧之事。
The principles of the Five Elements pulse diagnosis generally emphasize mutual generation. The punitive interactions between exterior and interior pulses must be examined with precision. One must consider the seasonal characteristics of autumn/winter and spring/summer; thus, the pulse sensations under the fingers will naturally become distinct.
The Five Elements refer to Water, Fire, Wood, Metal, and Earth. The method of applying fingers during pulse diagnosis requires precision and concentration. One should calm the mind and focus for a moment before examining. It is necessary to identify the prosperous (Wang) and flourishing (Xiang) states of the Five Elements in the four seasons, as well as the reversals and順sequences of Yin and Yang, the classifications of Seven Exterior and Eight Interior pulses, the degrees of deficiency and excess, and the relationships of mutual restriction and generation. Through these, one can perceive disasters or diseases by finger sensation. If a prosperous (Wang) and flourishing (Xiang) pulse is obtained, it indicates auspicious events. In Spring, the Liver pulse is wiry and tight; in Summer, the Heart pulse is surging and large; in Autumn, the Lung pulse is choppy and slight; in Winter, the Kidney pulse is deep and slippery. These are the prosperous (Wang) and flourishing (Xiang) pulses of the four seasons. The Spleen pulse appears in all four seasons, characterized as broad, slow, fine, and thin, which serves as the standard for a prosperous (Wang) pulse.
If the Heart pulse is distinct, wiry, elegant, and surging, this person is destined to hold high office as one of the Three Excellencies (San Gong). If upon careful palpation of the three positions (Cun, Guan, Chi), the pulse never ceases, they will wield national power into old age.
Whenever the Heart pulse is wiry, elegant, and surging, the person is certainly of supreme nobility, occupying the position of the Three Excellencies. One must carefully examine the finger pressure; the pulse rhythm must be smooth and unceasing. A person with such a pulse will likely become a general or minister in their later years. If a wiry, fine, and surging pulse appears in Spring or Summer, it is favorable; if it appears in Autumn or Winter, it is ominous.
In Spring, the Heart pulse should be surging and wiry. Observing the pulse around the Qingming solar term indicates inevitable promotions, changes, and joyful events. If the pulse has not yet become broad and slow, the person will be virtuous throughout life.
A Heart pulse that is surging, elegant, wiry, and tight is a pulse in harmony with the season. It signifies joyful events. Seeing this in Spring indicates prosperity due to the mutual generation of mother and child elements. Joy will also be seen in the fourth and sixth lunar months. If the pulse is broad and floating, it indicates a wise and philosophical person, naturally free from disaster, and suggests descendants who will inherit the ancestral legacy.
A sudden absence of pulse or weak spirit indicates a heart filled with panic and fear. The individual's nature is prone to hesitation and suspicion, making them susceptible to harm, accompanied by chest and abdominal discomfort resembling thorny thickets. The Heart is the master of the five Zang organs. A floating and large pulse here indicates a prosperous (Wang) state. A sudden absence of pulse suggests inner doubt and confusion, leading to mental distraction. A deep and fine pulse indicates an unfavorable condition, signifying unclear matters in the heart and toxic harm in the chest and abdomen, akin to thorns, indicating events of shock and sorrow.