\r六脉掌图\p01-e32a3.bmp\r
假如丙戌年。又遇丙戌丙辰日时。但患心经受病。值此同运日时死。若过得此日可治。
假如乙酉年。又遇乙酉乙卯日时。但患肝经受病。值此同运日时死。若过得此日可治。
假如丁亥年。又遇丁亥丁巳日时。但患脾经受病。值此同运日时死。若过得此日可治。假如戊午年。又遇戊午戊子
日
时。但患肺经受病。值此同运日时死。若过得此日可治。假如己丑年。又遇己丑己未日时。但患肾经受病。值此同运
日时死。若过得此日可治。
一日太阳经。头痛身热。法当以汗。先年有余。双解散。先年不足。人参败毒饮。假如今年乙未。湿土司天。辰戌
太阴寒水在泉。明年双解散。更有脉虚实浮散。数而大。谓之有余。曰实。短数而微。谓之不足。曰虚。
二日阳明经。当和调中汤。加四苓散。
三日少阳经。小柴胡汤。
四日太阴经身痛。
五日少阴经。口干舌燥。
六日厥阴经当下。
七日六经传遍。又复太阳。又以汗下。
如脉浮紧。大烦者又汗。如脉沉而迟。按下紧实。又下。
如右关脉。是阳明胃土脉。浮紧而洪。头面微红。断日发斑。
男子尺脉常弱。(气有余为无事) 女子尺脉常盛。(血有余为无事)
经曰。女人反此背看之。(女要尺盛而寸弱。男要寸盛而尺弱。)谓之反此。断病亦然。
童女脉。尺弱而寸盛。童子脉。尺盛而寸弱。
男子若尺脉大而浮。名曰虚。必走精。
女子若尺脉浮而大。或沉而微。必经脉不调。半虚漏血之脉。加有孕脉。尺脉紧实而大。至匀调。必是孕妇。更加
吐逆。三个月也。左手尺脉浮大。断曰男。右手尺脉浮大。断曰女。
六脉掌图
假如是丙戌年,又遇到丙戌日或丙戌时,如果患者患的是心经病变,值此与运气相同的日时就会死亡。如果能度过这一天,就可以治疗。
假如是乙酉年,又遇到乙酉日或乙酉时,如果患者患的是肝经病变,值此与运气相同的日时就会死亡。如果能度过这一天,就可以治疗。
假如是丁亥年,又遇到丁亥日或丁亥时,如果患者患的是脾经病变,值此与运气相同的日时就会死亡。如果能度过这一天,就可以治疗。
假如是戊午年,又遇到戊午日或戊午时,如果患者患的是肺经病变,值此与运气相同的日时就会死亡。如果能度过这一天,就可以治疗。
假如是己丑年,又遇到己丑日或己丑时,如果患者患的是肾经病变,值此与运气相同的日时就会死亡。如果能度过这一天,就可以治疗。
第一日,太阳病(太阳经受邪所致的病证),出现头痛、身体发热,治法应当采用发汗法。若患者先年体质有余(正气充足),使用双解散;若先年体质不足(正气虚弱),使用人参败毒饮。假如今年是乙未年,湿土司天(主管上半年气候的湿气偏盛),辰戌年太阴寒水在泉(主管下半年气候的寒气偏盛)。明年用双解散。此外,如果脉象虚实浮散,数而大,称为有余,即实证;如果脉象短数而微细,称为不足,即虚证。
第二日,阳明病(阳明经受邪所致的病证),应当使用调中汤,加四苓散。
第三日,少阳病(少阳经受邪所致的病证),使用小柴胡汤。
第四日,太阴病(太阴经受邪所致的病证),身体疼痛。
第五日,少阴病(少阴经受邪所致的病证),口干舌燥。
第六日,厥阴病(厥阴经受邪所致的病证),应当采用泻下法。
第七日,六经传变完毕,又复归于太阳经,再次根据情况采用发汗或泻下法。
如果脉象浮紧,且患者极度烦躁,应当再次发汗。如果脉象沉而迟,按压后感觉紧实,应当再次泻下。
如果右关脉(手腕桡动脉腕横纹处,候脾胃之气)呈现阳明胃土脉的特征,脉象浮紧而洪大,头面部微微发红,可断定为将发出斑疹。
男子的尺脉(手腕桡动脉尺侧,候肾气)通常较弱。(如果气有余则无疾病)
女子的尺脉通常较强。(如果血有余则无疾病)
医经中说:女子与此相反,需反向看待。(女子应当尺脉盛而寸脉弱,男子应当寸脉盛而尺脉弱。)这叫做“反此”。诊断疾病也是如此。
未婚少女的脉象,尺脉弱而寸脉盛。未婚少年的脉象,尺脉盛而寸脉弱。
男子如果尺脉大而浮,名为虚证,必然会出现遗精或滑精的症状。
女子如果尺脉浮而大,或者沉而微细,必然是月经不调。这是半虚漏血的脉象。如果加上怀孕的脉象,尺脉紧实而大,且至数均匀调和,必然是孕妇。如果再加上呕吐逆气的症状,说明已经怀孕三个月了。左手尺脉浮大,断定为怀男胎;右手尺脉浮大,断定为怀女胎。
Palm Diagram of the Six Pulses
If it is the Bingxu year, and one encounters a Bingxu day or hour, provided the patient suffers from a Heart Meridian disease, death will occur at this time coinciding with the same Qi movement. If this day can be survived, treatment is possible.
If it is the Yixi year, and one encounters a Yixi day or hour, provided the patient suffers from a Liver Meridian disease, death will occur at this time coinciding with the same Qi movement. If this day can be survived, treatment is possible.
If it is the Dinghai year, and one encounters a Dinghai day or hour, provided the patient suffers from a Spleen Meridian disease, death will occur at this time coinciding with the same Qi movement. If this day can be survived, treatment is possible.
If it is the Wuwu year, and one encounters a Wuwu day or hour, provided the patient suffers from a Lung Meridian disease, death will occur at this time coinciding with the same Qi movement. If this day can be survived, treatment is possible.
If it is the Jichou year, and one encounters a Jichou day or hour, provided the patient suffers from a Kidney Meridian disease, death will occur at this time coinciding with the same Qi movement. If this day can be survived, treatment is possible.
On the first day, Taiyang disease (a syndrome caused by pathogenic invasion of the Taiyang meridian), presenting with headache and fever, the method should be diaphoresis (sweating). If the patient had excess constitution in previous years, use Shuangjie San (Double Resolution Powder); if the patient had deficient constitution in previous years, use Renshen Baidu Yin (Ginseng Decoction for Rescuing from Toxicity). Suppose this year is Yiwei, with Wet Earth ruling the sky (dominating the climate of the first half of the year) and Taiyin Cold Water governing the earth (dominating the climate of the second half of the year in Chen/Xu years). Next year, use Shuangjie San. Furthermore, if the pulse is empty, floating, and scattered, rapid and large, it is called "excess," denoting an Excess pattern; if the pulse is short, rapid, and thready, it is called "deficiency," denoting a Deficiency pattern.
On the second day, Yangming disease (a syndrome caused by pathogenic invasion of the Yangming meridian), Tiaozhong Tang (Regulating the Middle Decoction) should be used, added with Siling San (Four Porias Powder).
On the third day, Shaoyang disease (a syndrome caused by pathogenic invasion of the Shaoyang meridian), Xiaochaihu Tang (Minor Bupleurum Decoction) is indicated.
On the fourth day, Taiyin disease (a syndrome caused by pathogenic invasion of the Taiyin meridian), body pain occurs.
On the fifth day, Shaoyin disease (a syndrome caused by pathogenic invasion of the Shaoyin meridian), dry mouth and parched tongue occur.
On the sixth day, Jueyin disease (a syndrome caused by pathogenic invasion of the Jueyin meridian), purgation (downward draining) is required.
On the seventh day, the transmission through the six meridians is complete, and it returns to Taiyang. Again, apply diaphoresis or purgation as appropriate.
If the pulse is floating and tight, and the patient is extremely vexed, apply diaphoresis again. If the pulse is deep and slow, and feels tight and solid upon pressure, apply purgation again.
If the Right Guan pulse (the position on the radial artery corresponding to the Stomach/Spleen) exhibits the characteristics of the Yangming Stomach Earth pulse, being floating, tight, and surging, with slight redness of the head and face, it is predicted that macules (rash) will erupt.
In men, the Chi pulse (the position on the radial artery corresponding to the Kidneys/Essence) is usually weak. (If Qi is in excess, there is no illness.)
In women, the Chi pulse is usually strong. (If Blood is in excess, there is no illness.)
The Classics state: For women, view it inversely. (Women should have a strong Chi pulse and weak Cun pulse; men should have a strong Cun pulse and weak Chi pulse.) This is called "inverse." Diagnosis of diseases follows this principle similarly.
For unmarried girls, the pulse shows a weak Chi and strong Cun. For unmarried boys, the pulse shows a strong Chi and weak Cun.
If a man's Chi pulse is large and floating, it is named Deficiency, and he will inevitably suffer from spermatorrhea or seminal emission.
If a woman's Chi pulse is floating and large, or deep and thready, she will inevitably suffer from irregular menstruation. This is the pulse of partial deficiency and leaking blood. If combined with the pregnancy pulse, where the Chi pulse is tight, solid, and large, yet regular and harmonious, she is certainly pregnant. If accompanied by vomiting and nausea, it indicates three months of pregnancy. A floating and large Left Chi pulse predicts a male fetus; a floating and large Right Chi pulse predicts a female fetus.