水也。冬之王气也。其脉应中权之象。权者。秤锤也。远于衡近于下也。沉者如石沉下。是和平而调气也。大过者。阳
来以紧而不沉。又不象中权而沉营也。故此是不和之气。过甚也。令人解 （ 音亦。素问尺脉缓涩谓之解 。又病名。
善食而瘦谓之食 。）脊脉痛。而少气不欲言也。解 者。四肢骨节疼痛。酸楚而难忍也不及者。其脉更沉下。不如中权。
是不和之气也。令人病心悬。肋中清。骨中痛小腹满。小便恋悬病者心愁。如饥饥。如拘悬。（如心肋中清者。季肋近外
空软而动之处。当眇少。故肋中脊合。两肋虚。即中痛。）四时之王位。太过不及。病证脉候。在脾则为中央土也。寄
王于四季王灌四傍。常于四季旺气同行。于旺和之和气。则不见太过不及也。脾
为孤脏。独主四旁。如是病气。乃是脾盛。无病则脉不见形也。其脉来如水之流者。谓太过也。四季偏见。此气
迟不如常经也。其病四肢不举。谓脾旺四肢也。不及者。如鸣之此为脾气不及。令人病九窍不通。名曰重强。病见五脏
不和。故九窍不利也。其里强者。气重迭也。此立四时五气。并脾土。共五脉。外应旺气。太过不及。其五色精明。见
轻病少。见重者病。大故也。脉交色乱。大小不定。至数跃者危。至数乱交者上如涌泉。下悬绝者。脉渐浮削。浮沉皆
微者。无胃气亦死。皆病候之由。诊疗之法。当明此机枢之大要。至哉勿误。神镜玉柜经终。
水，是冬季的王气（当令之气）。其脉象应当对应“权”（秤锤）的形象。所谓“权”，就是秤锤，位置远离衡杆而靠近下方。沉脉就像石头沉入水底一样向下。这是和平而调和的气象。如果脉象太过，阳气来势急促而紧，却不具备中权之象的沉稳，也不像那样沉于营分，这就是不和之气，且过于严重。这会导致人体懈怠（音同“亦”。《素问》中说尺脉缓涩称为“解”。另外，“解㑊”也是一种病名，指食欲旺盛但身体消瘦），脊背经脉疼痛，气息短少不想说话。“解㑊”的症状是四肢骨节疼痛，酸楚难以忍受。如果脉象不及，脉象比正常更沉下，不如中权之象，这也是不和之气。这会导致人心脏悬空感，肋间清冷，骨头疼痛，小腹胀满，小便淋漓不尽或排尿困难。患病者心中忧愁，如同饥饿却又似被拘束悬挂。（所谓“肋中清”，是指季肋近外侧空虚柔软且能活动的地方，正当眇部附近，所以肋部与脊背相合，两肋虚软，即出现中间疼痛。）四季中的王位（当令之气），无论是太过还是不及，其病证和脉候，在脾脏则对应中央土。脾寄旺于四季，灌注于四方，常与四季的旺气同行。在旺气和顺之时，就不会出现太过或不及的情况。脾为孤脏，独自主管四方。如果发生这种病气，乃是脾脏过盛的表现，若无疾病，脉象便不会显现出异常的形态。其脉象往来如水流动般滑利，称为太过。如果在四季中偏见于某一时令，此气迟滞不如常经。其病症表现为四肢不能抬举，这是因为脾旺影响四肢。如果脉象不及，如鸣响之声，此为脾气不足。这会导致九窍不通，名为“重强”。病症表现为五脏不和，所以九窍不利。其内部气机强盛，是气机重叠郁结所致。这里确立了四时五气，加上脾土，共成五脉，外部应合旺气。太过与不及，观察五色精微，见到轻症则病轻，见到重症则病重，这是很大的缘故。如果脉象与面色交错混乱，大小不定，至数跳跃者危重，至数紊乱交错者，上部脉象如涌泉般急迫，下部脉象悬绝断绝者，脉象逐渐浮浅削薄，浮取沉取皆微弱者，是无胃气的表现，也会死亡。这些都是病候的由来。诊疗的方法，应当明白这些机枢的大要。真是重要啊，切勿误诊。神镜玉柜经至此结束。
Water is the ruling Qi (dominant energy) of winter. Its pulse should correspond to the image of "Quan" (a steelyard weight). "Quan" refers to a steelyard weight, positioned far from the beam and close to the bottom. A deep pulse sinks downward like a stone sinking into water; this represents a harmonious and balanced Qi. If the pulse is excessive, Yang Qi arrives with tension but lacks the stability of the "Quan" image and does not sink into the Ying (Nutrient) level; thus, this is disharmonious Qi, and if too severe, it causes lethargy (pronounced "yi". In *Suwen*, a slow and choppy Chi pulse is called "Jie". Additionally, "Jie Xie" is a disease name characterized by good appetite yet emaciation), pain in the spinal meridians, shortness of breath, and reluctance to speak. The symptom of "Jie Xie" involves pain in the joints of the four limbs, soreness that is unbearable. If the pulse is deficient, it sinks deeper than normal, failing to resemble the "Quan" image; this is also disharmonious Qi. It causes a sensation of the heart hanging empty, coldness in the hypochondrium, bone pain, abdominal fullness, and difficult or incomplete urination. The patient feels sorrowful, as if hungry yet constrained or suspended. (The term "coldness in the hypochondrium" refers to the hollow, soft, and movable area near the lateral costal margin, corresponding to the Miao region where the ribs meet the spine, resulting in central pain due to the emptiness of the two flanks.) The ruling position in the four seasons, whether excessive or deficient, regarding disease manifestations and pulse signs, corresponds to the Central Earth in the Spleen. The Spleen寄旺 (resides and prospers) through the four seasons, irrigating the four directions, and often moves together with the prosperous Qi of the four seasons. When the Qi is prosperous and harmonious, neither excess nor deficiency is observed. The Spleen is the solitary Zang organ, independently governing the four peripheries. Such pathological Qi indicates Spleen excess; without disease, the pulse would not manifest abnormal forms. A pulse that flows like water is termed excessive. If this Qi appears biased in specific seasons, it is sluggish and deviates from the regular meridians. The disease manifests as inability to lift the four limbs, because Spleen prosperity affects the limbs. If the pulse is deficient, sounding like a hum, this indicates Spleen Qi deficiency. It causes obstruction of the nine orifices, named "Zhong Qiang" (heavy stiffness). The disease presents as disharmony among the five Zang organs, leading to dysfunction of the nine orifices. Internal strength indicates overlapping Qi stagnation. This establishes the five Qi of the four seasons, combined with Spleen Earth, totaling five pulses, externally responding to prosperous Qi. Observing the essence of the five colors: mild signs indicate light disease, while severe signs indicate heavy disease, which is of great consequence. If the pulse and complexion are intermixed and chaotic, varying in size, with erratic beat counts indicating danger, and chaotic beat counts suggesting upper pulses surging like a spring while lower pulses are suspended and severed, the pulse gradually becomes superficial and thinned. If both superficial and deep palpations reveal minute pulses, it indicates the absence of Stomach Qi and leads to death. These are all origins of pathological signs. The method of diagnosis and treatment must clarify these major principles of the mechanism. Truly important, do not err. The Scripture of the Divine Mirror and Jade Cabinet concludes here.