小儿五岁以下,未可诊寸关尺,惟看男左女右虎口。
食指第一节寅位,为风关,脉见易治;第二节卯位,为气
关,脉见为病深;第三节辰位,为命关,脉见为命危。
紫脉为热。红脉伤寒。青脉惊风。白脉疳疾。黄脉隐
隐,为常候也。黑脉者多危。脉纹入掌为内钩,纹弯里为风寒,纹弯外为食积。
五岁以上,以一指取寸关尺三部,六至为和平,七八至为热,四五至为寒。
半岁以下,于额前眉端发际之间,以名中食三指候之。儿
头在左,举右手候;儿头在右,举左手候。食指近发为上,名指
近眉为下,中指为中。三指俱热,外感于风,鼻塞咳嗽。三指
俱冷,外感于寒,内伤饮食,发热吐泻。食中二指热,主上热下冷。名中二指热,主夹惊。食指热,主食滞。
伤寒 未汗宜阳脉,忌阴脉。已汗宜阴脉,忌阳脉。
头痛 宜浮滑,忌短涩。
心痛 宜浮滑,忌短涩。
中风 宜浮迟,忌急数。
咳嗽 宜浮濡,忌沉伏。
喘急 宜浮滑,忌短涩。
水肿 宜浮大,忌沉细。
虚劳 宜微弱,忌洪数。
吐血 宜沉小,忌实大。
衄血 宜沉细,忌浮大。
脱血 宜阴脉,忌阳脉。
痨瘵 宜软缓,忌细数。
消渴 宜数大,忌虚小。
腹胀 宜浮大,忌沉小。
肠 宜沉小,忌数大,(即痢疾)
下利 宜沉细,忌浮大。(同泄泻。)
霍乱 宜浮大,忌微迟。
瘕 宜沉实,忌虚弱。
痞满 宜浮大,忌沉小。
痿痹 宜虚濡,忌紧急。
颠痫狂 宜实大,忌沉细。
堕伤 宜紧急,忌弱小。
金疮 宜微细,忌紧数。
中恶 宜紧细,忌浮大。
痈疽 宜微缓,忌滑数。
中毒 宜洪大,忌微细。
新产 宜沉滑,忌弦紧。
带下 宜虚迟而滑,忌疾急。
崩漏 宜微弱,忌实大。
蚀 宜虚小,忌紧急。
腹痛 宜沉细,忌弦长。
小儿在五岁以下,尚不能诊察寸、关、尺三部脉象,只能观察男左女右虎口处的指纹。
食指第一节寅位,称为风关,若指纹显现则病情轻浅,易于治疗;第二节卯位,称为气关,若指纹显现则病邪深入;第三节辰位,称为命关,若指纹显现则生命垂危。
指纹呈紫色主热证。指纹呈红色主伤寒。指纹呈青色主惊风。指纹呈白色主疳疾。指纹呈黄色且隐隐约约,属于正常脉候。指纹呈黑色者多属危重。
指纹直冲入掌内称为“内钩”,指纹向内侧弯曲主风寒,指纹向外侧弯曲主食积。
五岁以上的小儿,可用一根手指诊察寸、关、尺三部脉象,脉搏一息七至为平和之象,八至以上为热证,四至以下或五至以下为寒证。
半岁以下的婴儿,在额前眉毛上方发际之间,用无名指和中指三指(注:原文此处表述略有歧义,通常指以名指、中指及食指或特定手法,依原文直译)来候察。如果婴儿头朝左,医生举起右手候察;如果婴儿头朝右,医生举起左手候察。食指靠近发际处为上,无名指靠近眉毛处为下,中指位于中间。如果三指部位都发热,是外感风邪,表现为鼻塞咳嗽。如果三指部位都发冷,是外感寒邪兼内伤饮食,表现为发热呕吐腹泻。如果食指的近端和中指的近端发热,主上热下冷。如果无名指和中指发热,主夹带惊风。如果仅食指发热,主食滞。
伤寒病,尚未发汗时宜见阳脉,忌见阴脉。已经发汗后宜见阴脉,忌见阳脉。
头痛,脉象宜浮滑,忌短涩。
心痛,脉象宜浮滑,忌短涩。
中风,脉象宜浮迟,忌急数。
咳嗽,脉象宜浮濡,忌沉伏。
喘急,脉象宜浮滑,忌短涩。
水肿,脉象宜浮大,忌沉细。
虚劳,脉象宜微弱,忌洪数。
吐血,脉象宜沉小,忌实大。
衄血(鼻出血),脉象宜沉细,忌浮大。
脱血(大量失血),脉象宜阴脉,忌阳脉。
痨瘵(肺结核等慢性消耗性疾病),脉象宜软缓,忌细数。
消渴,脉象宜数大,忌虚小。
腹胀,脉象宜浮大,忌沉小。
肠澼(即痢疾),脉象宜沉小,忌数大。
下利(同泄泻),脉象宜沉细,忌浮大。
霍乱,脉象宜浮大,忌微迟。
瘕聚,脉象宜沉实,忌虚弱。
痞满,脉象宜浮大,忌沉小。
痿痹,脉象宜虚濡,忌紧急。
癫痫狂,脉象宜实大,忌沉细。
堕伤(跌打损伤),脉象宜紧急,忌弱小。
金疮(刀枪创伤),脉象宜微细,忌紧数。
中恶,脉象宜紧细,忌浮大。
痈疽,脉象宜微缓,忌滑数。
中毒,脉象宜洪大,忌微细。
新产(刚分娩后),脉象宜沉滑,忌弦紧。
带下,脉象宜虚迟而滑,忌疾急。
崩漏,脉象宜微弱,忌实大。
蚀疮,脉象宜虚小,忌紧急。
腹痛,脉象宜沉细,忌弦长。
For children under five years of age, it is not feasible to palpate the Cun (Inch), Guan (Bar), and Chi (Cubit) positions; instead, one should observe the fingerprint on the tiger's mouth area, distinguishing between males (left hand) and females (right hand).
The first segment of the index finger at the Yin position is called the Wind Gate (Feng Guan); if the fingerprint is visible here, the condition is easy to treat. The second segment at the Mao position is called the Qi Gate (Qi Guan); if visible, the disease is deep-seated. The third segment at the Chen position is called the Life Gate (Ming Guan); if visible, the life is in danger.
A purple fingerprint indicates Heat. A red fingerprint indicates Shanghan (Cold Damage). A cyan fingerprint indicates Jing Feng (Wind-Stroke/Convulsions). A white fingerprint indicates Gan Ji (Malnutrition/Digestive Disorder). A yellowish fingerprint that is faintly visible represents a normal pulse pattern. A black fingerprint generally indicates a critical condition.
If the fingerprint extends straight into the palm, it is termed "Inner Hook" (Nei Gou). If the fingerprint curves inward, it indicates Wind-Cold. If it curves outward, it indicates Food Stagnation.
For children over five years of age, use one finger to palpate the three positions: Cun, Guan, and Chi. Seven beats per respiration indicate a harmonious state; eight or more beats indicate Heat; four to five beats indicate Cold.
For infants under half a year old, examine the area between the forehead, the eyebrows, and the hairline using the ring finger and middle finger (and potentially the index finger as per traditional methods described). If the infant's head is to the left, the physician raises the right hand to examine; if the head is to the right, the physician raises the left hand. The part of the index finger near the hairline is considered Upper; the part of the ring finger near the eyebrows is Lower; the middle finger is Middle. If all three areas are hot, it indicates external contraction of Wind, manifesting as nasal congestion and cough. If all three areas are cold, it indicates external contraction of Cold combined with internal injury from diet, manifesting as fever, vomiting, and diarrhea. Heat in the proximal parts of the index and middle fingers indicates upper heat and lower cold. Heat in the ring and middle fingers indicates complication with Jing (convulsions/fright). Heat in the index finger alone indicates food stagnation.
In Shanghan (Cold Damage), before sweating, Yang pulses are favorable, while Yin pulses are contraindicated. After sweating, Yin pulses are favorable, while Yang pulses are contraindicated.
Headache: Favorable pulse is Floating-Slippery; unfavorable is Short-Rough.
Heart Pain: Favorable pulse is Floating-Slippery; unfavorable is Short-Rough.
Zhong Feng (Wind Stroke): Favorable pulse is Floating-Slow; unfavorable is Rapid-Frequent.
Cough: Favorable pulse is Floating-Soft; unfavorable is Deep-Hidden.
Wheezing/Asthma: Favorable pulse is Floating-Slippery; unfavorable is Short-Rough.
Edema: Favorable pulse is Floating-Big; unfavorable is Deep-Fine.
Xu Lao (Deficiency Consumption): Favorable pulse is Weak-Faint; unfavorable is Surging-Rapid.
Hematemesis (Vomiting Blood): Favorable pulse is Deep-Small; unfavorable is Solid-Big.
Epistaxis (Nosebleed): Favorable pulse is Deep-Fine; unfavorable is Floating-Big.
Tuoxue (Massive Hemorrhage): Favorable pulse is Yin-type; unfavorable is Yang-type.
Lao Zhai (Tuberculosis/Chronic Consumptive Disease): Favorable pulse is Soft-Slow; unfavorable is Fine-Rapid.
Xiao Ke (Wasting-Thirst): Favorable pulse is Rapid-Big; unfavorable is Deficient-Small.
Abdominal Distension: Favorable pulse is Floating-Big; unfavorable is Deep-Small.
Chang Pi (Dysentery): Favorable pulse is Deep-Small; unfavorable is Rapid-Big.
Xia Li (Diarrhea): Favorable pulse is Deep-Fine; unfavorable is Floating-Big.
Huo Luan (Colic with Vomiting and Diarrhea): Favorable pulse is Floating-Big; unfavorable is Faint-Slow.
Jia Ju (Abdominal Mass): Favorable pulse is Deep-Solid; unfavorable is Deficient-Weak.
Pi Man (Fullness/Stuffiness): Favorable pulse is Floating-Big; unfavorable is Deep-Small.
Wei Bi (Flaccidity/Numbness): Favorable pulse is Deficient-Soft; unfavorable is Tense-Urgent.
Dian Xian Kuang (Epilepsy and Madness): Favorable pulse is Solid-Big; unfavorable is Deep-Fine.
Suo Shang (Traumatic Injury): Favorable pulse is Tense-Urgent; unfavorable is Weak-Small.
Jin Chuang (Metal Wound/Cut): Favorable pulse is Faint-Fine; unfavorable is Tight-Rapid.
Zhong E (Acute Poisoning/Malignant Qi): Favorable pulse is Tight-Fine; unfavorable is Floating-Big.
Yong Ju (Carbuncle and Ulcer): Favorable pulse is Faint-Slow; unfavorable is Slippery-Rapid.
Poisoning: Favorable pulse is Surging-Big; unfavorable is Faint-Fine.
Postpartum (New Delivery): Favorable pulse is Deep-Slippery; unfavorable is String-Tight.
Leukorrhea: Favorable pulse is Deficient-Slow and Slippery; unfavorable is Hasty-Urgent.
Beng Lou (Metrorrhagia and Metrostaxis): Favorable pulse is Weak-Faint; unfavorable is Solid-Big.
Shi Chuang (Ulcerative Sores): Favorable pulse is Deficient-Small; unfavorable is Tense-Urgent.
Abdominal Pain: Favorable pulse is Deep-Fine; unfavorable is String-Long.