(疾促统于数)
数。阳火也。一呼一吸。脉逾五至曰数。是阳热太过之脉。有力实火。无力虚火。浮数表热。沉数里热。寸口数实
肺痈。数虚肺痿。数而坚如银钗之股。曰蛊毒。 数之甚为疾。 脉来数时一止。而复来者曰促。促者阳脉之极盛。
阳盛而阴不能和。气血痰饮食五者。一有留滞。则脉必见止而为促。促非恶脉。然渐退则生。进则死。
(动统于滑)
滑。阳水也。然非独阳。乃纯阳正阴和合交结。不能独取而成滑。阴随阳化曰热化。故其症为热。实形则往来流利。
如珠走盘。而中有力。大抵血盛则脉滑。故肾脉宜于滑而收敛。脉形清者。为血有余。三五不调。脉形浊者。为
血滞。为痰。浮滑风痰。沉滑食痰兼气。滑数痰火。滑短宿食。寸滑阳实。胸中塞满吐逆。关滑气满食即吐。尺滑蓄血。
妇人尺滑有断绝。为经闭。和滑为孕。举之无寻之有。无头无尾。状如大豆。厥厥动摇。不离其处者曰动。动
随虚见阳也。阴虚阳战于内。动脉即现。多于关部见之。主痛主泄痢。见于寸为阳。阳动为惊为汗。见于尺为阴。阴动
则发热形冷。
涩。阴金也。如雨沾沙。如刀刮竹。往来极难曰涩。涩为气有余。气盈则血少。荣卫不相随。故脉来蹇滞。肺则宜
此。病之所主。复中气结。内则血痹痛。外则中雾露毒。浮涩表恶寒。沉涩里燥涸。寸涩液不足。关涩血不足。尺涩精
不足。必艰于嗣。又女人有孕。为胎痛不安。或胎漏。无胎为败血。
(疾脉、促脉统属于数脉)
数脉。属阳火。一呼一吸之间,脉搏跳动超过五次称为数脉。这是阳热过盛的脉象。脉有力为实火,无力为虚火。浮取而数主表热,沉取而数主里热。寸口脉数而有力,主肺痈;数而无力主肺痿;数且坚硬如银钗之股,主蛊毒。数脉至极即为疾脉。脉搏来去快速,时而出现一次停顿,随后又恢复跳动,称为促脉。促脉是阳脉极度旺盛的表现。阳气盛而阴气不能与之调和,气血痰饮食这五种因素中,只要有一种留滞不通,脉象必然出现停顿而表现为促脉。促脉并非恶脉,但病情若逐渐减退则生,若进展则死。
(动脉统属于滑脉)
滑脉。属阳水。然而不仅属阳,乃是纯阳与正阴和谐交结而成,不能单独由阳构成滑脉。阴随阳变化称为热化,所以其症状表现为热证。脉形充实流畅,如珠走盘,且中间有力。大抵血盛则脉滑,所以肾脉宜于滑而收敛。脉形清朗的,为血有余;脉形浑浊的,为血滞或痰饮。浮取滑主风痰,沉取滑主食痰兼气滞。滑数主痰火。滑而短主宿食。寸部滑主阳实,症见胸中塞满、呕吐逆气。关部滑主气满,进食即吐。尺部滑主蓄血。妇女尺部滑脉若有断绝感,主经闭。和缓而滑主妊娠。举之无头无尾,按之有根,状如大豆,厥厥动摇,不离其处的脉象称为动。动脉随虚证显现阳气。阴虚则阳气内战,动脉随即出现,多见于关部。动脉主痛证、泄痢。见于寸部为阳,阳动主惊悸、汗出。见于尺部为阴,阴动则发热而形体寒冷。
涩脉。属阴金。如雨沾沙,如刀刮竹,往来极难称为涩。涩脉主气有余,气盈则血少,营卫不相跟随,所以脉来蹇滞不畅。肺脉本宜见此脉,乃病之所主。若复见气结,内则血痹疼痛,外则感受雾露毒邪。浮取涩主表恶寒,沉取涩主里燥涸。寸部涩主津液不足,关部涩主血液不足,尺部涩主精气不足,必导致生育困难。另外,女人怀孕时见涩脉,主胎痛不安,或胎漏下血。若无怀孕而见涩脉,主败血。
(The Ji Mai [Rapid Pulse] and Cu Mai [Hasty Pulse] are subsumed under Shu Mai [Numerous Pulse])
Shu Mai (Numerous Pulse) belongs to Yang Fire. During one exhalation and one inhalation, if the pulse beats more than five times, it is called Shu Mai. This is a pulse indicating excessive Yang heat. A forceful pulse indicates Excess Fire, while a feeble pulse indicates Deficiency Fire. A floating and numerous pulse indicates Exterior Heat; a deep and numerous pulse indicates Interior Heat. A Numerous and Forceful pulse at the Cun position indicates Lung Abscess (Fei Yong); a Numerous and Feeble pulse indicates Lung Atrophy (Fei Wei); a pulse that is Numerous and hard like the shaft of a silver hairpin indicates Gu Du (Poison). When the Numerous pulse becomes extreme, it is called Ji Mai (Rapid Pulse). If the pulse comes rapidly but stops occasionally before resuming, it is called Cu Mai (Hasty Pulse). Cu Mai represents the extreme excess of Yang pulses. When Yang is excessive and Yin cannot harmonize with it, if any one of the five factors—Qi, Blood, Phlegm, Food, or Drink—remains stagnant, the pulse will inevitably show pauses, manifesting as Cu Mai. Cu Mai is not necessarily an ominous pulse; however, if the condition gradually recedes, there is life; if it progresses, there is death.
(The Dong Mai [Moving Pulse] is subsumed under Hua Mai [Slippery Pulse])
Hua Mai (Slippery Pulse) belongs to Yang Water. However, it is not solely Yang; it is formed by the harmonious interaction of Pure Yang and Proper Yin, and cannot be formed by Yang alone. When Yin transforms following Yang, it is called Heat Transformation, so its symptoms present as Heat. The pulse shape is substantial and flows smoothly, like pearls rolling on a plate, and is forceful in the middle. Generally, abundant Blood leads to a Slippery pulse; therefore, the Kidney pulse should be Slippery yet convergent. A clear pulse shape indicates surplus Blood; a turbid pulse shape indicates Blood stagnation or Phlegm. Floating Slippery indicates Wind-Phlegm; Deep Slippery indicates Food-Phlegm combined with Qi stagnation. Slippery and Rapid indicates Phlegm-Fire. Slippery and Short indicates Retained Food. Slippery at the Cun position indicates Yang Excess, with symptoms of chest fullness and vomiting/regurgitation. Slippery at the Guan position indicates Qi fullness, with vomiting immediately after eating. Slippery at the Chi position indicates Accumulated Blood. In women, a Slippery pulse at the Chi position with a sense of interruption indicates Amenorrhea. A Harmonious and Slippery pulse indicates Pregnancy. A pulse that lacks head and tail when lifted, yet has root when pressed, resembling a soybean, trembling vigorously without moving from its place, is called Dong Mai (Moving Pulse). The Moving pulse appears when deficiency reveals Yang. When Yin is deficient, Yang battles internally, and the Moving pulse manifests, often seen at the Guan position. The Moving pulse primarily indicates Pain and Dysentery/Diarrhea. Seen at the Cun position (Yang), Yang Movement indicates Fright and Sweating. Seen at the Chi position (Yin), Yin Movement indicates Fever with cold limbs.
(Sai Mai [Choppy Pulse] belongs to Yin Metal)
Sai Mai (Choppy Pulse) belongs to Yin Metal. Like rain soaking into sand or a knife scraping bamboo, where the flow is extremely difficult, is called Sai. Sai indicates Excess Qi; when Qi is excessive, Blood is scanty, and Ying (Nutritive) and Wei (Defensive) Qi do not follow each other, causing the pulse to come in a hesitant and stagnant manner. The Lung pulse naturally suits this pulse, which is the primary indicator of disease. If accompanied by Qi knotting, internally it causes Blood Bi (obstruction) and pain; externally, it indicates exposure to mist and dew toxins. Floating Choppy indicates Exterior aversion to cold; Deep Choppy indicates Interior dryness and depletion. Choppy at the Cun position indicates insufficiency of Body Fluids; Choppy at the Guan position indicates insufficiency of Blood; Choppy at the Chi position indicates insufficiency of Essence, inevitably leading to difficulty in conception. Additionally, in pregnant women, a Choppy pulse indicates fetal distress and instability, or threatened miscarriage (Tai Lou). If not pregnant, a Choppy pulse indicates Decayed Blood.