(右手关前一分为气口)
气口为阴里脏看(气口候内伤七情及伤饮食,属里,脏也,阴也,)怒濡忧涩散因欢(如
气口
脉濡,即因伤怒,余皆仿此,)恐沉思结惊多动,悲紧还推何部干(诊得气口濡涩等脉,并看
与何
部相关,即知何脏受病。如气口脉濡即属肝病,而肝脉又适弦硬是也。此首单言气口内伤七
情之病。)
饮食伤留脾脏因,通肠快胃法相应,人迎气口俱沉紧,夹食伤寒病日增。(此首言气口
内伤饮食之病,及人迎气口俱伤之病。)
(以左手为主,其脉从寸部斜至外者是也。右手反看,则从寸部斜至内矣。)
阴维脉起会诸阳(阳维脉从少阴斜至太阳,发足太阳之金门,而与手足少阳阳明五脉会
于阳
白,故所会皆阳,)根柢于阴表是彰(阳维主一身之表,)风府风池应并刺,长沙法设桂枝汤(
风池风府二穴,阳维之会也。仲景法,先刺二穴,却与桂枝汤。)
(左手为主,其脉从寸部斜至内者是也。右手反看,则从寸部斜至外矣)
阴维主里会诸阴(阴维主一身之里,其脉从少阳斜至厥阴,发足少阴之筑宾,至顶前而
终,
故所发所至皆阴也,)却起于阳根自深(阳根阴,阴根阳,故此二脉,又为荣卫之纲领,)心
痛病来详洁古,理中四逆法堪寻(洁古云∶阴维为病若心痛,其治在足少阳三阴交,乃阴维
所起也。又按仲景法,太阴症用理中汤,少阴症用四逆汤,厥阴症用当归四逆汤,酌其剂
以治阴维之病。即洁古所以治足少阳三阴交也。)
(右手关前一分处为气口)
气口脉象用于观察阴分与内脏的情况(气口脉候察内伤七情及饮食损伤,属于里证、脏病,属阴),若见濡脉是因愤怒所致,涩脉因忧愁,散脉因喜悦(例如气口脉象呈濡脉,即是因伤怒引起,其余情况可参照此理),恐惧导致脉象结滞,思虑过度导致脉象郁结,惊恐导致脉象多动,悲伤导致脉象紧束,还需推究是何脏腑受累(诊察发现气口出现濡、涩等脉象,并观察其与何部脉象相关,即可知晓何脏腑患病。如气口脉象为濡脉则归属于肝病,而肝脉又恰好呈现弦硬之象。此处首先单独论述气口脉在内伤七情方面的病症)。
饮食损伤停滞于脾脏所致,采用通利肠道、快胃消食的方法相应治疗,若人迎脉与气口脉均呈现沉紧之象,则是夹带食积的伤寒病,病情日益加重(此处论述气口脉在内伤饮食方面的病症,以及人迎与气口两脉同时受损的病症)。
(以左手脉象为主,其脉从寸部斜向外部者是阳维脉。右手脉象则相反,从寸部斜向内部。)
阳维脉汇聚诸阳经之气(阳维脉从少阴经斜行至太阳经,起始于足太阳经的金门穴,并与手足少阳、阳明共五脉会合于阳白穴,所以其所会合的都是阳经),它根源于阴分而在体表表现显著(阳维脉主管一身之表证),风府穴与风池穴应当同时针刺,这是长沙太守张仲景设立的治疗法则,即先刺二穴,随后给予桂枝汤(风池和风府两个穴位,是阳维脉的交会穴。张仲景的治疗法则,是先针刺这两个穴位,然后给予桂枝汤)。
(以左手脉象为主,其脉从寸部斜向内部者是阴维脉。右手脉象则相反,从寸部斜向外部。)
阴维脉主管里证并汇聚诸阴经之气(阴维脉主管一身之里证,其脉从少阳经斜行至厥阴经,起始于足少阴经的筑宾穴,到达头顶前方结束,所以它所发出和到达的地方都是阴经),却又起于阳分而根基深厚(阳根于阴,阴根于阳,所以这两条脉,又是营卫运行的纲领),心痛病症到来时需详细参考洁古先生的治法,理中汤与四逆汤的法度值得探寻(洁古先生曾说:阴维脉发病若表现为心痛,治疗应在足少阳胆经与足三阴经的交会穴三阴交,因为那是阴维脉起始之处。另外参考张仲景的治疗法则,太阴病症使用理中汤,少阴病症使用四逆汤,厥阴病症使用当归四逆汤,斟酌选用方剂来治疗阴维脉的病症。这也正是洁古先生治疗足少阳与三阴交穴位的原理所在)。
(Right hand, one fen anterior to the Guan position is the Qikou [Qi Gate])
The Qikou pulse is used to examine Yin interior organs (The Qikou pulse diagnoses internal injuries caused by the Seven Emotions and dietary damage; it belongs to the Interior, Zang organs, and Yin). A Ru [Soft] pulse indicates injury from anger, a Se [Choppy] pulse from sorrow, and a San [Scattered] pulse from joy (For instance, if the Qikou pulse is Ru, it is due to injury from anger; other cases follow this pattern). Fear causes Jie [Knotted] pulses, excessive contemplation causes Jie [Tied/Knotted] pulses, fright causes Duo [Active/Fluctuating] pulses, and grief causes Jin [Tight] pulses; one must deduce which organ is affected (When diagnosing Ru, Se, etc., at the Qikou, observe which other position correlates; thus knowing which Zang organ is diseased. For example, a Ru pulse at Qikou belongs to the Liver, provided the Liver pulse itself is Xian [Wiry] and Ying [Hard]. This section first discusses diseases of the Qikou related to internal injury from the Seven Emotions).
Dietary injury and retention are due to the Spleen; methods to unblock the intestines and invigorate the stomach correspond accordingly. If both the Renying [Human Welcome] and Qikou pulses are Chen [Deep] and Jin [Tight], it is a Shanghan [Cold Damage] disease with retained food, increasing day by day (This section discusses diseases of the Qikou related to internal injury from diet, and diseases where both Renying and Qikou are injured).
(With the left hand as primary, the pulse slanting from the Cun [Inch] position outward is [Yang Wei]. With the right hand viewed inversely, it slants inward from the Cun position.)
The Yang Wei Mai [Yang Linking Vessel] converges with all Yang meridians (The Yang Wei vessel slants from Shaoyin [Lesser Yin] to Taiyang [Greater Yang], originating at Jinmen [GB37] of Foot-Taiyang, and converges with five vessels—Hand and Foot Shaoyang [Lesser Yang] and Yangming [Bright Yang]—at Yangbai [GB14]; thus, what it converges with are all Yang), its root lies in Yin but its manifestation is on the exterior (The Yang Wei governs the exterior of the whole body). Fengfu [GV16] and Fengchi [GB20] should be needled together; this is the method established by Changsha [Zhang Zhongjing]: first needle these two acupoints, then administer Guizhi Tang [Cinnamon Twig Decoction] (Fengchi and Fengfu are intersection points of the Yang Wei vessel. Zhang Zhongjing's method: first needle these two acupoints, then give Guizhi Tang).
(With the left hand as primary, the pulse slanting from the Cun position inward is [Yin Wei]. With the right hand viewed inversely, it slants outward.)
The Yin Wei Mai [Yin Linking Vessel] governs the interior and converges with all Yin meridians (The Yin Wei governs the interior of the whole body; its vessel slants from Shaoyang [Lesser Yang] to Jueyin [Terminal Yin], originating at Zubin [KI9] of Foot-Shaoyin, ending at the front of the vertex; thus, where it originates and reaches are all Yin), yet it arises from Yang with a deep root (Yang has its root in Yin, Yin has its root in Yang; therefore, these two vessels are the generals of Ying [Nutritive] and Wei [Defensive]). When Heart Pain [Xintong] occurs, carefully consult Jiegu's [Li Dongyuan/Jin Yuan doctor] methods; Lizhong Tang [Regulate the Middle Decoction] and Sini Tang [Frigid Extremities Decoction] offer methods worth seeking (Jiegu stated: "If the Yin Wei vessel is diseased causing Heart Pain, treatment focuses on Sanyinjiao [SP6] of Foot-Shaoyang and the Three Yin meridians, as that is where the Yin Wei originates." Furthermore, referencing Zhang Zhongjing's methods: for Taiyin syndrome use Lizhong Tang, for Shaoyin syndrome use Sini Tang, for Jueyin syndrome use Danggui Sini Tang [Angelica Frigid Extremities Decoction]; select formulas to treat Yin Wei diseases. This aligns with Jiegu's treatment of Sanyinjiao).