问曰二月得毛浮脉何以据言至秋当死师曰二月之时脉当濡弱反得毛浮者故知至秋死二月肝用事肝属木故应濡弱反得
毛浮者是肺脉也肺属金金来克木故知至秋死他皆仿此
二月之时脉当濡弱反得毛浮之脉是木虚而金承(素问木位之下金气承之)故知至秋死也盖二月肝木用事肝属木应当
濡弱濡弱者阳气方生木将昌盛之象反得毛浮者是肺脉也肺属金金来克木春时肝木虽虚犹承令气之旺秋则木更衰而金愈盛
故知至秋当死他脏死期仿此类推
问曰脉有残贼何谓也师曰脉有弦紧浮滑沉涩此六脉名曰残贼能为诸脉作病也
残贼者残害而贼克之也脉弦紧浮滑沉涩木旺则脉弦土虚者忌之水旺则脉紧火虚者忌之表盛则脉浮里虚者忌之里盛则
脉沉表虚者忌之血盛则脉滑气虚者忌之气盛则脉涩血虚者忌之此六脉名为残贼能为诸脉作病也
寸口诸微亡阳诸濡亡血诸弱发热诸紧为寒诸乘寒者则为厥郁冒不仁以胃无谷气脾塞不通口急不能言战而栗也
诸微亡阳阳虚则脉微也诸濡亡血血脱则脉濡也诸弱发热脉弱则血虚而发热也诸紧为寒脉紧则阴盛而生寒也诸乘寒者
则为厥郁冒不仁寒水旺盛而诸脏诸腑乘之因乘而愈盛寒气发作侵侮脾胃则四肢厥逆怫郁昏冒而无知觉以胃无谷气水邪莫
畏脾土寒湿气塞不通故一身顽昧而弗用口急不能言语战摇而寒栗也
问:在二月(农历)出现毛浮脉,为什么断言到秋天会死亡?老师说:二月的脉象应当是濡弱脉,如果反而出现毛浮脉,所以知道到秋天会死。二月是肝气主事的时节,肝属木,所以脉象应当表现为濡弱;现在反而出现毛浮脉,这是肺的脉象。肺属金,金来克制木,所以知道到秋天会死。其他脏腑的死期推断都可以仿照这个例子。
二月的时候,脉象应当濡弱,现在反而出现毛浮脉,这是因为木气虚弱而受到金气的乘侮(《素问》说:“木位之下,金气承之”),所以知道到秋天会死。大概因为二月是肝木主事的季节,肝属木,脉象应当濡弱。濡弱脉是阳气刚刚生发、木气将要昌盛的迹象。现在反而出现毛浮脉,这是肺脉。肺属金,金来克木。在春季,虽然肝木虚弱,但还承受着时令旺气的庇护;到了秋天,木气更加衰败而金气更加旺盛,所以知道到秋天会死。其他脏腑的死期推断都可以仿照此类推演。
问:脉象中有“残贼”脉,这是什么意思?老师说:脉象中有弦、紧、浮、滑、沉、涩这六种脉,名叫“残贼”,它们能够导致各种脉象出现病变。
所谓“残贼”,就是残害并贼克的意思。脉象见弦,是木气旺盛的表现,土虚的人忌讳这种脉;脉象见紧,是水气旺盛的表现,火虚的人忌讳这种脉;脉象见浮,是表气盛的表现,里虚的人忌讳这种脉;脉象见沉,是里气盛的表现,表虚的人忌讳这种脉;脉象见滑,是血气盛的表现,气虚的人忌讳这种脉;脉象见涩,是气盛的表现,血虚的人忌讳这种脉。这六种脉被称为“残贼”,能够导致各种脉象出现病变。
寸口脉象凡是微弱的,都是亡阳的表现;凡是濡软的,都是亡血的表现;凡是微弱的伴有发热,是血虚发热;凡是紧脉,都是寒证。凡是寒气乘袭人体,就会出现四肢厥逆、头目昏蒙、肌肤麻木不仁等症状。这是因为胃中没有水谷之气,脾土堵塞不通,导致口唇拘急不能言语,身体战栗发抖。
凡是微脉,是因为阳气虚弱导致脉微;凡是濡脉,是因为血液脱失导致脉濡;凡是弱脉伴有发热,是因为脉弱表示血虚而发热;凡是紧脉,是因为脉紧表示阴气盛而生寒。凡是寒气乘袭,就会导致四肢厥冷、郁结昏冒、肌肤麻木不仁。这是因为寒水之气旺盛,侵袭各个脏腑,因乘袭而寒气更盛。寒气发作,侵侮脾胃,导致四肢厥逆,烦闷昏冒而没有知觉。因为胃中没有水谷精气,水邪无所畏惧;脾土被寒湿之气堵塞不通,所以全身顽钝麻木而不使用,口唇拘急不能言语,身体战摇且寒冷战栗。
Question: Why is it stated that if a *mao fu* (Hairy and Floating) pulse is obtained in the second lunar month, death will occur by autumn? The Master said: In the second month, the pulse should be *ru ruo* (Soft and Weak). If one instead obtains a *mao fu* pulse, one knows that death will occur by autumn. During the second month, the Liver governs; the Liver belongs to Wood, so the pulse should be *ru ruo*. To instead obtain a *mao fu* pulse indicates the Lung pulse. The Lung belongs to Metal; Metal overcomes Wood, hence one knows that death will occur by autumn. All other cases follow this pattern.
During the second month, the pulse should be *ru ruo*; to instead obtain a *mao fu* pulse signifies that Wood is deficient and is being overcome by Metal (*Su Wen*: "Below the position of Wood, the Qi of Metal succeeds it"). Therefore, one knows that death will occur by autumn. Generally, in the second month, the Liver-Wood governs. As the Liver belongs to Wood, the pulse should be *ru ruo*. A *ru ruo* pulse is the image of Yang Qi just beginning to generate and Wood about to flourish. To instead obtain a *mao fu* pulse indicates the Lung pulse. The Lung belongs to Metal, and Metal overcomes Wood. In spring, although Liver-Wood is weak, it still bears the vigorous Qi of the season. By autumn, Wood becomes even more depleted while Metal becomes even more prosperous; therefore, one knows that death will occur by autumn. The prognosis for other Zang organs can be deduced by analogy from this category.
Question: There are "Can Zei" (Destructive and Robbing) pulses among the pulses. What does this mean? The Master said: Among the pulses, there are Xian (Wiry), Jin (Tight), Fu (Floating), Hua (Slippery), Chen (Deep), and Se (Choppy). These six pulse names are called "Can Zei"; they can cause pathology in various other pulses.
"Can Zei" means to harm and rob/overcome. When the pulse is Xian (Wiry), it indicates excessive Wood; those with deficient Earth should fear this. When the pulse is Jin (Tight), it indicates excessive Water; those with deficient Fire should fear this. When the pulse is Fu (Floating), it indicates excess at the Exterior; those with deficiency at the Interior should fear this. When the pulse is Chen (Deep), it indicates excess at the Interior; those with deficiency at the Exterior should fear this. When the pulse is Hua (Slippery), it indicates excess of Blood; those with deficient Qi should fear this. When the pulse is Se (Choppy), it indicates excess of Qi; those with deficient Blood should fear this. These six pulses are named "Can Zei" and can cause pathology in various other pulses.
In the Cun Kou (Inch Position) area, all Wei (Micro) pulses indicate loss of Yang; all Ru (Soft) pulses indicate loss of Blood; all Ruo (Weak) pulses accompanied by fever indicate blood-deficiency fever; all Jin (Tight) pulses indicate Cold. Whenever Cold invades, it leads to Jue (Cold extremities), Yu Mao (Stagnant dizziness/confusion), and Bu Ren (numbness/insensitivity). This is because the Stomach lacks Grain Qi, and the Spleen is blocked and unobstructed, leading to tightness of the mouth preventing speech, trembling, and shivering.
All Wei (Micro) pulses indicate loss of Yang; Yang deficiency results in a Micro pulse. All Ru (Soft) pulses indicate loss of Blood; Blood depletion results in a Soft pulse. All Ruo (Weak) pulses with fever indicate that a Weak pulse signifies Blood deficiency causing fever. All Jin (Tight) pulses indicate Cold; a Tight pulse signifies Yin excess generating Cold. Whenever Cold invades, it leads to Jue (Cold extremities), Yu Mao (Stagnant dizziness/confusion), and Bu Ren (numbness/insensitivity). This is because Cold-Water Qi is prosperous and invades the various Zang and Fu organs; due to this invasion, the Cold Qi becomes even more intense. When the Cold Qi attacks and insults the Stomach and Spleen, it causes cold extremities, oppression, dizziness, confusion, and lack of sensation. Because the Stomach lacks Grain Qi, the Water pathogen has nothing to fear; because the Spleen-Earth is blocked by Cold-Dampness Qi, the whole body becomes dull and numb, unable to function; the mouth is tight, preventing speech; the body trembles and shivers with cold.