一静其心,存其神也。二忘外意,无思虑也。三均呼吸,定其气也。四(轻指于皮
肤之间,探其腑脉)浮也。五(微重指于肌肉间,取其胃气)中也。六(沉指于骨之
上,以取其脏脉)沉也。七察病患脉息来数也。
浮法天象,于皮肤间,候太过。
中法人象,于肌肉间,候胃气。
沉法地象,于筋骨间,候不及。
浮太过,为大、为长、为实、为紧、为弦、为浮、为芤、为滑。
中胃气,凡脉不大、不细、不长、不短、不浮、不沉、不滑、不涩、应手中和,
意思忻忻,难以名状者,胃气也。
沉不及,为细、为短、为虚、为濡、为弱、为沉、为涩、为伏。
诊心部脉∶一动心,二动脾,三动肺,四动肾,五动肝。
诊肝部脉∶一动肝,二动心,三动脾,四动肺,五动肾。
诊肾部脉∶一动肾,二动肝,三动心,四动脾,五动肺。
诊肺部脉∶一动肺,二动肾,三动肝,四动心,五动脾。
诊脾部脉∶一动脾,二动肺,三动肾,四动肝,五动心。
以上不过明其生生循环不息之义,火生土,土生金,金生水,水生木,木生火,而
无间断一息不运也。
六动 七动 八动 九动 十动 十一 十二 十三 十四 十五
十六 十七 十八 十九 二十 二十一 二十二 二十三 二十四
二十五 二十六 二十七 二十八 二十九 三十 三十一 三十二 三十三 三十四
三十五 三十六 三十七 三十八 三十九 四十 四十一 四十二 四十三 四十四 四十五
以上各就本经等起动脉循环于五脏之中,周而复始,循遇何脏而得止脉,则以止
脉之脏而断其吉凶。如四十五动之中,而无止脉见者,则是无病也。
一、使内心宁静,精神内守。二、忘却外界杂念,没有思虑牵挂。三、调节呼吸均匀,安定气息。四(手指轻置于皮肤之间,探查腑脉)为浮脉。五(手指微重按于肌肉之间,以获取胃气)为中脉。六(手指深按至骨头之上,以获取脏脉)为沉脉。七、观察病患脉搏跳动频率快慢。
浮脉效法天象,在皮肤之间,候察太过之象。
中脉效法人象,在肌肉之间,候察胃气。
沉脉效法地象,在筋骨之间,候察不及之象。
浮脉若属太过,表现为大脉、长脉、实脉、紧脉、弦脉、浮脉、芤脉、滑脉。
中脉若有胃气,凡是脉象不大、不细、不长、不短、不浮、不沉、不滑、不涩,按之柔和中正,神意愉悦,难以用言语形容的,就是胃气。
沉脉若属不及,表现为细脉、短脉、虚脉、濡脉、弱脉、沉脉、涩脉、伏脉。
诊察心部脉象:一动对应心,二动对应脾,三动对应肺,四动对应肾,五动对应肝。
诊察肝部脉象:一动对应肝,二动对应心,三动对应脾,四动对应肺,五动对应肾。
诊察肾部脉象:一动对应肾,二动对应肝,三动对应心,四动对应脾,五动对应肺。
诊察肺部脉象:一动对应肺,二动对应肾,三动对应肝,四动对应心,五动对应脾。
诊察脾部脉象:一动对应脾,二动对应肺,三动对应肾,四动对应肝,五动对应心。
以上不过是为了阐明生命生生不息循环的道理,火生土,土生金,金生水,水生木,木生火,中间没有间断,一旦有一息之气停止运转。
六动 七动 八动 九动 十动 十一 十二 十三 十四 十五
十六 十七 十八 十九 二十 二十一 二十二 二十三 二十四
二十五 二十六 二十七 二十八 二十九 三十 三十一 三十二 三十三 三十四
三十五 三十六 三十七 三十八 三十九 四十 四十一 四十二 四十三 四十四 四十五
以上各脉依次按照本经等起始动脉在五脏之中循环,周而复始。如果遇到哪一脏出现止脉(间歇脉),就根据出现止脉的那一脏来判断吉凶。如果在四十五次搏动中,没有出现止脉,那就是没有疾病。
First, calm the mind and preserve the spirit (Shen). Second, forget external distractions and eliminate excessive thinking. Third, regulate breathing to be even and steady the Qi (vital energy). Fourth (lightly place fingers between the skin to probe the Fu-organ pulse) is the Floating pulse (Fu Mai). Fifth (slightly press deeper into the muscle layer to obtain Stomach Qi) is the Moderate pulse (Zhong Mai). Sixth (press deeply up to the bone to obtain the Zang-organ pulse) is the Deep pulse (Chen Mai). Seventh, observe whether the patient's pulse beats rapidly.
The Floating method corresponds to the image of Heaven; at the level of the skin, it indicates Excess (Tai Guo).
The Moderate method corresponds to the image of Humanity; at the level of the muscle, it indicates Stomach Qi.
The Deep method corresponds to the image of Earth; at the level of the sinews and bones, it indicates Deficiency (Bu Ji).
If the Floating pulse indicates Excess, it manifests as Large (Da), Long (Chang), Solid (Shi), Tight (Jin), Wiry (Xian), Floating (Fu), Hollow (Kou), or Slippery (Hua) pulses.
If the Moderate pulse contains Stomach Qi, it is characterized by a pulse that is neither large, nor thin, nor long, nor short, nor floating, nor deep, nor slippery, nor choppy. It feels harmonious and moderate upon palpation, with a pleasant and subtle sensation that is difficult to describe in words; this is Stomach Qi.
If the Deep pulse indicates Deficiency, it manifests as Thin (Xi), Short (Duan), Empty (Xu), Soggy (Ru), Weak (Ruo), Deep (Chen), Choppy (Se), or Hidden (Fu) pulses.
When diagnosing the Heart region pulse: The first beat corresponds to the Heart, the second to the Spleen, the third to the Lung, the fourth to the Kidney, and the fifth to the Liver.
When diagnosing the Liver region pulse: The first beat corresponds to the Liver, the second to the Heart, the third to the Spleen, the fourth to the Lung, and the fifth to the Kidney.
When diagnosing the Kidney region pulse: The first beat corresponds to the Kidney, the second to the Liver, the third to the Heart, the fourth to the Spleen, and the fifth to the Lung.
When diagnosing the Lung region pulse: The first beat corresponds to the Lung, the second to the Kidney, the third to the Liver, the fourth to the Heart, and the fifth to the Spleen.
When diagnosing the Spleen region pulse: The first beat corresponds to the Spleen, the second to the Lung, the third to the Kidney, the fourth to the Liver, and the fifth to the Heart.
These sequences merely illustrate the principle of endless cyclic generation: Fire generates Earth, Earth generates Metal, Metal generates Water, Water generates Wood, and Wood generates Fire, without interruption. If even one breath's movement ceases...
Sixth beat, seventh beat, eighth beat, ninth beat, tenth beat, eleventh, twelfth, thirteenth, fourteenth, fifteenth
Sixteenth, seventeenth, eighteenth, nineteenth, twentieth, twenty-first, twenty-second, twenty-third, twenty-fourth
Twenty-fifth, twenty-sixth, twenty-seventh, twenty-eighth, twenty-ninth, thirtieth, thirty-first, thirty-second, thirty-third, thirty-fourth
Thirty-fifth, thirty-sixth, thirty-seventh, thirty-eighth, thirty-ninth, fortieth, forty-first, forty-second, forty-third, forty-fourth, forty-fifth
Each of the above pulses originates from its respective meridian and circulates among the Five Zang organs, repeating in a cycle. When encountering a pause (Zhi Mai, intermittent pulse) in any specific Zang organ, prognosis of auspiciousness or inauspiciousness is determined based on that affected Zang organ. For instance, if within forty-five beats no pause is observed, it indicates the absence of disease.