伤寒热病，脉喜浮洪，若见沉微涩小，证与脉反，必凶。汗后邪解，盒饭脉静身凉，若躁热，邪不
为汗衰必难治矣。若阳证见阴脉，命必危殆。阴证见阳脉，病虽困亦无害也。疟证脉应得弦象，弦迟多寒
，弦数多热，理本自然。若得代、散二脉，邪尚未解，正气已衰，命恐难保矣。中风脉宜浮迟，若坚大急
疾为逆。劳倦伤脾，脉当虚弱为顺。若自汗出，而脉反躁疾则逆矣。泻痢里虚，见沉小滑弱之脉为顺。若反
见实大浮数之脉，则身必发热而成恶候也。呕吐反胃，脾虚有痰，见浮滑脉为顺。若沉数细涩，则为气少液
枯，遂致结肠而死矣。霍乱见阳脉为佳。若见代脉，因一时清浊混乱，脉不接续而致，非死候也。如脉伏不
见，四肢厥逆，舌卷囊缩，为阴寒甚，危候也。嗽乃肺疾，脉浮为宜。如兼见濡者，病将退也。若沉伏与紧
，则相反而病深矣。阳喘多实，属风与痰，脉以浮滑为顺。若脉见沉涩，四肢寒者，为阴喘属寒与虚也，为
不治逆证。火热之证，洪数为宜。若见微弱，证脉相反，根本脱离，药不可施矣。骨蒸发热，脉数而虚。若
涩小不可救矣。虚劳证，宜见虚脉。若两关脉弦，乃肝木乘脾。若见细数，乃阴虚火盛，上刑肺金，便
不可治。失血诸证，脉必见芤。若缓小尚顺，而数大堪忧矣。蓄血为有形之实证，见牢大实脉，与证相宜
。倘沉涩而微，是挟虚矣。既不能自行其血，又难施峻猛之剂，安望速愈哉。三消之证，燥热太过，惟脉见
数大为吉。若细微短涩，死不可救也。小便淋闭，鼻色必黄，脉实大者，可用攻药。若逢涩小，为精气不
化，死亡将及矣。癫狂证以浮洪为吉，若沉而急，病莫能救矣。痫证宜见浮缓之脉，若沉小急实，是病深也
。或但弦，无胃肝之真脏脉见矣，安望其更生耶。心腹痛，脉宜迟细。如浮而大，是中虚邪盛，不能收捷功也
。疝属肝病，脉必弦急。但牢急者生，而弱急者必死矣。黄疽湿热，洪数浮大为宜。一见微涩，虚衰已甚，
无药可疗矣。肿胀脉，浮大洪实为宜，若沉细而微，证实脉虚，难言生矣。积聚见实强脉可生，若沉细为
虚，真气败绝，不可为矣。中恶腹胀，紧细乃生，浮大则凶矣。鬼祟脉，左右不齐，乍大乍小，乍数乍迟。痈
疽未溃，洪大脉宜。及其已溃，洪大脉反忌矣。肺痈已成，寸数而实。肺痿之证，数而无力。痈痿色白，脉
宜短涩，若逢数大，气损血失。肠痈实热，滑数相宜，若沉细无根，其死可知矣。
伤寒热病，脉象以浮洪为吉；若出现沉、微、涩、小等脉象，症状与脉象相反，必定凶险。发汗后邪气已解，应当脉象平静、身体凉爽；若出现躁动发热，说明邪气并未因发汗而衰减，必定难以治疗。若是阳证却见到阴脉，生命必定危险；若是阴证却见到阳脉，病情虽然困顿，但并无大碍。疟疾病证的脉象应当呈现弦象，弦迟多主寒，弦数多主热，这是自然之理。若出现代脉或散脉，说明邪气尚未解除，正气已经衰败，性命恐怕难以保全。中风病的脉象宜见浮迟，若见坚大急疾则为逆证。劳倦损伤脾胃，脉象应当虚弱才是顺证。若自汗出，脉象反而躁疾，则为逆证。泻痢导致里虚，见到沉、小、滑、弱的脉象为顺证。若反而见到实、大、浮、数的脉象，则身体必定发热，形成恶候。呕吐反胃，因脾虚有痰，见到浮滑脉为顺证。若见到沉、数、细、涩的脉象，则是气少液枯，最终导致结肠而死。霍乱见到阳脉为佳。若见到代脉，是因为一时之间清浊之气混乱，脉气不接续所致，并非死候。如果脉伏不见，四肢厥冷逆冷，舌卷缩囊收缩，这是阴寒极盛的表现，属于危重证候。咳嗽是肺部的疾病，脉象浮为宜。如果兼见濡脉，说明病将要退去。若见沉伏与紧脉，则与病情相反，说明病邪深入。阳喘多属实证，属于风邪与痰饮，脉象以浮滑为顺。若脉见沉涩，四肢寒冷，这是阴喘，属于寒与虚，属于不治的逆证。火热之证，脉象洪数为宜。若见到微弱脉，证候与脉象相反，根本脱离，药物无法施治了。骨蒸发热，脉象数而虚。若见涩小脉，则不可救治了。虚劳证，适宜见到虚脉。若两关脉弦，乃是肝木乘克脾土。若见细数脉，乃是阴虚火盛，上刑肺金，便不可治疗。失血诸证，脉象必见芤脉。若脉缓小尚属顺证，而脉数大则令人担忧。蓄血是有形的实证，见到牢、大、实的脉象，与证候相适宜。倘若脉沉涩而微，是夹杂虚证。既然不能自行消散瘀血，又难以施用峻猛的药物，哪里指望迅速痊愈呢。三消之证，燥热太过，只有脉见数大为吉利。若见细微短涩脉，死亡不可挽救。小便淋闭，鼻色必黄，脉实大的，可以使用攻下药。若逢涩小脉，为精气不化，死亡将至。癫狂证以浮洪脉为吉，若脉沉而急，病莫能救了。痫证适宜见到浮缓的脉象，若见沉小急实，是病邪深入。或者只见弦脉，无胃气的肝之真脏脉出现了，哪里指望他再生呢？心腹痛，脉象宜迟细。如脉浮而大，是中气虚弱邪气盛，不能取得快速疗效。疝气属于肝病，脉象必弦急。但见牢急脉者生，而见弱急脉者必死。黄疸湿热，脉象洪数浮大为宜。一见微涩脉，虚衰已经很严重，无药可疗了。肿胀病的脉象，浮大洪实为宜，若见沉细而微，证实脉虚，难以言生了。积聚见到实强脉可生，若见沉细为虚，真气败绝，不可救治了。中恶腹胀，紧细脉乃生，浮大脉则凶。鬼祟脉，左右不齐，忽大忽小，忽快忽慢。痈疽未溃时，洪大脉宜；等到已经溃破，洪大脉反而忌讳了。肺痈已成，寸口脉数而实。肺痿之证，脉数而无力。痈痿色白，脉宜短涩，若逢数大脉，气损血失。肠痈实热，滑数脉相宜，若见沉细无根，其死可知矣。
In cold damage and febrile diseases, a floating and surging pulse is auspicious; if a deep, minute, choppy, or small pulse appears, the symptoms contradict the pulse, indicating certain peril. After sweating resolves the pathogen, the pulse should be calm and the body cool; if restlessness and heat appear, it indicates that the pathogen has not diminished due to sweating, making treatment difficult. If a yang syndrome presents with a yin pulse, life is in imminent danger; if a yin syndrome presents with a yang pulse, although the condition is severe, there is no great harm. In malaria, the pulse should be wiry; wiry and slow often indicate cold, while wiry and rapid often indicate heat, which is natural. If a choppy or scattered pulse appears, the pathogen has not yet resolved, and the healthy qi has declined, so life may be hard to preserve. In wind-stroke, a floating and slow pulse is suitable; a firm, large, and rapid pulse is adverse. Fatigue damaging the spleen and stomach should present with a weak and deficient pulse as favorable. If spontaneous sweating occurs but the pulse is instead rapid and restless, it is adverse. In diarrhea and dysentery causing interior deficiency, a deep, small, slippery, or weak pulse is favorable. If instead a solid, large, floating, or rapid pulse appears, the body will surely develop fever and form an ominous condition. In vomiting and reverse flow of food, due to spleen deficiency with phlegm, a floating and slippery pulse is favorable. If a deep, rapid, thin, or choppy pulse appears, it indicates insufficient qi and dried fluids, eventually leading to death from intestinal obstruction. Cholera presenting with a yang pulse is good. If a choppy pulse appears, it is caused by temporary confusion of clear and turbid qi and discontinuity of the pulse, not necessarily a death omen. If the pulse is hidden and invisible, limbs are cold and inverted, the tongue curls, and the scrotum retracts, this indicates extreme yin-cold, a critical condition. Cough is a lung disease, where a floating pulse is suitable. If accompanied by a soggy pulse, the illness will recede. If deep-hidden and tight pulses appear, they contradict the condition, indicating deep-seated disease. Yang asthma is mostly excess, attributed to wind and phlegm, where a floating and slippery pulse is favorable. If a deep and choppy pulse appears with cold limbs, it is yin-asthma attributed to cold and deficiency, an untreatable adverse condition. In fire-heat syndromes, a surging and rapid pulse is suitable. If a weak and minute pulse appears, the syndrome and pulse contradict, the root is detached, and medication cannot be applied. In bone-steaming heat, the pulse is rapid and deficient. If a choppy and small pulse appears, it is incurable. In consumptive disease, a deficient pulse is suitable. If the left and right guan positions are wiry, it is liver wood overacting on spleen earth. If a thin and rapid pulse appears, it is yin deficiency with flourishing fire, attacking metal of the lungs, making it untreatable. In various blood-loss syndromes, the pulse must be knifelike (Kou). If slow and small, it is still favorable; if rapid and large, it is worrisome. Blood stasis is a tangible excess syndrome; a firm, large, and solid pulse suits the condition. If deep, choppy, and minute, it involves deficiency. Since the blood cannot move on its own, and harsh agents are difficult to apply, how can rapid recovery be expected? In the three consumptions, dryness-heat is excessive, so only a rapid and large pulse is auspicious. If a fine, minute, short, or choppy pulse appears, death is incurable. In stranguria and urinary retention, the nose color must be yellow; if the pulse is solid and large, purgative drugs can be used. If a choppy and small pulse appears, it indicates failure of essence and qi transformation, and death is imminent. In mania and madness, a floating and surging pulse is auspicious; if deep and rapid, the illness cannot be saved. In epilepsy, a floating and moderate pulse is suitable; if deep, small, rapid, and solid, the disease is deep. Or if only a wiry pulse appears, the true organ pulse of the liver without stomach qi is seen, how can one hope for regeneration? In heart and abdominal pain, a slow and thin pulse is suitable. If floating and large, it indicates middle deficiency and abundant pathogen, preventing quick success. Hernias belong to liver disease, where the pulse must be wiry and urgent. A firm and urgent pulse indicates survival, while a weak and urgent pulse indicates certain death. In jaundice with damp-heat, a surging, rapid, floating, and large pulse is suitable. Once a minute and choppy pulse appears, deficiency and decline are severe, and no medicine can treat it. In swelling and distension, a floating, large, surging, and solid pulse is suitable; if deep, thin, and minute, the syndrome is excess while the pulse is deficient, making survival unlikely. In accumulation and gathering, a solid and strong pulse allows for survival; if deep and thin, it is deficiency, true qi is exhausted, and it is untreatable. In sudden evil causing abdominal distension, a tight and thin pulse indicates survival, while a floating and large pulse indicates peril. The "ghost" pulse is uneven on left and right, suddenly large and small, suddenly rapid and slow. For carbuncles and sores before ulceration, a surging and large pulse is suitable; after ulceration, a surging and large pulse is contraindicated. When lung abscess is formed, the cun position is rapid and solid. In lung flaccidity, the pulse is rapid and powerless. In carbuncle-flaccidity with white complexion, a short and choppy pulse is suitable; if a rapid and large pulse appears, qi is damaged and blood is lost. In intestinal abscess with excess-heat, a slippery and rapid pulse is suitable; if deep and thin without root, death is evident.