轻循之法名为举。浮脉中间仔细推。有力为风兼表实。无神无力的知虚。（浮多不足。阳分
虚也。）
重取法时名曰按。按之不足是元虚。有力为疼多气滞。宜温宜下细详推。（沉多有余。阴分
实也。下手脉沉是气。脉来附骨为积。）
不轻不重曲求寻。个里机关理最深。虚实死生从此得。粗工岂辨石和珍。（中以候胃。胃气
虚实。生死所关。尤宜仔细。）
四时当旺何为主。要识弦洪石与毛。一字情同分两义。诊家候气最为高。（以己之息。候彼之息。
知其接续间断。乃见生死虚实。至春弦夏洪秋毛冬石。虽为诊家定规。然亦不必拘泥也。但取神
胃二气耳。）
阳病见阴名为逆。非羸脉大亦如然。有余不足如相反。决死无疑命入泉。（一切有余之症。脉
宜有力有神。如或微涩而不应手者。死也。产后脉大。失血脉洪。腹胀脉涩。痢后脉弦。
皆谓逆也。形瘦脉大胸中多气者死。形盛脉细少气不足以息者死。）
脉大形标两得平。症余脉大病还轻。形羸脉细无妨害。脉症相应是顺情。（逆顺二字。乃脉
症之枢要也。）
神本先天位在离。要知动静是根基。神存气守无危殆。望切工夫妙在斯。（经曰。得守者昌
。谓神气在也。）
三元亏损土无基。遇着庸医促命期。秘合相离形已脱。诊知失守死如归。（经曰。失守者死
。谓神气脱也。得失之旨。轩岐之秘也。）
轻取的方法叫做“举”。在浮脉的中间位置仔细推寻。脉搏有力，是风邪兼表实证的征象；脉搏无力、无神，则是虚证。（浮脉多主不足，即阳气分虚弱。）
重取的方法叫做“按”。按压下去感觉不足，是元气虚损。如果按之有力，多为疼痛且气机阻滞。应当仔细推究，适宜用温法或下法。（沉脉多主有余，即阴分实证。下手脉沉说明是气病，脉象附骨而取说明有积滞。）
不轻不重，弯曲手指寻求（中取）。其中的机理道理最深奥。虚实死生由此判断，粗疏的医生怎能辨别石脉和珍脉的区别？（中取以候胃气，胃气的虚实关乎生死，尤其需要仔细诊察。）
四季当旺的主脉是什么？要识别弦、洪、石、毛四种脉象。一个字的情态包含两层含义，诊家候气境界最高。（用自己的呼吸节奏，去衡量病人的呼吸节奏，知道其接续是否间断，从而见到生死虚实。至于春弦、夏洪、秋毛、冬石，虽然是诊家的定规，但也不必拘泥。只要取得神气和胃气即可。）
阳病见到阴脉叫做“逆”，不仅仅是羸弱脉大才这样。有余和不足如果相反，决定死亡无疑，命归黄泉。（一切有余的症状，脉象应该有力有神。如果出现微涩且不应手的情况，就是死证。产后脉大，失血后脉洪，腹胀脉涩，痢疾后脉弦，都称为逆证。形体消瘦却脉大、胸中多气的会死；形体壮盛却脉细、少气不足以息的也会死。）
脉大与形标两者得到平衡。症状有余而脉象大病反而轻。形体羸弱而脉细没有妨害。脉症相应就是顺证。（逆顺二字，是脉症的关键所在。）
神本源于先天，位在离卦（心）。要知道动静是根基。神存气守就没有危险，望诊和切诊的功夫妙处就在这里。（经文说：得守者昌，意思是神气存在。）
三元亏损，土无根基。遇到庸医会缩短寿命。秘合分离，形体已经脱败。诊知失守，死亡如归。（经文说：失守者死，意思是神气脱失。得失的宗旨，是轩辕岐伯的秘密。）
The method of light palpation is called "Ju" (Lifting). Carefully explore the middle of the floating pulse. If forceful, it indicates wind pathogen combined with exterior excess; if without spirit and forceless, it indicates deficiency. (Floating pulses mostly indicate insufficiency, i.e., deficiency in the Yang aspect.)
The method of heavy palpation is called "An" (Pressing). If pressing reveals insufficiency, it indicates Yuan Qi (Original Qi) deficiency. If forceful upon pressing, it mostly indicates pain and Qi stagnation. One should carefully deduce whether to use warming or purging methods. (Sinking pulses mostly indicate excess, i.e., excess in the Yin aspect. A sinking pulse upon initial touch indicates Qi pathology; a pulse felt deep against the bone indicates accumulation.)
Neither light nor heavy, bend the fingers to seek (middle palpation). The mechanism within is profoundly profound. Deficiency, excess, death, and life are determined from here. How can crude physicians distinguish between Shi (Stone-like) and Zhen (Precious) pulses? (Middle palpation assesses Stomach Qi. The deficiency or excess of Stomach Qi is critical for life and death, requiring particular care.)
What are the dominant pulses during the four seasons? One must recognize Xian (Wiry), Hong (Surging), Shi (Rock-like), and Mao (Feather-like). One character's demeanor holds two meanings; the highest realm of pulse diagnosis lies in assessing Qi. (Use one's own breath rhythm to measure the patient's breath rhythm, knowing whether they connect or interrupt, thereby revealing life/death and deficiency/excess. Although Spring Wiry, Summer Surging, Autumn Feather-like, and Winter Rock-like are fixed rules for diagnosticians, one need not be rigidly bound by them. Only the Shen (Spirit) and Wei (Stomach) Qi are essential.)
Yang disease presenting with Yin pulse is called "Ni" (Reversal). This applies not only to emaciated pulses being large. When excess and deficiency are contrary, death is certain, and the soul enters the spring of the underworld. (For all excess symptoms, the pulse should be forceful and spirited. If it is faint, choppy, and unresponsive, it is a death sign. Large pulse after childbirth, surging pulse after blood loss, choppy pulse with abdominal distension, wiry pulse after dysentery—all are called Reversal. Emaciated form with large pulse and excessive Qi in the chest leads to death; robust form with fine pulse and insufficient Qi leading to shortness of breath also leads to death.)
When Pulse Size and Physical Markers achieve balance. When symptoms remain while the pulse indicates severe illness but the actual condition is mild. Emaciated form with fine pulse causes no harm. Pulse and symptom correspondence is "Shun" (Smooth/Favorable). (The terms Ni and Shun are the pivot of pulse and symptom analysis.)
Shen (Spirit) originates from Pre-heaven and resides in Li (Fire/Heart). Knowing movement and stillness is the foundation. With Shen present and Qi guarded, there is no danger. The subtlety of observation and palpation lies here. (The Classic states: "Those who retain [Shen/Qi] prosper," meaning Shen Qi exists.)
San Yuan (Three Primes) depleted, Earth lacks foundation. Meeting a mediocre physician accelerates the end of life. Secret union separates, form has already detached. Diagnosing loss of retention means death is inevitable. (The Classic states: "Loss of retention leads to death," meaning Shen Qi has escaped. The principle of gain and loss is the secret of Xuanyuan and Qibo.)