「寸口脉「浮」〔迟〕而缓,「浮」〔迟〕则为「风」〔寒〕,缓则为虚;荣缓则为
亡血,卫缓则为中风;邪气中经,」〔寸口脉浮而紧,紧则为寒,浮则为虚,寒虚相
搏,邪在皮肤,〕〔浮者血虚,〕络脉空虚,贼邪不泻,或左或右;邪气反缓,正气
即急,正气引邪,喎僻不遂。邪在于络,肌肤不仁;邪在于经,即重不胜;邪入于府
,即不识人;邪入于藏,舌即难言,口吐涎。
【按】
「寸口脉浮而紧,紧则为寒,浮则为虚,寒虚相搏,邪在皮肤」,此五句原文在本条
之首,当在后条之首。「寸口脉迟而缓,迟则为寒,缓则为虚;荣缓则为亡血,卫缓
则为中风;邪气中经」,此六句原文在后条,当在此条之首,文气始各得相属,必系
错简,当移之。其中有浮者血虚一句,必是衍文,当删之。寸口脉迟而缓,迟则为寒
,二「迟」字当是「浮」字,「寒」字当是「风」字,始得文义了然,且迟缓二脉不
能并见,当改之。
「寸口脉浮而紧,紧则为寒,浮则为「风」〔虚〕,寒「风」〔虚〕相搏,邪在皮肤
,」〔寸口脉迟而缓,迟则为寒,缓则为虚;荣缓则为亡血,卫缓则为中风;邪气中
经,〕则身痒而瘾疹;心气不足,邪气入中,则胸满而短气。
【按】
「浮则为虚,寒虚相搏」二「虚」字,应是「风」字,当改之。
味酸则伤筋,筋伤则缓,名曰泄;咸则伤骨,骨伤则痿,名曰枯;枯泄相搏,名曰断
「绝」〔泄〕。荣气不通,卫不独行,荣卫俱微,三焦无所御,四属断绝,身体羸瘦
,独足肿大,黄汗出,胫冷,假令发热,便为历节也。病历节,不可屈伸,疼痛,鸟
头汤主之。
【按】
名曰断泄之「泄」字,当是「绝」字,始与下文相属,当改之。
诸肢节疼痛,身体□羸,脚肿如脱,头眩短气,「嗢嗢」〔温温〕欲吐,桂枝芍药知
母汤主之。
【按】
温温应是「嗢嗢」,当改之。
寸口脉象浮而迟缓,浮(主表证)或迟(主寒证)则提示感受风邪或寒邪,脉缓则提示正气虚弱;营气缓弱则导致失血,卫气缓弱则易患中风;若邪气侵入经脉,(此处原文有误,应为:寸口脉浮而紧,紧则主寒,浮则主虚,寒与虚相互搏结,邪气在皮肤,浮脉提示血虚,络脉空虚,贼邪无法排出,病位或在左或在右;邪气所在之处肌肉松弛,正气所在之处肌肉拘急,正气牵引邪气,导致口眼歪斜、肢体不能随意运动。若邪气在络脉,肌肤麻木不仁;若邪气在经脉,则身体沉重难以抬举;若邪气入于腑,则神志不清不识人;若邪气入于脏,则舌强言语困难,口吐涎沫。)
【按语】
“寸口脉浮而紧,紧则为寒,浮则为虚,寒虚相搏,邪在皮肤”这五句原文位于本条之首,应当移至后一条之首。“寸口脉迟而缓,迟则为寒,缓则为虚;荣缓则为亡血,卫缓则为中风;邪气中经”这六句原文位于后一条,应当移至本条之首,这样文意才能连贯,必定是简牍错乱所致,应当移动位置。其中“有浮者血虚”一句,必定是衍文(多余的文字),应当删除。寸口脉迟而缓,迟则主寒,两个“迟”字应当是“浮”字,“寒”字应当是“风”字,这样文义才清晰明了,且迟缓两种脉象通常不会同时出现,应当修改。
“寸口脉浮而紧,紧则为寒,浮则为风(虚),寒风(虚)相搏,邪在皮肤”,(此处原文有误,应为:寸口脉迟而缓,迟则为寒,缓则为虚;荣缓则为亡血,卫缓则为中风;邪气中经),则身体发痒并出现瘾疹(风团);心气不足,邪气深入体内,则胸中满闷且呼吸短促。
【按语】
“浮则为虚,寒虚相搏”中的两个“虚”字,应当是“风”字,应当修改。
味酸则损伤筋脉,筋脉受损则弛缓无力,称为泄;味咸则损伤骨骼,骨骼受损则痿软无力,称为枯;枯与泄相互搏结,称为断绝。(此处原文有误,应为:荣气不通,卫气不能独行,营卫俱微弱,三焦失去统御,四肢失去濡养而断绝,身体消瘦,唯独足部肿大,汗出呈黄色,小腿发冷,假令发热,便成为历节病。患历节病,关节不可屈伸,疼痛剧烈,用乌头汤主治。)
【按语】
“名曰断泄”的“泄”字,应当是“绝”字,这样才能与下文相衔接,应当修改。
各个肢节疼痛,身体消瘦羸弱,脚肿得像要脱落一样,头晕目眩,呼吸短促,恶心欲吐,用桂枝芍药知母汤主治。
【按语】
“温温”应当是“嗢嗢”(形容恶心呕吐的样子),应当修改。
The pulse at the Cun Kou (Cun position of the radial artery) is floating, slow, and moderate. Floating indicates Wind [or Cold], while moderate indicates deficiency; a moderate Ying (Nutrient Qi) suggests blood loss, while a moderate Wei (Defensive Qi) suggests Zhong Feng (Wind Stroke); if pathogenic factors invade the meridians, (Original text error here: The pulse at Cun Kou is floating and tight; tight indicates Cold, floating indicates deficiency, Cold and deficiency interact, pathogenic factors are in the skin, floating indicates blood deficiency, collaterals are empty, evil pathogens cannot be expelled, affecting either the left or right side; where pathogenic factors reside, muscles are relaxed, where righteous Qi resides, muscles are tense, righteous Qi pulls the pathogen, causing facial paralysis and inability to move limbs freely. If pathogenic factors are in the collaterals, the skin and muscles are numb; if in the meridians, the body feels heavy and weak; if entering the Fu organs, consciousness is lost and one does not recognize people; if entering the Zang organs, speech becomes difficult, and saliva dribbles from the mouth.)
[Commentary]
"The pulse at Cun Kou is floating and tight, tight indicates Cold, floating indicates deficiency, Cold and deficiency interact, pathogenic factors are in the skin" – these five sentences originally appear at the beginning of this section but should be moved to the beginning of the next section. "The pulse at Cun Kou is slow and moderate, slow indicates Cold, moderate indicates deficiency; moderate Ying indicates blood loss, moderate Wei indicates Zhong Feng; pathogenic factors strike the meridians" – these six sentences originally appear in the next section but should be moved to the beginning of this section so that the textual logic connects properly. This must be a result of misplaced bamboo slips and should be relocated. The phrase "floating indicates blood deficiency" within it is likely an interpolatory error and should be deleted. In "pulse at Cun Kou is slow and moderate, slow indicates Cold," the two instances of "slow" should be "floating," and "Cold" should be "Wind," for the meaning to become clear, as slow and moderate pulses generally do not appear together; this should be corrected.
"The pulse at Cun Kou is floating and tight, tight indicates Cold, floating indicates Wind [deficiency], Wind and Cold [deficiency] interact, pathogenic factors are in the skin," (Original text error here: "The pulse at Cun Kou is slow and moderate, slow indicates Cold, moderate indicates deficiency; moderate Ying indicates blood loss, moderate Wei indicates Zhong Feng; pathogenic factors strike the meridians"), then the body itches and urticaria appears; if Heart Qi is insufficient and pathogenic factors enter deeply, chest fullness and shortness of breath occur.
[Commentary]
In "floating indicates deficiency, Cold and deficiency interact," the two instances of "deficiency" should be "Wind"; this should be corrected.
Sour taste damages the sinews; damaged sinews become lax, termed Xie (Leakage); salty taste damages the bones; damaged bones become flaccid, termed Ku (Withering); Withering and Leakage interacting is termed Duan Jue (Severance). (Original text error here: Ying Qi circulation is blocked, Wei Qi cannot flow independently, both Ying and Wei are deficient, the San Jiao loses its control, the four extremities are severed from nourishment, the body becomes emaciated, only the feet swell, yellow sweat appears, calves feel cold; if fever occurs, it becomes Li Jie disease. For Li Jie disease, characterized by inability to flex or extend joints and pain, Wu Tou Tang is the primary prescription.)
[Commentary]
In "termed Duan Xie," the character "Xie" should be "Jue" to connect with the following text; this should be corrected.
Pain in all limb joints, emaciated body, swollen feet as if detached, dizziness, shortness of breath, nausea and desire to vomit, Gui Zhi Shao Yao Zhi Mu Tang is the primary prescription.
[Commentary]
"Wen Wen" should be "Wa Wa" (describing nausea/vomiting sensation); this should be corrected.