【方歌】肿疡濡弱脉不足，扶虚托里始能痊，溃后虽为脉病应，
但无虚候始得安。
【注】肿疡脉见濡弱不足者，必用扶元托里之剂，始能痊也。
溃后脉见濡弱，虽为脉病相应，但无虚证，始得安全。
若精神疲惫，饮食不思，亦危候也。
歌诀；肿疡散脉最可愁，毒盛气散不能收，溃后见散亦为逆，
急投补固或无忧。
【注】肿疡最忌散脉，盖散脉为毒盛气散，不能收功之诊。溃
后见之，亦主逆也。急投补虚收固之剂，或有生者。
【方歌】肿疡脉大为顺候，溃后脉大不相宜，肿疡溃后脉细小，
总主痈疽气血虚。
【注】肿疡脉大为正实，毒必易出，为顺候也。溃后脉大为病
进，其毒虽化，为不宜也。肿疡、溃疡，脉见细小者，
总属气血两虚，惟宜大补为主。
【方歌】促脉无分肿溃疡，总为阳结不宜常，渐退毒散犹可愈，
常进不退必然亡。
【注】肿疡、溃疡脉见促者，皆为阳结，但宜暂而不宜常也。
如促脉渐渐而退，则毒亦渐渐而散，犹或可愈。若常进
不退，其亡必矣。
【方歌】肿疡结脉为阴结，急宜温解始能康，溃后见结阴虚歇，
如代之歇定然亡。
【注】肿疡脉结者，乃阴结也。急用温散解毒之剂，始可获效
。若溃后见结脉，则为阴虚之歇止，尚不主死。若如代
脉之歇，动而中止，不能自还，则为真脏之脉，见定主
亡也。
【方歌】肿疡（未溃破的疮疡）出现濡弱脉，表示正气不足，必须使用扶正托毒的方剂，才能痊愈。溃破之后虽然脉象与病情相应，但如果没有虚弱的症状表现，患者才能平安。
【注】肿疡脉象表现为濡弱且不足的，必然需要使用扶助元气、托毒外出的药剂，才能痊愈。溃破后脉象表现为濡弱，虽然属于脉证相应的正常现象，但如果患者没有虚弱的证候，才能确保安全。如果精神疲惫，饮食不思，也是危重的征候。
歌诀：肿疡出现散脉是最令人担忧的，因为散脉代表毒气盛而正气散乱，无法收敛收功。溃破后见到散脉也属于逆证（预后不良），急需投用补益固涩的方剂，才可能无忧。
【注】肿疡最忌讳出现散脉，因为散脉意味着毒气旺盛、正气涣散，不能取得疗效的诊察结果。溃破后见到这种脉象，也主病势逆乱。急投补虚固摄的方剂，或许还有生机。
【方歌】肿疡脉象大为顺证，溃破后脉大则不适宜。无论是肿疡还是溃破后，脉象细小，总归属于气血两虚。
【注】肿疡脉象大为正气充实，毒邪容易排出，属于顺证。溃破后脉象大表示病势进展，虽然毒邪已化，但不适宜。肿疡和溃疡，脉象细小的，总属气血两虚，只宜以大补为主。
【方歌】促脉不分肿疡或溃疡，总是阳热郁结，不宜长期存在。如果逐渐消退、毒邪散去，还可以痊愈；如果持续进展不退，必然死亡。
【注】肿疡、溃疡脉象见促脉的，都是阳热郁结，但只宜暂时出现而不宜长期存在。如果促脉渐渐退去，则毒邪也渐渐消散，或许还可以痊愈。如果持续进展不退，那么死亡是必然的。
【方歌】肿疡出现结脉为阴寒凝结，急需温通解凝才能康复。溃破后见到结脉若是阴虚导致的间歇，尚可忍受；如果是像代脉那样的间歇，必然死亡。
【注】肿疡脉象结的，乃是阴寒凝结。急需使用温散解毒的药剂，才能见效。若溃破后见到结脉，则是阴虚引起的脉搏间歇，尚不主死。若像代脉那样，脉搏跳动中止，不能自行恢复，则为真脏脉，出现必定主亡。
[Verse] The presence of a soggy and weak pulse (Ru Ruo Mai, soggy and weak pulse) in an un-ulcerated abscess indicates deficiency of healthy qi; only by using formulas to support the upright and expel toxins can recovery be achieved. Although a soggy and weak pulse after ulceration corresponds to the disease state, safety is ensured only if there are no signs of deficiency.
[Annotation] When the pulse in an un-ulcerated abscess appears soggy, weak, and insufficient, it is necessary to use decoctions that tonify the primordial qi and push out toxins internally to achieve recovery. A soggy and weak pulse after ulceration, although corresponding to the disease, ensures safety only in the absence of deficiency syndromes. However, mental fatigue and loss of appetite are also critical signs.
[Verse] The appearance of a scattered pulse (San Mai, scattered pulse) in an un-ulcerated abscess is most worrying, as it indicates abundant toxins and dispersed healthy qi that cannot consolidate. Seeing a scattered pulse after ulceration is also an adverse sign; urgently administering tonifying and consolidating agents may bring relief without worry.
[Annotation] An un-ulcerated abscess most fears the scattered pulse, for the scattered pulse signifies abundant toxins and dispersed healthy qi, indicating a diagnosis where treatment cannot succeed. Its appearance after ulceration also indicates an adverse condition. Urgently administering tonifying and consolidating decoctions may offer a chance of survival.
[Verse] A large pulse (Da Mai, large pulse) in an un-ulcerated abscess is a favorable sign; however, a large pulse after ulceration is inappropriate. Whether in an un-ulcerated or ulcerated stage, a fine/small pulse (Xi Xiao Mai, fine and small pulse) generally indicates deficiency of both qi and blood.
[Annotation] A large pulse in an un-ulcerated abscess reflects sufficient righteous qi, allowing toxins to be easily expelled, which is a favorable sign. A large pulse after ulceration indicates disease progression; although toxins have transformed, this is inappropriate. For both un-ulcerated and ulcerated conditions, a fine/small pulse belongs entirely to deficiency of both qi and blood, requiring major tonification as the primary treatment.
[Verse] The rapid-intermittent pulse (Cu Mai, rapid-intermittent pulse) applies to both un-ulcerated and ulcerated abscesses, always indicating yang stagnation, which should not persist. If it gradually recedes and toxins dissipate, recovery is possible; if it persists and does not recede, death is inevitable.
[Annotation] The appearance of a rapid-intermittent pulse in un-ulcerated or ulcerated abscesses indicates yang stagnation, which should be temporary rather than persistent. If the rapid-intermittent pulse gradually recedes, toxins will also dissipate, and recovery may still be possible. If it persists and does not recede, death is certain.
[Verse] The knotted pulse (Jie Mai, knotted pulse) in an un-ulcerated abscess indicates yin stagnation, requiring urgent warming and resolution for recovery. If a knotted pulse appears after ulceration due to yin deficiency with intermittent pauses, it is not necessarily fatal. However, if the pauses resemble those of a substitute pulse (Dai Mai, substitute pulse), death is certain.
[Annotation] A knotted pulse in an un-ulcerated abscess indicates yin stagnation. Urgent use of warming, dispersing, and detoxifying decoctions is required for efficacy. If a knotted pulse appears after ulceration, it represents intermittent pauses due to yin deficiency and does not necessarily indicate death. However, if the pauses are like those of a substitute pulse—where the beat stops and cannot return spontaneously—it is a true organ pulse, and its appearance definitely indicates death.