脉有七诊。曰浮中沉、上下左右，消息求寻。
又有九候，举按轻重，三部浮沉，各候五动。
寸候胸上，关候膈下，尺候于脐，下至跟踝。
左脉候左，右脉候右。病随所在，不病者否。
浮为心肺，沉为肾肝，脾胃中州，浮沉之间。
心脉之浮，浮大而散。肺脉之浮，浮涩而短。
肝脉之沉，沉而弦长。肾脉之沉，沉实而濡。
脾胃属土，脉宜和缓。命为相火，左寸同断。
与皮毛相得曰浮，按之至骨曰沉，中则在浮沉之间，上下即寸与尺，此概两手
六部而言也；左右，左手、右手也，是谓七诊。言能消息细求，错综审别，则上下
表里之病，无遁情矣。一说上下左右，即脉要精微论所云∶尺内两旁，则季胁也。
尺外以候肾，尺里以候腹中。附上，左外以候肝，内以候膈；右外以候胃，内以候
脾。上附上，右外以候肺，内以候胸中；左外以候心，内以候膻中。前以候前，后
以候后。上竟上者，胸、喉中事也。下竟下者，少腹、腰、股、膝、胫、足中事也。（
竟，尽也。上竟于鱼际，下竟于尺末。）又《素问》三部九候论云∶独小者病，独大者病，独疾者
病，独迟者病，独热者病，独寒者病，独陷下者病。亦谓之七诊，但与本文七诊之
义不同，当参看。九候者，言脉分三部。三部中，各有浮中沉，是谓九候。九候之
情形，非举按轻重不能得，其候以五动为准。寸则候胸上至头之疾，关候膈下至脐
之疾，尺候脐下至足之疾。左脉候身之左，右脉候身之右。病随脉之所在而见。不
病，则脉不应。与前七诊，大同小异。（七诊九候当参看。）总不外仲景所谓效象形容四字而
已。心肺居上，脉应浮。肾肝居下，脉应沉。脾胃居心肺肾肝之间，谓之中州，脉
亦应在浮沉之间。心肺同一浮也，但浮大而散者，象夏火，故属心；浮涩而短者，
象秋金，故属肺。肝肾同一沉也，但沉而弦长者，象春木，故属肝；沉实而濡者，
象冬水，故属肾。脉和而缓，不虚微，不实强，不疾不迟，自有一种舒徐冲融气象，
土之性也，脾胃宜之。命门右肾，固舍相火，然终不能离水位，故与左同断。
脉诊有七种方法，即浮、中、沉三种指力，以及上、下、左、右四个部位，需要仔细推敲寻索。
又有九候之法，通过举按的轻重力度，在寸、关、尺三部中分别探查浮、中、沉的变化，各候察五次搏动。
寸部脉候察胸膈以上的病变，关部脉候察膈肌以下的病变，尺部脉候察脐部，向下延伸至脚跟和脚踝。
左手脉候察身体左侧，右手脉候察身体右侧。疾病随着脉象出现的部位而显现，没有疾病的部位则无异常反应。
浮脉对应心肺，沉脉对应肾肝，脾胃位于中焦（中州），其脉象介于浮与沉之间。
脾胃属土，脉象宜平和舒缓。命门相火，在左寸脉处共同诊察判断。
脉气与皮毛相应称为浮，按压至骨称为沉，中间则在浮沉之间，上下即指寸部和尺部，这是概括两手六部而言；左右，即左手和右手，这被称为七诊。意思是能够仔细推敲、综合审辨，那么上下表里的病情就无处隐藏了。另一种说法认为，上下左右，就是《脉要精微论》中所说的：尺部内侧两旁，候季胁。尺部外侧候肾，尺部内侧候腹中。附上（关部），左手外侧候肝，内侧候膈；右手外侧候胃，内侧候脾。再往上（寸部），右手外侧候肺，内侧候胸中；左手外侧候心，内侧候膻中。前侧候身前，后侧候身后。上竟于上者，是胸、喉中的事。下竟于下者，是少腹、腰、股、膝、胫、足中的事。（竟，意为尽。上尽于鱼际，下尽于尺泽末端。）又《素问·三部九候论》说：独小的是病，独大的是病，独快的是病，独慢的是病，独热的是病，独寒的是病，独陷下的是病。这也称为七诊，但与本文七诊的含义不同，应当参考查看。九候，是指脉分三部。三部中，各有浮、中、沉，这称为九候。九候的情形，非通过举按轻重不能得知，其候察以五次搏动为准。寸部则候察从胸上至头部的疾病，关部候察从膈下至脐部的疾病，尺部候察从脐下至足部的疾病。左手脉候察身体左侧，右手脉候察身体右侧。疾病随着脉象所在的部位而显现。没有疾病，则脉象无应验。与前文七诊大同小异。（七诊九候应当参看。）总不外乎张仲景所说的“效、象、形、容”四个字而已。心肺居上，脉象应浮。肾肝居下，脉象应沉。脾胃居于心肺肾肝之间，称为中州，脉象也应在浮沉之间。心肺同为浮脉，但浮大而散的，象征夏季之火，故属于心；浮涩而短的，象征秋季之金，故属于肺。肝肾同为沉脉，但沉而弦长的，象征春季之木，故属于肝；沉实而濡软的，象征冬季之水，故属于肾。脉象平和舒缓，不虚微，不实强，不快不慢，自有一种舒徐冲融的气象，这是土的性情，脾胃适宜这种脉象。命门右肾，固然藏有相火，但最终不能脱离水位，所以与左寸脉一同诊察判断。
There are seven examinations of the pulse, namely floating (Fu), middle (Zhong), and sinking (Chen) pressures, along with upper, lower, left, and right positions, requiring careful deliberation and search.
There is also the nine-hold method, involving light lifting and heavy pressing, examining the floating, middle, and sinking aspects in the three positions (Cun, Guan, Chi), each holding for five beats.
The Cun position examines diseases above the chest; the Guan position examines diseases below the diaphragm; the Chi position examines the navel, extending down to the heels and ankles.
The left pulse examines the left side of the body; the right pulse examines the right side. Diseases manifest according to their location; where there is no disease, there is no response.
Floating pulses correspond to the Heart and Lung; sinking pulses correspond to the Kidney and Liver; the Spleen and Stomach reside in the Central Region (Zhongzhou), with pulses between floating and sinking.
The floating aspect of the Heart pulse is large, floating, and scattered; the floating aspect of the Lung pulse is coarse, floating, and short.
The sinking aspect of the Liver pulse is deep, wiry, and long; the sinking aspect of the Kidney pulse is solid, deep, and soft.
The Spleen and Stomach belong to Earth, and their pulse should be harmonious and moderate. The Ministerial Fire of the Mingmen is diagnosed together at the left Cun position.
When the pulse qi corresponds with the skin and hair, it is called floating; pressing until the bone is called sinking; the middle lies between floating and sinking. Upper and lower refer to the Cun and Chi positions, generally speaking of the six positions on both hands; left and right refer to the left and right hands. This is called the seven examinations. It means that if one can carefully deliberate and comprehensively distinguish, the conditions of the interior and exterior, upper and lower will not hide their true nature. Another interpretation states that "upper, lower, left, right" refers to what is said in the *Lmai Yao Jing Wei Lun*: the sides inside the Chi position correspond to the hypochondrium; the outside of the Chi corresponds to the Kidneys; the inside of the Chi corresponds to the abdomen. Above this (Guan position), the outside of the left corresponds to the Liver; the inside corresponds to the diaphragm; the outside of the right corresponds to the Stomach; the inside corresponds to the Spleen. Further up (Cun position), the outside of the right corresponds to the Lung; the inside corresponds to the chest center; the outside of the left corresponds to the Heart; the inside corresponds to the Danzhong. The anterior part examines the front of the body; the posterior part examines the back. "Upper reaches its end" refers to matters of the chest and throat. "Lower reaches its end" refers to matters of the lower abdomen, waist, thighs, knees, shins, and feet. ("End" means limit. Upper ends at the Yuji point; lower ends at the end of the Chi position.) Also, the *Suwen: Sanbu Jiuhou Lun* says: Only small indicates disease; only large indicates disease; only rapid indicates disease; only slow indicates disease; only hot indicates disease; only cold indicates disease; only sunken indicates disease. This is also called the seven examinations, but differs in meaning from the seven examinations in this text, so they should be consulted together. The nine holds refer to dividing the pulse into three sections. Within each of the three sections, there are floating, middle, and sinking, which constitutes the nine holds. The characteristics of the nine holds cannot be obtained without varying the pressure of lifting and pressing; the examination is based on five beats. The Cun position examines diseases from the chest up to the head; the Guan position examines diseases from below the diaphragm to the navel; the Chi position examines diseases from below the navel to the feet. The left pulse examines the left side of the body; the right pulse examines the right side. Diseases manifest according to the location of the pulse. If there is no disease, the pulse does not respond. This is largely similar to the previous seven examinations. (The seven examinations and nine holds should be consulted together.) Ultimately, it does not go beyond the four characters described by Zhang Zhongjing: "effect, image, form, description." The Heart and Lung reside above, so their pulses should be floating. The Kidney and Liver reside below, so their pulses should be sinking. The Spleen and Stomach reside between the Heart/Lung and Kidney/Liver, called the Central Region, so their pulses should also be between floating and sinking. Both Heart and Lung have floating pulses, but the large, floating, and scattered pulse resembles Summer Fire, thus belonging to the Heart; the coarse, floating, and short pulse resembles Autumn Metal, thus belonging to the Lung. Both Liver and Kidney have sinking pulses, but the deep, wiry, and long pulse resembles Spring Wood, thus belonging to the Liver; the solid, deep, and soft pulse resembles Winter Water, thus belonging to the Kidney. A pulse that is harmonious and moderate, neither deficient nor weak, neither excessive nor strong, neither rapid nor slow, naturally possesses a relaxed and balanced demeanor, which is the nature of Earth, suitable for the Spleen and Stomach. The Mingmen Right Kidney certainly houses the Ministerial Fire, but ultimately cannot depart from the Water element, so it is diagnosed together with the left Cun.