紧脉主寒，又主诸痛。浮紧表寒，沉紧里痛。
紧与弦相似，但多袅动夭矫之势，所谓如转索者是也。阳为寒束，崛强不平，
故作是状。为诸病者，亦此义耳。浮以候表，浮而紧，寒在表也。（宜温散。）沉以候
里，沉而紧，寒在里也。（宜温中。）里为阴分，以阴寒而袭阴分，阳困阴凝，故痛也。
长脉气平，短脉气病，细则气少，大则病进。
长脉气畅，故曰平。短脉气促，故曰病。细为正不足，故气少也。大为邪有余，故病进也。
浮长风痫，沉短宿食。血虚脉虚，气实脉实。
长类乎弦，亦肝木之象也。《素问》玉机真藏论曰∶肝脉端直以长是也。浮则
为风，风木偏胜，痫证作矣。（宜疏风豁痰养荣，如河间犀角丸、集验龙脑安神丸之类。）沉主里，沉而
短，为中气局促，宿食停留之碍也。（宜温而推之，如和剂感应丸、红丸子之类。）脉为血府，脉虚
者血虚。脉由气行，气实者脉实。
河间犀角丸 治风癫痫，发作有时，扬手掷足，口吐痰涎，不省人事，暗倒屈伸。
犀角末（半两） 赤石脂（三两） 朴硝（二两） 白僵蚕（一两） 薄荷叶（一两）
上为末，面糊丸，如梧子大。每服二三十丸，温水下。二、三服，不拘时。如
觉痰多，即减数。忌油腻炙炒。
集验龙脑安神丸（见第十九）
和剂感应丸 治中虚积冷，气弱有伤，停积胃脘，不能传化。或因气伤冷，或因饥
饱食，饮酒过多，心下坚满，两胁胀痛，心腹大痛，霍乱吐泻，大便频数，后重
迟涩，久痢赤白，脓血相杂，米谷不化，愈而复发。又治中酒呕吐，痰逆恶心
喜睡头眩，胸膈痞满，四肢倦怠，不思饮食，不拘新旧冷积，并皆治之。
南木香 肉豆蔻 丁香（各一两半） 干姜（炮，一两） 巴豆（七十粒，去皮、心、膜，研
出油） 杏仁（一百四十粒，汤泡、去皮尖、研） 百草霜（二两）
上前四味为末，外入百草霜研，与巴豆、杏仁七味同和匀。用好黄蜡六两，溶
化成汁，以重绢滤去滓；更以好酒一升，于银石器内煮蜡数沸，倾出候酒冷，其
蜡自浮于上，取蜡称用。丸，春夏修合。用清油一两，铫内熬令香熟，次下酒煮
蜡四两，同化成汁，就铫内乘热拌和前项药末。秋冬修合，用清油一两半，同煎
煮熟成汁，和前药末成剂，分作小锭，油纸裹放，旋丸服之。每三十丸，空心姜汤下。
和剂红丸子 壮脾胃，消宿食，去膨胀。
京三棱（浸软、切片） 蓬莪术（煨） 青皮（去白） 陈皮（去白，各五斤） 干姜（炮）
胡椒（各三斤）
上为末，用醋面糊丸，如梧桐子大，矾红为衣。每服三十丸，食后姜汤送下。
小儿临时加减与服。
紧脉主要主寒证，又主各种痛证。浮紧脉表示表寒，沉紧脉表示里痛。
紧脉与弦脉相似，但多具有摇曳动荡、屈曲有力的态势，所说的“如转索”就是这种脉象。阳气被寒邪束缚，强劲不平，所以出现这种脉象。其他疾病出现紧脉，也是这个原理。用浮取来候察表证，脉浮而紧，是寒邪在表。（适宜用温散法。）用沉取来候察里证，脉沉而紧，是寒邪在里。（适宜用温中法。）里属于阴分，阴寒之邪侵袭阴分，阳气被困，阴气凝滞，所以发生疼痛。
长脉脉气平和，短脉脉气有病，细脉脉气少，大脉病势进展。
长脉脉气通畅，所以称为平脉。短脉脉气急促，所以称为病脉。细脉是因为正气不足，所以脉气少。大脉是因为邪气有余，所以病势进展。
浮取见长脉主风痫，沉取见短脉主宿食。血虚则脉虚，气实则脉实。
长脉类似弦脉，也是肝木的脉象。《素问·玉机真脏论》说：“肝脉端直以长。”浮取则为风，风木偏胜，痫证发作。（适宜疏风豁痰养荣，如河间犀角丸、集验龙脑安神丸之类。）沉取主里，沉而短，是中气局促，宿食停留阻碍所致。（适宜温通推荡，如和剂感应丸、红丸子之类。）脉为血之府，脉虚者血虚。脉由气推动，气实者脉实。
河间犀角丸 治疗风癫痫，发作有定时，扬手掷足，口吐痰涎，不省人事，突然昏倒，肢体屈伸。
犀角末（半两） 赤石脂（三两） 朴硝（二两） 白僵蚕（一两） 薄荷叶（一两）
以上药物研为细末，用面糊制作丸药，如梧桐子大小。每次服用二三十丸，温水送下。二三次服药，不拘时间。如果觉得痰多，就减少剂量。忌食油腻炙炒食物。
集验龙脑安神丸（见第十九节）
和剂感应丸 治疗中焦虚寒积冷，气弱受损，停滞积聚于胃脘，不能传导消化。或因气伤受冷，或因饥饱饮食，饮酒过多，心下坚硬胀满，两胁胀痛，心腹剧烈疼痛，霍乱吐泻，大便频数，里急后重，排便涩滞，久痢赤白，脓血混杂，米谷不化，病愈后又复发。又治疗醉酒呕吐，痰逆恶心，嗜睡头眩，胸膈痞满，四肢倦怠，不思饮食，不论新旧冷积，都予以治疗。
南木香 肉豆蔻 丁香（各一两半） 干姜（炮制，一两） 巴豆（七十粒，去皮、心、膜，研出油） 杏仁（一百四十粒，热水浸泡、去皮尖、研碎） 百草霜（二两）
将前四味药研为细末，再加入百草霜研匀，与巴豆、杏仁共七味药混合均匀。用好黄蜡六两，溶化成汁，用双层丝绢滤去渣滓；再用好酒一升，在银石器内煮蜡几沸，倒出等待酒冷却，蜡自然浮在上面，取出称量使用。制作丸药，春夏季节配制。用清油一两，在锅内熬至香熟，接着加入酒煮过的蜡四两，一同化成汁，就在锅内趁热拌和前项药末。秋冬季节配制，用清油一两半，同煎煮熟成汁，与前药末混合成剂，分成小锭，用油纸包裹存放，随时丸服。每次三十丸，空腹姜汤送下。
和剂红丸子 强壮脾胃，消除宿食，去除胀满。
京三棱（浸泡软、切片） 蓬莪术（煨制） 青皮（去白） 陈皮（去白，各五斤） 干姜（炮制） 胡椒（各三斤）
以上药物研为细末，用醋和面糊制作丸药，如梧桐子大小，用矾红作为衣色。每次服用三十丸，饭后姜汤送下。小儿根据情况临时加减服用。
Tight pulse (Jin Mai, tight pulse) primarily indicates cold syndrome and various pain syndromes. A floating-tight pulse indicates exterior cold, while a sinking-tight pulse indicates interior pain.
The tight pulse resembles the string-taut pulse (Xian Mai, string-taut pulse), but it possesses a more swaying, dynamic, and tortuous momentum, described as "like a turning rope." Yang Qi is constrained by cold pathogens, becoming rigid and uneven, thus producing this pulse condition. For other diseases exhibiting this pulse, the principle is the same. Floating palpation examines the exterior; if the pulse is floating and tight, cold is in the exterior. (Warm dispersal is indicated.) Sinking palpation examines the interior; if the pulse is sinking and tight, cold is in the interior. (Warming the middle is indicated.) The interior belongs to the Yin aspect. When Yin-cold pathogens invade the Yin aspect, Yang Qi is trapped and Yin condenses, resulting in pain.
The long pulse (Chang Mai, long pulse) has harmonious Qi, whereas the short pulse (Duan Mai, short pulse) indicates pathological Qi. The fine pulse (Xi Mai, fine pulse) indicates deficient Qi, and the large pulse (Da Mai, large pulse) indicates advancing disease.
The long pulse signifies smooth Qi flow, hence termed a normal pulse. The short pulse signifies hurried Qi, hence termed a pathological pulse. The fine pulse arises from deficiency of righteous Qi, hence deficient Qi. The large pulse arises from excess of pathogenic factors, hence advancing disease.
Floating long pulse indicates wind epilepsy; sinking short pulse indicates retained food. Blood deficiency presents with a deficient pulse; Qi excess presents with an excess pulse.
The long pulse is similar to the string-taut pulse and also represents the image of Liver Wood. The *Su Wen* (Plain Questions), Chapter on Jade Machine and True Visceral Pulses, states: "The Liver pulse is straight and long." Floating indicates wind; when Wind-Wood prevails excessively, epilepsy manifests. (Dispersing wind, resolving phlegm, and nourishing Ying is indicated, such as Hejian Xijiao Wan or Jiyan Longnao Anshen Wan.) Sinking indicates the interior; a sinking and short pulse reflects constrained Middle Qi and obstruction caused by retained food. (Warming and pushing out is indicated, such as Heji Ganying Wan or Hongwanzi.) The pulse is the mansion of blood; a deficient pulse indicates blood deficiency. The pulse moves with Qi; an excess pulse indicates Qi excess.
Hejian Xijiao Wan treats wind epilepsy, which occurs at regular intervals, characterized by flinging hands and feet, spitting saliva, loss of consciousness, sudden collapse, and limb flexion/extension.
Rhino Horn Powder (Ban Liang, half tael) Cinnabar Stone (San Liang, three taels) Mirabilite (Liang Er, two taels) White Stiff Silkworm (Yi Liang, one tael) Mint Leaf (Yi Liang, one tael)
Grind the above into powder, mix with dough paste to make pills the size of bird seeds. Take 20-30 pills each time with warm water. Two to three doses, taken at any time. If phlegm is excessive, reduce the dosage. Avoid greasy and roasted foods.
Jiyan Longnao Anshen Wan (See Section 19)
Heji Ganying Wan treats deficiency-cold accumulation in the Middle Jiao, weak Qi with injury, stagnation in the epigastrium unable to transmit and transform. It may be due to Qi injury from cold, irregular eating, or excessive alcohol consumption, leading to hardness and fullness below the heart, distending pain in both hypochondria, severe abdominal pain, cholera-like vomiting and diarrhea, frequent stools, tenesmus, difficult defecation, chronic dysentery with red and white discharge, mixed pus and blood, undigested food, recurrence after recovery. It also treats alcohol-induced vomiting, rebellious phlegm, nausea, drowsiness, dizziness, chest and diaphragm stuffiness, limb fatigue, loss of appetite, and treats all new or old cold accumulations.
Southern Costus Root Nutmeg Clove (Each Yi Liang Ban, one tael and a half) Dried Ginger (Pao, processed, Yi Liang, one tael) Croton Seed (Seventy grains, peeled, core and membrane removed, ground to extract oil) Apricot Kernel (One hundred forty grains, soaked in hot water, peeled, tips removed, ground) Baicao Shuang (Er Liang, two taels)
Grind the first four ingredients into powder, add Baicao Shuang and grind evenly, then mix uniformly with Croton Seed and Apricot Kernel (seven ingredients total). Use six taels of good yellow beeswax, melt into liquid, filter through double-layer silk to remove dregs; boil the wax in one sheng of good wine in a silver or earthenware vessel for a few boils, pour out and let cool until the wine is cold, the wax will float on top. Remove and weigh the wax. Make pills, prepared in spring and summer. Use one tael of clear sesame oil, heat in a pot until fragrant, then add four taels of wine-boiled wax, melt together, and while hot in the pot, mix with the aforementioned powder. Prepared in autumn and winter, use one tael and a half of clear sesame oil, cook until liquid, mix with powder to form a mass, divide into small cakes, wrap in oiled paper, store, and take as needed. Take thirty pills each time on an empty stomach with ginger decoction.
Heji Hongwanzi strengthens the Spleen and Stomach, eliminates retained food, and removes distension.
Burreed Rhizome (Soaked until soft, sliced) Curcuma Zedoaria (Roasted) Green Tangerine Peel (Remove white pith) Tangerine Peel (Remove white pith, five jin each) Dried Ginger (Processed) Pepper (Three jin each)
Grind the above into powder, use vinegar and dough paste to make pills the size of bird seeds, coated with alum-red. Take thirty pills each time after meals with ginger decoction. Adjust dosage for children as needed.