雀啄连在三五啄。屋漏半日一点落。弹石硬来寻即散。搭指散乱真解索。鱼翔似有一拟
无。虾游静中跳一跃。寄语医家仔细看。六脉一见休饵药。
脉浮犹如水漂木。表有余兮里不足。浮而无力则为芤。傍实中空应淖衄。
浮与洪相类
洪脉荡荡浮泛泛。力薄为浮浓者洪。浮洪二象由来异。迷于专言易拙工。
弦似张弓紧似经。经方体驶十分精。紧言其力弦言象。识此超然付老成。
脉滑往来极流利。指下如珠圆替替。数则专言至数加。分明滑数非同类。
实大而长指下全。按如鼓革最牢坚。较之实脉不应别。隐指仍强 然。
举无按有脉名沉。伏极其沉深复深。沉伏要知真脉象。浅深深浅细斟寻。
小之又小号微脉。短细迟难是为涩。良工诊候倘逢之。细密精详为消息。
软脉优柔其力薄。极软如无则为弱。莫教软弱一般论。一脉才差一切错。
脉迟一息来三至。缓比之迟仍小驶。迟为病冷缓为和。缓大虚风之病起。
力柔为软本非迟。软与形合细推之。软则但将其力取。迟来三息又何疑。
出三关者是为长。弦则非然但满张。弦脉与长争较远。良工尺度自能量。
脉洪真似涌波涛。细细而来气势高。虚脉廓然微旷荡。消详分析在丝毫。
脉号于洪力不轻。其中微曲似钩形。只缘举按皆强盛。实脉于焉别立名。
厥厥动摇如豆大。脉名为动几曾停。圆圆转转底名滑。脉脉谁知有迳庭。
雀啄脉：脉搏急促，连续跳动三四次后停顿一下，如同麻雀啄食。
屋漏脉：脉搏极慢，半天才落下一次，如同屋顶漏水滴落。
弹石脉：脉象坚硬，指下感觉如石头弹击，随即消散。
解索脉：脉象散乱无章，如同解开绳索般杂乱。
鱼翔脉：脉象似有似无，如同鱼儿游动时尾鳍摆动的样子。
虾游脉：脉象在静止中突然跳跃一下，如同虾在水中游动。
寄语各位医生仔细诊察：六怪脉（雀啄、屋漏、弹石、解索、鱼翔、虾游）一旦见到，切勿用药治疗（意指预后不良，非药石可及）。
浮脉：脉象浮于表面，如同木头漂浮在水面上。这是表证有余而里气不足的征象。
芤脉：浮取有力但重按无力，中间空两边实，应当对应鼻出血等症状。
洪脉与浮脉相似之处：
洪脉：脉势荡荡然，浮泛而大。力量薄弱的是浮脉，气势浓盛的是洪脉。浮脉和洪脉两种形象由来不同，如果混淆专一而言，容易成为拙劣的医生。
弦脉：像拉紧的弓弦一样紧绷。经方中描述其体势十分精准。紧脉强调力度，弦脉强调形态，认清这一点，高超的医术自然交付给老练的医生。
滑脉：往来流动极其流利，指下感觉如珠子圆润滚动。数脉专门指至数增加（跳得快），清楚地知道滑脉和数脉不是同类。
实脉：脉形大而长，指下充实完整。重按时如鼓皮般牢坚。与普通的实脉相比没有区别，隐伏于指下依然强劲有力。
沉脉：轻举手指摸不到，重按才有感觉，这种脉叫沉脉。伏脉是比沉脉更深更深的脉象。要知晓沉脉和伏脉的真实现象，需要在浅深之间细细斟酌探寻。
微脉：小之又小的脉叫做微脉。短、细、迟、难（往来艰涩）这几种特征合起来称为涩脉。高明的医生在诊候时如果遇到这些脉象，需要细致精密地分析以判断病情。
软脉：脉象优柔寡断，力度薄弱。极度柔软若无脉象则为弱脉。不要将软弱混为一谈，一脉之差，整体判断就会出错。
迟脉：一呼一吸之间脉搏只来三次。缓脉比起迟脉仍然稍快一些。迟脉主病冷，缓脉主平和（或虚风之病起，此处原文“缓为和”通常指缓而和匀为平脉，或缓大主虚风，依文意译为缓主平和/虚风）。
软脉：力度柔和本不属于迟脉。软脉需结合形态细细推敲。软脉只需取其力度特征，至于迟脉一息三至，又有何可疑？
长脉：脉气超出三部（寸关尺）界限的称为长脉。弦脉则不然，只是充满张力。弦脉与长脉相差甚远，高明的医生自有尺度能量。
洪脉：真正的洪脉好似涌动的波涛，细细而来但气势高昂。虚脉廓然空旷微弱荡漾。详细分析在于毫厘之间。
实脉：脉号实脉，力度不轻。其中微曲似钩的形状。只因为举按皆强盛，实脉因此单独立名。
动脉：厥厥动摇，大小如豆，脉名为动，几乎没有停止。圆圆转转的是什么脉？那是滑脉。脉脉谁知其中有迥异之处（指动脉与滑脉的区别）。
Que Zhuo Mai (Sparrow Pecking Pulse): The pulse beats rapidly and intermittently, stopping after three or four beats, resembling a sparrow pecking at food.
Wu Lou Mai (House Leak Pulse): The pulse is extremely slow, falling only once every half day, resembling water dripping from a leaking roof.
Dan Shi Mai (Flicking Stone Pulse): The pulse feels hard and stiff under the finger, like a stone striking and then dissipating immediately.
Jie Suo Mai (Untying Rope Pulse): The pulse is scattered and disorganized, resembling the chaos of untying a rope.
Yu Xiang Mai (Fish Swimming Pulse): The pulse seems to exist yet not exist, resembling the flickering movement of a fish's tail while swimming.
Xia You Mai (Shrimp Swimming Pulse): The pulse suddenly jumps amidst stillness, resembling a shrimp leaping in water.
A message to physicians: Examine carefully. Once any of the Six Strange Pulses are seen, do not administer medicine (implying a poor prognosis beyond medicinal reach).
Fu Mai (Floating Pulse): The pulse floats on the surface, like wood drifting on water. This indicates excess in the exterior and insufficiency in the interior.
Kou Mai (Hollow Pulse): If floating but weak upon heavy pressure, with emptiness in the center and fullness on the sides, it should correspond to symptoms such as epistaxis (nosebleed).
Similarities between Fu Mai (Floating Pulse) and Hong Mai (Surging Pulse):
Hong Mai (Surging Pulse): The pulse momentum is vast and expansive. Weak force characterizes the Floating Pulse, while strong intensity characterizes the Surging Pulse. The images of Floating and Surging pulses have different origins; confusing them leads to inept medical practice.
Xian Mai (Bowstring Pulse): Tight and tense like a drawn bowstring. Classical formulas describe its physical state with precision. Jin Mai (Tight Pulse) emphasizes force, while Xian Mai emphasizes form; recognizing this distinction allows superior skill to be entrusted to experienced physicians.
Hua Mai (Slippery Pulse): Flows back and forth with extreme smoothness; under the fingers, it feels like round pearls rolling continuously. Shuo Mai (Rapid Pulse) specifically refers to an increased frequency (beats per breath); clearly, Slippery and Rapid pulses are not of the same category.
Shi Mai (Full Pulse): Large, long, and completely solid under the fingers. Pressed heavily, it feels firm and hard like a drum skin. Compared to standard Full pulses, there is no difference; hidden beneath the fingers, it remains strong.
Chen Mai (Deep Pulse): Not felt when lifted lightly, but present upon deep pressing; this is called Deep Pulse. Fu Mai (Hidden Pulse) is even deeper than Deep Pulse. To know the true nature of Deep and Hidden pulses, one must carefully examine the nuances of depth.
Wei Mai (Fine Pulse): A pulse that is small and minute is called Fine Pulse. Short, thin, slow, and difficult (labored) characteristics combined constitute Se Mai (Rough Pulse). When skilled physicians encounter these pulses during diagnosis, they must analyze them meticulously to determine the condition.
Ruan Mai (Soft Pulse): The pulse is gentle and yielding, with weak force. Extremely soft, almost imperceptible, is called Ruo Mai (Weak Pulse). Do not conflate Soft and Weak; a slight difference in one pulse can lead to errors in all judgments.
Chi Mai (Slow Pulse): Three beats per respiration cycle. Huan Mai (Moderate Pulse) is slightly faster than Slow. Chi Mai indicates cold pathology, while Huan Mai indicates harmony (or the onset of deficiency wind disease).
Ruan Mai (Soft Pulse): Gentle force does not inherently indicate Slowness. Ruan Mai requires careful consideration of its form. For Ruan Mai, only its force is taken into account; for Chi Mai, three beats per respiration leave no doubt.
Chang Mai (Long Pulse): Pulse qi extending beyond the three positions (Cun, Guan, Chi) is called Long Pulse. Xian Mai is different, characterized merely by tension. Xian Mai and Chang Mai differ significantly; skilled physicians possess their own standards to measure them.
Hong Mai (Surging Pulse): Truly resembles surging waves, coming subtly yet carrying high momentum. Xu Mai (Deficient Pulse) is vast, empty, faint, and fluctuating. Detailed analysis lies in the finest distinctions.
Shi Mai (Full Pulse): Named Full Pulse, the force is not light. It has a slight curve resembling a hook shape. Because it is strong upon both lifting and pressing, Full Pulse is established as a distinct category.
Dong Mai (Moving Pulse): Trembling like a bean, named Moving Pulse, rarely ceasing. What is round and rolling? That is Hua Mai (Slippery Pulse). Who knows that among pulses, there are such distinct differences?