中风之病,脉喜浮迟,硬大疾实,其凶可知。伤寒热病,脉喜浮洪,沉细弦涩,症
反必凶。汗后脉静,身凉自安。汗后脉疾,热病难痊。脉阳症阴,命必多殆。阴症阳脉,虽
困无害。劳倦内伤,右关虚弱。汗出脉疾,死症可必,疟脉多弦,弦数者热,弦迟者寒,代
散则死。泄泻痢疾,沉细缓滑,弦实浮数,发热则卒。呕吐反胃,浮滑者昌,弦数细涩,结
肠者亡。霍乱之症,代脉勿讶,洪滑是顺,细涩可嗟。咳脉多浮,浮滑者生,弦疾沉涩,伏
大者殂。喘急气逆,浮滑者顺,沉涩疾大,肢寒逆症。火旺之症,洪数为宜,细数无神,魂
魄欲离。骨蒸发热,洪数为虚,热而涩细,必殒其躯。痨病诸虚,浮细虚大,沉涩弦数,其
死可必。失血脉芤,缓细却宜,数实弦疾,此症堪忧。蓄血之病,牢大可医,沉涩而细,速
愈者稀。三消之脉,数大者生,短涩细散,到手生惊。小便淋闭,鼻色现黄,实大可疗,涩
细乃亡。遗精白浊,迟细易治,浮虚疾大,危期恐至。大便不通,疾散者凶。心腹之痛,细
迟速愈,浮大弦疾,必是延久。疝为肝病,脉必弦疾,弦牢者生,弱疾者死。黄胆湿热,洪
数为宜,细涩口渴,便利难医。胀肿痞满,浮大弦实,沉细而虚,岐黄无术。积聚 瘕,脏
腑分治,实大可生,沉细难愈。狂癫之症,浮洪不妨,沉细弦实,必见凶殃。头痛浮弦,短
涩难治,汗脉细迟,紧数者死。昏厥肢冷,沉弱可畏。郁闷之脉,数滑相当,沉牢弦涩,此
病多亡。痉脉弦紧,角弓反张,沉伏而细,病必丧亡。筋脉拘急,浮弱者生,弦实疾大,必
然病增。中毒腹胀,细紧无妨,浮大如何,命乃危亡。鬼祟之脉,或大或小,细紧何忧,浮
大可愁。痈疽未溃,脉宜洪大,及其已溃,短散有害。肺痈数实,肺痿数弱。面白无神,脉
宜短涩。浮大相逢,气血损失。肠痈实热,滑数主吉,沉细无根,其死可测,妇人之脉,细
涩难产,浮弱血虚,沉迟经闭,滑疾怀胎,欲产沉散,新产宜缓,弦实必凶。血崩虚迟,数
大者危。带下浮弦,疾实者死。心绝之脉,硬疾而牢,一日可忧。肝绝之脉,硬疾而弦,八
日而亡。脾绝之脉,虚疾而散,四日难留。肺绝之脉,短涩而散,三日而没。肾绝之脉,硬
疾而散,四日莫挽。其有过期者,能食故也。
中风病,脉象以浮迟为吉,若见硬、大、疾、实之脉,其凶险可知。伤寒热病,脉象以浮洪为吉,若见沉、细、弦、涩之脉,病情反而凶险。发汗后脉象平静,身体凉爽则自然安康;发汗后脉象急疾,热病难以痊愈。阳证出现阴脉,生命多有危险;阴证出现阳脉,虽然困顿但无大害。劳倦内伤,右关脉虚弱。出汗后脉象急疾,必是死症;疟疾病脉多呈弦象,弦数主热,弦迟主寒,代脉或散脉则主死。泄泻痢疾,脉象以沉、细、缓、滑为顺,若见弦、实、浮、数之脉,发热则致死迅速。呕吐反胃,脉象浮滑者预后良好,弦、数、细、涩之脉,或见结脉,预后不良甚至死亡。霍乱病症,出现代脉不必惊讶,洪滑脉为顺证,细涩脉则令人叹息。咳嗽脉象多浮,浮滑者生,弦、疾、沉、涩之脉,或伏大而有力者则死亡。喘急气逆,脉象浮滑为顺,沉、涩、疾、大之脉,伴四肢寒冷则为逆症。火旺病症,脉象洪数为宜,细数而无神,魂魄欲离。骨蒸发热,脉象洪数为虚热,若热而脉涩细,必然丧命。痨病诸虚证,脉象浮细或虚大为佳,若见沉、涩、弦、数之脉,死亡可定。失血证脉象芤脉为常,缓细脉却适宜,若见数、实、弦、疾之脉,此症堪忧。蓄血病,脉象牢大可治,若见沉、涩、细脉,快速痊愈者稀少。三消病(糖尿病类)脉象,数大者生,短、涩、细、散之脉,诊得令人心惊。小便淋闭,鼻色现黄,脉象实大可疗,涩细脉则亡。遗精白浊,迟细脉易治,浮虚、疾大脉,危期恐至。大便不通,脉象疾散者凶。心腹疼痛,脉象细迟者速愈,浮大、弦、疾之脉,必定病程迁延。疝气属肝病,脉必弦疾,弦牢者生,弱疾者死。黄疸湿热,脉象洪数为宜,若见细涩且口渴,二便不利则难医。胀肿痞满,脉象浮大、弦实为佳,若见沉细而虚,即使岐伯、黄帝也无能为力。积聚瘕块,脏腑分治,脉象实大可生,沉细脉难愈。狂癫病症,脉象浮洪不妨,若见沉、细、弦、实之脉,必见凶殃。头痛脉象浮弦,短涩者难治,汗出后脉象细迟,紧数者死。昏厥肢冷,脉象沉弱可畏。郁闷之脉,数滑脉相当,若见沉、牢、弦、涩之脉,此病多致死亡。痉病脉象弦紧,角弓反张,若见沉、伏、细脉,病必丧亡。筋脉拘急,脉象浮弱者生,弦、实、疾、大之脉,必然病增。中毒腹胀,脉象细紧无妨,若见浮大脉,性命乃危亡。鬼祟之脉,或大或小,细紧何须担忧,浮大则令人发愁。痈疽未溃,脉象宜洪大,及其已溃,脉象短散有害。肺痈脉数实,肺痿脉数弱。面白无神,脉象宜短涩,若见浮大脉相逢,气血损失。肠痈实热,滑数脉主吉,沉细无根脉,其死可测。妇人之脉,细涩脉难产,浮弱脉血虚,沉迟脉经闭,滑疾脉怀胎,欲产时脉沉散,新产后脉宜缓,弦实脉必凶。血崩脉虚迟,数大脉者危。带下脉浮弦,疾实脉者死。心绝之脉,硬疾而牢,一日可忧。肝绝之脉,硬疾而弦,八日而亡。脾绝之脉,虚疾而散,四日难留。肺绝之脉,短涩而散,三日而没。肾绝之脉,硬疾而散,四日莫挽。其有过期者,因能食故也。
In stroke disease, a floating and slow pulse is auspicious; if the pulse is hard, large, rapid, or excess, its ominous nature is evident. In cold damage and febrile diseases, a floating and surging pulse is auspicious; if the pulse is deep, fine, wiry, or choppy, the condition is necessarily ominous. After sweating, if the pulse is calm and the body is cool, health returns naturally; after sweating, if the pulse is rapid, the febrile disease will be difficult to cure. A yin pulse in a yang syndrome indicates that life is in great danger; an yang pulse in a yin syndrome, though distressing, is not harmful. In injuries from fatigue and overwork, the right Guan position (position corresponding to the Spleen and Stomach) is weak and deficient. Sweating accompanied by a rapid pulse indicates a certain death; malaria pulses are mostly wiry, wiry and rapid indicates heat, wiry and slow indicates cold, while a intermittent or scattered pulse indicates death. In diarrhea and dysentery, a deep, fine, slow, or slippery pulse is favorable; a wiry, excess, floating, or rapid pulse with fever leads to sudden death. In vomiting and regurgitation, a floating and slippery pulse indicates prosperity (good prognosis); a wiry, rapid, fine, or choppy pulse, or a knotted pulse, indicates death. In cholera-like symptoms, do not be surprised by an intermittent pulse; a surging and slippery pulse is favorable, while a fine and choppy pulse is lamentable. Cough pulses are mostly floating; a floating and slippery pulse indicates life, while a wiry, rapid, deep, or choppy pulse, or a hidden and large pulse, indicates death. In panting and急促 qi reversal, a floating and slippery pulse is favorable; a deep, choppy, rapid, or large pulse with cold limbs indicates a counterflow syndrome. In fire-excess syndromes, a surging and rapid pulse is appropriate; a fine and rapid pulse without spirit indicates the soul and spirit are about to depart. In bone-steaming fever, a surging and rapid pulse indicates deficiency-heat; if there is heat with a choppy and fine pulse, death is inevitable. In consumption and various deficiency syndromes, a floating and fine or empty and large pulse is good; a deep, choppy, wiry, or rapid pulse indicates certain death. In blood loss, a hollow pulse is expected, and a slow and fine pulse is suitable; a rapid, excess, wiry, or rapid pulse makes this condition worrying. In blood stasis disease, a firm and large pulse is treatable; a deep, choppy, and fine pulse indicates that quick recovery is rare. In the three consumptions (San Xiao), a number and large pulse indicates life, while a short, choppy, fine, or scattered pulse causes alarm upon palpation. In strangury and urinary retention, if the nose shows yellow color, a solid and large pulse is treatable, but a choppy and fine pulse indicates death. In spermatorrhea and white turbidity, a slow and fine pulse is easy to treat; a floating, deficient, rapid, or large pulse indicates that the critical period may arrive. In constipation, a rapid and scattered pulse is ominous. In heart and abdominal pain, a fine and slow pulse indicates quick recovery; a floating, large, wiry, or rapid pulse indicates prolonged illness. Hernia is a Liver disease, so the pulse must be wiry and rapid; a wiry and firm pulse indicates life, while a weak and rapid pulse indicates death. In jaundice due to damp-heat, a surging and rapid pulse is appropriate; a fine and choppy pulse with thirst and difficulty in urination and defecation is difficult to treat. In distension, swelling, and fullness, a floating, large, wiry, or excess pulse is good; a deep, fine, and deficient pulse means even Qi Bo and Huang Di would have no remedy. In accumulations and masses, treatment differs by Zang and Fu organs; a solid and large pulse indicates life, while a deep and fine pulse is difficult to cure. In mania and epilepsy, a floating and surging pulse is not concerning; a deep, fine, wiry, or excess pulse indicates certain misfortune. In headache, a floating and wiry pulse is common, but a short and choppy pulse is difficult to treat; after sweating, a fine and slow pulse is normal, but a tight and rapid pulse indicates death. In fainting and cold limbs, a deep and weak pulse is frightening. In depression, a number and slippery pulse is appropriate; a deep, firm, wiry, or choppy pulse indicates that this disease often leads to death. In spasm, the pulse is wiry and tight with opisthotonos; a deep, hidden, and fine pulse indicates certain death. In muscle and tendon cramping, a floating and weak pulse indicates life, while a wiry, excess, rapid, or large pulse indicates inevitable worsening of the disease. In poisoning with abdominal distension, a fine and tight pulse is harmless; a floating and large pulse indicates that life is in danger. In ghostly afflictions, the pulse may be large or small; a fine and tight pulse need not be worried about, but a floating and large pulse is worrying. In unruptured carbuncles and sores, the pulse should be surging and large; once ruptured, a short and scattered pulse is harmful. In lung abscess, the pulse is number and excess; in lung flaccidity, the pulse is number and weak. If the face is pale and lacks spirit, the pulse should be short and choppy; if a floating and large pulse meets this, it indicates loss of Qi and Blood. In intestinal abscess with excess-heat, a slippery and number pulse is auspicious; a deep and fine pulse without root indicates measurable death. In women's pulses, a fine and choppy pulse indicates difficult labor; a floating and weak pulse indicates blood deficiency; a deep and slow pulse indicates amenorrhea; a slippery and rapid pulse indicates pregnancy; a deep and scattered pulse indicates impending delivery; after new birth, a slow pulse is appropriate; a wiry and excess pulse is necessarily ominous. In metrorrhagia, a deficient and slow pulse is expected, while a number and large pulse is dangerous. In leukorrhea, a floating and wiry pulse is seen; a rapid and excess pulse indicates death. The pulse of Heart exhaustion is hard, rapid, and firm, causing worry within one day. The pulse of Liver exhaustion is hard, rapid, and wiry, leading to death in eight days. The pulse of Spleen exhaustion is deficient, rapid, and scattered, making it difficult to survive four days. The pulse of Lung exhaustion is short, choppy, and scattered, disappearing in three days. The pulse of Kidney exhaustion is hard, rapid, and scattered, irrecoverable in four days. Those who exceed these timeframes can eat, which sustains them.