关上浮而数,胃中热。
关上浮大,风在胃中,腹胀急,心下澹澹然,羸瘦不能食。(《千金》云关上浮大,风
有胃中,弱口肩息,心下澹澹,食欲呕。)
关上细微而绝者,腹中癖,少气,不能食。
关上微而芤,唾血亦吐血。
关上弦紧而细,症在胃管。
关上紧而滑者,蛔虫动。
关上微浮,积热在胃中。
关上滑而大小不均,是为病方欲来,不出一二日内复欲发动,其人欲多饮,饮即注痢,
如痢止者生,不止者死。
关上弦大,有痛在脐左右上下。(《脉经》云∶关脉弦长者,积在脐左右上下。)
尺中紧数而弦,下痢病。
迟中浮数,小便不利,尿黄。
尺中微而滑,带下病。
尺中微而芤,尿血。
迟中弦而细,症在脐下。
尺中细而急,筋挛疼痹,不能行。
尺中细而滑,妇人欲产。
尺中虚小者,足胫痿、寒痹、脚疼。
尺中虚者,漏血,小便不禁。
尺中沉细者,名曰阴中之阴病。苦两脚疼酸,不能久立,阴气衰,小便有余沥,阴下湿
痒。
尺脉滑而浮大者,名曰阴中之阳病。苦少腹痛满不能尿,尿则阴中痛,大便亦热。
尺中牢长,关上无有,此为阴干阳病。苦两胫重,少腹引腰痛。
尺寸俱数,有热;俱迟,有寒。
尺寸俱濡,发热汗出。
尺寸俱浮直下,此为督脉,腰皆强痛,不得俯仰,大人癫病,小儿风痫。
尺寸俱微,血气不足,其人短气。
尺寸俱牢,直上直下,此为通冲脉,胸中有寒疝。
关部脉象浮而数,表示胃中有热。
关部脉象浮大,表示风邪在胃中,出现腹部胀满急迫,心下悸动不安,身体消瘦且无法进食。(《千金方》记载:关脉浮大,风邪在胃中,脉弱伴肩息,心下悸动,食欲减退欲呕。)
关部脉象细微甚至似有若无,表示腹中有癖积,气短,无法进食。
关部脉象微而芤(中空),会出现唾血或吐血。
关部脉象弦紧而细,病位在胃管(食管/胃脘)。
关部脉象紧而滑,表示蛔虫扰动。
关部脉象微浮,表示积热在胃中。
关部脉象滑而大小不均,这是疾病即将发作的征兆,在一两天内会再次发动,患者想多饮水,喝水后随即发生泄泻如水注下,如果泄泻停止则生,不停止则死。
关部脉象弦大,表示脐周左右上下有疼痛积聚。(《脉经》记载:关脉弦长,积聚在脐周左右上下。)
尺部脉象紧数而弦,表示下痢病。
尺部脉象迟中见浮数,小便不利,尿色黄。
尺部脉象微而滑,表示带下病。
尺部脉象微而芤,尿血。
尺部脉象迟中见弦而细,病位在脐下。
尺部脉象细而急,筋脉拘挛疼痛痹阻,不能行走。
尺部脉象细而滑,妇女将要分娩。
尺部脉象虚小,足胫痿软、寒痹、脚痛。
尺部脉象虚,漏血,小便失禁。
尺部脉象沉细,称为阴中之阴病。痛苦于双脚酸痛,不能久站,阴气衰弱,小便有余沥,外阴潮湿瘙痒。
尺部脉象滑而浮大,称为阴中之阳病。痛苦于少腹疼痛胀满不能排尿,排尿时阴中疼痛,大便也发热。
尺部脉象牢长,而关部没有此脉象,此为阴干阳病。痛苦于两小腿沉重,少腹牵引腰痛。
寸部和尺部脉象都数,表示有热;都迟,表示有寒。
寸部和尺部脉象都濡,发热汗出。
寸部和尺部脉象都浮直下,这是督脉病变,腰部僵硬疼痛,不能俯仰,成人患癫病,小儿患风痫。
寸部和尺部脉象都微,血气不足,此人气短。
寸部和尺部脉象都牢,直上直下,这是冲脉病变,胸中有寒疝。
The pulse at the Guan position is floating and rapid, indicating heat in the Stomach.
The pulse at the Guan position is floating and large, indicating wind pathogen in the Stomach, abdominal distension and urgency, palpitations in the epigastrium, emaciation, and inability to eat. (Qianjin Fang records: Guan pulse floating and large, wind pathogen in the Stomach, weak pulse with shoulder breathing, palpitations in the epigastrium, poor appetite with nausea.)
The pulse at the Guan position is fine and minute, or seemingly absent, indicating pi accumulation (masses) in the abdomen, shortness of breath, and inability to eat.
The pulse at the Guan position is minute and kou (cun-kou, hollow), manifesting as spitting blood or hematemesis.
The pulse at the Guan position is wiry, tight, and fine, with the pathology located in the wei guan (esophagus/stomach).
The pulse at the Guan position is tight and slippery, indicating the movement of roundworms.
The pulse at the Guan position is slightly floating, indicating accumulated heat in the Stomach.
The pulse at the Guan position is slippery but irregular in size, signaling that a disease is about to onset; it will flare up again within one or two days. The patient desires excessive drinking, and upon drinking, experiences watery diarrhea. If the diarrhea stops, life is preserved; if it does not stop, death ensues.
The pulse at the Guan position is wiry and large, indicating painful accumulations around the umbilicus, left, right, above, and below. (Mai Jing records: Guan pulse wiry and long, accumulation around the umbilicus, left, right, above, and below.)
The pulse at the Chi position is tight, rapid, and wiry, indicating dysentery.
The pulse at the Chi position is slow but contains floating and rapid qualities, indicating difficult urination and yellow urine.
The pulse at the Chi position is minute and slippery, indicating leukorrhea.
The pulse at the Chi position is minute and kou (hollow), indicating hematuria.
The pulse at the Chi position is slow but contains wiry and fine qualities, with the pathology located below the umbilicus.
The pulse at the Chi position is fine and urgent, manifesting as tendon spasms, pain, bi-syndrome, and inability to walk.
The pulse at the Chi position is fine and slippery, indicating impending childbirth in women.
The pulse at the Chi position is deficient and small, manifesting as flaccidity of the lower legs, cold bi-syndrome, and foot pain.
The pulse at the Chi position is deficient, manifesting as bleeding leakage and urinary incontinence.
The pulse at the Chi position is deep and fine, termed Yin-within-Yin disease. It causes soreness and pain in both feet, inability to stand for long periods, decline of Yin qi, dribbling of urine, and damp-itchiness in the external genitalia.
The pulse at the Chi position is slippery and floating-large, termed Yin-within-Yang disease. It causes pain and fullness in the lower abdomen with inability to urinate; urination causes pain in the yin organs, and the stool feels hot.
The pulse at the Chi position is firm and long, while the Guan position lacks this quality, indicating Yin interfering with Yang disease. It causes heaviness in both calves and lower abdominal pain radiating to the lower back.
If pulses at both Cun and Chi positions are rapid, there is heat; if both are slow, there is cold.
If pulses at both Cun and Chi positions are soft (ru), there is fever and sweating.
If pulses at both Cun and Chi positions are floating and straight down, this indicates Du Mai (Governing Vessel) pathology, characterized by stiff and painful waist, inability to bend forward or backward, epilepsy in adults, and wind-epilepsy in children.
If pulses at both Cun and Chi positions are minute, it indicates insufficiency of blood and qi, manifesting as shortness of breath.
If pulses at both Cun and Chi positions are firm, moving straight up and down, this indicates Chong Mai (Penetrating Vessel) pathology, with cold hernia in the chest.