肾脉虚,绵软而沉,又微以濡,凡尺脉得八里,脉又搏击,皆失精,心脉动,多梦交,
六脉濡缓而轻浮,又涩,多溺精。
六脉濡,肾脉沉而细,膀胱脉动而缓以大,心脉动而浮,主小便白浊,肝心脉弦而肾脉
紧而细,重手按之,却来迟去疾小府当赤而浊,肾脉细沉而微紧肺脉重而洪大,小便即少腹
先痛此寒伏于胞络中。
赤脉弦而结,阳中有伏阴,胞满,小便不出,小腹迸胀。
六脉如常人,独脾脉一指疾大而数,唯肾脉差微,主头疼。口干,溺精,此为土邪入肾
,当清其脾。
妇人尺泽带弱,迟八里之脉,膀胱脉动,多下白带,若肾脉搏而沉,阴中湿痒生疮,丈
夫阴湿,此皆精气之失。
六脉皆涩,又迟缓,丈夫失精,妇人败血。
心脉肺脉疾而动,肾脉膀胱动而濡,丈夫溺多口干,若妇人产,乳多口干,即多补其肾
,不可以口干为热。
疝之病,尺脉紧而动,按之即虚。
肺脉轻弦而虚,胃脉沉濡而软,尺脉绵软,寒厥入胃肺,主少腹,少腹当如有形,肾虚
即成 疝疾。
肝脉弦而疾,肾脉绵软而虚,亦为以厥阴只阴器络阴而过,乃为 疝。
六脉急沉,为疝为瘕,为少腹痛,盖疝瘕皆寒搏于中,而急则为痛,肾脉大急沉,为肾
之疝,当暖其肾,肝脉大急沉,为肝之疝,当暖其肝,心脉搏而沉,又急而沉,肺脉同诊,
皆为疝,若小急而不鼓,皆为瘕。
肾脉虚弱,表现为绵软而沉,又微细且濡软。凡是尺部脉象呈现“八里”之象,或者脉搏搏动有力,都是失精的表现。心脉搏动明显,多伴有梦中性交的症状。
六部脉象均濡缓而轻浮,兼见涩象,多为溺精(尿液中混有精液)。
六部脉象濡软,肾脉沉细,膀胱脉搏动而缓大,心脉搏动而浮,主病为小便白浊。肝脉和心脉弦紧,肾脉紧而细,重按之下,脉来迟缓去势急疾,小便应当赤色且浑浊;若肾脉细沉而微紧,肺脉重按洪大,小便量少且少腹先痛,这是寒邪潜伏在胞络之中。
赤脉(心脉)弦而结滞,表示阳中有伏阴,导致胞宫胀满,小便排不出,小腹部迸裂样胀痛。
六部脉象如同常人,唯独脾脉一指下疾大且数,只有肾脉略微微弱,主病为头疼、口干、溺精,这是脾土之邪侵入肾脏,应当清泻脾热。
妇人尺泽部位脉带弱象,迟脉与“八里”脉象并见,膀胱脉搏动,多伴有白带下行;若肾脉搏动而沉,则阴部湿痒生疮,丈夫阴部潮湿,这都是精气流失的表现。
六部脉皆涩,又迟缓,男子表现为失精,女子表现为败血(瘀血阻滞)。
心脉和肺脉疾速而动,肾脉和膀胱脉搏动而濡,男子表现为尿多、口干;若为妇人产后,乳汁多、口干,此时应当多补益肾脏,不可以将口干视为热证。
肺脉轻取弦而虚,胃脉沉濡而软,尺脉绵软,寒邪厥逆进入胃肺,病位在少腹,少腹应当感觉如有形之物积聚,肾虚即可形成疝疾。
肝脉弦而疾速,肾脉绵软而虚,这也是因为足厥阴肝经只循行于阴器并联络阴部,从而形成疝气。
六部脉急沉,表现为疝气或瘕积,以及少腹痛。大概是因为寒邪搏击于体内,脉急则疼痛。肾脉大急沉,为肾疝,应当温暖肾脏;肝脉大急沉,为肝疝,应当温暖肝脏;心脉搏动而沉,又急而沉,肺脉诊察情况相同,都表现为疝气;如果脉象小急但不鼓指,都表现为瘕积。
The Kidney pulse is deficient, appearing soft and deep, as well as slightly fine and soggy. Whenever the Chi (cun) pulse exhibits the "Ba Li" (eight li) characteristic, or when the pulse beats forcefully, it indicates seminal emission. A distinct Heart pulse often accompanies frequent erotic dreams.
When all six pulses are soggy, slow, and superficial, with an additional choppy quality, it indicates spermatorrhea in urine.
When all six pulses are soggy, the Kidney pulse is deep and fine, the Bladder pulse is active, slow, and large, and the Heart pulse is active and floating, the primary symptom is turbid white urine. If the Liver and Heart pulses are wiry, and the Kidney pulse is tight and fine, upon heavy pressure, the pulse comes slowly but departs rapidly; the urine should be red and turbid. If the Kidney pulse is fine, deep, and slightly tight, while the Lung pulse is heavy and large, the urine volume decreases and pain precedes in the lower abdomen; this indicates cold pathogen latent in the Bao Luo (uterine/connective tissue network).
A red pulse (Heart pulse) that is wiry and knotted indicates yin hidden within yang, leading to fullness of the Bao (uterus/womb), inability to urinate, and bursting distension in the lower abdomen.
If the six pulses resemble those of a normal person, except for the Spleen pulse which is rapid, large, and numerous under one finger, and only the Kidney pulse is slightly weak, the symptoms include headache, dry mouth, and spermatorrhea in urine. This indicates Earth pathogen invading the Kidney, requiring clearing of the Spleen heat.
In women, if the Chi Ze area shows a weak pulse, combined with a slow pulse and "Ba Li" characteristics, along with an active Bladder pulse, it indicates excessive leukorrhea. If the Kidney pulse is active and deep, it causes dampness, itching, and sores in the genitalia; in men, dampness in the genitals occurs. These are all manifestations of essence loss.
If all six pulses are choppy, slow, and delayed, it indicates seminal emission in men and blood degeneration (blood stasis) in women.
If the Heart and Lung pulses are rapid and active, and the Kidney and Bladder pulses are active and soggy, men present with polyuria and dry mouth. In women postpartum, abundant lactation and dry mouth occur; in such cases, the Kidney should be tonified heavily, and dry mouth should not be mistaken for heat syndrome.
Regarding hernia disease, the Chi pulse is tight and active, becoming deficient upon palpation.
If the Lung pulse is lightly wiry and deficient, the Stomach pulse is deep, soggy, and soft, and the Chi pulse is soft, cold jue (reversal) enters the Stomach and Lungs. The pathology is located in the lower abdomen, where a sensation of a mass may be felt; Kidney deficiency leads to hernia disease.
If the Liver pulse is wiry and rapid, and the Kidney pulse is soft and deficient, this also constitutes hernia, as the Jue Yin (Liver) meridian connects to the external genitalia.
If all six pulses are urgent and deep, it indicates hernia or jia (masses), accompanied by lower abdominal pain. Generally, hernia and jia result from cold pathogen clashing internally, where urgency causes pain. If the Kidney pulse is large, urgent, and deep, it is Kidney hernia, requiring warming of the Kidney. If the Liver pulse is large, urgent, and deep, it is Liver hernia, requiring warming of the Liver. If the Heart pulse is active and deep, and urgent and deep, and the Lung pulse presents similarly, both indicate hernia. If the pulse is small and urgent but does not beat vigorously against the fingers, it indicates jia (masses).