诸浮、诸沉、诸弦、诸紧、诸涩、诸滑,若在寸口,膈以上病(头部)。若在关上,胃
以下
平寸口脉主对法∶
手寸口脉滑而迟,不沉不浮,不长不短,为无病,左右同法。 寸口太过与不及,寸
口之脉中手短者,曰∶头痛。中手长者,曰∶足胫痛。中手促上击者,曰∶肩背痛。 寸口
脉沉而坚者,病在中。 寸口脉浮而盛者,曰∶病在外。 寸口脉沉而弱者,曰∶寒热及疝
瘕,小腹痛。(热,一作气,又作中。) 寸口脉沉而弱,发必堕落。 寸口脉沉而紧,苦心
下有寒时时痛,有积邪。 寸口脉沉而滑者,胸中有水气,面目肿,有微热,为风水。寸口
脉沉大而滑,沉即为血实,滑即为气实,血气相搏,入脏即死,入腑即愈。 寸口脉沉,胸
中短气。 寸口脉沉而喘者,寒热。寸口脉浮而滑者,头中痛。 寸口脉浮大,按之反涩,
尺中亦微而涩,故知有滞气宿食。寸口脉弦而紧,弦即卫气不行,卫气不行,即恶寒水流走
肠间。 寸口脉紧或浮,膈上有寒,肺下有水气。 脉紧上寸口者,中风,风头痛亦如之。
(《翼》云∶亦为伤寒头痛。) 脉弦上寸口者,宿食。降者头痛。 寸口脉弦大,妇人半产
漏下,男子亡血失精。 寸口脉微而弱,微则恶寒,弱则发热,当发不发,骨节疼烦;当烦
不烦,与极汗出。 寸口脉微而弱,气血俱虚,男子吐血,妇人下血,呕汁出。 寸口脉动
而弱,动即为惊,弱即为悸。 寸口脉缓而迟,缓即为虚,迟即为寒,虚寒相搏,则欲温食,
食冷即咽痛。 寸口脉迟而缓,迟则为寒,缓即为气,寒气相搏,则绞而痛。 寸口脉迟而
涩,迟即为寒,涩为少血。 脉来过寸入鱼际者,遗尿。脉出鱼际,逆气喘息。 寸口脉实
者,心劳。 寸口脉 如羹上肥,阳气微。 连连如蜘蛛丝,阴气衰。两手前部阳绝者,
苦心下寒毒,喙中热。 寸口脉偏绝,则臂僻不遂,两手俱绝者,不可治。 寸口脉来暂大
暂小者,阴络也,苦阴风痹,应时自发,身洗洗也。 寸口脉来暂小暂大者,阳络也,苦皮
肤病,汗出恶寒,下部不仁。寸口脉浮,中风发热头痛,宜服桂枝汤、葛根汤,针风池、风
府,向火炙身,摩治风膏,覆令汗出。 寸口脉紧,苦头痛,是伤寒,宜服麻黄汤发汗,针
眉冲、颞 ,摩伤寒膏。 寸口脉微,苦寒为衄,宜服五味子汤、麻黄茱萸膏,令汗出。 寸
口脉数,为吐,以有热在胃脘熏胸中,宜服药吐之,及针胃脘,服除热汤。 若伤寒七八日
至十日,热在中间烦满而渴者,宜服知母汤。 寸口脉洪大,胸胁满,宜服生姜汤、白薇丸,
亦可紫菀汤下之。针上脘、期门、章门。 寸口脉缓,皮肤不仁,风寒在肌肉,宜服防风汤,
以药敷熨之佳。灸诸治风穴。 寸口脉滑,阳实,胸中壅满,吐逆,宜服前胡汤,针太阳、
巨阙泻之。 寸口脉弦,心下 ,微头痛,心下有水气,宜服甘遂丸,针期门泻之。 寸
口脉弱,阳气虚弱,自汗出,宜服茯苓汤、内补散,将适饮食消息,勿极劳,针胃脘补之。 寸
口脉涩,是胃气不足,宜服干地黄汤,自养调和饮食,针胃脘(一作三里)补之。 寸口脉
芤,
吐血。微芤者,衄血。空虚去血故也。宜服竹皮汤、黄土汤,灸膻中。 寸口脉伏,胸中逆
气
痛,胸中有水气,宜服泽漆汤,针巨阙泻之。 寸口脉软弱,自汗出,是虚损病,宜服干地
黄汤、薯蓣丸、内补散、牡蛎散,并粉身,针太冲补之。 寸口脉迟,上焦有寒,心痛,咽
酸,吐酸水,宜服附子汤、生姜汤、茱萸丸,调和饮食以暖之。 寸口脉实,即生热在脾肺,
呕逆气塞。虚则生寒在脾胃,食不消化。热宜服竹叶汤、葛根汤,寒宜服茱萸丸、生姜汤。 寸
口脉细,发热呕吐,宜服黄芩龙胆汤。吐不止,宜服橘皮桔梗汤,及灸中府
平关脉主对法∶
关上脉浮而大,风在胃中,张口肩息,心下澹澹,食欲呕。 关上脉微浮,积热在胃
中,呕吐蛔虫,心健忘。 关上脉滑而大小不均,必吐逆,是为病方欲来,不出一二日复欲
发动,其人欲多饮,饮即注利。如利止者生,不止者死。 关上脉紧而滑者,蛔动。关上脉
弦而长(《翼》作大),有痛如刀刺之状,在脐左右上下。(《脉经》云∶有积在脐左右上下
。) 关上脉涩而坚,大而实,按之不减有力,为中焦实,有伏结在脾肺气塞,实热在胃中。
关上脉 大,而尺寸细者,其人必心腹冷积, 瘕结聚,欲热饮食。 关上脉时来时去,
乍大乍小,乍疏乍数者,胃中寒热羸劣,不欲饮食,如疟状。 关上脉浮,腹满不欲食,浮
为虚满,宜服平胃丸、茯苓汤、生姜前胡汤,针胃脘,先泻后补之。 关上脉紧,心下苦满
痛,为实,宜服茱萸当归汤,加大黄二两佳。(《脉经》云∶又大黄汤两治之佳。)针巨阙,
下脘泻之。关上脉微,为胃中冷,心下拘急,宜服附子汤、生姜汤、附子丸,针巨阙补之。 关
上脉数,胃中有客热,宜服知母汤(一作丸)、除热汤,针巨阙、上脘泻之。 关上脉缓,
不
欲食,此脾胃气不足,宜服平胃丸、补脾汤,及针章门补之。 关上脉滑,胃中有热,滑为
热实气满,故不欲食,食即吐逆,宜服朴硝麻黄汤、平胃丸,(一作紫菀汤、人参大平胃丸。)
针胃脘泻之。关上脉弦,胃中有冷,心下厥逆。脉弦胃气虚,宜服茱萸汤,温调饮食,针胃
脘补之。 关上脉弱,胃气虚,胃中有客热。脉弱为虚热作病,且说云∶有热不可大攻之,
热去即寒起,宜服竹叶汤,及针胃脘补之。 关上脉虚细,腹满,宜服生姜汤、茱萸蜀椒汤、
白薇丸,针灸三脘。 关上脉涩,血气逆冷。脉涩为血虚,宜服干地黄汤、四补散,针足太
冲上补之。 关上脉芤,大便去血,宜服生地黄并生竹皮汤,灸膈俞。若重下去血,针关元,
甚者服龙骨丸。(关元一作巨阙。) 关上脉伏,有水气溏泄,宜服水银丸,针关元,利小便,
止溏泄便止。 关上脉洪,胃中热,必烦满,宜服平胃丸,针胃脘,先泻后补之。 关上脉
沉,心下有冷气,苦满吞酸,宜服白薇丸、茯苓丸、附子汤,针胃脘补之。 关上脉软,苦
虚冷,脾虚气弱,重下病,宜服赤石脂汤、女萎丸,针关元补之。关上脉迟,胃中寒,宜服
桂枝丸、茱萸汤,针胃脘补之。 关上脉实,胃中痛,宜服栀子汤、茱萸乌头丸,针胃脘补
之。 关上脉牢,脾胃气塞,盛热,即腹满响响,宜
平尺脉主对法∶
尺脉浮者,客阳在下焦。 尺脉弱者,下焦冷,无阳气,上热冲头面。 尺脉弱寸强,
胃络脉伤。 尺脉偏滑疾,面赤如醉,外热则病。 尺脉细微,溏泄冷利。(《素问》云∶
尺寒脉细,谓之后泄。) 尺脉虚小,足胫寒,痿痹脚疼。 尺脉涩,下血不利多汗。(《素
问》云,尺涩脉滑,谓之多汗。) 尺脉沉而滑者,寸白虫。 尺脉细而急者,筋挛痹,不
能行。 尺脉大者,热在脬中,小便赤痛。 尺脉粗而热者,谓之热中,腰胯疼,小便赤热。
尺脉按之不绝,妇人血闭。与关相应和滑者,男子气血实。妇人即为妊娠。 尺脉来而断绝
者,男子小腹有滞气,妇人月水不利。 尺寸俱软弱,内愠热,手足逆冷,汗出。 尺寸俱
沉,关上无有者,苦心下喘。尺寸俱沉,关上若有,苦寒心下痛,阴中冷,脚痹。 尺寸俱
微,少心力,不欲言,气血不足,其人脚弱短气。 尺寸俱数,手足头面有热。俱迟,有寒,
手足头面有冷风。 尺脉浮,下热风,小便难。宜服瞿麦汤、滑石散,针横骨、关元泻之。 尺
脉紧,脐下痛,宜服当归汤,灸天枢,针关元补之。 尺脉微,厥逆,小腹中拘急,有寒气,
宜服小建中汤,针气海。 尺脉数,恶寒,脐下热痛,小便赤黄,宜服鸡子汤,白鱼散,针
横骨泻之。 尺脉缓,脚弱下肿(一本无此四字),小便难,有余沥,宜服滑石汤、瞿麦散,
针横骨泻之。 尺脉滑,气血实,经脉不利,宜服朴硝煎大黄汤,下去经血,针关元泻之。 尺
脉弦,小腹疼,小腹及脚中拘急,宜服建中汤、当归汤,针气海泻之。尺脉弱,气少发热
骨烦,宜服前胡汤、干地黄茯苓汤,针关元补之。 尺脉涩,足胫逆冷,小便赤,宜服附子
四逆汤,针足太冲补之。尺脉芤,下焦虚,小便去血,宜服竹皮生地黄汤,灸丹田、关元。 尺
脉伏,小腹痛 疝,水谷不化,宜服大平胃丸、桔梗丸,针关元补之。 尺脉沉,腰背痛,
宜服肾气丸,针京门补之。 尺脉软,脚不收,风痹(一本无此五字),小便难,宜服瞿麦
汤、
白鱼散,针关元泻之。 尺脉牢,腹满阴中急,宜服葶苈茱萸丸,针丹田、关元、中极。 尺
脉迟,下焦有寒,宜服桂枝丸,针气海、关元泻之。 尺脉实,小腹痛,小便不禁,宜服当
归汤加大黄一两,利其大便
三关主对法第六
凡是浮脉、沉脉、弦脉、紧脉、涩脉、滑脉,如果在寸口部位(手腕桡动脉搏动处),提示膈肌以上的疾病(头部)。如果在关上部位(寸口之后),提示胃以下的疾病。
平寸口脉主对法:
手寸口脉象滑利而迟缓,不沉不浮,不长不短,这是无病的表现,左右手同理。寸口脉太过或不及,如果切诊时感觉脉搏短促的,称为头痛。切诊时感觉脉搏长的,称为足胫疼痛。切诊时感觉脉搏急促且向上冲击手指的,称为肩背疼痛。寸口脉沉而坚硬的,病在体内(中焦)。寸口脉浮而旺盛的,称为病在体表(外)。寸口脉沉而微弱的,称为寒热往来及疝气瘕块,小腹部疼痛。(“热”字,有的版本作“气”,又作“中”。)寸口脉沉而微弱,头发必定脱落。寸口脉沉而紧,心中痛苦,心下有寒气时常疼痛,有积滞邪气。寸口脉沉而滑,胸中有水气,面目浮肿,有轻微发热,这是风水病。寸口脉沉大而滑,沉代表血实,滑代表气实,血气相互搏结,侵入脏则死,侵入腑则愈。寸口脉沉,胸中短气。寸口脉沉而伴有喘息的,是寒热病。寸口脉浮而滑,头内部疼痛。寸口脉浮大,按之反而涩,尺部也微而涩,所以知道有滞气和宿食。寸口脉弦而紧,弦表示卫气不行,卫气不行,就会恶寒,水流走窜于肠间。寸口脉紧或浮,膈上有寒,肺下有水气。脉紧上至寸口的,是中风,风头痛也是如此。(《千金翼方》说:也是伤寒头痛。)脉弦上至寸口的,是宿食。降者头痛。寸口脉弦大,妇女半产漏下,男子亡血失精。寸口脉微而弱,微则恶寒,弱则发热,应当发汗而未发,骨节疼痛烦扰;应当烦躁而不烦躁,或者极度出汗。寸口脉微而弱,气血俱虚,男子吐血,妇人下血,呕吐汁液。寸口脉动而弱,动即为惊悸,弱即为心悸。寸口脉缓而迟,缓即为虚,迟即为寒,虚寒相搏,就想吃温热的食物,吃冷的就咽喉痛。寸口脉迟而缓,迟则为寒,缓即为气,寒气相搏,则绞痛。寸口脉迟而涩,迟即为寒,涩为少血。脉来过寸进入鱼际部位的,遗尿。脉出鱼际,逆气喘息。寸口脉实的,心劳。寸口脉像羹汤上面的浮油,阳气微弱。连绵不断像蜘蛛丝,阴气衰败。两手前部阳脉绝的,心中痛苦,心下有寒毒,口中热。寸口脉偏绝,则手臂偏废不能随意运动,两手都绝的,不可治。寸口脉来暂大暂小的,是阴络病,苦于阴风痹,按时自发,身体洗洗然不适。寸口脉来暂小暂大的,是阳络病,苦于皮肤病,汗出恶寒,下部麻木不仁。寸口脉浮,中风发热头痛,宜服用桂枝汤、葛根汤,针刺风池、风府穴,面向火烤身,涂抹治风膏,覆盖身体令其出汗。寸口脉紧,苦于头痛,这是伤寒,宜服用麻黄汤发汗,针刺眉冲、颞穴,涂抹伤寒膏。寸口脉微,苦于寒邪导致鼻衄,宜服用五味子汤、麻黄茱萸膏,令其出汗。寸口脉数,为呕吐,因为有热在胃脘熏蒸胸中,宜服药催吐,并针刺胃脘穴,服用除热汤。如果伤寒七八日至十日,热在中间烦满而渴的,宜服用知母汤。寸口脉洪大,胸胁满闷,宜服用生姜汤、白薇丸,也可以用紫菀汤攻下。针刺上脘、期门、章门穴。寸口脉缓,皮肤不仁,风寒在肌肉,宜服用防风汤,用药敷熨效果更佳。灸各种治风穴位。寸口脉滑,阳实,胸中壅满,吐逆,宜服用前胡汤,针刺太阳、巨阙穴泻之。寸口脉弦,心下痞硬,微头痛,心下有水气,宜服用甘遂丸,针刺期门穴泻之。寸口脉弱,阳气虚弱,自汗出,宜服用茯苓汤、内补散,注意饮食调养,不要过度劳累,针刺胃脘穴补之。寸口脉涩,是胃气不足,宜服用干地黄汤,自我调养调和饮食,针刺胃脘穴(一作三里穴)补之。寸口脉芤,吐血。微芤的,鼻衄。因为空虚去血缘故。宜服用竹皮汤、黄土汤,灸膻中穴。寸口脉伏,胸中逆气痛,胸中有水气,宜服用泽漆汤,针刺巨阙穴泻之。寸口脉软弱,自汗出,是虚损病,宜服用干地黄汤、薯蓣丸、内补散、牡蛎散,并扑粉在身上,针刺太冲穴补之。寸口脉迟,上焦有寒,心痛,咽酸,吐酸水,宜服用附子汤、生姜汤、茱萸丸,调和饮食以暖之。寸口脉实,即生热在脾肺,呕逆气塞。虚则生寒在脾胃,食不消化。热宜服用竹叶汤、葛根汤,寒宜服用茱萸丸、生姜汤。寸口脉细,发热呕吐,宜服用黄芩龙胆汤。吐不止,宜服用橘皮桔梗汤,并灸中府穴。
平关脉主对法:
关上脉浮而大,风在胃中,张口耸肩呼吸,心下悸动,食欲减退想呕吐。关上脉微浮,积热在胃中,呕吐蛔虫,心健忘。关上脉滑而大小不均,必吐逆,这是病正要发作,不出两三天又要发动,其人想多饮水,喝了就腹泻。如果腹泻停止的生存,不止的死亡。关上脉紧而滑的,蛔虫动。关上脉弦而长(《千金翼方》作大),有痛如刀刺状,在脐周左右上下。(《脉经》说:有积滞在脐周左右上下。)关上脉涩而坚,大而实,按之不减有力,为中焦实,有伏结在脾肺气塞,实热在胃中。关上脉大,而尺寸细的,其人必心腹冷积,瘕块结聚,想吃热饮食。关上脉时来时去,乍大乍小,乍疏乍数的,胃中寒热羸弱,不欲饮食,像疟疾状。关上脉浮,腹满不欲食,浮为虚满,宜服用平胃丸、茯苓汤、生姜前胡汤,针刺胃脘穴,先泻后补。关上脉紧,心下苦满痛,为实证,宜服用茱萸当归汤,加大黄二两佳。(《脉经》说:大黄汤两方治疗皆佳。)针刺巨阙、下脘穴泻之。关上脉微,为胃中冷,心下拘急,宜服用附子汤、生姜汤、附子丸,针刺巨阙穴补之。关上脉数,胃中有客热,宜服用知母汤(一作丸)、除热汤,针刺巨阙、上脘穴泻之。关上脉缓,不欲食,此脾胃气不足,宜服用平胃丸、补脾汤,并针刺章门穴补之。关上脉滑,胃中有热,滑为热实气满,故不欲食,食即吐逆,宜服用朴硝麻黄汤、平胃丸,(一作紫菀汤、人参大平胃丸。)针刺胃脘穴泻之。关上脉弦,胃中有冷,心下厥逆。脉弦胃气虚,宜服用茱萸汤,温调饮食,针刺胃脘穴补之。关上脉弱,胃气虚,胃中有客热。脉弱为虚热作病,况且说:有热不可大攻之,热去即寒起,宜服用竹叶汤,并针刺胃脘穴补之。关上脉虚细,腹满,宜服用生姜汤、茱萸蜀椒汤、白薇丸,针灸三脘穴。关上脉涩,血气逆冷。脉涩为血虚,宜服用干地黄汤、四补散,针刺足太冲穴上补之。关上脉芤,大便去血,宜服用生地黄并生竹皮汤,灸膈俞穴。若重下去血,针关元穴,甚的用龙骨丸。(关元一作巨阙。)关上脉伏,有水气溏泄,宜服用水银丸,针关元穴,利小便,止溏泄便止。关上脉洪,胃中热,必烦满,宜服用平胃丸,针胃脘穴,先泻后补之。关上脉沉,心下有冷气,苦满吞酸,宜服用白薇丸、茯苓丸、附子汤,针胃脘穴补之。关上脉软,苦虚冷,脾虚气弱,重下病,宜服用赤石脂汤、女萎丸,针关元穴补之。关上脉迟,胃中寒,宜服用桂枝丸、茱萸汤,针胃脘穴补之。关上脉实,胃中痛,宜服用栀子汤、茱萸乌头丸,针胃脘穴补之。关上脉牢,脾胃气塞,盛热,即腹满响响,宜……
平尺脉主对法:
尺脉浮者,客阳在下焦。尺脉弱者,下焦冷,无阳气,上热冲头面。尺脉弱寸强,胃络脉伤。尺脉偏滑疾,面赤如醉,外热则病。尺脉细微,溏泄冷利。(《素问》说:尺寒脉细,谓之后泄。)尺脉虚小,足胫寒,痿痹脚疼。尺脉涩,下血不利多汗。(《素问》说,尺涩脉滑,谓之多汗。)尺脉沉而滑者,寸白虫。尺脉细而急者,筋挛痹,不能行。尺脉大者,热在膀胱中,小便赤痛。尺脉粗而热者,谓之热中,腰胯疼,小便赤热。尺脉按之不绝,妇人血闭。与关相应和滑者,男子气血实。妇人即为妊娠。尺脉来而断绝者,男子小腹有滞气,妇人月水不利。尺寸俱软弱,内愠热,手足逆冷,汗出。尺寸俱沉,关上无有者,苦心下喘。尺寸俱沉,关上若有,苦寒心下痛,阴中冷,脚痹。尺寸俱微,少心力,不欲言,气血不足,其人脚弱短气。尺寸俱数,手足头面有热。俱迟,有寒,手足头面有冷风。尺脉浮,下热风,小便难。宜服用瞿麦汤、滑石散,针横骨、关元穴泻之。尺脉紧,脐下痛,宜服用当归汤,灸天枢穴,针关元穴补之。尺脉微,厥逆,小腹中拘急,有寒气,宜服用小建中汤,针气海穴。尺脉数,恶寒,脐下热痛,小便赤黄,宜服用鸡子汤,白鱼散,针横骨穴泻之。尺脉缓,脚弱下肿(一本无此四字),小便难,有余沥,宜服用滑石汤、瞿麦散,针横骨穴泻之。尺脉滑,气血实,经脉不利,宜服用朴硝煎大黄汤,下去经血,针关元穴泻之。尺脉弦,小腹疼,小腹及脚中拘急,宜服用建中汤、当归汤,针气海穴泻之。尺脉弱,气少发热骨烦,宜服用前胡汤、干地黄茯苓汤,针关元穴补之。尺脉涩,足胫逆冷,小便赤,宜服用附子四逆汤,针足太冲穴补之。尺脉芤,下焦虚,小便去血,宜服用竹皮生地黄汤,灸丹田、关元穴。尺脉伏,小腹痛疝,水谷不化,宜服用大平胃丸、桔梗丸,针关元穴补之。尺脉沉,腰背痛,宜服用肾气丸,针京门穴补之。尺脉软,脚不收,风痹(一本无此五字),小便难,宜服用瞿麦汤、白鱼散,针关元穴泻之。尺脉牢,腹满阴中急,宜服用葶苈茱萸丸,针丹田、关元、中极穴。尺脉迟,下焦有寒,宜服用桂枝丸,针气海、关元穴泻之。尺脉实,小腹痛,小便不禁,宜服用当归汤加大黄一两,利其大便
Chapter 6: Correspondence Methods of the Three Pulse Positions
Regarding floating (Fu), sunken (Chen), wiry (Xian), tight (Jin), choppy (Se), and slippery (Hua) pulses: if found at the Cun Kou position (radial artery pulse point), it indicates disease above the diaphragm (head). If found at the Guan position, it indicates disease below the stomach.
Standard Correspondence Method for Cun Kou Pulse:
A hand Cun Kou pulse that is slippery yet slow, neither sunken nor floating, neither long nor short, indicates a state of health; the same applies to both left and right hands. Regarding excess or deficiency in the Cun Kou pulse: if the pulse feels short upon palpation, it is called headache. If it feels long, it is called pain in the shins and feet. If it feels rapid and strikes upward against the fingers, it is called shoulder and back pain. A Cun Kou pulse that is sunken and firm indicates disease in the interior (middle jiao). A Cun Kou pulse that is floating and vigorous indicates disease in the exterior. A Cun Kou pulse that is sunken and weak indicates alternating cold and heat, as well as hernia and abdominal masses, with pain in the lower abdomen. ("Heat" is rendered as "Qi" or "Zhong" in some editions.) A Cun Kou pulse that is sunken and weak suggests hair loss. A Cun Kou pulse that is sunken and tight indicates heart suffering, cold in the epigastrium causing intermittent pain, and accumulation of pathogenic factors. A Cun Kou pulse that is sunken and slippery indicates water-Qi in the chest, swelling of the face and eyes, slight fever, constituting Wind-Edema (Feng Shui). A Cun Kou pulse that is sunken, large, and slippery implies blood excess (sunken) and Qi excess (slippery); when Blood and Qi contend, invasion into the Zang organs leads to death, while invasion into the Fu organs leads to recovery. A sunken Cun Kou pulse indicates shortness of breath in the chest. A Cun Kou pulse that is sunken with panting indicates cold and heat disorders. A floating and slippery Cun Kou pulse indicates internal head pain. A large and floating Cun Kou pulse, which feels choppy upon pressure, accompanied by a faint and choppy Chi pulse, indicates stagnant Qi and retained food. A wiry and tight Cun Kou pulse implies obstruction of Defensive Qi (Wei Qi); obstruction of Wei Qi leads to aversion to cold and water flowing through the intestines. A tight or floating Cun Kou pulse indicates cold above the diaphragm and water-Qi below the lungs. A tight pulse extending to the Cun Kou indicates Wind-Stroke (Zhong Feng) or wind-induced headache. (The *Qianjin Yi Fang* states this also applies to Cold Damage headache.) A wiry pulse extending to the Cun Kou indicates retained food. Descending pulses indicate headache. A wiry and large Cun Kou pulse in women indicates miscarriage and dripping bleeding; in men, it indicates loss of blood and essence. A faint and weak Cun Kou pulse implies aversion to cold (faint) and fever (weak); if sweating should occur but does not, there is bone joint pain and irritability; if irritability should occur but does not, or if there is profuse sweating. A faint and weak Cun Kou pulse indicates deficiency of both Qi and Blood; men may vomit blood, women may have lower bleeding, and vomit fluid. A moving and weak Cun Kou pulse indicates fright (moving) and palpitations (weak). A slow and delayed Cun Kou pulse indicates deficiency (slow) and cold (delayed); the combination of deficiency and cold creates a desire for warm food, while cold food causes throat pain. A delayed and slow Cun Kou pulse indicates cold (delayed) and Qi (slow); the contention of cold Qi causes cramping pain. A delayed and choppy Cun Kou pulse indicates cold (delayed) and insufficient Blood (choppy). A pulse extending past the Cun Kou into the Yu Ji area indicates urinary incontinence. A pulse emerging from the Yu Ji area indicates rebellious Qi and panting. A solid Cun Kou pulse indicates Heart labor. A Cun Kou pulse resembling the fat floating on soup indicates weak Yang Qi. A continuous pulse like a spider's thread indicates declining Yin Qi. Absence of Yang pulse in the anterior part of both hands indicates heart suffering, cold toxicity in the epigastrium, and heat in the mouth. Unilateral absence of the Cun Kou pulse leads to hemiplegia; bilateral absence is incurable. A Cun Kou pulse that temporarily becomes large then small indicates Yin collateral disease, suffering from Yin-Wind Bi syndrome with spontaneous onset and a sensation of cold washing over the body. A Cun Kou pulse that temporarily becomes small then large indicates Yang collateral disease, suffering from skin diseases, sweating with aversion to cold, and numbness in the lower body. For a floating Cun Kou pulse indicating wind-stroke with fever and headache, administer Gui Zhi Tang (Cinnamon Twig Decoction) or Ge Gen Tang (Kudzu Root Decoction), needle Feng Chi (GB20) and Feng Fu (GV16, acupuncture points), warm the body near fire, apply wind-treating ointment, and cover to induce sweating. For a tight Cun Kou pulse indicating severe headache due to Cold Damage, administer Ma Huang Tang (Ephedra Decoction) to induce sweating, needle Mei Chong (EX-HN20) and Nei Ting (ST44 - note: text says Nie, likely referring to temporal region or specific point), and apply cold-damage ointment. For a faint Cun Kou pulse indicating nasal hemorrhage due to cold, administer Wu Wei Zi Tang (Schisandra Decoction) or Ma Huang Zhu Yu Gao (Ephedra and Cornus Ointment) to induce sweating. A rapid Cun Kou pulse indicates vomiting due to heat steaming the chest from the Stomach; induce vomiting via medication, needle Wei Wan (CV12), and administer heat-clearing decoctions. If after 7-10 days of Cold Damage, heat in the middle causes fullness and thirst, administer Zhi Mu Tang (Anemarrhena Decoction). A surging Cun Kou pulse with chest and hypochondriac fullness indicates administration of Sheng Jiang Tang (Fresh Ginger Decoction) or Bai Wei Wan (Cynanchum Pill), or purging with Zi Wan Tang (Aster Decoction). Needle Shang Wan (CV13), Qi Men (LR14), and Zhang Men (LR13). A slow Cun Kou pulse with insensate skin and wind-cold in muscles indicates administration of Fang Feng Tang (Saposhnikovia Decoction) and herbal compresses; moxa various wind-treating points. A slippery Cun Kou pulse indicating Yang excess, chest oppression, and vomiting indicates administration of Qian Hu Tang (Peucedanum Decoction) and draining via Tai Yang (BL67 - note: context implies local or relevant point, text says Tai Yang) and Ju Que (CV14). A wiry Cun Kou pulse with epigastric hardness, mild headache, and water-Qi in the epigastrium indicates Gan Sui Wan (Kansui Pill) and draining via Qi Men (LR14). A weak Cun Kou pulse indicating deficient Yang and spontaneous sweating indicates Fu Ling Tang (Poria Decoction) and Nei Bu San (Internal Tonifying Powder), dietary regulation, avoiding overexertion, and tonifying via Wei Wan (CV12). A choppy Cun Kou pulse indicates insufficient Stomach Qi; administer Gan Di Huang Tang (Rehmannia Decoction), regulate diet, and tonify via Wei Wan (CV12) or Zu San Li (ST36). A knifelike (Kou) Cun Kou pulse indicates hematemesis; a faint knifelike pulse indicates epistaxis due to blood loss and emptiness; administer Zhu Pi Tang (Bamboo Peel Decoction) or Huang Tu Tang (Yellow Earth Decoction), and moxa Dan Zhong (CV17). A hidden Cun Kou pulse with rebellious Qi pain in the chest and water-Qi indicates Ze Qi Tang (Phytolacca Decoction) and draining via Ju Que (CV14). A soft and weak Cun Kou pulse with spontaneous sweating indicates deficiency exhaustion; administer Gan Di Huang Tang, Shu Yao Wan (Dioscorea Pill), Nei Bu San, or Mu Li San (Oyster Shell Powder), dust powder on the body, and tonify via Tai Chong (LR3). A delayed Cun Kou pulse indicates upper Jiao cold, heart pain, acid regurgitation, and sour vomiting; administer Fu Zi Tang (Aconite Decoction), Sheng Jiang Tang, or Zhu Yu Wan (Cornus Pill), and warm via diet. A solid Cun Kou pulse indicates heat in Spleen and Lung with vomiting and Qi blockage; deficiency indicates cold in Spleen and Stomach with indigestion. Heat requires Zhu Ye Tang (Bamboo Leaf Decoction) or Ge Gen Tang; cold requires Zhu Yu Wan or Sheng Jiang Tang. A fine Cun Kou pulse with fever and vomiting indicates Huang Qin Long Dan Tang (Scutellaria and Gentiana Decoction); if vomiting persists, Ju Pi Jie Geng Tang (Tangerine Peel and Platycodon Decoction) and moxa Zhong Fu (LU1).
Standard Correspondence Method for Guan Position:
A floating and large Guan pulse indicates wind in the Stomach, gasping with open mouth and raised shoulders, palpitations in the epigastrium, anorexia, and nausea. A slightly floating Guan pulse indicates accumulated heat in the Stomach, vomiting of roundworms, and forgetfulness. A slippery Guan pulse of unequal size indicates inevitable vomiting and rebellion, signaling impending illness that will recur within two to three days; excessive thirst leading to diarrhea indicates survival if diarrhea stops, but death if it continues. A tight and slippery Guan pulse indicates moving roundworms. A wiry and long Guan pulse (large in *Yi Fang*) with stabbing pain around the umbilicus indicates accumulation in the surrounding area (*Mai Jing*). A choppy, firm, large, and solid Guan pulse that remains forceful under pressure indicates Middle Jiao excess, latent knotting in Spleen and Lung Qi obstruction, and excess heat in the Stomach. A large Guan pulse with thin Cun and Chi pulses indicates cold accumulation in the heart and abdomen, mass formation, and craving for hot food. A fluctuating Guan pulse varying in size and rate indicates Spleen-Stomach weakness with cold-heat conflict, anorexia, and malarial-like symptoms. A floating Guan pulse with abdominal fullness and anorexia indicates false fullness; administer Ping Wei Wan (Peace the Stomach Pill), Fu Ling Tang, or Sheng Jiang Qian Hu Tang, needle Wei Wan (CV12) with draining followed by tonifying. A tight Guan pulse with painful epigastric fullness indicates excess; administer Zhu Yu Dang Gui Tang (Cornus and Angelica Decoction) with added Da Huang (Rhubarb); needle Ju Que (CV14) and Xia Wan (CV10) to drain. A faint Guan pulse indicates cold in the Stomach and epigastric tension; administer Fu Zi Tang, Sheng Jiang Tang, or Fu Zi Wan, and tonify via Ju Que (CV14). A rapid Guan pulse indicates guest-heat in the Stomach; administer Zhi Mu Tang (or Pill) or Chu Re Tang (Remove Heat Decoction), needle Ju Que (CV14) and Shang Wan (CV13) to drain. A slow Guan pulse with anorexia indicates Spleen-Stomach Qi deficiency; administer Ping Wei Wan or Pi Bu Tang, and tonify via Zhang Men (LR13). A slippery Guan pulse indicates heat in the Stomach causing Qi fullness and anorexia with vomiting upon eating; administer Xiao Shi Ma Huang Tang (Gypsum and Ephedra Decoction) or Ping Wei Wan (or Zi Wan Ren Shen Da Ping Wei Wan), and drain via Wei Wan (CV12). A wiry Guan pulse indicates cold in the Stomach and epigastric reversal; weak Qi indicates deficiency; administer Zhu Yu Tang, regulate diet warmly, and tonify via Wei Wan (CV12). A weak Guan pulse indicates deficient Stomach Qi and guest-heat; since heat should not be aggressively drained lest cold arise, administer Zhu Ye Tang and tonify via Wei Wan (CV12). A deficient and fine Guan pulse with abdominal fullness indicates administration of Sheng Jiang Tang, Zhu Yu Shu Jiao Tang (Cornus and Sichuan Pepper Decoction), or Bai Wei Wan, and moxa/acupuncture the Three Wan points. A choppy Guan pulse indicates rebellious and cold Qi/Blood; choppy signifies Blood deficiency; administer Gan Di Huang Tang or Si Bu San, and tonify via Zu Tai Chong (LR3). A knifelike Guan pulse with bloody stool indicates administration of Sheng Di Huang and Sheng Zhu Pi Tang, and moxa Ge Shu (BL17); for severe bleeding, needle Guan Yuan (CV4) or use Long Gu Wan (Dragon Bone Pill). A hidden Guan pulse with watery diarrhea indicates administration of Shui Yin Wan (Mercury Pill), needle Guan Yuan (CV4) to promote urination and stop diarrhea. A surging Guan pulse indicates Stomach heat with irritability and fullness; administer Ping Wei Wan, needle Wei Wan (CV12) with draining then tonifying. A sunken Guan pulse with cold Qi in the epigastrium, fullness, and acid regurgitation indicates administration of Bai Wei Wan, Fu Ling Wan, or Fu Zi Tang, and tonify via Wei Wan (CV12). A soft Guan pulse indicating deficiency-cold and weak Spleen Qi with chronic downward issues indicates administration of Chi Shi Zhi Tang (Halloysite Decoction) or Nu Wei Wan (Ancylis Pill), and tonify via Guan Yuan (CV4). A delayed Guan pulse indicates Stomach cold; administer Gui Zhi Wan (Cinnamon Twig Pill) or Zhu Yu Tang, and tonify via Wei Wan (CV12). A solid Guan pulse with Stomach pain indicates administration of Zhi Zi Tang (Gardenia Decoction) or Zhu Yu Wu Tou Wan (Cornus and Aconite Pill), and tonify via Wei Wan (CV12). A firm Guan pulse indicates Spleen-Stomach Qi obstruction and盛 heat causing rumbling abdominal fullness...
Standard Correspondence Method for Chi Position:
A floating Chi pulse indicates guest-Yang in the Lower Jiao. A weak Chi pulse indicates cold Lower Jiao, lack of Yang Qi, and rising heat to the head and face. A weak Chi with strong Cun indicates injury to Stomach collaterals. A slippery and rapid Chi pulse with flushed face indicates external heat disease. A fine and minute Chi pulse indicates loose stools and cold diarrhea (*Su Wen*: cold Chi and fine pulse denotes posterior diarrhea). A deficient and small Chi pulse indicates cold shins, flaccidity, Bi syndrome, and foot pain. A choppy Chi pulse indicates lower bleeding, difficult urination, and profuse sweating (*Su Wen*: choppy Chi and slippery pulse denotes profuse sweating). A sunken and slippery Chi pulse indicates Ascaris (Inchworm). A fine and urgent Chi pulse indicates tendon spasms, Bi syndrome, and inability to walk. A large Chi pulse indicates heat in the Bladder with red, painful urination. A coarse and hot Chi pulse indicates Internal Heat, waist/hip pain, and red-hot urination. An unceasing Chi pulse upon pressure indicates amenorrhea in women; if harmonious and slippery with Guan, it indicates excess Qi and Blood in men, or pregnancy in women. An interrupted Chi pulse indicates stagnant Qi in the lower abdomen of men, or irregular menstruation in women. Weak and soft pulses at both Cun and Chi indicate internal heat, cold extremities, and sweating. Sunken pulses at both Cun and Chi with absent Guan indicates distressing panting in the epigastrium; if Guan is present, it indicates cold epigastric pain, cold genitals, and leg Bi. Faint pulses at both Cun and Chi indicate lack of mental energy, reluctance to speak, Qi-Blood deficiency, weak legs, and shortness of breath. Rapid pulses at both Cun and Chi indicate heat in hands, feet, head, and face; delayed pulses indicate cold and wind-cold in these areas. A floating Chi pulse with lower wind-heat and difficult urination indicates Qu Mai Tang (Dianthus Decoction) and Hua Shi San (Talcum Powder), draining Heng Gu (KI11) and Guan Yuan (CV4). A tight Chi pulse with suprapubic pain indicates Dang Gui Tang (Angelica Decoction), moxa Tian Shu (ST25), and tonifying Guan Yuan (CV4). A faint Chi pulse with cold limbs, suprapubic tension, and cold Qi indicates Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) and tonifying Qi Hai (CV6). A rapid Chi pulse with aversion to cold, suprapubic heat/pain, and red-yellow urine indicates Ji Zi Tang (Chicken Egg Decoction), Bai Yu San (White Fish Powder), and draining Heng Gu (KI11). A slow Chi pulse with weak legs, lower edema, difficult urination, and dribbling indicates Hua Shi Tang (Talcum Decoction) or Qu Mai San, draining Heng Gu (KI11). A slippery Chi pulse indicates excess Qi and Blood with meridian obstruction; administer Xiao Shi Da Huang Tang (Gypsum and Rhubarb Decoction) to purge menstrual blood, draining Guan Yuan (CV4). A wiry Chi pulse with lower abdominal pain and cramping in legs indicates Jian Zhong Tang (Construct the Middle Decoction) or Dang Gui Tang, draining Qi Hai (CV6). A weak Chi pulse with Qi deficiency, fever, and bone vexation indicates Qian Hu Tang or Gan Di Huang Fu Ling Tang, tonifying Guan Yuan (CV4). A choppy Chi pulse with cold lower legs and red urine indicates Fu Zi Si Ni Tang (Aconite Four Reversal Decoction) and tonifying Zu Tai Chong (LR3). A knifelike Chi pulse indicates Lower Jiao deficiency with bloody urine; administer Zhu Pi Sheng Di Huang Tang, moxa Dan Tian (CV8) and Guan Yuan (CV4). A hidden Chi pulse with lower abdominal pain, hernia, and indigestion indicates Da Ping Wei Wan or Jie Geng Wan, tonifying Guan Yuan (CV4). A sunken Chi pulse with back pain indicates Shen Qi Wan (Kidney Qi Pill) and tonifying Jing Men (GB25). A soft Chi pulse with foot collapse, wind-Bi, and difficult urination indicates Qu Mai Tang or Bai Yu San, draining Guan Yuan (CV4). A firm Chi pulse with abdominal fullness and genital urgency indicates Ting Li Zhu Yu Wan (Descurainia and Cornus Pill), moxa/acupuncture Dan Tian (CV8), Guan Yuan (CV4), and Zhong Ji (CV3). A delayed Chi pulse indicates Lower Jiao cold; administer Gui Zhi Wan, draining Qi Hai (CV6) and Guan Yuan (CV4). A solid Chi pulse with lower abdominal pain and urinary incontinence indicates Dang Gui Tang with added Da Huang to promote bowel movement.