心部在左手关前寸口。(亦名人迎。) 肝部在左手关上。 肾部在左手关后尺中。
肺部
脉法赞云∶
心肝出左,脾肺出右。肾与命门,俱出尺部。魂魄谷神,皆见寸口。左主司官,右主司
府。左大顺男,右大顺女。关前一分,人命之主。左为人迎,右为气口。神门决断,两在关
后。人无二脉,病死不愈。诸经损减,各随其部。三阴三阳(一云按察阴阳,)谁先谁后,
阴
病治官,阳病治府(府,外也。)奇邪所舍,如何捕取。审而知之,针入病愈。脉有三部,
阴
阳相乘。荣卫气血,而行人躬。呼吸出入,上下于中。因息游布,津液流通。随时动作,效
象形容。春弦秋浮,冬沉夏洪。察色观脉,大小不同。一时之间,变无经常。尸寸参差,或
短或长。上下乖错,或存或亡。病辄改易,进退低昂。心迷意惑,动失纪纲。愿为缕陈,令
得分明。(师曰)子之所问,道之根源。脉有三部,尺寸及关。荣卫流行,不失衡铨。肾沉
心
洪,肺浮肝弦。此自常经,不失铢分。出入升降,漏刻周旋。水下二刻,脉一周身。旋复寸
口,虚实见焉。变化相乘,阴阳相干。风则浮虚,寒则紧弦。沉潜水蓄,支饮急弦。动弦为
痛,数洪热烦。设有不应,知变所缘。三部不同,病各异端。太过可怪,不及亦然。邪不空
见,终必有奸。审察表里,三焦别分。知邪所舍,消息诊看。料度腑脏,独见若神。
心脏的脉位位于左手关前寸口处。(也称作人迎穴部位。)肝脏的脉位位于左手关上。肾脏的脉位位于左手关后尺中处。
肺部的脉位……(此处原文缺失具体描述,仅列标题)
《脉法赞》中说:
心、肝的脉气出于左手;脾、肺的脉气出于右手。肾与命门(决定生命根本的脏腑),其脉均见于尺部。魂、魄、谷神(指代精神意识活动),皆显现于寸口。左手脉主要反映六腑(司官,此处指代功能或特定脏腑,古义有争议,通常左主血/脏,右主气/腑,但文中说左主司官,右主司府,需结合上下文理解,此处直译)的功能状态,右手脉主要反映五脏(司府)的状态。左手脉大对于男性为顺证,右手脉大对于女性为顺证。关前一分处,是主宰人命的关键部位。左手为人迎,右手为气口。神门(穴位名,此处指代诊脉的关键决断点或特定脉位)的决断作用,两者都在关后。如果人没有这两条脉(指人迎、气口或左右手特定脉象),则病难治愈。各条经脉若有损耗减弱,应随其所在的脉部进行判断。三阴三阳(一说为按察阴阳之气),谁先谁后?阴病治疗当取官(此处指代特定的脉位或脏腑对应关系,原文语境下多指代具体的治疗部位或原则),阳病治疗当取府(外也)。奇邪(异常的邪气)所停留之处,如何捕捉获取?若能审慎知晓这些道理,针刺入后疾病即可痊愈。
脉诊分为三部,阴阳相互影响。营卫气血,在人体躯干中运行。呼吸出入,气息上下于体内。随着呼吸气息游布全身,津液得以流通。随着时节变化而动作,效法自然界的形象形容。春季脉弦,秋季脉浮,冬季脉沉,夏季脉洪。观察面色和脉象,大小各不相同。在一时之间,变化无常。脉搏长短参差,有时短有时长。上下脉位乖错,有时存在有时消失。病情往往改变,进退起伏不定。若心中迷惑,就会失去诊疗的纲纪。希望你为我详细陈述,以便分辨清楚。(老师说)你所问的,是道的根源。脉分三部,即寸、尺及关。营卫流行,不失去平衡权衡的标准。肾脉沉,心脉洪,肺脉浮,肝脉弦。这是正常的常经,不差分毫。脉气的出入升降,一个时辰(漏刻)周流全身。水下二刻,脉气循环一周身。再回到寸口,虚实的状况便显现出来。各种变化相互乘袭,阴阳相互干扰。风邪致脉浮虚,寒邪致脉紧弦。水饮潜藏蓄积,支饮(一种痰饮病)致脉急弦。动脉或弦脉主痛,数脉或洪脉主热烦。假使脉象与上述不符,要知晓变化的缘由。三部脉象不同,疾病的端绪各异。太过令人惊怪,不及也是如此。邪气不会凭空出现,最终必有奸邪作祟。审慎察辨表里,三焦分别区分。知晓邪气所停留之处,斟酌诊断查看。推测脏腑情况,独到的见解如同神明。
The pulse position of the Heart is located at the Cun Kou (Cun position) in front of the Guan (Bar) on the left hand. (Also known as the Renying area.) The pulse position of the Liver is located at the Guan (Bar) on the left hand. The pulse position of the Kidney is located at the Chi (Cubit) position behind the Guan (Bar) on the left hand.
The pulse position of the Lung... [Text missing specific description, only title listed]
The *Zan of Pulse Methods* states:
The pulses of the Heart and Liver emerge from the left hand; the pulses of the Spleen and Lung emerge from the right hand. The Kidneys and Mingmen (Gate of Vitality), both emerge from the Chi (Cubit) position. Hun (Ethereal Soul), Po (Corporeal Soul), and Gushen (Grain Spirit, referring to mental/spiritual activities), all manifest at the Cun Kou (Radial artery at the wrist). The left side primarily governs the Zang organs (Note: Text says "Si Guan", traditionally Left often associated with Blood/Zang or specific functional aspects depending on context, here translated literally as governing 'Guan' which implies specific organ functions or viscera based on the text's internal logic contrasting with Right/Fu), while the right side primarily governs the Fu organs (Note: Text says "Si Fu"). A larger pulse on the left is favorable for males, and a larger pulse on the right is favorable for females. One fen in front of the Guan (Bar) is the master of human life. The left is Renying (Human Welcome), and the right is Qikou (Qi Gate). The decisive judgment of Shenmen (Spirit Gate, here referring to the critical diagnostic point or pulse location behind the Guan) lies in both positions behind the Guan. If a person lacks these two pulses (referring to Renying and Qikou or specific left/right pulse characteristics), the disease will not be cured. If any meridian is damaged or diminished, judge according to its respective position. Regarding San Yin and San Yang (one interpretation: inspecting Yin and Yang Qi), who comes first and who comes later? For Yin diseases, treat the Guan (specific pulse position/organ correspondence); for Yang diseases, treat the Fu (exterior). How to capture the place where Qi Xie (Abnormal Pathogenic Factors) resides? If one can carefully understand these principles, upon needle insertion, the disease will heal.
Pulse diagnosis is divided into three positions (Cun, Guan, Chi), where Yin and Yang interact. Ying Wei (Nutritive and Defensive Qi) and Qi Xue (Qi and Blood) circulate within the body. Through inhalation and exhalation, Qi moves up and down internally. Following the breath, Qi circulates throughout the body, allowing Jin Ye (Body Fluids) to flow smoothly. Movements change with the seasons, imitating natural forms. In Spring, the pulse is Xian (Wiry); in Autumn, it is Fu (Floating); in Winter, it is Chen (Deep); in Summer, it is Hong (Surging). Observing complexion and pulse, they vary in size. Within a short time, changes are unpredictable. Pulse lengths may vary, sometimes short, sometimes long. Upper and lower pulse positions may be disordered, sometimes present, sometimes absent. Conditions constantly change, advancing and retreating. If the mind is confused, one loses the guiding principles of treatment. I wish for you to elaborate clearly so that distinctions can be made clear. (The Master said:) What you ask is the root of the Dao. Pulses are divided into three positions: Cun, Chi, and Guan. Ying Wei circulates without losing balance and measure. The Kidney pulse is Chen (Deep), the Heart pulse is Hong (Surging), the Lung pulse is Fu (Floating), and the Liver pulse is Xian (Wiry). These are the normal constants, accurate to the finest degree. The entry and exit, ascent and descent of Qi complete a cycle in the body within two ke (ancient time units). After water drops for two ke, the pulse completes one circulation of the body, returning to Cun Kou, where Xu (Deficiency) and Shi (Excess) become apparent. Changes multiply and interact, with Yin and Yang interfering. Wind causes Fu (Floating) and Xu (Deficient) pulses; Cold causes Jin (Tight) and Xian (Wiry) pulses. Submerged Water accumulation leads to Ji Xian (Rapidly Wiry) pulses in Zhi Yin (Branching Fluid Retention). Dong (Moving) or Xian (Wiry) pulses indicate pain; Shu (Rapid) or Hong (Surging) pulses indicate Heat and restlessness. If the pulse does not match these descriptions, one must know the cause of the variation. The three positions differ, and the origins of diseases vary. Excess is surprising, and deficiency is also notable. Pathogens do not appear out of nowhere; there is always an underlying evil. Carefully examine the exterior and interior, distinguishing the San Jiao (Triple Burner). Knowing where the pathogen resides, deliberate in diagnosis. Assessing the Zang Fu organs, your unique insight will be like divinity.