脉数在腑。 脉迟在脏。 脉长而弦，病在肝。（《脉经》作出于肝。） 脉小血少，
病
浮，
病在肺。 脉大而坚（扁鹊云∶小而紧，）病在肾。 脉滑者，多血少气。 脉涩者，少血
多
气。脉大者，血气俱多。 又云脉来大而坚者，血气俱实。 脉小者，血气俱少。又云∶脉
来细而微者，血气俱虚。 脉沉细滑疾者热。 脉迟紧为寒。（《脉经》云∶洪数滑疾为热，
涩迟沉细为寒。） 脉盛滑紧者，病在外热。 脉小实而紧者，病在内冷。 脉小弱而涩，
谓之久病。 脉浮滑而疾，谓之新病。 脉浮滑，其人外热风走刺有饮，难治。 脉沉而紧，
上焦有热，下寒，得冷即便下。 脉沉而细，下焦有寒，小便数，时苦绞痛，下利重。 脉
浮紧且滑直者，外热内冷，不得大小便。 脉洪大紧急，病速进在外，苦头发热痈肿。 脉
细小紧急，病速进在中，寒为疝瘕积聚，腹中刺痛。 脉沉重而直前绝者，病血在肠间。 脉
沉重而中散者，因寒食成 。 脉直前而中散绝者，病消渴。（又云∶病浸淫疮。） 脉沉重，
前不至寸口徘徊绝者，病在肌肉遁尸。 脉左转而沉重者，气微，阳在胸中。 脉右转出不
至寸口者，内有肉 。 脉累累如贯珠不前，有风寒在大肠，伏留不去。 脉累累如止不至，
寸口软者，结热在小肠膜中，伏留不去。 脉直前左右弹者，病在血脉中 血也。 脉后而
左右弹者，病在筋骨中也。 脉前大后小，头痛目眩。 脉前小后大，胸满短气。 上部有
脉，下部无脉，其人当吐，不吐者死。 上部无脉，下部有脉，虽困无所苦。 夫脉者，
血之府也。 长则气治。 短则气病。数则烦心。 大则病进。 上盛则气高。 下盛则气
胀。 代则气衰。 细（《太素》作滑）则气少。 涩则心痛，浑浑革革至如涌泉，病进而
危。
弊弊绰绰其去如弦绝者死。 短而急者，病在上。 长而缓者，病在下。 沉而弦急者，病
在内。 浮而洪大者，病在外。脉实者，病在内。 脉虚者，病在外。 在上为表，在下为
里。 浮为在表，沉为在里。 滑为实为下。（又为阳气衰。） 数为虚为热。 浮为风为虚。
动为痛为惊。 沉为水为实。（又为鬼疰。） 弱为虚为悸。 迟则为寒。 涩则少血。 缓
则为虚。 洪则为气。（一作热。）紧则为寒。 弦数为疟。 疟脉自弦，弦数多热，弦迟多
寒。 微则为虚。 代散则死。 弦为痛痹。（一作浮，为风疰。） 偏弦为饮。 双弦则胁
下拘急而痛，其人涩涩恶寒。 脉大寒热在中。 脉伏者霍乱。 安卧脉盛，谓之脱血。 凡
亡汗，肺中寒，饮冷水，咳嗽，下利，胃中虚冷，此等其脉并紧。 浮而大者，为风，又为
中风头重鼻寒。 浮而缓者，皮肤不仁，风寒入肌肉。 滑而浮散者，瘫痪风。 滑为鬼疰。
涩而紧痹病。 浮洪大长者，风眩癫疾。 大坚疾者，癫病。 弦而钩，胁下如刀刺，状如
蜚尸，至困不死。 紧而急者遁尸。 洪大者，伤寒热病。浮洪大者，伤寒，秋吉春成病。 浮
而滑者，宿食。 浮滑而疾者，食不消脾不磨。 短疾而滑，酒病。 浮而细滑，伤饮。 迟
而涩，中寒有 结。 快而紧，积聚有击痛。弦急，疝瘕小腹痛，又为癖病（一作痹病。） 迟
而滑者，胀。 盛而紧者，胀。 弦小者，寒 。 沉而弦者，悬饮内痛。 弦数，有寒饮，
冬夏难治。 紧而滑者，吐逆。小弱而涩，胃反。 迟而缓者，有寒。 微而紧者，有寒。 沉
而迟者，腹脏有冷病。 微弱者，有寒少气。 实紧，胃中有寒，若不能食，时时利者，难
治。（一作时时呕稽难治。） 滑数，心下结热盛。 滑疾，胃中有热。 缓而滑，曰热中。
沉而急，病伤暑，暴发虚热。 浮而绝者，气病。大而滑者，短气。 浮短者，其人肺伤
诸气微少，不过一年死，法当咳嗽。 沉而数，中水，冬不治自愈。 短而数，心痛心烦。 弦
而紧，胁痛，脏伤有瘀血。（一作有寒血。） 沉而滑，为下重，亦为膂痛。 脉细而滑，按
之虚，因急持直者，僵仆从高堕下，病在内。微浮者，秋吉冬成病。 微数，虽甚不成病，
不可劳。 浮滑疾紧者，以合百病久易愈。 阳邪来见浮洪。 阴邪来见沉细。 水谷来见
坚实。 脉来乍大乍小，乍长乍短者，为祟。 脉来洪大袅袅者，祟。脉来沉沉泽泽，四肢
不仁而重者，土祟。脉与肌肉相得，久持之至者，可下之。 弦小紧者，可下之。 紧而数，
发寒热，必下乃愈。 弦迟者，宜温药。 紧数者
脉象数（脉搏跳动快速）的，病位在腑。脉象迟（脉搏跳动缓慢）的，病位在脏。脉象长且弦（端直而长，如按琴弦），病在肝。（《脉经》记载为“出于肝”。）脉象小且血少，浮（轻取即得）的，病在肺。脉象大且坚（坚实有力）（扁鹊说：小而紧），病在肾。脉象滑（往来流利，如盘走珠）的，多血少气。脉象涩（往来艰涩，如轻刀刮竹）的，少血多气。脉象大的，气血俱多。又说脉来大而坚的，气血俱实。脉象小的，气血俱少。又说：脉来细（脉道狭窄）而微（极细极软）的，气血俱虚。脉沉（重按始得）细滑疾（快速）的属热证。脉迟紧的属寒证。（《脉经》说：洪大滑疾属热，涩迟沉细属寒。）脉盛（盛大）滑紧的，病在外且为热证。脉小实而紧的，病在内且为冷证。脉小弱而涩的，称为久病。脉浮滑而疾的，称为新病。脉浮滑的，其人外感风热，身体游走性刺痛且有痰饮，难治。脉沉而紧的，上焦有热，下焦有寒，受冷后立刻腹泻。脉沉而细的，下焦有寒，小便频数，时常痛苦绞痛，大便下利且伴有肛门重坠感。脉浮紧且滑直的，外热内冷，大小便不通。脉洪大紧急的，病势迅速进展于体表，痛苦于头发热、生痈肿。脉细小紧急的，病势迅速进展于体内，寒邪导致疝气、瘕聚积聚，腹中刺痛。脉沉重且直前绝断的，肠间有瘀血。脉沉重且中段散乱的，因寒食停滞而成痞块（原文缺字，据义补为痞或积）。脉直前而中段散绝的，患消渴病。（又说：患浸淫疮。）脉沉重，前部不到寸口徘徊绝断的，病在肌肉间的遁尸（一种潜伏的鬼疰病）。脉左转而沉重的，气微弱，阳气在胸中。脉右转出不至寸口的，内有肉瘤（原文缺字，据义补为瘤或积）。脉累累如贯珠不前行的，有大肠风寒，伏留不去。脉累累如止不至，寸口软的，结热在小肠膜中，伏留不去。脉直前左右弹指的，病在血脉中有瘀血。脉后而左右弹指的，病在筋骨中。脉前大后小的，头痛目眩。脉前小后大的，胸满短气。上部有脉，下部无脉，其人应当呕吐，不呕吐的会死。上部无脉，下部有脉，虽然困顿但无所苦痛。脉，是血的府库。长则气机调畅。短则气机有病。数则心烦。大则病势进展。上部盛则气逆高喘。下部盛则气胀。代（脉来中止，不能自还）则气衰。细（《太素》作滑）则气少。涩则心痛，脉象浑浑革革至如涌泉，病势进展且危险。弊弊绰绰其去如弦绝的会死。短而急的，病在上部。长而缓的，病在下部。沉而弦急的，病在内。浮而洪大的，病在外。脉实的，病在内。脉虚的，病在外。在上为表，在下为里。浮为在表，沉为在里。滑为实为下（又为阳气衰）。数为虚为热。浮为风为虚。动（脉形如豆，厥厥动摇）为痛为惊。沉为水为实（又为鬼疰）。弱为虚为悸。迟则为寒。涩则少血。缓则为虚。洪则为气（一作热）。紧则为寒。弦数为疟疾。疟疾的脉自弦，弦数多热，弦迟多寒。微则为虚。代散则死。弦为痛痹（一作浮，为风疰）。偏弦为痰饮。双弦则胁下拘急而痛，其人涩涩恶寒。脉大寒热在中。脉伏的霍乱。安卧而脉盛的，称为脱血。凡亡汗，肺中寒，饮冷水，咳嗽，下利，胃中虚冷，这些情况的脉都紧。浮而大的，为风，又为中风头重鼻寒。浮而缓的，皮肤麻木不仁，风寒入肌肉。滑而浮散的，瘫痪风。滑为鬼疰。涩而紧为痹病。浮洪大长的，风眩癫疾。大坚疾的，癫病。弦而钩（如钩之曲），胁下如刀刺，状如蜚尸，至困不死。紧而急的为遁尸。洪大的，伤寒热病。浮洪大的，伤寒，秋吉春成病。浮而滑的，宿食。浮滑而疾的，食不消脾不磨。短疾而滑的，酒病。浮而细滑的，伤饮。迟而涩的，中寒有结聚。快而紧的，积聚有击痛。弦急的，疝瘕小腹痛，又为癖病（一作痹病）。迟而滑的，胀。盛而紧的，胀。弦小的，寒湿。沉而弦的，悬饮内痛。弦数，有寒饮，冬夏难治。紧而滑的，吐逆。小弱而涩的，胃反。迟而缓的，有寒。微而紧的，有寒。沉而迟的，腹脏有冷病。微弱的，有寒少气。实紧，胃中有寒，若不能食，时时利的，难治。（一作时时呕稽难治。）滑数的，心下结热盛。滑疾的，胃中有热。缓而滑的，曰热中。沉而急的，病伤暑，暴发虚热。浮而绝的，气病。大而滑的，短气。浮短的，其人肺伤诸气微少，不过一年死，法当咳嗽。沉而数的，中水，冬不治自愈。短而数的，心痛心烦。弦而紧的，胁痛，脏伤有瘀血。（一作有寒血。）沉而滑的，为下重，亦为膂痛。脉细而滑，按之虚，因急持直者，僵仆从高堕下，病在内。微浮的，秋吉冬成病。微数的，虽甚不成病，不可劳。浮滑疾紧的，以合百病久易愈。阳邪来见浮洪。阴邪来见沉细。水谷来见坚实。脉来乍大乍小，乍长乍短的，为祟。脉来洪大袅袅的，祟。脉来沉沉泽泽，四肢不仁而重的，土祟。脉与肌肉相得，久持之至的，可下之。弦小紧的，可下之。紧而数的，发寒热，必下乃愈。弦迟的，宜温药。紧而数的
The pulse being rapid (Shu) indicates disease in the Fu organs. The pulse being slow (Chi) indicates disease in the Zang organs. A long and wiry (Xian) pulse indicates liver disease. (The *Mai Jing* states "originating from the liver.") A small pulse with scant blood, or a floating (Fu) pulse, indicates lung disease. A large and firm pulse indicates kidney disease. (Bian Que said: small and tight.) A slippery (Hua) pulse indicates abundant blood and deficient Qi. A choppy (Se) pulse indicates scant blood and abundant Qi. A large pulse indicates abundant blood and Qi. It is also said that a pulse coming large and firm indicates both blood and Qi are excess. A small pulse indicates both blood and Qi are deficient. It is also said that a pulse coming fine and minute indicates both blood and Qi are deficient. A deep, fine, slippery, and rapid pulse indicates heat. A slow and tight pulse indicates cold. (*Mai Jing* states: surging, rapid, slippery, and rapid indicate heat; choppy, slow, deep, and fine indicate cold.) A vigorous, slippery, and tight pulse indicates external disease with heat. A small, solid, and tight pulse indicates internal disease with cold. A small, weak, and choppy pulse is termed chronic disease. A floating, slippery, and rapid pulse is termed acute disease. A floating and slippery pulse in a person indicates external wind-heat, wandering stabbing pain, and fluid retention, which is difficult to treat. A deep and tight pulse indicates heat in the Upper Jiao and cold in the Lower Jiao; upon exposure to cold, diarrhea occurs immediately. A deep and fine pulse indicates cold in the Lower Jiao, frequent urination, occasional painful cramping, and dysentery with a heavy sensation. A floating, tight, slippery, and straight pulse indicates external heat and internal cold, with inability to pass stool or urine. A surging, large, and urgent pulse indicates rapidly progressing external disease, suffering from feverish hair and carbuncles/swellings. A fine, small, and urgent pulse indicates rapidly progressing internal disease, where cold causes hernia masses (Shan Jia) and accumulations, with stabbing abdominal pain. A heavy and straight-cutting pulse indicates blood stasis in the intestines. A heavy pulse with a scattered middle section indicates accumulation due to cold food stagnation. A pulse straight ahead but scattered and cut off in the middle indicates diabetes (Xiao Ke). (It is also said: disease of oozing sores.) A heavy pulse, not reaching the Cun position at the front and lingering/cut off, indicates disease in the muscles from Dun Shi (latent pathogenic factors). A pulse turning left and becoming heavy indicates weak Qi and Yang residing in the chest. A pulse turning right and not reaching the Cun position indicates internal flesh accumulations (polyps or masses). A pulse accumulating like beads but not advancing indicates wind-cold lodged in the Large Intestine, remaining unresolved. A pulse accumulating like stopping/not advancing, with a soft Cun position, indicates stagnant heat in the Small Intestine membranes, remaining unresolved. A pulse straight ahead and flicking left and right indicates disease in the blood vessels involving blood stasis. A pulse behind flicking left and right indicates disease in the sinews and bones. A pulse large at the front and small at the back indicates headache and vertigo. A pulse small at the front and large at the back indicates chest fullness and shortness of breath. If there is a pulse above but none below, the person should vomit; if they do not vomit, death ensues. If there is no pulse above but pulse below, although distressed, there is no suffering. The pulse is the residence of blood. A long pulse indicates regulated Qi. A short pulse indicates diseased Qi. A rapid pulse indicates vexation in the heart. A large pulse indicates advancing disease. Excess at the top indicates high Qi (rebellious Qi). Excess at the bottom indicates Qi distension. A intermittent (Dai) pulse indicates declining Qi. A fine pulse (*Tai Su* reads slippery) indicates little Qi. A choppy pulse indicates heart pain; a pulse chaotic and vigorous like a gushing spring indicates advancing and critical disease. A pulse feeble and loose, departing like a snapping string, indicates death. A short and urgent pulse indicates disease in the upper part. A long and relaxed pulse indicates disease in the lower part. A deep and wiry-tight pulse indicates internal disease. A floating and surging-large pulse indicates external disease. An excess pulse indicates internal disease. A deficient pulse indicates external disease. Above is exterior, below is interior. Floating indicates exterior, deep indicates interior. Slippery indicates excess and lower [Jiao] (also indicates decline of Yang Qi). Rapid indicates deficiency and heat. Floating indicates wind and deficiency. Moving (Dong) indicates pain and fright. Deep indicates water and excess (also indicates Gui Zhu, infectious diseases). Weak indicates deficiency and palpitations. Slow indicates cold. Choppy indicates scant blood. Relaxed indicates deficiency. Surging indicates Qi (or heat). Tight indicates cold. Wiry and rapid indicates malaria. Malaria pulses are naturally wiry; wiry-rapid indicates much heat, wiry-slow indicates much cold. Minute indicates deficiency. Intermittent and scattered indicates death. Wiry indicates painful obstruction (or floating, indicating wind infection). Unilateral wiry indicates fluid retention. Bilateral wiry indicates stiffness and pain under the hypochondrium, with the person feeling chilly and aversion to cold. A large pulse indicates cold and heat in the center. A hidden pulse indicates cholera-like disorder. Resting with a vigorous pulse is termed blood loss. In cases of sweating loss, cold in the lungs, drinking cold water, coughing, diarrhea, and cold deficiency in the stomach, the pulse is uniformly tight. Floating and large indicates wind, or wind-stroke with heavy head and cold nose. Floating and relaxed indicates skin insensibility, with wind-cold entering the muscles. Slippery and floating-scattered indicates paralysis-wind. Slippery indicates Gui Zhu. Choppy and tight indicates bi-syndrome. Floating, surging, large, and long indicates wind-dizziness and epilepsy. Large, firm, and rapid indicates epilepsy. Wiry and hook-shaped indicates stabbing pain under the hypochondrium, resembling Fei Shi, distressing but not fatal. Tight and urgent indicates Dun Shi. Surging and large indicates cold damage febrile disease. Floating and surging-large indicates cold damage; auspicious in autumn, disease develops in spring. Floating and slippery indicates retained food. Floating, slippery, and rapid indicates indigestion and spleen failing to grind. Short, rapid, and slippery indicates alcohol disease. Floating and fine-slippery indicates injury by fluids. Slow and choppy indicates internal cold with knotting. Fast and tight indicates accumulation with striking pain. Wiry and urgent indicates hernia masses and lower abdominal pain, also Pi disease (or bi-syndrome). Slow and slippery indicates distension. Vigorous and tight indicates distension. Wiry and small indicates cold stagnation. Deep and wiry indicates suspended fluid with internal pain. Wiry and rapid indicates cold fluid retention, difficult to treat in winter and summer. Tight and slippery indicates vomiting and reversal. Small, weak, and choppy indicates stomach reversal. Slow and relaxed indicates cold. Minute and tight indicates cold. Deep and slow indicates cold disease in abdominal organs. Minute and weak indicates cold and shortness of Qi. Excess and tight indicates cold in the stomach; if unable to eat and having frequent diarrhea, it is difficult to treat. (Or frequent retching makes it difficult to treat.) Slippery and rapid indicates excessive knotting of heat in the epigastrium. Slippery and rapid indicates heat in the stomach. Relaxed and slippery is termed heat in the center. Deep and urgent indicates injury by summerheat, sudden onset of deficient heat. Floating and cut off indicates Qi disease. Large and slippery indicates shortness of breath. Floating and short indicates lung injury with slight Qi, death within a year, likely accompanied by coughing. Deep and rapid indicates water intoxication, self-healing if untreated in winter. Short and rapid indicates heart pain and vexation. Wiry and tight indicates hypochondriac pain and organ injury with blood stasis. (Or cold blood.) Deep and slippery indicates heaviness in the lower part, also pain in the back. Fine and slippery pulse, empty on pressure, held tightly and straight, indicates falling from height with internal injury. Slightly floating indicates auspicious in autumn, disease in winter. Slightly rapid indicates even if severe, it does not become a disease, but labor should be avoided. Floating, slippery, rapid, and tight combined with hundred diseases, prolonged illness heals easily. When Yang pathogens arrive, the pulse is floating and surging. When Yin pathogens arrive, the pulse is deep and fine. When water and grain arrive, the pulse is firm and solid. A pulse suddenly large then small, suddenly long then short, indicates demonic influence. A surging, large, and wavering pulse indicates demonic influence. A deep, moist pulse with insensibility and heaviness in the four limbs indicates earth demonic influence. If the pulse matches the flesh, holding it for a long time until arrival allows for purgation. Wiry, small, and tight allows for purgation. Tight and rapid, causing chills and fever, must be purged to heal. Wiry and slow is suitable for warm medicines. Tight and rapid