任脉起于两阴中，上行毛际腹中行，颈下结喉中央上，唇棱下陷承浆名。
【注】任脉起于前阴、后阴之中间，前行横骨，上行毛际，由毛际直上腹之中行，上行颈下结喉上之中央，由结喉
上行至下唇棱下陷中而终。
\r任脉图\p04-34a21.bmp\r
督脉起于尻骨端，后行脊背腰脑巅，前行鼻柱皆中道，唇内齿上龈缝间。
【注】督脉起于尻骨之端，由尻骨后行脊背之中行，上行至颠顶之中，前行至鼻下人中，至唇内门牙之中缝而终。
\r督脉图\p04-34a22.bmp\r
脉部位歌
脉为血脉百骸通，大会之地寸口宗，掌后高骨名关上，关之前后寸尺名。
【注】脉者血之府也。周身血脉，营运贯通，十二经中，皆有动脉。独取寸口者，盖以其经每至寅时，各经之气皆
上朝而大会于肺，故曰寸口宗也。掌后有高骨隆起，界于尺脉、寸脉之间，名曰关部。关前之位，其名曰寸；关后之位，
其名曰尺。尺、寸者，谓从关上至鱼际长一寸，从关下至尺泽长一尺，故名之也。
脉分主歌
上焦候寸下焦尺，中焦之候属两关，包络与心左寸应，胆与肝家在左关，膀胱小肠肾左尺，胸中及肺右寸间，胃与
脾脉右关取，大肠并肾右尺班。
【注】两寸之脉，主候上焦胸中；两关之脉，主候中焦膈中；两尺之脉，主候下焦腹中。左寸之脉，浮候包络，沉
以候心；左关之脉，浮以候胆，沉以候肝；左尺之脉，浮候膀胱、小肠，沉以候肾。右寸之脉，浮候胸中，沉以候肺；
右关之脉，浮以候胃，沉以候脾；右尺之脉，浮候大肠，沉亦候肾。此遵《内经》分发三部诊脉法也。伪诀以大肠、小
肠配寸，三焦、命门配尺，包络竟置不问，悉属不经。滑寿以左尺候小肠、膀胱，右尺候大肠。千古只眼也，当从之。
\r分发脏腑脉图\p04-34a23.bmp\r
浮沉脉歌
浮沉从肉上下行，皮浮属肺血心经，筋沉属肝骨沉肾，肌肉为脾候在中。
【按】《素问·脉要精微论》曰∶尺内两旁则季胁也。尺外以候肾，尺内以候腹。中附上，左外以候肝；内以候膈，
右外以候胃，内以候脾。上附上，右外以候肺，内以候胸中，左外以候心，内以候膻中。然外以候腑，内以候脏，《内经》、
脉书确然可考，岂有独于脾胃则曰右外以候胃，内以候脾者耶？当以“右外以候胃，内以候脾”之句为正。其尺外之“外”
字，当是“内”字；尺里之“里”字，当是“外”字。中附上，左右之“内”、“外”字；上附上，左右之“内”、“外”
字，皆当改之。故不循旧图所列，以符内候脏、外候腑之义。
【注】脉从肉上行者，谓之浮；脉从肉下行者，谓之沉。然心、肺俱浮，于皮毛取之而得者，肺之浮也；于血脉取
之而得者，心之浮也。故曰皮浮属肺血心经也。肝肾俱沉，以筋平取之而得者，肝之沉也；至骨取之而得者，肾之沉也。
故曰筋沉属肝骨沉肾也。肌肉在浮沉之间，属脾。其候在中，故曰候在中也。凡脉以部位而得名者，皆统于浮沉。故以
浮沉为提纲，以统濡、弱、芤、伏、牢、革、虚、实、微、散诸脉也。
濡、弱、芤、伏、牢、革诸脉歌
浮沉无力曰濡弱，中取无力芤脉看，沉极筋骨为伏脉，浮沉极力革牢参。
【注】浮而无力谓之濡脉，沉而无力谓之弱脉。浮沉有力，中取无力，状如葱管，谓之芤脉。沉极推至筋骨，按之
而始得者，谓之伏脉。浮而极有力者，谓之革脉。沉而极有力者，谓之牢脉。
虚、实、微、散诸脉歌
三部有力曰实脉，三部无力虚脉称，三部无力而且小，似有如无微脉名，三部无力而且大，涣漫不收散脉形。
【注】浮、中、沉三部俱有力，谓之实脉。浮、中、沉三部俱无力，谓之虚脉。浮、中、沉三部无力，按之且小，
似有似无，谓之微脉。浮、中、沉三部无力，按之且大，涣漫不收，谓之散脉。
迟、数、缓、疾、结、促、代诸脉歌
三至为迟六至数，四至为缓七至疾，缓止为结数止促，动止难还代脉识。
【注】一呼一吸，谓之一息。一息三至，谓之迟脉。一息四至，谓之缓脉。一息六至，谓之数脉。一息七至，谓之
疾脉。缓脉动时一止，谓之结脉。数脉动时一止，谓之促脉。结促之脉，动而中止，不能自还，谓之代脉。凡脉以至数
而得名者，皆统于迟数。故以迟数为提纲以统缓、疾、结、促、代五脉也。
滑、涩、弦、紧、洪、细、大、长、短、动诸脉歌
滑脉如珠溜不定，涩脉滞涩往来艰，弦脉端直细且劲，紧比弦粗劲且弹。来盛去衰洪脉是，细则如丝大豁然，长脉
迢迢短缩缩，如豆摇摇作动看。
【注】形状如珠，滑溜不定，谓之滑脉。往来滞涩，进退维艰，谓之涩脉。状如弓弦，细而端直，按之且劲，谓之
弦脉。较弦则粗，按之劲，左右弹者，谓之紧脉。上来应指而盛，下去减力而衰，谓之洪脉。脉形软直如丝者，谓之细
脉。脉形粗大豁然者，谓之大脉。来去迢迢而长，谓之长脉。来去缩缩而短，谓之短脉。其形如豆，约约动摇不移者，
谓之动脉。凡脉以形状而得名者，皆统于滑涩。故以滑涩为提纲，以统弦、紧、洪、细、大、长、短、动八脉也。
痈见疽脉、疽见痈脉歌
痈脉脉宜洪大数，若逢牢短化脓难，疽脉最宜沉与弱，浮大且散命归泉。
【注】痈乃阳毒，应见阳脉。若洪大而数，则毒易溃。若见牢短之脉，则为阴凝气少，故曰化脓难也。疽乃阴毒，
脉应见沉与弱，是为顺脉。若见浮大而散，则为阳脱气败，故曰命归泉也。
痈疽伏脉歌
痈疽伏脉理当明，毒闭于经六脉停，审证无凶宜穿发，气通脉道自然行。
【注】痈疽二证，有见伏脉者，皆由于毒瓦斯闭塞经络，营卫壅滞之故，以致六脉停止，沉伏不见也。若审其证无凶
象，非死脉也。治之惟宜穿通经络，宣发营卫，使气得通，而脉道自然行矣。
肿疡、溃疡浮脉歌
肿疡浮脉恐多虚，或有风寒在表居，溃后脉浮气外泻，频加补剂始相宜。
【注】肿疡脉浮者，非气血不足，即为风寒在表，须详证施治。溃疡脉浮者，乃气从外泻，须补剂调养，始为合法。
肿疡、溃疡沉迟脉歌
肿疡沉脉多毒闭，溃后多毒在内存，无力须详毒内陷，迟寒数热更当分。
【注】肿疡不当脉沉而脉沉者，乃毒闭使然也。溃后而沉者，是毒尚存于内也。若沉而无力，恐内虚毒陷，当详审
之∶沉而迟则为兼寒，沉而数则为兼热，更当分别。
肿疡、溃疡数脉歌
肿疡数脉宜热毒，数且兼洪欲作脓，溃后洪大为病进，脓出洪数治无功。
【注】肿疡脉数，作脓兼洪，皆正应之脉也。若溃后洪大，脓出数洪者，皆为邪盛正虚，病脉相反，其病日进，治
亦无功。
肿疡、溃疡滑脉歌
肿疡滑脉尚为顺，初起有痰治痰宜，溃后痰多恐气乏，喘生毒陷死之机。
【注】滑主流通。肿疡初起，脉滑无痰，尚为顺脉。若有痰，则当以治痰为急，恐溃后痰多气乏，必致喘生毒陷而
死也。
肿疡、溃疡涩脉歌
肿疡涩脉属毒滞，有力为实无力虚，溃后脉涩为伤血，急补气血莫迟疑。
【注】涩主滞涩。肿疡初起脉涩者，乃气血为毒滞之征。若按之有力，毒滞为实；按之无力，正损为虚，不可不辨。
若溃后脉涩，为伤血不足之象，急当大补气血，莫迟疑也。
肿疡、溃疡虚实脉歌
肿疡脉虚宜内托，溃后内虚大补宁，肿疡脉实宜消散，溃后如实毒未清。
【注】肿疡未溃脉虚者，不须攻毒，惟宜内托；已溃脉应虚者，急当以大补收功。如肿疡未溃，脉实者，当消毒散
毒；已溃脉实者，乃毒瓦斯犹未清也。
肿疡、溃疡长脉歌
肿疡长脉为有余，消散之方任所施，溃后得之为气治，条然和畅不须医。
【注】肿疡见脉长者，乃气血有余，消散之方，任意施治。溃后脉长者，乃气之畅也，故曰气治，不待医药自能愈
也。
肿疡、溃疡短脉歌
肿疡短脉元气虚，大加补剂始相宜，溃后脉短为虚甚，补之仍短决死期。
【注】肿疡脉短者，元气虚也，非大加补益之剂不可。溃后脉短者，虚之甚也，若补之而脉仍短者，则为败证，其
死必矣。
肿疡、溃疡洪脉歌
肿疡洪脉阳热盛，宣热攻毒必有功，溃后洪脉毒留内，治之不退自然凶。
【注】肿疡未溃，脉洪者热盛也，宣热攻毒之法可施；若溃后脉洪者，邪盛也。服药而脉洪不退者，为正虚邪盛，
其凶不免。
肿疡、溃疡微脉歌
肿疡微脉为虚候，内托受补始能痊，溃后见此虽为顺，微细无神作逆观。
【注】肿疡脉微者，乃虚候也，当以内托补剂为主，受补者方能痊可。若溃后脉微，虽为顺候，设按之微细无神，
则根本已亏，亦当作逆证观也。
肿疡、溃疡动紧脉歌
肿疡将发脉动紧，乃因毒瓦斯外搏经，溃后见之毒内搏，此为残贼证不轻。
【注】肿疡见动脉、紧脉者，乃毒瓦斯外搏于经之象也。若溃后见动、紧之脉，则为毒瓦斯内搏于脏腑之象。盖动、紧
乃残贼之脉，溃后不宜见之，故曰证不轻也。
肿疡、溃疡缓脉歌
肿疡脉缓何须药，和缓从容最吉祥，溃后见之为胃好，便和饮食自然康。
【注】肿疡脉缓，乃气血和平，不待服药，自然安愈之吉兆也。溃后见之，则为胃和，饮食自甘，二便自调，其证
自然康宁也。
肿疡、溃疡芤弦脉歌
肿疡芤脉血原虚，溃后见芤理所宜，肿疡弦脉邪作痛，溃后而弦邪病脾。
【注】肿疡未溃，脉芤者，其血必素虚也。溃后见芤，乃去血之后，亦理之所宜也。肿疡脉弦者，乃毒攻作痛之象，
盖弦主痛也；若溃后脉弦者，则为肝邪侮脾，盖弦乃肝脉也。
肿疡、溃疡牢脉歌
肿疡牢脉为邪固，未作脓时脉见牢，已溃见牢邪难已，结核瘰 不能消。
【注】肿疡脉牢，未作脓时见之，主毒邪牢固难消；溃后见之，邪亦难已。若一切结核瘰 ，见此牢脉，皆主牢固
不能消之候也。
肿疡、溃疡濡弱脉歌
肿疡濡弱脉不足，扶虚托里始能痊，溃后虽为脉病应，但无虚候始得安。
【注】肿疡脉见濡弱不足者，必用扶元托里之剂，始能痊也。溃后脉见濡弱，虽为脉病相应，但无虚证，始得安全。
若精神疲惫，饮食不思，亦危候也。
肿疡、溃疡散脉歌
肿疡散脉最可愁，毒盛气散不能收，溃后见斯亦为逆，急投补固或无忧。
【注】肿疡最忌散脉，盖散脉为毒盛气散，不能收功之诊。溃后见之，亦主逆也。急投补虚收固之剂，或有生者。
肿疡、溃疡大细脉歌
肿疡脉大为顺候，溃后脉大不相宜，肿疡溃后脉细小，总主痈疽气血虚。
【注】肿疡脉大为正实，毒必易出，为顺候也。溃后脉大为病进，其毒难化，为不宜也。肿疡、溃疡，脉见细小者，
总属气血两虚，惟宜大补为主。
肿疡、溃疡促脉歌
促脉无分肿溃疡，总为阳结不宜常，渐退毒散犹可愈，常进不退必然亡。
【注】肿疡、溃疡脉见促者，皆为阳结，但宜暂而不宜常也。如促脉渐渐而退，则毒亦渐渐而散，犹或可愈。若常
进不退，其亡必矣。
肿疡、溃疡结代脉歌
肿疡结脉为阴结，急宜温解始能康，溃后见结阴虚歇，如代之歇定然亡。
【注】肿疡脉结者，乃阴结也。急用温散解毒之剂，始可获效。若溃后见结脉，则为阴虚之歇止，尚不主死。若如
代脉之歇，动而中止，不能自还，则为真脏之脉见，定主亡也。
任脉起始于前阴与后阴之间，向上行至阴毛边缘，沿腹部正中线上行；在颈部结喉中央上方，下行至下唇棱下方的凹陷处，此处名为承浆穴。
【注】任脉起始于前阴和后阴的中间，向前经过横骨，上行至阴毛边缘，由阴毛边缘直上沿腹部正中线上行，再上行至颈部结喉上方的中央，由结喉上行至下唇棱下方的凹陷处而终止。
督脉起始于尾骨末端，向后沿脊柱背部及腰部、脑部、头顶前行；向前经鼻柱正中道，止于嘴唇内侧门牙上方的牙龈缝隙间。
【注】督脉起始于尾骨末端，从尾骨向后沿脊柱正中线上行，上行至头顶正中，向前行至鼻下人中穴，至嘴唇内侧门牙中间的缝隙处终止。
脉部位歌
脉是血脉，贯通全身百骸，寸口脉是诸脉大会之处。手掌后方高起的骨头称为关部，关部之前为寸部，之后为尺部。
【注】脉是血液汇聚的地方。周身血脉营运贯通，十二经脉中都有动脉。唯独取寸口脉诊，是因为每条经脉的气血每至寅时，都会上朝并大会于肺，所以称寸口为宗脉。手掌后方有高骨隆起，位于尺脉和寸脉之间，称为关部。关部前方的位置，称为寸；关部后方的位置，称为尺。“尺”和“寸”的名称，是指从关部向上至鱼际长一寸，从关部向下至尺泽长一尺，因此得名。
脉分主歌
上焦候诊于寸口，下焦候诊于尺部，中焦候诊于左右两关。左手寸部对应心包络与心，左手关部对应胆与肝，左手尺部对应膀胱、小肠与肾；右手寸部对应胸中与肺，右手关部对应胃与脾，右手尺部对应大肠与肾。
【注】左右两寸的脉象，主要候察上焦胸中的状况；左右两关的脉象，主要候察中焦膈中的状况；左右两尺的脉象，主要候察下焦腹中的状况。左寸脉，轻取（浮）候心包络，重按（沉）候心；左关脉，轻取候胆，重按候肝；左尺脉，轻取候膀胱和小肠，重按候肾。右寸脉，轻取候胸中，重按候肺；右关脉，轻取候胃，重按候脾；右尺脉，轻取候大肠，重按也候肾。这是遵循《内经》分部三部诊脉法。伪托的诀文中将大肠、小肠配属于寸，三焦、命门配属于尺，完全忽略心包络，都属于不经之谈。滑寿认为左尺候小肠、膀胱，右尺候大肠，这是千古以来的独到见解，应当遵从。
浮沉脉歌
浮脉是从肌肉表面向上行的脉，沉脉是从肌肉内部向下行的脉。皮毛部位的浮脉属肺，血脉中的浮脉属心；筋部的沉脉属肝，骨部的沉脉属肾；肌肉处于浮沉之间，属脾，其脉象候察在中部。
【按】《素问·脉要精微论》说：尺肤内两旁是季胁。尺肤外侧以候肾，内侧以候腹。从中部往上附连处，左侧外侧以候肝，内侧以候膈；右侧外侧以候胃，内侧以候脾。再往上附连处，右侧外侧以候肺，内侧以候胸中；左侧外侧以候心，内侧以候膻中。然而外则候腑，内则候脏，《内经》和脉书确实可以考证，难道唯独对脾胃就说“右侧外侧候胃，内侧候脾”吗？应当以“右侧外侧候胃，内侧候脾”这句话为正解。尺肤外侧的“外”字，应当是“内”字；尺肤里的“里”字，应当是“外”字。中部往上附连处，左右侧的“内”、“外”字；上部往上附连处，左右侧的“内”、“外”字，都应当改正。因此不遵循旧图所列，以符合内候脏、外候腑的意义。
【注】脉从肌肉表面向上行的，称为浮脉；脉从肌肉内部向下行的，称为沉脉。然而心和肺的脉都表现为浮，在皮毛取取得的是肺的浮脉；在血脉取取得的是心的浮脉。所以说皮浮属肺，血浮属心。肝和肾的脉都表现为沉，在筋平取取得的是肝的沉脉；至骨取取得的是肾的沉脉。所以说筋沉属肝，骨沉属肾。肌肉位于浮沉之间，属脾。其脉象候察在中部，所以说“候在中”。凡是因部位而得名脉象的，都统摄于浮沉。因此以浮沉为提纲，统摄濡、弱、芤、伏、牢、革、虚、实、微、散等诸脉。
濡、弱、芤、伏、牢、革诸脉歌
浮取无力称为濡脉或弱脉，中取无力称为芤脉，沉取至极筋骨始得称为伏脉，浮取和沉取极力有力分别称为革脉和牢脉。
【注】浮取而无力，称为濡脉；沉取而无力，称为弱脉。浮取和沉取都有力，但中取无力，脉状如葱管，称为芤脉。沉取至极，推至筋骨，按下去才能摸到的，称为伏脉。浮取极有力的，称为革脉；沉取极有力的，称为牢脉。
虚、实、微、散诸脉歌
寸关尺三部脉都有力称为实脉，三部脉都无力称为虚脉，三部脉无力而且细小，似有似无称为微脉，三部脉无力而且宽大，涣漫不收称为散脉。
【注】浮、中、沉三部脉俱有力，称为实脉。浮、中、沉三部脉俱无力，称为虚脉。浮、中、沉三部脉无力，按之且小，似有似无，称为微脉。浮、中、沉三部脉无力，按之且大，涣漫不收，称为散脉。
迟、数、缓、疾、结、促、代诸脉歌
一息跳动三次为迟脉，六次为数脉，四次为缓脉，七次为疾脉。缓脉动时有间歇为结脉，数脉动时有间歇为促脉，动时中止且不能自还的为代脉。
【注】一呼一吸，称为一息。一息跳动三次，称为迟脉。一息跳动四次，称为缓脉。一息跳动六次，称为数脉。一息跳动七次，称为疾脉。缓脉跳动时出现一次停顿，称为结脉。数脉跳动时出现一次停顿，称为促脉。结脉和促脉，都是跳动中止，但不能自行恢复，称为代脉。凡是因至数（跳动次数）而得名脉象的，都统摄于迟数。因此以迟数为提纲，统摄缓、疾、结、促、代五脉。
滑、涩、弦、紧、洪、细、大、长、短、动诸脉歌
滑脉如珠子滚动般流利不定，涩脉往来滞涩艰难，弦脉端直且细劲，紧脉比弦脉更粗劲且有弹指感。来势盛而去势衰的是洪脉，细如丝线的是细脉，粗大豁然的是大脉，来去悠长的是长脉，来去短缩的是短脉，形如豆粒动摇不定的是动脉。
【注】形状如珠，滑溜不定，称为滑脉。往来滞涩，进退维艰，称为涩脉。状如弓弦，细而端直，按之且劲，称为弦脉。较弦脉更粗，按之劲，左右弹手者，称为紧脉。上来应指而盛，下去减力而衰，称为洪脉。脉形软直如丝者，称为细脉。脉形粗大豁然者，称为大脉。来去悠长而长，称为长脉。来去短缩而短，称为短脉。其形如豆，约约动摇不移者，称为动脉。凡是因形状而得名脉象的，都统摄于滑涩。因此以滑涩为提纲，统摄弦、紧、洪、细、大、长、短、动八脉。
痈见疽脉、疽见痈脉歌
痈的脉象宜见洪大数脉，若逢牢短之脉，则化脓困难；疽的脉象最宜见沉弱之脉，若见浮大且散之脉，则性命难保。
【注】痈属于阳毒，应当见到阳脉。若见洪大而数的脉象，则毒邪容易溃破。若见牢短之脉，则是阴凝气少，所以说化脓困难。疽属于阴毒，脉象应当见沉与弱，这是顺脉。若见浮大而散之脉，则是阳气脱失、正气败坏，所以说性命归泉。
痈疽伏脉歌
痈疽出现伏脉的道理应当明白，毒邪闭塞经络导致六脉停止，审察证候若无凶险迹象，适宜用穿透发散之法，气通脉道自然通行。
【注】痈和疽两种病证，有出现伏脉的，都是因为毒瓦斯闭塞经络，营卫壅滞的缘故，以致六脉停止，沉伏不见。如果审察其证候没有凶险迹象，并非死脉。治疗只宜穿透经络，宣发营卫，使气机通畅，而脉道自然通行。
肿疡、溃疡浮脉歌
肿疡见浮脉恐怕多属气血虚，或者是风寒在表停留；溃后见浮脉是气向外泻，频繁加用补剂才适宜。
【注】肿疡脉浮，不是气血不足，就是风寒在表，必须详细审证施治。溃疡脉浮，是气从外泻，必须用补剂调养，才是合法。
肿疡、溃疡沉迟脉歌
肿疡见沉脉多是毒邪闭阻，溃后见沉脉多是毒邪存留体内，脉无力须详查是否毒邪内陷，迟脉主寒数脉主热更应当分辨。
【注】肿疡不应当见沉脉却见沉脉的，是毒邪闭阻所致。溃后见沉脉，是毒邪尚存于内。若沉而无力，恐怕是内虚毒陷，应当详细审察：沉而迟则是兼寒，沉而数则是兼热，更应当分别对待。
肿疡、溃疡数脉歌
肿疡见数脉宜于热毒，数且兼洪欲作脓；溃后见洪大为病势进展，脓出后仍洪数则治疗无功。
【注】肿疡脉数，作脓兼见洪脉，都是正应之脉。若溃后见洪大，脓出后仍见数洪，都是邪盛正虚，病脉相反，病势日进，治疗也无功。
肿疡、溃疡滑脉歌
肿疡见滑脉尚为顺脉，初起有痰治痰为宜；溃后痰多恐怕气乏，喘生毒陷乃死之机。
【注】滑脉主流通。肿疡初起，脉滑而无痰，尚为顺脉。若有痰，则当以治痰为急，恐怕溃后痰多气乏，必致喘生毒陷而死。
肿疡、溃疡涩脉歌
肿疡见涩脉属毒邪阻滞，有力为实无力为虚；溃后脉涩为伤血，急补气血莫迟疑。
【注】涩脉主滞涩。肿疡初起脉涩，是气血被毒邪阻滞的征象。若按之有力，毒滞为实证；按之无力，正气受损为虚证，不可不辨。若溃后脉涩，是伤血不足的征象，急当大补气血，莫迟疑。
肿疡、溃疡虚实脉歌
肿疡脉虚宜用内托法，溃后内虚宜大补；肿疡脉实宜消散，溃后如实则毒未清。
【注】肿疡未溃脉虚，不需攻毒，只宜内托；已溃脉应虚，急当以大补收功。如肿疡未溃，脉实，当消毒散毒；已溃脉实，是毒瓦斯犹未清。
肿疡、溃疡长脉歌
肿疡见长脉为有余，消散之方任所施；溃后得之为气治，条然和畅不须医。
【注】肿疡见脉长者，是气血有余，消散之方可任意施用。溃后脉长者，是气机通畅，所以说气治，不待医药自能愈。
肿疡、溃疡短脉歌
肿疡见短脉元气虚，大加补剂始相宜；溃后脉短为虚甚，补之仍短决死期。
【注】肿疡脉短，是元气虚，非大加补益之剂不可。溃后脉短，是虚之甚，若补之而脉仍短，则为败证，其死必矣。
肿疡、溃疡洪脉歌
肿疡见洪脉阳热盛，宣热攻毒必有功；溃后洪脉毒留内，治之不退自然凶。
【注】肿疡未溃，脉洪者是热盛，宣热攻毒之法可施；若溃后脉洪者是邪盛。服药而脉洪不退者，为正虚邪盛，其凶不免。
肿疡、溃疡微脉歌
肿疡见微脉为虚候，内托受补始能痊；溃后见此虽为顺，微细无神作逆观。
【注】肿疡脉微，是虚候，当以内托补剂为主，受补者方能痊愈。若溃后脉微，虽为顺候，设按之微细无神，则根本已亏，亦当作逆证观。
肿疡、溃疡动紧脉歌
肿疡将发脉动紧，乃因毒瓦斯外搏经；溃后见之毒内搏，此为残贼证不轻。
【注】肿疡见动脉、紧脉，是毒瓦斯外搏于经的征象。若溃后见动、紧之脉，则是毒瓦斯内搏于脏腑的征象。盖动、紧乃残贼之脉，溃后不宜见之，所以说证不轻。
肿疡、溃疡缓脉歌
肿疡脉缓何须药，和缓从容最吉祥；溃后见之为胃好，便和饮食自然康。
【注】肿疡脉缓，是气血和平，不待服药，自然安愈之吉兆。溃后见之，则为胃和，饮食自甘，二便自调，其证自然康宁。
肿疡、溃疡芤弦脉歌
肿疡见芤脉血原虚，溃后见芤理所宜；肿疡见弦脉邪作痛，溃后而弦邪病脾。
【注】肿疡未溃，脉芤者，其血必素虚。溃后见芤，乃去血之后，亦理之所宜。肿疡脉弦，是毒攻作痛的征象，盖弦主痛；若溃后脉弦，则为肝邪侮脾，盖弦乃肝脉。
肿疡、溃疡牢脉歌
肿疡见牢脉为邪固，未作脓时脉见牢；已溃见牢邪难已，结核瘰疬不能消。
【注】肿疡脉牢，未作脓时见之，主毒邪牢固难消；溃后见之，邪亦难已。若一切结核瘰疬，见此牢脉，皆主牢固不能消之候。
肿疡、溃疡濡弱脉歌
肿疡见濡弱脉不足，扶虚托里始能痊；溃后虽为脉病应，但无虚候始得安。
【注】肿疡脉见濡弱不足，必用扶元托里之剂，始能痊愈。溃后脉见濡弱，虽为脉病相应，但无虚证，始得安全。若精神疲惫，饮食不思，亦危候。
肿疡、溃疡散脉歌
肿疡见散脉最可愁，毒盛气散不能收；溃后见斯亦为逆，急投补固或无忧。
【注】肿疡最忌散脉，盖散脉为毒盛气散，不能收功之诊。溃后见之，亦主逆。急投补虚收固之剂，或有生者。
肿疡、溃疡大细脉歌
肿疡脉大为顺候，溃后脉大不相宜；肿疡溃后脉细小，总主痈疽气血虚。
【注】肿疡脉大为正实，毒必易出，为顺候。溃后脉大为病进，其毒难化，为不宜。肿疡、溃疡，脉见细小者，总属气血两虚，惟宜大补为主。
肿疡、溃疡促脉歌
促脉无分肿溃疡，总为阳结不宜常；渐退毒散犹可愈，常进不退必然亡。
【注】肿疡、溃疡脉见促者，皆为阳结，但宜暂而不宜常。如促脉渐渐而退，则毒亦渐渐而散，犹或可愈。若常进不退，其亡必矣。
肿疡、溃疡结代脉歌
肿疡结脉为阴结，急宜温解始能康；溃后见结阴虚歇，如代之歇定然亡。
【注】肿疡脉结，是阴结。急用温散解毒之剂，始可获效。若溃后见结脉，则为阴虚之歇止，尚不主死。若如代脉之歇，动而中止，不能自还，则为真脏之脉见，定主亡。
Ren Mai (Conception Vessel) originates between the anterior and posterior yin orifices, ascends to the pubic hair margin, and travels along the midline of the abdomen. Above the central thyroid cartilage in the neck, it descends to the depression below the lower lip ridge, a point named Chengjiang (CV24).
[Note] Ren Mai (Conception Vessel) originates at the midpoint between the anterior and posterior yin orifices, proceeds forward past the transverse bone, ascends to the pubic hair margin, travels straight up along the midline of the abdomen from there, continues upward to the center above the thyroid cartilage in the neck, and terminates at the depression below the lower lip ridge.
Du Mai (Governing Vessel) originates at the end of the coccyx, travels posteriorly along the spine, back, waist, brain, and vertex. Anteriorly, it follows the midline of the nasal column, terminating in the gum seam between the upper incisors inside the lips.
[Note] Du Mai (Governing Vessel) originates at the end of the coccyx, travels posteriorly along the midline of the spine, ascends to the center of the vertex, proceeds anteriorly to the philtrum below the nose, and terminates in the midline seam between the upper incisors inside the lips.
Song on Pulse Locations
The pulse is the blood vessel, connecting all bones and tissues throughout the body. The Cun Kou (Radial Artery) is the meeting place of all pulses. The prominent bone behind the palm is named Guan (Gate), with Cun (Inch) located anterior to it and Chi (Cubit) posterior to it.
[Note] The pulse is the residence of blood. Blood vessels throughout the body circulate and connect; all twelve meridians have arterial pulses. Only the Cun Kou (Radial Artery) is palpated because, at each Yin hour, the Qi of all meridians ascends and converges in the Lung, hence it is called the Zong (Chief) pulse. There is a prominent bone behind the palm, situated between the Chi (Cubit) and Cun (Inch) positions, named Guan (Gate). The position anterior to Guan is named Cun (Inch); the position posterior to Guan is named Chi (Cubit). The names "Chi" and "Cun" refer to the distance: one Cun (Inch) long from Guan to the Thenar eminence, and one Chi (Cubit) long from Guan to the Chize acupoint (LU5), thus the names are derived.
Song on Pulse Distribution to Organs
The Upper Jiao (Upper Burner) is inspected at Cun (Inch); the Lower Jiao (Lower Burner) at Chi (Cubit); the Middle Jiao (Middle Burner) at the two Guan (Gate) positions. The Left Cun corresponds to the Pericardium and Heart; the Left Guan to the Gallbladder and Liver; the Left Chi to the Bladder, Small Intestine, and Kidney. The Right Cun corresponds to the Chest and Lung; the Right Guan to the Stomach and Spleen; the Right Chi to the Large Intestine and Kidney.
[Note] The pulses of both Cuns inspect the Upper Jiao (Chest); the pulses of both Guans inspect the Middle Jiao (Diaphragm); the pulses of both Chis inspect the Lower Jiao (Abdomen). The Left Cun pulse, superficially (Floating), inspects the Pericardium; deeply (Sinking), it inspects the Heart. The Left Guan pulse, superficially, inspects the Gallbladder; deeply, it inspects the Liver. The Left Chi pulse, superficially, inspects the Bladder and Small Intestine; deeply, it inspects the Kidney. The Right Cun pulse, superficially, inspects the Chest; deeply, it inspects the Lung. The Right Guan pulse, superficially, inspects the Stomach; deeply, it inspects the Spleen. The Right Chi pulse, superficially, inspects the Large Intestine; deeply, it also inspects the Kidney. This follows the Three-Position Pulse Diagnosis method of the Nei Jing (Inner Canon). Apocryphal texts incorrectly associate the Large Intestine and Small Intestine with Cun, and the San Jiao (Triple Burner) and Ming Men (Gate of Life) with Chi, completely ignoring the Pericardium; these are erroneous. Hua Shou correctly held that the Left Chi inspects the Small Intestine and Bladder, and the Right Chi inspects the Large Intestine. This is a unique insight of the ages and should be followed.
Song on Floating and Sinking Pulses
A Floating pulse rises from the muscle surface; a Sinking pulse descends from within the muscle. Floating at the skin level belongs to the Lung; floating in the blood vessels belongs to the Heart. Sinking in the tendons belongs to the Liver; sinking in the bones belongs to the Kidney. Muscle lies between floating and sinking and belongs to the Spleen; its pulse is inspected in the middle.
[Commentary] The Su Wen (Plain Questions) states: "On both sides inside the Chi area are the hypochondrium. Outside the Chi area inspects the Kidney; inside inspects the Abdomen. Attached to the middle, outside on the left inspects the Liver; inside inspects the Diaphragm. Outside on the right inspects the Stomach; inside inspects the Spleen. Attached to the upper, outside on the right inspects the Lung; inside inspects the Chest. Outside on the left inspects the Heart; inside inspects the Dan Zhong." However, exterior inspects Fu organs, interior inspects Zang organs, as confirmed by the Nei Jing and pulse books. Why single out the Spleen and Stomach saying "outside on the right inspects the Stomach, inside inspects the Spleen"? The phrase "outside on the right inspects the Stomach, inside inspects the Spleen" should be considered correct. The "outside" character in "outside of Chi" should be "inside"; the "inside" character in "inside of Chi" should be "outside". Similarly, the "inside" and "outside" characters for the left and right at the middle and upper attachments should be corrected. Therefore, we do not follow the old diagrams to conform to the meaning of interior inspecting Zang and exterior inspecting Fu.
[Note] A pulse rising from the muscle surface is called Floating; a pulse descending from within the muscle is called Sinking. Both Heart and Lung pulses manifest as Floating. Obtained at the skin and hair level is the Lung's floating pulse; obtained at the blood vessel level is the Heart's floating pulse. Hence, "skin floating belongs to Lung, blood floating belongs to Heart." Both Liver and Kidney pulses manifest as Sinking. Obtained at the tendon level is the Liver's sinking pulse; obtained at the bone level is the Kidney's sinking pulse. Hence, "tendon sinking belongs to Liver, bone sinking belongs to Kidney." Muscle lies between floating and sinking and belongs to the Spleen. Its pulse is inspected in the middle, hence "inspected in the middle." All pulses named by location are governed by Floating and Sinking. Thus, Floating and Sinking serve as the outline to govern the Ru (Soft), Ruo (Weak), Kou (Scallion-stem), Fu (Hidden), Lao (Deep-firm), Ge (Leather), Xu (Deficient), Shi (Excess), Wei (Minute), and San (Scattered) pulses.
Song on Ru, Ruo, Kou, Fu, Lao, and Ge Pulses
Floating without force is Ru (Soft) or Ruo (Weak); middle pressure without force is Kou (Scallion-stem); sinking to the extreme at bone and tendon is Fu (Hidden); extreme force at floating is Ge (Leather), and at sinking is Lao (Deep-firm).
[Note] Floating without force is called Ru (Soft) pulse; sinking without force is called Ruo (Weak) pulse. Forceful at floating and sinking, but without force at middle pressure, resembling a scallion stem, is called Kou (Scallion-stem) pulse. Sinking to the extreme, pushed to bone and tendon, felt only upon pressing, is called Fu (Hidden) pulse. Extremely forceful at floating is called Ge (Leather) pulse; extremely forceful at sinking is called Lao (Deep-firm) pulse.
Song on Xu, Shi, Wei, and San Pulses
Forceful at all three positions (Cun, Guan, Chi) is Shi (Excess) pulse; without force at all three positions is Xu (Deficient) pulse; without force at all three positions and small, seeming present yet absent, is Wei (Minute) pulse; without force at all three positions and large, loose and uncollected, is San (Scattered) pulse.
[Note] Forceful at Floating, Middle, and Sinking positions is called Shi (Excess) pulse. Without force at Floating, Middle, and Sinking positions is called Xu (Deficient) pulse. Without force at Floating, Middle, and Sinking positions, feeling small upon pressing, seeming present yet absent, is called Wei (Minute) pulse. Without force at Floating, Middle, and Sinking positions, feeling large upon pressing, loose and uncollected, is called San (Scattered) pulse.
Song on Chi, Shu, Huan, Ji, Jie, Cu, and Dai Pulses
Three beats per respiration is Chi (Slow); six beats is Shu (Rapid); four beats is Huan (Moderate); seven beats is Ji (Fast). Huan pulse with intermittent stops is Jie (Knotted); Shu pulse with intermittent stops is Cu (Hasty); stops that are difficult to recover from are Dai (Intermittent) pulse.
[Note] One exhalation and one inhalation constitute one respiration (Xi). Three beats per respiration is called Chi (Slow) pulse. Four beats per respiration is called Huan (Moderate) pulse. Six beats per respiration is called Shu (Rapid) pulse. Seven beats per respiration is called Ji (Fast) pulse. When the Huan pulse has a pause during beating, it is called Jie (Knotted) pulse. When the Shu pulse has a pause during beating, it is called Cu (Hasty) pulse. For Jie and Cu pulses, the beating stops but cannot self-recover, which is called Dai (Intermittent) pulse. All pulses named by frequency are governed by Chi and Shu. Thus, Chi and Shu serve as the outline to govern the Huan, Ji, Jie, Cu, and Dai pulses.
Song on Hua, Se, Xian, Jin, Hong, Xi, Da, Chang, Duan, and Dong Pulses
Hua (Slippery) pulse flows like beads rolling,不定 (uncertain/unfixed); Se (Choppy) pulse is stagnant and difficult to move; Xian (Bowstring) pulse is straight, thin, and forceful; Jin (Taut) pulse is coarser than Xian, forceful, and elastic. Hong (Surging) pulse comes vigorously and deploys weakly; Xi (Fine) pulse is like a thread; Da (Large) pulse is broad and open; Chang (Long) pulse extends far; Duan (Short) pulse is contracted; Dong (Moving) pulse resembles a bean, trembling and shifting.
[Note] Shape like a bead, slippery and uncertain, is called Hua (Slippery) pulse. Stagnant and difficult to advance or retreat is called Se (Choppy) pulse. Shape like a bowstring, thin and straight, forceful upon pressing, is called Xian (Bowstring) pulse. Coarser than Xian, forceful upon pressing, and flicking left and right is called Jin (Taut) pulse. Coming strongly to the finger and departing weakly is called Hong (Surging) pulse. Soft and straight like a thread is called Xi (Fine) pulse. Broad and open is called Da (Large) pulse. Extending far in coming and going is called Chang (Long) pulse. Contracted in coming and going is called Duan (Short) pulse. Shape like a bean, trembling and immobile is called Dong (Moving) pulse. All pulses named by shape are governed by Hua and Se. Thus, Hua and Se serve as the outline to govern the Xian, Jin, Hong, Xi, Da, Chang, Duan, and Dong pulses.
Song on Yong Seeing Ju Pulse and Ju Seeing Yong Pulse
Yong (Abscess) pulse should be Hong (Surging), Da (Large), and Shu (Rapid); if Jie (Knotted) and Duan (Short) appear, suppuration is difficult. Ju (Carbuncle) pulse should best be Chen (Sinking) and Ruo (Weak); if Fu (Floating), Da (Large), and San (Scattered) appear, life returns to the spring (death).
[Note] Yong is Yang toxin and should show Yang pulses. If Hong, Da, and Shu appear, the toxin easily suppurates. If Jie and Duan appear, it indicates Yin stagnation and Qi deficiency, hence "suppuration is difficult." Ju is Yin toxin, and the pulse should be Chen and Ruo, which is a favorable pulse. If Fu, Da, and San appear, it indicates Yang collapse and Qi failure, hence "life returns to the spring."
Song on Fu Pulse in Yong and Ju
The principle of Fu (Hidden) pulse in Yong and Ju should be understood. Toxin blocks the meridians, causing the six pulses to stop. If the syndrome shows no ominous signs, penetration and dispersal therapy is suitable; once Qi connects, the pulse channel naturally flows.
[Note] In both Yong and Ju conditions, Fu pulse appears due to toxin blocking the meridians and stagnation of Ying (Nutritive) and Wei (Defensive) Qi, causing the six pulses to cease and become hidden. If the syndrome shows no ominous signs, it is not a death pulse. Treatment should focus on penetrating the meridians and disseminating Ying and Wei Qi, allowing Qi to flow freely so that the pulse channel naturally functions.
Song on Floating Pulse in Swollen Ulcer and Ulcerated Ulcer
Floating pulse in Swollen Ulcer suggests deficiency or wind-cold in the exterior; after ulceration, floating pulse indicates Qi leaking outward, requiring frequent tonification.
[Note] Floating pulse in Swollen Ulcer indicates either Qi and Blood deficiency or wind-cold in the exterior; treatment must be based on detailed syndrome differentiation. Floating pulse after ulceration indicates Qi leaking outward; tonic treatment is necessary for proper management.
Song on Sinking and Slow Pulse in Swollen Ulcer and Ulcerated Ulcer
Sinking pulse in Swollen Ulcer often indicates toxin blockage; after ulceration, sinking pulse indicates toxin remaining internally. Weakness requires checking for internal toxin collapse; Slow indicates cold, Rapid indicates heat, which must be distinguished.
[Note] Sinking pulse in Swollen Ulcer, when inappropriate, is caused by toxin blockage. Sinking pulse after ulceration indicates toxin remaining internally. If sinking and weak, internal deficiency with toxin collapse is feared, requiring careful examination: sinking and slow indicates concomitant cold; sinking and rapid indicates concomitant heat, which must be differentiated.
Song on Rapid Pulse in Swollen Ulcer and Ulcerated Ulcer
Rapid pulse in Swollen Ulcer suits Heat Toxin; rapid with surging indicates impending suppuration. After ulceration, surging indicates disease progression; rapid and surging after pus discharge means treatment is ineffective.
[Note] Rapid pulse in Swollen Ulcer, especially with surging during suppuration, is appropriate. Surging after ulceration, or rapid and surging after pus discharge, indicates excess pathogen and deficient healthy Qi, opposite to the expected pulse, disease progresses daily, and treatment is futile.
Song on Slippery Pulse in Swollen Ulcer and Ulcerated Ulcer
Slippery pulse in Swollen Ulcer is still favorable; phlegm in early stage should be treated. After ulceration, excessive phlegm fears Qi exhaustion; asthma and toxin collapse signal death.
[Note] Slippery pulse indicates free flow. Early Swollen Ulcer with slippery pulse and no phlegm is favorable. If phlegm exists, treating phlegm is urgent to prevent post-ulceration phlegm accumulation, Qi exhaustion, asthma, and toxin collapse leading to death.
Song on Choppy Pulse in Swollen Ulcer and Ulcerated Ulcer
Choppy pulse in Swollen Ulcer belongs to toxin stagnation; forceful indicates Excess, weak indicates Deficiency. Choppy pulse after ulceration indicates Blood injury; urgently tonify Qi and Blood without delay.
[Note] Choppy pulse indicates stagnation. Choppy pulse in early Swollen Ulcer indicates Qi and Blood stagnated by toxin. Forceful upon pressing indicates Excess toxin stagnation; weak indicates Healthy Qi damage and Deficiency, which must be distinguished. Choppy pulse after ulceration indicates insufficient Blood due to injury; urgently tonify Qi and Blood without delay.
Song on Deficient and Excess Pulse in Swolved Ulcer and Ulcerated Ulcer
Deficient pulse in Swollen Ulcer favors internal support; internal deficiency after ulceration requires major tonification. Excess pulse in Swollen Ulcer favors dispersion; excess pulse after ulceration indicates uncleared toxin.
[Note] Deficient pulse in non-ulcerated Swollen Ulcer requires no attacking toxin, only internal support; Deficient pulse after ulceration requires urgent major tonification to conclude treatment. Excess pulse in non-ulcerated Swollen Ulcer requires detoxification and dispersion; Excess pulse after ulceration indicates toxin remains uncleared.
Song on Long Pulse in Swollen Ulcer and Ulcerated Ulcer
Long pulse in Swollen Ulcer indicates surplus; dispersive formulas can be applied freely. Long pulse after ulceration indicates regulated Qi, smooth and harmonious, requiring no medical intervention.
[Note] Long pulse in Swollen Ulcer indicates sufficient Qi and Blood; dispersive formulas may be used arbitrarily. Long pulse after ulceration indicates smooth Qi flow, hence "Qi regulated," healing spontaneously without medicine.
Song on Short Pulse in Swollen Ulcer and Ulcerated Ulcer
Short pulse in Swollen Ulcer indicates Yuan Qi deficiency; major tonifying formulas are suitable. Short pulse after ulceration indicates severe deficiency; if short persists after tonification, death is certain.
[Note] Short pulse in Swollen Ulcer indicates Yuan Qi deficiency, requiring major tonifying formulas. Short pulse after ulceration indicates severe deficiency; if the pulse remains short after tonification, it is a failing syndrome, and death is inevitable.
Song on Surging Pulse in Swollen Ulcer and Ulcerated Ulcer
Surging pulse in Swollen Ulcer indicates Yang Heat excess; clearing heat and attacking toxin will succeed. Surging pulse after ulceration indicates toxin retained internally; if treatment fails to reduce it,凶 (ominous) outcome is natural.
[Note] Surging pulse in non-ulcerated Swollen Ulcer indicates Heat excess; clearing heat and attacking toxin methods are applicable. Surging pulse after ulceration indicates Pathogen excess. If pulse remains surging after medication, it indicates Deficient Healthy Qi and Excess Pathogen, and the ominous outcome is unavoidable.
Song on Minute Pulse in Swollen Ulcer and Ulcerated Ulcer
Minute pulse in Swollen Ulcer indicates Deficient syndrome; internal support and receiving tonification lead to recovery. Minute pulse after ulceration is favorable, but minute, fine, and spiritless is viewed as Ominous.
[Note] Minute pulse in Swollen Ulcer indicates Deficient syndrome; internal support tonics are primary, and recovery occurs only if the patient receives tonification. Minute pulse after ulceration is generally favorable, but if minute, fine, and spiritless upon pressing, the root is depleted, and it should be viewed as an Ominous syndrome.
Song on Moving and Taut Pulse in Swollen Ulcer and Ulcerated Ulcer
Moving and Taut pulse before Swollen Ulcer eruption indicates toxin attacking meridians externally. Appearance after ulceration indicates toxin attacking viscera internally; this is a residual harmful syndrome, not light.
[Note] Moving and Taut pulses in Swollen Ulcer indicate toxin attacking meridians externally. Appearance after ulceration indicates toxin attacking viscera internally. Moving and Taut are harmful pulses; their appearance after ulceration is unfavorable, hence "syndrome is not light."
Song on Moderate Pulse in Swollen Ulcer and Ulcerated Ulcer
Moderate pulse in Swollen Ulcer needs no medicine; gentle and leisurely is most auspicious. Moderate pulse after ulceration indicates good Stomach function; regular bowel movements and diet ensure natural health.
[Note] Moderate pulse in Swollen Ulcer indicates harmonious Qi and Blood, a sign of natural recovery without medicine. Moderate pulse after ulceration indicates harmonious Stomach, sweet appetite, regulated bowels, and natural health.
Song on Scallion-stem and Bowstring Pulse in Swollen Ulcer and Ulcerated Ulcer
Scallion-stem pulse in Swollen Ulcer indicates original Blood deficiency; appearance after ulceration is logical. Bowstring pulse in Swollen Ulcer indicates pain from pathogen; Bowstring after ulceration indicates pathogen affecting Spleen.
[Note] Scallion-stem pulse in non-ulcerated Swollen Ulcer indicates inherent Blood deficiency. Appearance after ulceration is logical following blood loss. Bowstring pulse in Swollen Ulcer indicates pain from toxin attack, as Bowstring governs pain; Bowstring pulse after ulceration indicates Liver pathogen invading Spleen, as Bowstring is the Liver pulse.
Song on Deep-firm Pulse in Swollen Ulcer and Ulcerated Ulcer
Deep-firm pulse in Swollen Ulcer indicates solidified pathogen; appearing before suppuration, it indicates stubborn toxin. Appearing after ulceration, pathogen is hard to resolve; nodules and scrofula with this pulse indicate inability to dissipate.
[Note] Deep-firm pulse in Swollen Ulcer before suppuration indicates stubborn toxin difficult to dissipate; after ulceration, pathogen is also hard to resolve. Nodules and scrofula showing Deep-firm pulse indicate a state of solidity and inability to dissipate.
Song on Soft and Weak Pulse in Swollen Ulcer and Ulcerated Ulcer
Soft and Weak pulse in Swollen Ulcer indicates insufficiency; supporting deficiency and supporting interior leads to recovery. Soft and Weak pulse after ulceration matches disease, but safety requires absence of deficiency signs.
[Note] Soft and Weak pulse in Swollen Ulcer requires Yuan-supporting and interior-supporting formulas for recovery. Soft and Weak pulse after ulceration matches the disease, but safety is achieved only without deficiency symptoms. If spirit is fatigued and appetite is lost, it is also a critical sign.
Song on Scattered Pulse in Swollen Ulcer and Ulcerated Ulcer
Scattered pulse in Swollen Ulcer is most worrying; toxin excess and Qi scattering prevent resolution. Appearance after ulceration is also Ominous; urgent tonifying and consolidating may bring hope.
[Note] Swollen Ulcer most fears Scattered pulse, as it indicates toxin excess and Qi scattering, preventing resolution. Appearance after ulceration is also Ominous. Urgent administration of tonifying and consolidating formulas may offer survival chances.
Song on Large and Fine Pulse in Swollen Ulcer and Ulcerated Ulcer
Large pulse in Swollen Ulcer is favorable; Large pulse after ulceration is unsuitable. Fine pulse in Swollen and Ulcerated Ulcers generally indicates Qi and Blood deficiency.
[Note] Large pulse in Swollen Ulcer indicates strong Healthy Qi, toxin easily exits, favorable. Large pulse after ulceration indicates disease progression, toxin hard to transform, unsuitable. Fine pulse in both Swollen and Ulcerated Ulcers indicates Qi and Blood deficiency, requiring major tonification.
Song on Hasty Pulse in Swollen Ulcer and Ulcerated Ulcer
Hasty pulse applies to both Swollen and Ulcerated Ulcers, always indicating Yang knotting, unsuitable for long duration. Gradual retreat allows toxin dispersion and possible cure; persistent advancement ensures death.
[Note] Hasty pulse in Swollen and Ulcerated Ulcers indicates Yang knotting, suitable only temporarily. If Hasty pulse gradually recedes, toxin disperses, and cure is possible. If persistent and unreceding, death is inevitable.
Song on Knotted and Intermittent Pulse in Swollen Ulcer and Ulcerated Ulcer
Knotted pulse in Swollen Ulcer is Yin knotting; urgent warming and resolving brings health. Knotted pulse after ulceration indicates Yin deficiency pauses; if like Intermittent pulse, death is certain.
[Note] Knotted pulse in Swollen Ulcer is Yin knotting; urgent warming and detoxifying formulas are effective. Knotted pulse after ulceration indicates Yin deficiency pauses, not necessarily fatal. If pauses resemble Intermittent pulse, stopping and failing to recover, it is the pulse of the True Zang, definitely indicating death.