浮芤滑实弦紧洪为七表。迟缓涩微沉伏濡弱为八里。
浮为中风。左手寸口脉浮。中风发热头痛。关脉浮。腹胀胃虚。尺脉浮。大便难。右手
寸口脉浮。肺风鼻塞。关脉浮。食不消化。尺脉浮。小便涩也。
芤为失血。及血实。左手寸口脉芤。则吐血或衄血。关脉芤。大便下血。尺脉芤。小便
赤
滑为吐逆。寸口滑。胸满气逆。关脉滑。胸中寒吐逆。不欲食。尺脉滑。为下痢。妇人
月信不通。滑脉但在寸关。皆主吐逆也。
实为下痢。寸口实。胸中热。关脉实。腹中满。寒疝。气急下痢。尺脉实。小腹满痛。
小便涩。
弦为拘急。寸口脉弦。胸中急痛。关脉弦。胃中寒。心下拘急。尺脉弦。小腹急满。左
右弦皆主拘急也。
紧为痛。寸口脉紧。头中痛。关脉紧。心下痛。尺脉紧。脐下痛。左右紧皆主痛也。
洪为热。寸口脉洪。胸胁热满。关脉洪。胃中有积热。吐逆无常。尺脉洪。小腹满。阴
中痛。左右洪皆主热也。
迟为寒。寸口脉迟。上焦有寒。关脉迟。中焦有寒。尺脉迟。下焦有寒。左右迟皆主寒
也。
缓为风结。寸口脉缓。皮肤不仁。关脉缓。腹中有风结。尺脉缓。下焦有寒。左右缓皆
主风寒也。
涩为血滞。寸口脉涩。阳气虚。卫气不足。关脉涩。心血气虚。荣气不足。尺脉涩。足
胫逆冷。腹中雷鸣。左右涩皆主气不足也。
微为气痞。寸口脉微。上焦寒气痞结。关脉微。胃中寒。心下痛。 然。尺脉微。小
腹有寒积聚。左右微皆为气痞也。
沉为水。寸口脉沉。胸中有寒饮。关脉沉。心下满短气。尺脉沉。腰痛脚弱有急水气。
左右沉皆主水也。
伏为物聚。寸口脉伏。胸中有物聚也。关脉伏。有水气。溏泄。尺脉伏。有水谷不化。
左右伏皆有物聚也。
濡为虚损。寸口脉濡。气少。虚损多汗。关脉濡。苦重下虚弱。尺脉濡。发热恶寒。左
右濡俱主虚损也。
弱为筋萎。寸口脉弱。阳气虚。汗自出。关脉弱。胃气不足。小热大虚。尺脉弱。骨肉
酸疼。左右弱皆主虚也。
浮芤相搏。中风衄血。浮滑相搏。中风吐逆。浮实相搏。中风下痢。浮弦相搏。中风拘
急。浮紧相搏。中风体痛。浮芤相搏。中风发热。
浮脉、芤脉、滑脉、实脉、弦脉、紧脉、洪脉,这七种脉象属于表证(病位在表)。迟脉、缓脉、涩脉、微脉、沉脉、伏脉、濡脉、弱脉,这八种脉象属于里证(病位在里)。
浮脉主中风。左手寸口脉见浮象,是中风伴有发热、头痛;关部脉见浮象,是腹胀、胃气虚弱;尺部脉见浮象,是大便困难。右手寸口脉见浮象,是肺受风邪导致鼻塞;关部脉见浮象,是食物不消化;尺部脉见浮象,是小便涩滞不畅。
芤脉主失血,以及血分实证。左手寸口脉见芤象,会出现吐血或鼻衄血;关部脉见芤象,是大便下血;尺部脉见芤象,是小便颜色红赤。
滑脉主呕吐逆乱。寸口脉见滑象,是胸中胀满、气机上逆;关部脉见滑象,是胸中有寒导致呕吐逆乱、不想进食;尺部脉见滑象,是患痢疾,妇女月经不通。滑脉若仅出现在寸部和关部,都主呕吐逆乱。
实脉主痢疾。寸口脉见实象,是胸中热盛;关部脉见实象,是腹部胀满、寒疝、气急且下痢;尺部脉见实象,是小腹胀满疼痛、小便涩滞。
弦脉主拘挛紧急。寸口脉见弦象,是胸中急痛;关部脉见弦象,是胃中有寒、心下部拘挛紧急;尺部脉见弦象,是小腹急迫胀满。左右手脉皆见弦象,都主拘挛紧急。
紧脉主疼痛。寸口脉见紧象,是头部疼痛;关部脉见紧象,是心下部疼痛;尺部脉见紧象,是脐下疼痛。左右手脉皆见紧象,都主疼痛。
洪脉主热证。寸口脉见洪象,是胸胁部热盛胀满;关部脉见洪象,是胃中有积热,呕吐逆乱无常;尺部脉见洪象,是小腹胀满、阴部疼痛。左右手脉皆见洪象,都主热证。
迟脉主寒证。寸口脉见迟象,是上焦有寒;关部脉见迟象,是中焦有寒;尺部脉见迟象,是下焦有寒。左右手脉皆见迟象,都主寒证。
缓脉主风邪结聚。寸口脉见缓象,是皮肤麻木不仁;关部脉见缓象,是腹中有风邪结聚;尺部脉见缓象,是下焦有寒。左右手脉皆见缓象,都主风寒之邪。
涩脉主血液停滞。寸口脉见涩象,是阳气虚弱、卫气不足;关部脉见涩象,是心血气虚、营气不足;尺部脉见涩象,是足胫逆冷、腹中肠鸣。左右手脉皆见涩象,都主气不足。
微脉主气机痞塞。寸口脉见微象,是上焦寒气痞结;关部脉见微象,是胃中有寒、心下部疼痛;尺部脉见微象,是小腹有寒邪积聚。左右手脉皆见微象,都主气机痞塞。
沉脉主水饮。寸口脉见沉象,是胸中有寒饮;关部脉见沉象,是心下部胀满、呼吸短促;尺部脉见沉象,是腰痛、脚弱且有急性的水气病。左右手脉皆见沉象,都主水饮为病。
伏脉主有形之物积聚。寸口脉见伏象,是胸中有物积聚;关部脉见伏象,是有水气、大便溏泄;尺部脉见伏象,是水谷不化。左右手脉皆见伏象,都有有形之物积聚。
濡脉主虚损。寸口脉见濡象,是气少、虚损且多汗;关部脉见濡象,是苦于重坠感、下部虚弱;尺部脉见濡象,是发热恶寒。左右手脉皆见濡象,都主虚损。
弱脉主筋脉萎软。寸口脉见弱象,是阳气虚弱、汗自出;关部脉见弱象,是胃气不足、轻微发热而正气大虚;尺部脉见弱象,是骨肉酸痛。左右手脉皆见弱象,都主虚证。
浮脉与芤脉相搏结,主中风伴鼻衄血。浮脉与滑脉相搏结,主中风伴呕吐逆乱。浮脉与实脉相搏结,主中风伴痢疾。浮脉与弦脉相搏结,主中风伴拘挛紧急。浮脉与紧脉相搏结,主中风伴身体疼痛。浮脉与芤脉相搏结,主中风伴发热。
Floating (Fú), Khong (Kōu, 1. empty pulse; 2. bleeding), Slippery (Huá), Solid (Shí), Wiry (Xián), Tight (Jǐn), and Surging (Hóng) constitute the Seven Superficial Pulses (Qī Biǎo). Slow (Chí), Moderate (Huǎn), Choppy (Sè), Fine (Wēi), Deep (Chén), Hidden (Fú), Soft (Rú), and Weak (Ruò) constitute the Eight Interior Pulses (Bā Lǐ).
The Floating pulse indicates Wind-Stroke (Zhòng Fēng). If the Floating pulse is found at the Cun position of the left hand, it indicates Wind-Stroke accompanied by fever and headache; if found at the Guan position, it indicates abdominal distension and deficiency of Stomach Qi; if found at the Chi position, it indicates difficulty in defecation. If the Floating pulse is found at the Cun position of the right hand, it indicates Lung Wind causing nasal congestion; if found at the Guan position, it indicates indigestion; if found at the Chi position, it indicates dysuria.
The Khong pulse indicates blood loss or excess conditions of Blood. If the Khong pulse is found at the Cun position of the left hand, hematemesis or epistaxis may occur; if found at the Guan position, it indicates hematochezia; if found at the Chi position, it indicates red urine.
The Slippery pulse indicates vomiting and regurgitation. If the Slippery pulse is found at the Cun position, it indicates chest fullness and rebellious Qi; if found at the Guan position, it indicates cold in the chest causing vomiting and regurgitation with anorexia; if found at the Chi position, it indicates dysentery or amenorrhea in women. When the Slippery pulse appears only at the Cun and Guan positions, it primarily indicates vomiting and regurgitation.
The Solid pulse indicates dysentery. If the Solid pulse is found at the Cun position, it indicates heat in the chest; if found at the Guan position, it indicates abdominal fullness, cold hernia,急促 breathing, and dysentery; if found at the Chi position, it indicates lower abdominal fullness and pain with dysuria.
The Wiry pulse indicates spasm and urgency. If the Wiry pulse is found at the Cun position, it indicates urgent pain in the chest; if found at the Guan position, it indicates cold in the Stomach and spasm/urgency below the heart; if found at the Chi position, it indicates urgency and fullness in the lower abdomen. A Wiry pulse in both hands primarily indicates spasm and urgency.
The Tight pulse indicates pain. If the Tight pulse is found at the Cun position, it indicates headache; if found at the Guan position, it indicates pain below the heart; if found at the Chi position, it indicates pain below the umbilicus. A Tight pulse in both hands primarily indicates pain.
The Surging pulse indicates Heat. If the Surging pulse is found at the Cun position, it indicates heat and fullness in the chest and hypochondrium; if found at the Guan position, it indicates accumulated heat in the Stomach with irregular vomiting and regurgitation; if found at the Chi position, it indicates lower abdominal fullness and pain in the yin region. A Surging pulse in both hands primarily indicates Heat.
The Slow pulse indicates Cold. If the Slow pulse is found at the Cun position, it indicates Cold in the Upper Jiao; if found at the Guan position, it indicates Cold in the Middle Jiao; if found at the Chi position, it indicates Cold in the Lower Jiao. A Slow pulse in both hands primarily indicates Cold.
The Moderate pulse indicates the binding of Wind. If the Moderate pulse is found at the Cun position, it indicates numbness of the skin; if found at the Guan position, it indicates wind-binding in the abdomen; if found at the Chi position, it indicates Cold in the Lower Jiao. A Moderate pulse in both hands primarily indicates Wind-Cold.
The Choppy pulse indicates stagnation of Blood. If the Choppy pulse is found at the Cun position, it indicates deficiency of Yang Qi and insufficiency of Defensive Qi (Wèi Qì); if found at the Guan position, it indicates deficiency of Heart Blood and Qi, and insufficiency of Nutritive Qi (Yíng Qì); if found at the Chi position, it indicates cold feet and calves with borborygmus in the abdomen. A Choppy pulse in both hands primarily indicates insufficiency of Qi.
The Fine pulse indicates Qi obstruction (Pì). If the Fine pulse is found at the Cun position, it indicates obstruction and binding of Cold Qi in the Upper Jiao; if found at the Guan position, it indicates Cold in the Stomach and pain below the heart; if found at the Chi position, it indicates accumulation of Cold pathogens in the lower abdomen. A Fine pulse in both hands primarily indicates Qi obstruction.
The Deep pulse indicates Water retention. If the Deep pulse is found at the Cun position, it indicates cold fluid retention in the chest; if found at the Guan position, it indicates fullness below the heart and shortness of breath; if found at the Chi position, it indicates lumbar pain, weakness of the legs, and acute edema. A Deep pulse in both hands primarily indicates Water retention.
The Hidden pulse indicates the accumulation of pathogenic matter. If the Hidden pulse is found at the Cun position, it indicates accumulation of matter in the chest; if found at the Guan position, it indicates water qi and loose stools; if found at the Chi position, it indicates failure to digest food and fluids. A Hidden pulse in both hands indicates the accumulation of pathogenic matter.
The Soft pulse indicates deficiency and damage. If the Soft pulse is found at the Cun position, it indicates scanty Qi, deficiency-damage, and profuse sweating; if found at the Guan position, it indicates suffering from heaviness and deficiency in the lower body; if found at the Chi position, it indicates fever and aversion to cold. A Soft pulse in both hands primarily indicates deficiency and damage.
The Weak pulse indicates flaccidity of sinews. If the Weak pulse is found at the Cun position, it indicates deficiency of Yang Qi with spontaneous sweating; if found at the Guan position, it indicates insufficiency of Stomach Qi, slight fever, and severe deficiency; if found at the Chi position, it indicates soreness and pain in bones and muscles. A Weak pulse in both hands primarily indicates deficiency.
When the Floating and Khong pulses interact, it indicates Wind-Stroke with epistaxis. When the Floating and Slippery pulses interact, it indicates Wind-Stroke with vomiting and regurgitation. When the Floating and Solid pulses interact, it indicates Wind-Stroke with dysentery. When the Floating and Wiry pulses interact, it indicates Wind-Stroke with spasm and urgency. When the Floating and Tight pulses interact, it indicates Wind-Stroke with body pain. When the Floating and Khong pulses interact, it indicates Wind-Stroke with fever.