肝心出左。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
人无
与胆
神门
右手寸口者。肺与大肠脉之所出也。关上者。脾与胃脉之所出也。尺中者。命门三焦脉
之所
皆沉
仿此
肝脉曰足厥阴。与胆脉曰足少阳合。心脉曰手少阴。与小肠脉曰手太阳合。脾脉曰足太
阴。
足太
二经
初持脉如三菽之重。与皮毛相得者。是肺部也。如六菽之重。与血脉相得者。心部也。
如九
来疾
浮脉。按之不足。举之有余。但浮于指下。沉脉。举之不足。按之有余。重按乃得。涩
脉。
却。
细脉。小大于微。恒有但细尔。微脉。极细而软。或欲绝。若有若无。弦脉。举之无。按之
如弓
来但
按
伏
一曰指下无。两旁有。软脉。极软而浮细。曰软。虚脉。迟大而软。按之不足。隐指下豁豁
然。曰虚。实脉。大而长。微强。按之隐指 然。曰实。促脉。去来皆疾。时止曰促。结
脉。往来缓。时一止复来。脉结者生。代脉。动而中止。不能自还。因而复动。名曰代。不
可治。散脉。大为散。散者气实血虚。有表无里。革脉。有似沉伏。实大长微弦。
弦与紧相类。浮与芤相类。软与弱相类。微与涩相类。沉与伏相类。缓与迟相类。革与
实相类。滑与数相类。
肝脉和心脉的搏动显现于左手。脾脉和肺脉的搏动显现于右手。肾脉与命门脉均显现于尺部(手腕内侧靠近肘部的部位)。魂、魄、谷神(指水谷精微之气)的脉象皆可见于寸口(手腕桡动脉处)。左手脉主要反映六腑的功能,右手脉主要反映五脏的功能。
如果右手寸口脉……(原文此处有缺漏,意为:若右手寸口脉大……),那是肺与大肠脉所发出的部位。关部(腕横纹处)是脾与胃脉所发出的部位。尺中部位是命门与三焦脉……(原文此处有缺漏,意为:所发出的部位)。都应当像这样(类推)。
肝脉称为足厥阴经脉,与胆脉(足少阳经脉)相合。心脉称为手少阴经脉,与小肠脉(手太阳经脉)相合。脾脉称为足太阴经脉……(原文此处有缺漏,意为:与胃脉相合)。
初诊切脉时,手指用力如同放置三颗豆子的重量,感觉与皮毛相应,这是肺部的脉象。如同放置六颗豆子的重量,感觉与血脉相应,这是心部的脉象。如同放置九颗豆子的重量……(原文此处有缺漏,意为:感觉与肌肉相应,这是脾部的脉象)。
浮脉:轻按感觉力量不足,重举(轻取)感觉有余。脉搏仅在指下表面漂浮。沉脉:轻举感觉不足,重按感觉有余,必须重按才能触及。涩脉:……(原文此处有缺漏,意为:往来艰涩不畅)。细脉:比微脉稍大,但始终细小。微脉:极细且柔软,似乎要断绝,若有若无。弦脉:轻取感觉不到,重按时……(原文此处有缺漏,意为:如弓弦般紧张)。来势……(原文此处有缺漏,意为:急促)。伏脉:……(原文此处有缺漏,意为:重按至骨方可触及)。另一种说法是:指下感觉无脉,两旁却有脉动。软脉:极软且浮细,称为软脉。虚脉:迟慢、大而软,重按感觉不足,手指下感到空豁然,称为虚脉。实脉:大而长,略微强劲,重按时……(原文此处有缺漏,意为:充实有力),称为实脉。促脉:去来皆疾速,偶尔停止称为促脉。结脉:往来缓慢,偶尔停止后又恢复跳动。脉象结者预后良好(可治)。代脉:跳动中止,不能自行恢复,因而再次跳动,称为代脉,不可治愈。散脉:脉形宽大而散漫,散脉主气实血虚,有表无里。革脉:似沉伏状,实则大、长、微弦。
弦脉与紧脉相似。浮脉与芤脉相似。软脉与弱脉相似。微脉与涩脉相似。沉脉与伏脉相似。缓脉与迟脉相似。革脉与实脉相似。滑脉与数脉相似。
The liver and heart pulses manifest on the left side. The spleen and lung pulses manifest on the right side. The kidney pulse and Mingmen (Gate of Life) pulse both manifest at the Chi position (the distal part of the radial pulse). The pulses of Hun (Ethereal Soul), Po (Corporeal Soul), and Gushen (Spirit of Grain/Nutrition) are all visible at the Cun Kou (Cun position, proximal radial pulse). The left side governs the Zang organs (solid organs), while the right side governs the Fu organs (hollow organs).
If the Cun Kou pulse on the right hand is large... [text missing], this is where the pulses of the Lung and Large Intestine emerge. The Guan position (middle part of the radial pulse) is where the pulses of the Spleen and Stomach emerge. The Zhong Chi position (central part of the Chi position) is where the pulses of the Mingmen and Sanjiao (Triple Burner) ... [text missing] emerge. One should infer this by analogy.
The Liver pulse is called the Foot Jueyin meridian pulse, which combines with the Gallbladder pulse (Foot Shaoyang meridian pulse). The Heart pulse is called the Hand Shaoyin meridian pulse, which combines with the Small Intestine pulse (Hand Taiyang meridian pulse). The Spleen pulse is called the Foot Taiyin meridian pulse... [text missing].
When initially palpating the pulse, applying pressure equivalent to the weight of three beans, feeling it correspond to the skin and hair, indicates the Lung region. Applying pressure equivalent to the weight of six beans, feeling it correspond to the blood vessels, indicates the Heart region. Applying pressure equivalent to the weight of nine beans... [text missing], indicating the Spleen region.
Fu Mai (Floating Pulse): Light pressure feels insufficient, while lifting pressure feels abundant. The pulse floats only on the surface under the fingers. Chen Mai (Sinking Pulse): Lifting pressure feels insufficient, while pressing deeply feels abundant; it is obtained only with heavy pressure. Se Mai (Choppy Pulse): ... [text missing], indicating rough and uneven flow. Xi Mai (Fine Pulse): Slightly larger than Wei Mai but consistently fine. Wei Mai (Micro Pulse): Extremely fine and soft, seemingly about to cease, appearing as if present or absent. Xian Mai (Wiry Pulse): Not felt upon light pressure; upon deep pressure... [text missing], resembling a bowstring. Lai Shi... [text missing], indicating rapid arrival. Fu Mai (Hidden Pulse): ... [text missing], requiring bone-deep pressure to feel. Another description states: No pulse felt directly under the finger, but pulses felt on the sides. Ruan Mai (Soft Pulse): Extremely soft and floating-fine, termed Soft. Xu Mai (Deficient Pulse): Slow, large, and soft; heavy pressure feels insufficient, leaving a hollow sensation under the finger, termed Deficient. Shi Mai (Excess Pulse): Large and long, slightly strong; upon heavy pressure... [text missing], full and solid, termed Excess. Cu Mai (Rapid-Pulsing Pulse): Rapid in both departure and return, occasionally stopping, termed Cu. Jie Mai (Knotted Pulse): Slow in rhythm, occasionally stopping then resuming. A Knotted pulse indicates survivability. Dai Mai (Intermittent Pulse): Stops beating, cannot recover spontaneously, and resumes later; termed Dai, indicating incurability. San Mai (Scattered Pulse): Large and scattered; Scattered pulse indicates Qi excess and Blood deficiency, having exterior but no interior root. Ge Mai (Leather Pulse): Resembles sinking and hidden, yet is actually large, long, and slightly wiry.
Xian (Wiry) pulse is similar to Jin (Tight) pulse. Fu (Floating) pulse is similar to Kou (Hollow) pulse. Ruan (Soft) pulse is similar to Ruo (Weak) pulse. Wei (Micro) pulse is similar to Se (Choppy) pulse. Chen (Sinking) pulse is similar to Fu (Hidden) pulse. Huan (Slow-Relaxed) pulse is similar to Chi (Slow) pulse. Ge (Leather) pulse is similar to Shi (Excess) pulse. Hua (Slippery) pulse is similar to Shu (Rapid) pulse.