青色天雷四足惊，赤色飞禽因外入，黑色只因遭水扑，风关候脉应心经。
上黑须知肾脏传，中关黑候又缠绵，人惊此患两相杂，目多直视定痰涎。（下朱砂膏）
下黑须知是再惊，但宣风积便和平，上下是同因打扑，热来闷闲没心情。
上青肝脏有风停，目直便青面更青，中是人惊并四足，渴来发燥不惺惺。
下青原是再惊根，解热宣肠是何论，上下俱青候是恶，十个之中得一存。
上赤风多入肺停，或来发热嗽声频，中是风来入心脏，肠痛频频下泻青。
下赤重惊见本宗，但调心脏有神功，上下一同难治疗，口开目下是知凶。
上青肝脏本因留，目闭身疼四体柔，中是水泻并再扑，热来喘嗽不知休。（下朱砂膏）
下青因是再惊来，妙药宣风定少灾，上下若青俱发热，四肢逆冷奄泉台。
上黑之时目上瞪（两般看），大便流粪又兼青，中见之时状消渴，下热尿黄便安宁。
下黑若见赤相随，气多下泻候如斯（下潮金丹），上下俱同须看手，虚烦燥渴速求医。
上关见此脉，是心之疾也，转泻恐虚而生风痰，俱（下镇心丸，压惊风穿）
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中关若赤，便多风热（又下解风鬲药。）下关若赤，发热，大肠闲结聚。上关见此黑脉，
是肾脏之脉为顺，若是大肠秘涩，生风之候也（下朱砂膏）；中关黑脉，生风之候，不为恶
候（下中黄膏）；下关黑见，无恶候起（下宣转丸，）即痰若自泻，足肠冷（只下温暖脏腑汤
药，）不得转换。
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上关若见此脉，四肢逆，呕吐加喘者，恶候，吐喘定，生候。
中关青脉，风搏触心，急与治风，即瘥（下乌犀朱砂等膏）。
下关青脉，若见无候，好不宣转，瘥，上中俱同，四肢热为和，四肢逆凶候也。
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上关黑，并眼下黑，童生未满二岁，得此脉与候者，及大肠流，或身体壮热，全者须渴
。若下发热，或无渴，与解之瘥。（先下天竺黄散，后下朱砂膏）
黑脉错乱者，腹胀是
候。或下痛，即是积候。（下宣风丸散，次下匀气散和胃气）
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一日赤脉乱者是打扑，（息下镇心丸，及大惊丸散，）脉透中关，立变风候，忌，（不宣
转药。）伤虚动脾脏生逆吐者，凶候，用匀气散补虚。
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如第一日便见此脉，三关都见，是五脏之应。患若第二日，中关部隐隐，或下见。只中
关见者，多客候。若三关都见，或隐隐，或面浮者，是精气候，常隐隐者，不交出没，数旬
而死。
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如左手上部脉曲归里者，是伤积，（下保童丸。）曲归外者，客风，触之即发搐也，（下
镇惊丸散。）中关若归里者，是客风传变，（下调中散解之。）曲外者凶候，曲候过命关，并
外有恶候起者凶候。
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上关脉乱者，伤冷之患，（下匀气散。）中部脉乱，风者伤热，传风盛之疾，（下乌犀膏
，用宣利药而详之。）下关若乱，急须下温脾脏，若下进食凶候。
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此两双指关，若见青与赤相杂如紫色，无黑者恶候。上关脉见伤寒，必发咳嗽，须解
表，微微浮入中关，是风候，（下清金膏。）下关若见，频退为吉，不退为凶候。若孩童从气
关传至命关，方可调治。以上秘诀，为神圣之医也，此前人消息，后之学人，宜细推之。
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左心小肠肝胆肾。
右肺大肠脾胃命。
孙华二真人曰∶凡小儿左手见右手脉，逆恶也，右手见左手脉，为逆恶候也乎。以阳
定之而决生死，何况虎口脉平，五岁以上，至十岁以下，自断乳而进食，阴阳备矣。故可以
一指而定三关，分寸关尺，象天地之九候也。
青色脉象：上部出现青色脉，多因天雷惊吓或四肢抽搐所致；中部出现青色脉，多因受惊及四肢抽搐引起，口渴时发作烦躁、神志不清；下部出现青色脉，多为再次受惊的根源。若上下三部皆现青色脉，则预后不良，十人中仅有一人能存活。
赤色脉象：上部出现赤色脉，多因风邪入肺停留，伴有发热、频繁咳嗽；中部出现赤色脉，多因风邪入心，伴有肠痛、频繁下泻青色粪便；下部出现赤色脉，多为重度受惊伤及本脏，调理心脏即可见效。若上下三部皆现赤色脉，则难治，口开目垂为凶兆。
黑色脉象：上部出现黑色脉，多因肾脏传变，眼睛向上瞪视（需仔细辨别两种情况），大便排出粪块兼带青色；中部出现黑色脉，症状类似消渴病；下部出现黑色脉，若见红色伴随，气多下泻，病情如此（需服用潮金丹）。若上下三部皆现黑色脉，需观察手部，若见虚烦燥渴，须速求医治疗。
其他相关描述：
- 黑色脉象中，上部黑知是肾脏传变，中部黑候病势缠绵，人惊与此患两相混杂，眼睛多直视且定有痰涎（可下朱砂膏）。
- 下部黑知是再次受惊，但宣通风积则大便平和。上下同因打扑所致，热来时胸闷闲适感缺失，心情不佳。
- 上部青肝脏有风停，眼睛直视面部更青；中部是人惊并四肢抽搐，口渴来发燥不惺忪。
- 下部青原是再惊根，解热宣肠是何论，上下俱青候是恶，十个之中得一存。
- 上部赤风多入肺停，或来发热嗽声频，中是风来入心脏，肠痛频频下泻青。
- 下部赤重惊见本宗，但调心脏有神功，上下一同难治疗，口开目下是知凶。
- 上部青肝脏本因留，目闭身疼四体柔，中是水泻并再扑，热来喘嗽不知休（可下朱砂膏）。
- 下部青因是再惊来，妙药宣风定少灾，上下若青俱发热，四肢逆冷奄泉台。
- 上部黑之时目上瞪（两般看），大便流粪又兼青，中见之时状消渴，下热尿黄便安宁。
- 下部黑若见赤相随，气多下泻候如斯（下潮金丹），上下俱同须看手，虚烦燥渴速求医。
脉诊部位与脏腑对应及治疗建议：
- 上部关见此脉，是心之疾也，转泻恐虚而生风痰，俱（下镇心丸，压惊风穿）。
- 中部关若赤，便多风热（又下解风鬲药。）
- 下部关若赤，发热，大肠闲结聚。
- 上部关见此黑脉，是肾脏之脉为顺，若是大肠秘涩，生风之候也（下朱砂膏）；
- 中部关黑脉，生风之候，不为恶候（下中黄膏）；
- 下部关黑见，无恶候起（下宣转丸，）即痰若自泻，足肠冷（只下温暖脏腑汤药，）不得转换。
- 上部关若见此脉，四肢逆，呕吐加喘者，恶候，吐喘定，生候。
- 中部关青脉，风搏触心，急与治风，即瘥（下乌犀朱砂等膏）。
- 下部关青脉，若见无候，好不宣转，瘥，上中俱同，四肢热为和，四肢逆凶候也。
- 上部关黑，并眼下黑，童生未满二岁，得此脉与候者，及大肠流，或身体壮热，全者须渴。若下发热，或无渴，与解之瘥。（先下天竺黄散，后下朱砂膏）
- 黑脉错乱者，腹胀是候。或下痛，即是积候。（下宣风丸散，次下匀气散和胃气）
- 一日赤脉乱者是打扑，（息下镇心丸，及大惊丸散，）脉透中关，立变风候，忌，（不宜转药。）伤虚动脾脏生逆吐者，凶候，用匀气散补虚。
- 如第一日便见此脉，三关都见，是五脏之应。患若第二日，中关部隐隐，或下见。只中关见者，多客候。若三关都见，或隐隐，或面浮者，是精气候，常隐隐者，不交出没，数旬而死。
- 如左手上部脉曲归里者，是伤积，（下保童丸。）曲归外者，客风，触之即发搐也，（下镇惊丸散。）中关若归里者，是客风传变，（下调中散解之。）曲外者凶候，曲候过命关，并外有恶候起者凶候。
- 上部关脉乱者，伤冷之患，（下匀气散。）中部脉乱，风者伤热，传风盛之疾，（下乌犀膏，用宣利药而详之。）下部关若乱，急须下温脾脏，若下进食凶候。
- 此两双指关，若见青与赤相杂如紫色，无黑者恶候。上部关脉见伤寒，必发咳嗽，须解表，微微浮入中关，是风候，（下清金膏。）下部关若见，频退为吉，不退为凶候。若孩童从气关传至命关，方可调治。以上秘诀，为神圣之医也，此前人消息，后之学人，宜细推之。
左右手脏腑对应：
左手：心、小肠、肝、胆、肾。
右手：肺、大肠、脾胃、命门。
孙华二真人曰：凡小儿左手见右手脉，逆恶也，右手见左手脉，为逆恶候也乎。以阳定之而决生死，何况虎口脉平，五岁以上，至十岁以下，自断乳而进食，阴阳备矣。故可以一指而定三关，分寸关尺，象天地之九候也。
**Cyan Pulse:** When the cyan pulse appears at the upper position, it is often due to fright from thunder or convulsions of the four limbs; when it appears at the middle position, it is often due to fright and convulsions of the four limbs, with irritability and confusion occurring when thirsty; when it appears at the lower position, it is often the root of repeated fright. If the cyan pulse appears in all three positions (upper, middle, lower), the prognosis is poor, with only one in ten patients surviving.
**Red Pulse:** When the red pulse appears at the upper position, it is often due to wind pathogen entering and staying in the Lung, accompanied by fever and frequent coughing; when it appears at the middle position, it is often due to wind pathogen entering the Heart, accompanied by intestinal pain and frequent passage of green stools; when it appears at the lower position, it is often severe fright injuring the root organ, and regulating the Heart will yield miraculous results. If the red pulse appears in all three positions, it is difficult to treat, and an open mouth with drooping eyes indicates a ominous sign.
**Black Pulse:** When the black pulse appears at the upper position, it is often due to transmission from the Kidney, with eyes staring upward (two distinct conditions need careful differentiation), and stool containing feces mixed with green color; when it appears at the middle position, symptoms resemble Xiao Ke (Wasting and Thirsting Syndrome); when it appears at the lower position, if accompanied by redness, there is frequent diarrhea with Qi descending (Chao Jin Dan should be administered). If the black pulse appears in all three positions, observe the hands; if deficiency vexation, dryness, and thirst are present, seek medical treatment immediately.
Other Related Descriptions:
- In the black pulse, upper black indicates Kidney transmission; middle black indicates lingering disease course; fright mixes with this condition, causing fixed staring eyes and phlegm-saliva (Zhusha Gao may be administered).
- Lower black indicates repeated fright, but promoting Wind and accumulating stool leads to peaceful bowel movements. Upper and lower similarities are due to blows/trauma; heat causes chest oppression and lack of comfort/mood.
- Upper cyan indicates wind stagnation in the Liver, with fixed staring eyes and bluer face; middle indicates fright and four-limb convulsions, with thirst leading to dryness and confusion.
- Lower cyan is originally the root of repeated fright; resolving heat and promoting intestines—what is the discussion? Upper and lower both cyan indicate ominous signs, with only one in ten surviving.
- Upper red indicates wind entering and staying in the Lung, or coming with fever and frequent coughing; middle indicates wind entering the Heart, with frequent intestinal pain and passage of green stools.
- Lower red indicates severe fright seeing the root organ; merely regulating the Heart has miraculous efficacy; upper and lower together are difficult to treat; open mouth and downward eyes indicate ominous signs.
- Upper cyan indicates Liver origin retention, with closed eyes, body pain, and soft four limbs; middle indicates water diarrhea and repeated blows, with heat causing wheezing and coughing without rest (Zhusha Gao may be administered).
- Lower cyan is due to repeated fright; wonderful medicines promote Wind and reduce disaster; if upper and lower are both cyan with fever, cold extremities indicate approaching death.
- Upper black time, eyes stare upward (viewed in two ways), stool flows with feces and green color; middle appearance resembles Xiao Ke; lower heat, yellow urine, and peaceful bowels.
- Lower black if seen with accompanying red, Qi mostly descends with diarrhea as described (administer Chao Jin Dan); upper and lower same requires looking at hands; deficiency vexation, dryness, and thirst require seeking doctors quickly.
Pulse Diagnosis Positions, Zang-Fu Correspondence, and Treatment Suggestions:
- Upper Guan sees this pulse, it is a Heart disease; turning to diarrhea fears deficiency generating Wind-Phlegm, all (administer Zhenxin Wan to suppress fright-Wind).
- Middle Guan if red, then mostly Wind-Heat (also administer Jiefeng Ge medicine).
- Lower Guan if red, fever, Large Intestine idle accumulation.
- Upper Guan seeing this black pulse, it is the Kidney pulse as favorable; if Large Intestine is constipated, it is a sign of generating Wind (administer Zhusha Gao);
- Middle Guan black pulse, sign of generating Wind, not an ominous sign (administer Zhonghuang Gao);
- Lower Guan black seen, no ominous signs arise (administer Xuanzhuan Wan,) if Phlegm self-drains, feet and intestines cold (only administer Warming Zang-Fu decoctions,) do not transform.
- Upper Guan if seeing this pulse, cold extremities, vomiting plus wheezing are ominous signs; if vomiting and wheezing settle, it is a vital sign.
- Middle Guan cyan pulse, Wind strikes touching the Heart, urgently treat Wind, then recover (administer Wuxi Zhusha etc. pastes).
- Lower Guan cyan pulse, if seeing no signs, good not suitable to turn, recover, upper and middle same, warm four limbs is harmonious, cold four limbs are ominous signs.
- Upper Guan black, and under-eye black, children under two years old, getting this pulse and signs, and Large Intestine flow, or body strong heat, complete ones must be thirsty. If lower fever, or no thirst, resolve it to recover. (First administer Tianzhu Huang San, then administer Zhusha Gao)
- Black pulse chaotic, abdominal distension is the sign. Or lower pain, is accumulation sign. (Administer Xuanfeng Wan San, next administer Yunqi San to harmonize Stomach Qi)
- One day red pulse chaotic is blow/trauma, (stop administering Zhenxin Wan, and Dajing Wan San,) pulse penetrates Middle Guan, immediately changes to Wind sign, taboo, (do not use transforming medicines.) Injury deficiency moving Spleen generating reverse vomiting is ominous sign, use Yunqi San to tonify deficiency.
- If first day sees this pulse, three Guan all see, is Five Zang response. Illness if second day, Middle Guan part faintly, or lower see. Only Middle Guan see, mostly external signs. If three Guan all see, or faintly, or face floating, is Jing Qi sign, constantly faintly, does not exchange out/in, several decades die.
- If left hand upper pulse curves inward, is injury accumulation, (administer Baotong Wan.) Curve outward is external Wind, touching immediately causes convulsions, (administer Zhenjing Wan San.) Middle Guan if curving inward, is external Wind transmission, (administer Tiaozhong San to resolve.) Curve outward is ominous sign, curve sign passes Ming Guan, and outside ominous signs arise is ominous sign.
- Upper Guan pulse chaotic, injury cold illness, (administer Yunqi San.) Middle pulse chaotic, Wind injures heat, transmits Wind prosperous disease, (administer Wuxi Gao, use promoting/discharging medicines to detail.) Lower Guan if chaotic, urgently must administer warming Spleen, if lower eating food ominous sign.
- These two double-finger Guan, if seeing Cyan and Red mixed like purple, no Black is ominous sign. Upper Guan pulse seeing Shanghan, must develop coughing, must release exterior, slightly floating entering Middle Guan, is Wind sign, (administer Qingjin Gao.) Lower Guan if seeing, frequent retreat is auspicious, non-retreat is ominous sign. If child from Qi Guan transmits to Ming Guan, then can regulate treatment. Above secrets, for sacred physicians, these predecessors' messages, later learners, should carefully deduce.
Left and Right Hand Zang-Fu Correspondence:
Left Hand: Heart, Small Intestine, Liver, Gallbladder, Kidney.
Right Hand: Lung, Large Intestine, Spleen, Stomach, Mingmen.
Sun Hua Er Zhenren said: Generally, children's left hand seeing right hand pulse, is adverse and evil; right hand seeing left hand pulse, is adverse and evil sign? Determine by Yang to decide life and death, how much more so Tiger Mouth pulse flat, five years old up to ten years old, since weaning to eating food, Yin and Yang complete. Thus can use one finger to determine three Guan, divide Cun Guan Chi, imitating Heaven and Earth's Nine Signs.