一、 弹石脉在筋肉皮。按举皆劈劈急。曰弹石。是肺绝死脉也。(弹石脉者。萧处浓谓肺绝之脉。此说既未稳。
吴
仲广又推展之。以为象西方金。令肝元绝。其说尤穿凿。当以为肾绝之脉可也。石乃肾之本脉。合沉濡而滑。今其脏脉
现如弹石。劈劈然 指。殊无息数。其死无疑矣。)
二、解索脉在筋肉上。动数而随散乱。无复次第。曰解索。是五脏绝死脉也。(王叔和云。
解索。散乱而无绪。吴仲广云。解索脉者。其形见于两尺。脉来指下。散而不聚。若分于两畔。更无息
数。是精髓已耗。将死之候也。)
三、雀啄脉在筋肉。来而数急。曰雀啄。(是心绝死脉也。王叔和云。雀啄顿木而又住。吴仲广
云。雀啄者木脉也。)主脾经谷气已绝。胃气无所荣养。其脉来指下。连连 指数急。殊无息
数。但有进而无退。顿绝自去。良久准前又来。宛如鸡践食之貌。但数日之寿也。(据此所云。
乃脾绝之脉。萧处浓谓之心绝何耶。王叔和云。雀啄顿木而又住。此雀乃啄木儿也。吴仲广因其顿木之说。遂认为木脉。
木脉者肝脉也。其说未达。当以脾绝为是。)
四、屋漏脉在筋。按之止。时起而不相连。曰屋漏。是心肺绝死脉也。(王叔和云。屋漏将绝而
复起。吴仲广云。屋漏脉者。主胃经已绝。谷气空虚。其脉来指下。 按之极慢。二十息之间或来
一至。若屋漏之水滴于地上。而四畔溅起之貌。立死之候也。据此云乃胃绝之脉。何萧处浓谓心
肺绝脉耶。)
五、虾游脉在皮毛。浮而再起。寻还退没。不知所在。起迟而去速。曰虾游。是脾胃绝死脉也。
(王叔和云。虾游冉冉而进退难寻。吴仲广云。虾游之脉。其来指下。若虾游于水面。泛泛而不动。瞥然惊掉而去。将
手欲趋。杳然不见。须臾于指下又来。良久准前复去。又如虾蟆入水
之形。瞥然而上。倏然而去。此是神魂已去。行尸之候。立死也。)
六、鱼翔脉在皮肉上。如鱼不行。而但掉尾动头身摇而久住。曰鱼翔。是肾绝死脉也。(王叔
和云。鱼跃澄澄而迟疑掉尾。吴仲广云。鱼翔之脉。主肾与命门皆绝。卫气与荣血两亡。其脉来指下。 寻之即有。泛泛
高虚。前定而后动。殊无息数。宛如鱼游于水。面头不动而尾缓摇之
貌。故曰鱼翔也。又曰亡阳之候。死矣。旦占夕死。夕占旦死。日中占夜半死。夜半占日中死。)
七、釜沸脉在皮肉上。涌涌如羹上肥。曰釜沸。是死脉也。
一、弹石脉位于筋肉与皮肤之间。无论轻按还是重举,脉搏都呈现出劈劈作响且急促的状态。这种脉象称为“弹石”,是肺气衰竭的死脉。(关于弹石脉,萧处浓认为是肺绝之脉,此说法尚不稳妥;吴仲广进一步引申,认为它象征西方的金气,导致肝元衰竭,这种解释更加牵强附会。应当将其视为肾绝之脉才合适。石脉本是肾的本脉,其正常形态应沉濡而滑。如今肾脏的脉象显现出来如同弹石一般,在指下劈劈作响,完全没有正常的呼吸节律(息数),死亡无疑。)
二、解索脉位于筋肉之上。脉动快速且随后散乱无章,不再有序。这种脉象称为“解索”,是五脏精气衰竭的死脉。(王叔和说:解索脉,散乱而没有头绪。吴仲广说:解索脉,其形态出现在两尺部,脉气来到指下时,散漫而不聚拢,好像分散在两侧,也没有正常的呼吸节律。这是精髓已经耗竭,即将死亡的征兆。)
三、雀啄脉位于筋肉之中。脉气来时频繁且急促。这种脉象称为“雀啄”。(这是心气衰竭的死脉。王叔和说:雀啄脉像啄木鸟啄木一样顿挫而后停顿。吴仲广说:雀啄脉属于木脉。)主要反映脾经的谷气已经断绝,胃气无所供养。其脉气来到指下时,连续不断地快速跳动,完全没有正常的呼吸节律,只有前进没有后退,突然中断后离去,过了很久又按照之前的样子再次出现,宛如鸡啄食的样子。患者只能存活几天了。(根据上述描述,这应该是脾绝之脉,为何萧处浓说是心绝呢?王叔和说雀啄像啄木鸟啄木,这里的“雀”指的是啄木鸟。吴仲广因为“顿木”的说法,便认为它是木脉。木脉即肝脉,他的理解未通达,应当以脾绝为是。)
四、屋漏脉位于筋部。按压时脉搏停止,偶尔起来但不相连贯。这种脉象称为“屋漏”,是心肺精气衰竭的死脉。(王叔和说:屋漏脉将绝而复起。吴仲广说:屋漏脉主要反映胃经已绝,谷气空虚。其脉气来到指下时,按压感觉极慢,二十次呼吸之间可能只来一次搏动,就像屋顶漏水滴落在地上,向四周溅起的模样。这是立即死亡的征兆。根据上述描述,这应该是胃绝之脉,为何萧处浓说是心肺绝脉呢?)
五、虾游脉位于皮毛之间。脉象浮浅且反复出现,寻找时却消退隐没,不知去向。出现得迟缓而去得快。这种脉象称为“虾游”,是脾胃精气衰竭的死脉。(王叔和说:虾游脉缓缓进退难以寻觅。吴仲广说:虾游脉,其脉气来到指下,如同虾在水面游动,泛泛不动,忽然受惊跳开离去。当手想要追踪时,却杳然不见。片刻之后又在指下出现,过了很久又照旧离去。又像是蛤蟆入水的形状,忽然上浮,瞬间消失。这是神魂已去,行尸走肉般的征兆,立即死亡。)
六、鱼翔脉位于皮肉之上。如同鱼不前行,只是摆动尾巴,头部和身体摇晃但长久停留。这种脉象称为“鱼翔”,是肾气衰竭的死脉。(王叔和说:鱼跃脉澄澈迟疑地摆尾。吴仲广说:鱼翔脉主要反映肾与命门皆绝,卫气与营血两亡。其脉气来到指下时,寻按即有,泛泛高虚,先静止而后运动,完全没有正常的呼吸节律,宛如鱼在水中游动,面部和头部不动而尾巴缓慢摇动的样子。所以称为鱼翔。又说这是亡阳的征兆,必死无疑。早上诊察晚上死,晚上诊察早上死,中午诊察半夜死,半夜诊察中午死。)
七、釜沸脉位于皮肉之上。脉象汹涌澎湃,如同锅中的羹汤表面漂浮的油沫。这种脉象称为“釜沸”,是死脉。
1. Dan Shi Mai (Stone-Tapping Pulse) is located in the muscles and skin. Whether lightly pressed or heavily lifted, the pulse presents a cracking sound and rapidity. This pulse image is called "Dan Shi" (Stone-Tapping), which indicates Lung Qi exhaustion and death. (Regarding the Dan Shi Mai, Xiao Chunong considered it a pulse of Lung exhaustion, but this view is not entirely stable; Wu Zhongguang further extended it, arguing that it symbolizes the Metal element of the West, leading to the exhaustion of Liver Yuan, an explanation even more far-fetched. It should be regarded as a pulse of Kidney exhaustion. The Stone pulse is originally the fundamental pulse of the Kidney, normally sinking, soft, and slippery. Now, the Kidney's pulse manifests like striking stones, cracking under the fingers, completely lacking normal respiratory rhythm (Xi Shu). Death is certain.)
2. Jie Suo Mai (Untying Knots Pulse) is located above the muscles. The movement is frequent and subsequently scattered and chaotic, losing its order. This pulse image is called "Jie Suo" (Untying Knots), indicating the exhaustion of the Five Zang organs and death. (Wang Shuhe stated: Jie Suo is scattered and without sequence. Wu Zhongguang stated: In the Jie Suo Mai, the form appears at both Chi positions. When the pulse arrives under the fingers, it is scattered and does not gather, as if divided to both sides, with no normal respiratory rhythm. This signifies that essence and marrow have been depleted, a sign of impending death.)
3. Que Zhuo Mai (Sparrow Pecking Pulse) is located within the muscles. The arrival is frequent and urgent. This pulse image is called "Que Zhuo" (Sparrow Pecking). (This is a pulse of Heart Qi exhaustion. Wang Shuhe stated: Que Zhuo pauses like a woodpecker pecking wood and then stops. Wu Zhongguang stated: Que Zhuo is a Wood pulse.) It primarily reflects the exhaustion of Grain Qi in the Spleen Meridian, leaving Stomach Qi without nourishment. When the pulse arrives under the fingers, it beats continuously and rapidly, completely lacking normal respiratory rhythm, advancing only without retreating, suddenly interrupting and departing, then returning after a long interval exactly as before, resembling the manner of a chicken pecking food. The patient will survive only for a few days. (Based on this description, it should be a pulse of Spleen exhaustion; why did Xiao Chunong call it Heart exhaustion? Wang Shuhe said Que Zhuo resembles a woodpecker pecking wood; here "Que" refers to the woodpecker. Wu Zhongguang, due to the "pausing wood" theory, considered it a Wood pulse. A Wood pulse is a Liver pulse; his understanding was not thorough, and it should be regarded as Spleen exhaustion.)
4. Wu Lou Mai (Leaking Roof Pulse) is located in the tendons. Upon pressing, the pulse stops, occasionally rising but not connecting. This pulse image is called "Wu Lou" (Leaking Roof), indicating the exhaustion of Heart and Lung Qi and death. (Wang Shuhe stated: Wu Lou rises again after nearly ceasing. Wu Zhongguang stated: Wu Lou Mai primarily indicates the exhaustion of the Stomach Meridian and emptiness of Grain Qi. When the pulse arrives under the fingers, pressing feels extremely slow; between twenty respirations, there may be only one arrival. It resembles water drops from a leaking roof hitting the ground and splashing outward. This is a sign of immediate death. Based on this, it should be a pulse of Stomach exhaustion; why did Xiao Chunong call it Heart and Lung exhaustion?)
5. Xia You Mai (Shrimp Swimming Pulse) is located in the skin and hair layer. The pulse floats and reappears, but when sought, it retreats and vanishes, unknown whereabouts. It arises slowly and departs quickly. This pulse image is called "Xia You" (Shrimp Swimming), indicating the exhaustion of Spleen and Stomach Qi and death. (Wang Shuhe stated: Xia You moves slowly forward and backward, difficult to trace. Wu Zhongguang stated: In the Xia You Mai, when the pulse arrives under the fingers, it is like a shrimp swimming on the water surface, floating without moving, suddenly startled and jumping away. As the hand tries to pursue, it disappears mysteriously. After a moment, it returns under the fingers, and after a long while, departs again as before. It also resembles the shape of a toad entering water, suddenly rising and instantly disappearing. This indicates that the Spirit has departed, a state akin to a walking corpse, leading to immediate death.)
6. Yu Xiang Mai (Fish Gliding Pulse) is located on the skin and flesh. Like a fish not moving forward, but only wagging its tail, with the head and body swaying but staying in place for a long time. This pulse image is called "Yu Xiang" (Fish Gliding), indicating Kidney Qi exhaustion and death. (Wang Shuhe stated: Fish leaping is clear and hesitant, wagging its tail. Wu Zhongguang stated: Yu Xiang Mai primarily indicates the exhaustion of both Kidney and Mingmen, with the simultaneous loss of Wei Qi and Ying Blood. When the pulse arrives under the fingers, seeking reveals it immediately; it floats high and empty, first still then moving, completely lacking normal respiratory rhythm. It resembles a fish swimming in water, with the head and face motionless while the tail slowly wags. Hence it is called Yu Xiang. It is also described as a sign of Yang exhaustion and inevitable death. If diagnosed in the morning, death occurs in the evening; if in the evening, death occurs in the morning; if at noon, death occurs at midnight; if at midnight, death occurs at noon.)
7. Fu Fei Mai (Boiling Cauldron Pulse) is located on the skin and flesh. The pulse surges vigorously, like the fat/oil floating on the surface of soup in a boiling cauldron. This pulse image is called "Fu Fei" (Boiling Cauldron), which is a pulse of death.