春肝脉欲弦而长。心脉欲弦而洪浮。脾脉欲弦而缓。肺脉欲弦而微浮。肾脉欲弦而沉濡。命门脉欲弦而滑。
夏心脉欲洪大而散。脾脉欲洪而迟缓。肺脉欲洪而浮涩。肾脉欲洪而沉滑。命门脉与肾同。肝脉欲洪而弦长。
秋肺脉欲浮而短涩。肾脉欲微而伏。命门脉欲微而滑。肝脉欲浮而弦细。心脉欲浮而洪。脾脉欲浮而微缓。
冬肾脉欲沉而滑。命门脉与肾同。肝脉欲沉而弦。心脉欲沉而洪。脾脉欲沉而缓。肺脉欲沉而涩。
春得秋脉者。死于庚辛日。(谓金之克木也)
夏得冬脉者。死于壬癸日。(谓水之克火也)
四季得春脉者。死于甲乙日。(谓木之克土也)
秋得夏脉者。死于丙丁日。(谓火之克金也)
冬得四季脉者。死于戊己日。(谓土之克水也)
五脏相克所不可胜者为贼邪。其难治也信矣。至于所可胜者为微邪。虽不治而自愈。王叔和
脉赋云。春得脾而不疗。冬见心而不治。夏得肺而难救。秋得肝亦何疑。反以微邪为可畏者何耶。
及观灵枢经云。水动而火明。火炎而土平。土盛而金生。金盛而水盈。乃知叔和之说有所本。试即
土盛金生言之。夫土气既旺。则生金以克木。使肝脏之脉弦而缓。是本脉尚存。脾或侵之。此所
谓微邪不足虑。若本脉全无而独见脾脉者。斯足为害也。余脏可以类推。
春季肝脏的平脉应当是弦而长。心脏的平脉应当是弦而洪大且浮。脾脏的平脉应当是弦而缓。肺脏的平脉应当是弦而微浮。肾脏的平脉应当是弦而沉濡。命门的平脉应当是弦而滑。
夏季心脏的平脉应当是洪大而散。脾脏的平脉应当是洪而迟缓。肺脏的平脉应当是洪而浮涩。肾脏的平脉应当是洪而沉滑。命门的平脉与肾脏相同。肝脏的平脉应当是洪而弦长。
秋季肺脏的平脉应当是浮而短涩。肾脏的平脉应当是微而伏。命门的平脉应当是微而滑。肝脏的平脉应当是浮而弦细。心脏的平脉应当是浮而洪。脾脏的平脉应当是浮而微缓。
冬季肾脏的平脉应当是沉而滑。命门的平脉与肾脏相同。肝脏的平脉应当是沉而弦。心脏的平脉应当是沉而洪。脾脏的平脉应当是沉而缓。肺脏的平脉应当是沉而涩。
如果在春季出现秋季的脉象,患者会在庚辛日死亡。(这是因为金克木的缘故)
如果在夏季出现冬季的脉象,患者会在壬癸日死亡。(这是因为水克火的缘故)
如果在四季(指每季最后十八天或长夏)出现春季的脉象,患者会在甲乙日死亡。(这是因为木克土的缘故)
如果在秋季出现夏季的脉象,患者会在丙丁日死亡。(这是因为火克金的缘故)
如果在冬季出现四季(此处指代非本季节应有的脉象,或特指脾土之脉)的脉象,患者会在戊己日死亡。(这是因为土克水的缘故)
五脏之间相克而不能被克制的是“贼邪”,这种病情确实难以治疗。至于能够被克制的是“微邪”,即使不治疗也能自愈。王叔和
在《脉赋》中说:春季见到脾脉而不治疗,冬季见到心脉而不治,夏季见到肺脉则难救,秋季见到肝脉也无可怀疑。反而认为微邪值得畏惧,这是为什么呢?
等到观察《灵枢经》的说法:“水动而火明,火炎而土平,土盛而金生,金盛而水盈。”才知道王叔和的说法是有根据的。试以“土盛金生”来解释。如果土气旺盛,就会生金以克木,使得肝脏的脉象表现为弦而缓,此时本脉尚存,若是脾脉侵扰,这就是所谓的“微邪”,不足为虑。如果本脉完全消失而单独出现脾脉,这才足以造成危害。其他脏腑的情况可以以此类推。
In spring, the normal pulse of the Liver (Gan) should be Xian (Wiry) and Chang (Long). The normal pulse of the Heart (Xin) should be Xian (Wiry), Hong (Surging), and Fu (Floating). The normal pulse of the Spleen (Pi) should be Xian (Wiry) and Huan (Moderate/Relaxed). The normal pulse of the Lung (Fei) should be Xian (Wiry) and Wei Fu (Slightly Floating). The normal pulse of the Kidney (Shen) should be Xian (Wiry) and Chen Ru (Deep and Soft). The normal pulse of the Mingmen (Gate of Life) should be Xian (Wiry) and Hua (Slippery).
In summer, the normal pulse of the Heart (Xin) should be Hong (Surging), Da (Large), and San (Scattered). The normal pulse of the Spleen (Pi) should be Hong (Surging) and Chi Huan (Slow and Moderate). The normal pulse of the Lung (Fei) should be Hong (Surging) and Fu Se (Floating and Choppy). The normal pulse of the Kidney (Shen) should be Hong (Surging) and Chen Hua (Deep and Slippery). The normal pulse of the Mingmen (Gate of Life) is the same as that of the Kidney. The normal pulse of the Liver (Gan) should be Hong (Surging) and Xian Chang (Wiry and Long).
In autumn, the normal pulse of the Lung (Fei) should be Fu (Floating) and Duan Se (Short and Choppy). The normal pulse of the Kidney (Shen) should be Wei (Slight) and Fu (Hidden/Deep). The normal pulse of the Mingmen (Gate of Life) should be Wei (Slight) and Hua (Slippery). The normal pulse of the Liver (Gan) should be Fu (Floating) and Xian Xi (Wiry and Fine). The normal pulse of the Heart (Xin) should be Fu (Floating) and Hong (Surging). The normal pulse of the Spleen (Pi) should be Fu (Floating) and Wei Huan (Slightly Moderate).
In winter, the normal pulse of the Kidney (Shen) should be Chen (Deep) and Hua (Slippery). The normal pulse of the Mingmen (Gate of Life) is the same as that of the Kidney. The normal pulse of the Liver (Gan) should be Chen (Deep) and Xian (Wiry). The normal pulse of the Heart (Xin) should be Chen (Deep) and Hong (Surging). The normal pulse of the Spleen (Pi) should be Chen (Deep) and Huan (Moderate). The normal pulse of the Lung (Fei) should be Chen (Deep) and Se (Choppy).
If an Autumn pulse appears in Spring, death will occur on Geng-Xin days. (This is because Metal overcomes Wood.)
If a Winter pulse appears in Summer, death will occur on Ren-Gui days. (This is because Water overcomes Fire.)
If a Spring pulse appears in the four seasons (referring to the transition periods or late stages of each season), death will occur on Jia-Yi days. (This is because Wood overcomes Earth.)
If a Summer pulse appears in Autumn, death will occur on Bing-Ding days. (This is because Fire overcomes Metal.)
If a Four-Seasons pulse appears in Winter, death will occur on Wu-Ji days. (This is because Earth overcomes Water.)
The type of pathogenic factor where one Zang organ overcomes another in a way that cannot be resisted is called Zei Xie (Robber Evil); such conditions are indeed difficult to treat. As for those that can be overcome, they are called Wei Xie (Minor Evil); even without treatment, they may resolve spontaneously. Wang Shuhe stated in his "Mai Fu" (Ode to Pulse): "Spring with Spleen pulse need not be treated; Winter with Heart pulse need not be treated; Summer with Lung pulse is hard to save; Autumn with Liver pulse leaves no doubt." Why then fear Minor Evil?
Upon observing the *Ling Shu* (Spiritual Pivot), it says: "Water moves and Fire shines; Fire flares and Earth levels; Earth flourishes and Metal generates; Metal flourishes and Water fills." Thus, we know Wang Shuhe's theory has its basis. Let us discuss "Earth flourishes and Metal generates." If Earth Qi is prosperous, it generates Metal to overcome Wood, causing the Liver pulse to appear Xian (Wiry) and Huan (Moderate). In this case, the original pulse remains, and if the Spleen invades, this is what is called "Minor Evil," which is not worth worrying about. However, if the original pulse completely disappears and only the Spleen pulse is seen, this is truly harmful. The same logic applies to other Zang organs.