左寸心部。
浮数头疼热梦惊。浮迟腹冷胃虚真。沉数狂言并舌强。沉迟气短力难成。(主气不相接
续)
左关肝部。
浮数患风筋即抽。浮迟冷眼泪难收。沉数背疮常怒气。沉迟不睡损双眸。
左尺肾部。
浮数劳热小便赤。浮迟阴肿浊来侵。沉数腰疼生赤浊。沉迟白浊耳虚鸣。
右寸肺部。
浮数中风喉热闭。浮迟冷气泻难禁。沉数风痰并气喘。沉迟气弱冷涎停。
右关脾部。
浮数龈宣并益汗。浮迟胃冷气虚膨。沉数热多并口臭。沉迟腹满胀坚生。
右尺命门部。
浮数泄精三焦热。浮迟冷气浊时临。沉数渴来小便数。沉迟虚冷小便频。
(喜怒忧思悲恐惊内应气口)
喜怒伤心脉必虚。思伤脾脉结中居。因忧伤肺脉必涩。怒气伤肝脉便濡。恐伤于肾脉沉
是。缘惊伤胆动相须。脉紧因悲伤胞络。七情气口内因之。
(风寒暑湿燥火外应人迎)
紧则伤寒肾不移。虚因伤暑向胞推。涩缘伤燥须观肺。细缓伤湿要观脾。浮则伤风肝部
应。弱为伤火察心知。六邪合脉须当审。免使将寒作热医。
劳神役虑定伤心。虚涩之中仔细寻。劳役阴阳伤肾部。忽然紧脉必相侵。房帷任意伤心
络。
微涩之中宜忖度。疲极筋力便伤肝。指下寻之脉弦弱。饮食饥饱定伤脾。未可轻将一例推。
饥则缓弦当别议。若然滑实饱无疑。叫呼损气因伤气。燥弱脉中宜熟记。能通不内外中因
生死吉凶都在是。
左寸心部。
脉象浮数,主头痛、发热、多梦易惊;脉象浮迟,主腹部寒冷、胃气虚弱(真元不足);脉象沉数,主胡言乱语、舌体僵硬;脉象沉迟,主气短、体力难以恢复(主因气机不相接续)。
左关肝部。
脉象浮数,主患风病、筋脉抽搐;脉象浮迟,主受冷、流泪难止;脉象沉数,主背部疮疡、常发怒气;脉象沉迟,主失眠、双目受损。
左尺肾部。
脉象浮数,主虚劳发热、小便色赤;脉象浮迟,主阴部肿胀、浊液下注;脉象沉数,主腰痛、产生赤色浊液;脉象沉迟,主白浊、耳鸣(因肾虚所致)。
右寸肺部。
脉象浮数,主中风、喉部热闭;脉象浮迟,主冷气侵袭、腹泻难以控制;脉象沉数,主风痰、气喘;脉象沉迟,主气弱、冷涎停滞。
右关脾部。
脉象浮数,主牙龈出血、汗出过多;脉象浮迟,主胃中冷气、气虚腹胀;脉象沉数,主内热多、口臭;脉象沉迟,主腹部胀满坚硬。
右尺命门部。
脉象浮数,主遗精、三焦热盛;脉象浮迟,主冷气侵袭、浊液不时来临;脉象沉数,主口渴、小便频数;脉象沉迟,主虚寒、小便频数。
(喜怒忧思悲恐惊七情内应于气口脉)
喜悦或愤怒伤心,脉象必然虚弱;思虑过度伤脾,脉象结滞居中;因忧伤肺,脉象必然涩滞;怒气伤肝,脉象便显濡软;恐惧伤肾,脉象沉伏是其特征;因惊伤胆,脉象动数相应;脉紧是因为悲伤胞络。七情之气皆由内因作用于气口脉。
(风寒暑湿燥火六淫外应于人迎脉)
脉紧则是伤寒,病位在肾不移;脉虚是因伤暑,病势向胞宫推演;脉涩缘于伤燥,须观察肺部;脉细缓是伤湿,要观察脾脏;脉浮则是伤风,应在肝部应验;脉弱为伤火,需察知于心。六邪合脉必须审慎辨别,以免将寒证误作热证治疗。
劳神役虑必定伤心,需在虚涩脉象中仔细探寻;劳役阴阳损伤肾部,忽然出现紧脉必定相互侵扰;房事任意妄为伤心之络,需在微涩脉象中加以忖度;极度疲劳筋骨便伤肝,指下寻得脉象弦弱;饮食饥饱不定定伤脾,不可轻易一概而论。饥饿时脉象缓弦应当另议;若是滑实脉则无疑为过饱所致;叫呼呐喊耗损正气因而伤气,在燥弱脉象中宜熟记于心。若能通晓不内外因,生死吉凶皆在于此。
Left Cun (Inch) Heart Region.
Floating and rapid pulse indicates headache, fever, vivid dreams, and fright; floating and slow pulse indicates abdominal coldness and deficiency of Stomach Qi (true Yuan deficiency); deep and rapid pulse indicates incoherent speech and tongue stiffness; deep and slow pulse indicates shortness of breath and inability to exert strength (mainly due to discontinuity of Qi mechanism).
Left Guan (Carpal) Liver Region.
Floating and rapid pulse indicates wind disease with muscle twitching; floating and slow pulse indicates cold injury with uncontrollable tearing; deep and rapid pulse indicates back sores and frequent anger; deep and slow pulse indicates insomnia and damage to the eyes.
Left Chi (Cubit) Kidney Region.
Floating and rapid pulse indicates consumptive fever and red urine; floating and slow pulse indicates swelling of the yin organs and turbid discharge; deep and rapid pulse indicates lower back pain and generation of red turbidity; deep and slow pulse indicates white turbidity and tinnitus due to Kidney deficiency.
Right Cun (Inch) Lung Region.
Floating and rapid pulse indicates wind-stroke with heat obstruction in the throat; floating and slow pulse indicates invasion by cold air and uncontrollable diarrhea; deep and rapid pulse indicates wind-phlegm and asthma; deep and slow pulse indicates weak Qi and stagnation of cold saliva.
Right Guan (Carpal) Spleen Region.
Floating and rapid pulse indicates bleeding gums and excessive sweating; floating and slow pulse indicates cold Qi in the Stomach, Qi deficiency, and abdominal distension; deep and rapid pulse indicates excess internal heat and bad breath; deep and slow pulse indicates abdominal fullness and hardness.
Right Chi (Cubit) Mingmen (Gate of Life) Region.
Floating and rapid pulse indicates seminal emission and heat in the Sanjiao (Triple Burner); floating and slow pulse indicates invasion by cold air and frequent turbid discharge; deep and rapid pulse indicates thirst and frequent urination; deep and slow pulse indicates deficiency-cold and frequent urination.
(The seven emotions: joy, anger, worry, thought, grief, fear, and fright internally correspond to the Qi Kou pulse.)
Joy or anger damages the Heart, and the pulse must be deficient; excessive thought damages the Spleen, and the pulse is knotted and central; grief damages the Lungs, and the pulse must be choppy; anger damages the Liver, and the pulse becomes soggy; fear damages the Kidneys, and the pulse is deep; fright damages the Gallbladder, and the pulse is agitated and corresponding; a tight pulse is caused by grief affecting the Pericardium collateral. The Qi of the seven emotions arises from internal causes acting upon the Qi Kou pulse.
(The six exogenous pathogens: wind, cold, summer-heat, dampness, dryness, and fire externally correspond to the Ren Ying pulse.)
A tight pulse indicates cold damage, with the pathology fixed in the Kidneys; a deficient pulse indicates summer-heat damage, with the pathology pushing towards the Bao (Uterus/Pericardium); a choppy pulse is due to dryness damage, requiring observation of the Lungs; a fine and slow pulse indicates dampness damage, requiring observation of the Spleen; a floating pulse indicates wind damage, corresponding to the Liver region; a weak pulse indicates fire damage, to be discerned through the Heart. The combination of pulses for the six pathogens must be carefully examined to avoid mistaking cold syndromes for heat syndromes in treatment.
Mental labor and overthinking inevitably damage the Heart; one must carefully search within the deficient and choppy pulses. Labor that injures Yin and Yang damages the Kidney region; a sudden appearance of a tight pulse indicates mutual invasion. Indulgence in sexual activity damages the collaterals of the Heart; one should deliberate within the minute and choppy pulses. Extreme physical fatigue damages the Liver; searching under the fingers reveals a string-taut and weak pulse. Irregular eating and drinking definitely damage the Spleen; one should not lightly generalize. When hungry, the pulse is slow and string-taut, which requires separate discussion; if slippery and solid, it is undoubtedly due to overeating. Shouting and crying deplete Qi and thus damage Qi; this should be well remembered in the context of dry and weak pulses. If one can understand the non-internal and non-external causes, life and death, auspiciousness and misfortune, all depend on this.