男子不可久泻,女子不可久吐。左手属阳,右手属阴也。关前属阳,关后属阴也。汗多亡阳,下多亡阴。诸阴为寒,
诸阳为热。人迎者,左手关前一分是也;气口者,右手关前一分是也。人迎以候天之六气,风寒暑湿燥火之外感也;人
迎浮盛则为伤风也,紧盛则伤寒也,洪大则伤暑也,沉细则伤湿也,虚数则伤热也。气口以候人之七情,喜怒忧思悲恐
惊之内伤也。喜者脉散也,怒者脉激也,忧者脉涩也,思者脉结也,悲者脉紧也,恐者脉沉也,惊者脉动也。人迎脉紧
盛,
大于气口一倍为外感,风与寒皆属于表为阳也、腑也。气口脉紧盛,大于人迎一倍,为伤食,为劳倦,皆属于里,为阴
也、脏也。人迎气口俱紧盛,此为夹食伤寒,为内伤外感也。男子久病气口充于人迎者,有胃气也;女子久病,人迎充
于气口者,有胃气也,病虽重可治,反此则逆。外因者,六淫之邪也;内因者,七情之气也;不内外因者,饮食劳倦跌
仆也。
六脉者,浮沉迟数滑涩也。浮者为阳,在表为风、为虚也;沉者为阴,在里为湿、为实也;迟者在脏,为寒、为冷、
为阴也;数者为热、为燥、为阳,在腑也;滑者血多气少也;涩者气多血少也,涩为气遏滞。中风宜浮迟,忌急实也。
伤寒宜洪大,忌沉细也。咳嗽宜浮涩,忌沉伏也。腹胀宜浮大,忌虚小也。下痢宜虚小,忌浮洪也。狂疾宜实大,忌沉
细也。霍乱宜洪大,忌微迟也。消渴宜数大,忌虚小也。水气宜洪大,忌沉细也。鼻衄宜沉细,忌浮大也。腹疼痛宜沉
细,忌浮大也。上气浮肿宜浮滑,忌微细也。头痛宜浮长,忌短涩也。喘急宜浮滑,忌脉涩也。吐血宜沉弱,忌实大也。
金疮宜微细,忌紧数也。中恶宜紧细,忌浮大也。中毒宜数大,忌微细也。肠癖宜沉迟,忌急疾也。内伤宜弦,忌小弱
也。风痹宜虚濡,忌紧急也。温病发热忌微小也。腹中有积忌虚弱也。病热忌脉静也,病泄忌脉大也。翻胃宜浮缓,忌
沉濡也。咳逆宜浮缓,忌弦急也。诸气宜浮紧,忌虚弱也。痞满宜滑脉,忌涩脉也。妇人带下宜迟滑,忌虚浮也。妇人
妊娠宜洪大,忌沉细也。劳怯宜小缓,忌弦数也。产妇面赤舌青母活子死也,面青舌赤母死子活也,面舌俱青口唇沫出,
子母俱死也。妇人已产宜小实,忌虚浮也。妇人虚劳,右寸数者危也。鱼口气急者死也,循衣摸床者死也。口臭不可近
者死也,舌卷卵缩者死也,眼目直视者死也,面无光牙根黑者死也,汗出身体不凉者死也,头面痛卒视无见者死也,
黑色入耳目鼻渐入口者死也。温病大热,脉细小者死。温病汗出不足者死也,瘦脱形,发热脉坚急者死也。人病脉不病
者名内为虚也,脉病患不病者名行尸也。若闭目不欲见人,
宜弦急而长,忌浮短而涩也。病若开目而渴,心下悸者宜紧实而数,忌浮涩而微也。病若谵言妄语身尝有热,脉宜洪大,
忌手足厥冷,脉细而微也。伤寒舌黑者死也,久病汗出不收者死也。
男子不宜长期腹泻,女子不宜长期呕吐。左手脉象归属于阳,右手脉象归属于阴。关前(寸部)归属于阳,关后(尺部)归属于阴。发汗过多会耗损阳气,泻下过多会耗损阴液。所有阴证表现为寒,所有阳证表现为热。人迎穴(此处指代左手关前一分处的脉象),是左手关前一分的位置;气口(此处指代右手关前一分处的脉象),是右手关前一分的位置。人迎脉用来诊察天之六气(风、寒、暑、湿、燥、火)所致的外感病;人迎脉浮而盛大则是伤风,紧而盛大则是伤寒,洪大而数则是伤暑,沉而细弱则是伤湿,虚而数则是伤热。气口脉用来诊察人之七情(喜、怒、忧、思、悲、恐、惊)所致的内伤病。喜则脉散乱,怒则脉激越,忧则脉涩滞,思则脉结聚,悲则脉紧束,恐则脉沉伏,惊则脉动悸。人迎脉紧盛,比气口脉大一倍,属于外感,风与寒都归属于表、归属于阳、归属于腑。气口脉紧盛,比人迎脉大一倍,属于伤食或劳倦,都归属于里、归属于阴、归属于脏。人迎和气口脉都紧盛,这是夹食伤寒,即内伤兼外感。男子久病,若气口脉充盛于人迎脉之上,说明有胃气;女子久病,若人迎脉充盛于气口脉之上,说明有胃气,病情虽重也可治愈,反之则为逆证。外因,是指六淫之邪;内因,是指七情之气;不内外因,是指饮食、劳倦、跌打损伤等。
六种脉象,即浮、沉、迟、数、滑、涩。浮脉属阳,主在表,主风、主虚;沉脉属阴,主在里,主湿、主实;迟脉主在脏,主寒、主冷、主阴;数脉主热、主燥、主阳,主在腑;滑脉主血多气少;涩脉主气多血少,涩表示气机遏阻停滞。中风病适宜见浮迟脉,忌讳急实脉。伤寒病适宜见洪大脉,忌讳沉细脉。咳嗽病适宜见浮涩脉,忌讳沉伏脉。腹胀病适宜见浮大脉,忌讳虚小脉。下痢病适宜见虚小脉,忌讳浮洪脉。狂疾适宜见实大脉,忌讳沉细脉。霍乱适宜见洪大脉,忌讳微迟脉。消渴病适宜见数大脉,忌讳虚小脉。水气病适宜见洪大脉,忌讳沉细脉。鼻衄(鼻出血)适宜见沉细脉,忌讳浮大脉。腹疼痛适宜见沉细脉,忌讳浮大脉。上气浮肿适宜见浮滑脉,忌讳微细脉。头痛适宜见浮长脉,忌讳短涩脉。喘急适宜见浮滑脉,忌讳脉涩。吐血适宜见沉弱脉,忌讳实大脉。金疮(金属利器造成的创伤)适宜见微细脉,忌讳紧数脉。中恶(突受秽浊邪气侵袭)适宜见紧细脉,忌讳浮大脉。中毒适宜见数大脉,忌讳微细脉。肠癖(痢疾或肠道湿热泄泻)适宜见沉迟脉,忌讳急疾脉。内伤适宜见弦脉,忌讳小弱脉。风痹适宜见虚濡脉,忌讳紧急脉。温病发热忌讳微小脉。腹中有积块忌讳虚弱脉。患热病忌讳脉象静缓,患泄泻忌讳脉象宏大。翻胃适宜见浮缓脉,忌讳沉濡脉。咳逆适宜见浮缓脉,忌讳弦急脉。诸气病适宜见浮紧脉,忌讳虚弱脉。痞满适宜见滑脉,忌讳涩脉。妇人带下病适宜见迟滑脉,忌讳虚浮脉。妇人妊娠适宜见洪大脉,忌讳沉细脉。劳怯(虚劳肺痨类疾病)适宜见小缓脉,忌讳弦数脉。产妇面赤舌青,母活子死;面青舌赤,母死子活;面舌俱青且口唇流沫,母子俱死。妇人已产宜见小实脉,忌讳虚浮脉。妇人虚劳,右寸脉数者危重。鱼口气急者死,循衣摸床者死。口臭不可近者死,舌卷卵缩者死,眼目直视者死,面无光泽牙根黑者死,汗出身体不凉者死,头面痛突然失明者死,黑色从耳目鼻渐入口者死。温病大热,脉细小者死。温病汗出不足者死,形体消瘦脱肉,发热脉坚急者死。病人脉象正常而病症严重,名为“内虚”;脉象异常而病症不明显,名为“行尸”。若闭目不欲见人,适宜见弦急而长的脉象,忌讳浮短而涩的脉象。病若开目而渴,心下悸动,适宜见紧实而数的脉象,忌讳浮涩而微的脉象。病若谵言妄语,身体曾经发热,适宜见洪大脉,忌讳手足厥冷,脉细而微的脉象。伤寒舌黑者死,久病汗出不止者死。
Men should not suffer from prolonged diarrhea, and women should not suffer from prolonged vomiting. The left hand pulse belongs to Yang, and the right hand pulse belongs to Yin. The position before the Guan (Cun section) belongs to Yang, and the position after the Guan (Chi section) belongs to Yin. Excessive sweating leads to the loss of Yang Qi (Vital Energy), and excessive purgation leads to the loss of Yin substances. All Yin patterns manifest as Cold, and all Yang patterns manifest as Heat. "Renying" (referring to the pulse at one-fen anterior to the Guan on the left hand) is located one-fen anterior to the Guan on the left hand; "Qikou" (referring to the pulse at one-fen anterior to the Guan on the right hand) is located one-fen anterior to the Guan on the right hand. Renying is used to observe the Six Qi (Wind, Cold, Summer-heat, Dampness, Dryness, Fire) of Heaven, which cause external contractions; if Renying is floating and vigorous, it indicates Wind Injury; if tight and vigorous, it indicates Cold Injury; if surging and large, it indicates Summer-heat Injury; if deep and fine, it indicates Dampness Injury; if deficient and rapid, it indicates Heat Injury. Qikou is used to observe the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) of Man, which cause internal injuries. Joy results in a scattered pulse, Anger in an agitated pulse, Worry in a choppy pulse, Thought in a knotted pulse, Sorrow in a tight pulse, Fear in a deep pulse, and Fright in a moving pulse. If Renying is tight and vigorous and larger than Qikou by one fold, it is an external contraction; Wind and Cold both belong to the Exterior, to Yang, and to the Fu Organs. If Qikou is tight and vigorous and larger than Renying by one fold, it is Food Retention or Fatigue/Overwork, both belonging to the Interior, to Yin, and to the Zang Organs. If both Renying and Qikou are tight and vigorous, this is Cold Injury with Food Retention, i.e., Internal Injury combined with External Contraction. In men with chronic illness, if Qikou is more prominent than Renying, there is Stomach Qi (Digestive Vitality); in women with chronic illness, if Renying is more prominent than Qikou, there is Stomach Qi; although the disease is severe, it is treatable. The reverse indicates a counterflow pattern. External causes refer to the pathogenic factors of the Six Excesses (Six Evils); internal causes refer to the Qi of the Seven Emotions; neither internal nor external causes refer to diet, fatigue, or falls/injuries.
The six pulses are Floating, Deep, Slow, Rapid, Slippery, and Choppy. Floating is Yang, indicating the Exterior, Wind, or Deficiency; Deep is Yin, indicating the Interior, Dampness, or Excess; Slow indicates involvement of the Zang Organs, Cold, Chilliness, or Yin; Rapid indicates Heat, Dryness, Yang, and involvement of the Fu Organs; Slippery indicates abundant Blood and scarce Qi; Choppy indicates abundant Qi and scarce Blood, representing Qi stagnation and obstruction. For Zhongfeng (Wind Stroke), a Floating-Slow pulse is appropriate, while a Rapid-Full pulse is contraindicated. For Shanghan (Cold Damage), a Surging-Large pulse is appropriate, while a Deep-Fine pulse is contraindicated. For Cough, a Floating-Choppy pulse is appropriate, while a Deep-Hidden pulse is contraindicated. For Abdominal Distension, a Floating-Large pulse is appropriate, while a Deficient-Small pulse is contraindicated. For Dysentery, a Deficient-Small pulse is appropriate, while a Floating-Surging pulse is contraindicated. For Mania, a Full-Large pulse is appropriate, while a Deep-Fine pulse is contraindicated. For Huoluan (Cholera-like syndrome), a Surging-Large pulse is appropriate, while a Minute-Slow pulse is contraindicated. For Xiao Ke (Wasting-Thirst), a Rapid-Large pulse is appropriate, while a Deficient-Small pulse is contraindicated. For Shui Qi (Water Qi/Water Retention), a Surging-Large pulse is appropriate, while a Deep-Fine pulse is contraindicated. For Bi Ni (Nosebleed), a Deep-Fine pulse is appropriate, while a Floating-Large pulse is contraindicated. For Abdominal Pain, a Deep-Fine pulse is appropriate, while a Floating-Large pulse is contraindicated. For Upper Qi Edema, a Floating-Slippery pulse is appropriate, while a Minute-Fine pulse is contraindicated. For Headache, a Floating-Long pulse is appropriate, while a Short-Choppy pulse is contraindicated. for Panting/Asthma, a Floating-Slippery pulse is appropriate, while a Choppy pulse is contraindicated. For Hematemesis, a Deep-Weak pulse is appropriate, while a Full-Large pulse is contraindicated. For Jin Chuang (Metal Wounds), a Minute-Fine pulse is appropriate, while a Tight-Rapid pulse is contraindicated. For Zhong E (Sudden Evil Invasion), a Tight-Fine pulse is appropriate, while a Floating-Large pulse is contraindicated. For Poisoning, a Rapid-Large pulse is appropriate, while a Minute-Fine pulse is contraindicated. For Chang Pi (Intestinal Dysentery/Diarrhea), a Deep-Slow pulse is appropriate, while a Rapid-Emergent pulse is contraindicated. For Internal Injury, a String-Taut pulse is appropriate, while a Small-Weak pulse is contraindicated. For Feng Bi (Wind Bi Syndrome), a Deficient-Soft pulse is appropriate, while a Tight-Emergent pulse is contraindicated. For Wen Bing (Warm Disease) with fever, a Minute-Small pulse is contraindicated. For abdominal masses, a Weak pulse is contraindicated. For febrile diseases, a quiet pulse is contraindicated; for diarrheal diseases, a large pulse is contraindicated. For Fan Wei (Reversal Vomiting), a Floating-Slow pulse is appropriate, while a Deep-Soft pulse is contraindicated. for Ke Ni (Hiccup/Cough Reversal), a Floating-Slow pulse is appropriate, while a String-Taut-Emergent pulse is contraindicated. For various Qi disorders, a Floating-Tight pulse is appropriate, while a Deficient-Weak pulse is contraindicated. For Pi Man (Glomus/Fullness), a Slippery pulse is appropriate, while a Choppy pulse is contraindicated. For women with Dai Xia (Leukorrhea), a Slow-Slippery pulse is appropriate, while a Deficient-Floating pulse is contraindicated. For pregnant women, a Surging-Large pulse is appropriate, while a Deep-Fine pulse is contraindicated. For Lao Qie (Consumptive Disease), a Small-Slow pulse is appropriate, while a String-Taut-Rapid pulse is contraindicated. In postpartum women, red face and cyan tongue indicate mother lives, child dies; cyan face and red tongue indicate mother dies, child lives; cyan face and tongue with foam at the lips indicate both mother and child die. Postpartum women should have a Small-Full pulse, while a Deficient-Floating pulse is contraindicated. For women with Xu Lao (Deficiency Consumption), a Rapid pulse at the Right Cun position indicates danger. Fish-mouth breathing with急促 respiration indicates death; grasping clothes and touching the bed indicates death. Unbearable body odor indicates death; curled tongue and retracted testicles indicate death; fixed gaze indicates death; lack of luster in the face and black gums indicate death; sweating with a body that does not cool down indicates death; sudden blindness with head and facial pain indicates death; black color entering eyes, ears, nose, and gradually mouth indicates death. In Warm Disease with high fever, a Small-Fine pulse indicates death. In Warm Disease with insufficient sweating, death occurs. In emaciated patients with fever and a firm-rigid pulse, death occurs. When the patient's condition is severe but the pulse is normal, it is called "Internal Deficiency"; when the pulse is abnormal but the patient appears well, it is called "Walking Corpse". If the patient keeps eyes closed and avoids people, a String-Taut, Emergent, and Long pulse is appropriate, while a Floating-Short and Choppy pulse is contraindicated. If the patient opens eyes, feels thirsty, and has palpitations in the epigastrium, a Tight-Full and Rapid pulse is appropriate, while a Floating-Choppy and Minute pulse is contraindicated. If the patient speaks deliriously and妄语 (nonsensically) and had previous fever, a Surging-Large pulse is appropriate, while cold extremities with a Fine-Minute pulse are contraindicated. Black tongue in Shanghan indicates death; persistent sweating in chronic illness indicates death.