此非也。经曰。脉浮而大。浮为气实。大为血虚。若脉浮大。当为气实血虚。今趺
阳脉浮而涩。浮则胃虚。涩则脾寒。脾胃虚寒。则谷不消而水不别。法当下利。少阴肾
脉也。肾为肺之子。为肝之母。浮为肺脉。弦为肝脉。少阴脉弦而浮。为子母相生。故云
调脉。若滑而数者。则客热在下焦。使血流腐而为脓。故屎脓也。
寸口脉浮而紧。浮则为风。紧则为寒。风则伤卫。寒则伤荣。荣卫俱病。骨节烦疼。
当发其汗也。
脉经云。风伤阳。寒伤阴。卫为阳。荣为阴。风为阳。寒为阴。各从其类而伤也。
易曰。水流湿。火就燥者是矣。卫得风则热。荣得寒则痛。荣卫俱病。故致骨节烦疼。
当与麻黄汤发汗则愈。
趺阳脉迟而缓。胃气如经也。趺阳脉浮而数。浮则伤胃。数则动脾。此非本病。医
这是不对的。《内经》说:脉象浮而大,浮表示气实,大表示血虚。如果脉象浮大,应当是气实血虚。现在趺阳脉(足背动脉,候脾胃之气)浮而涩,浮则说明胃气虚弱,涩则说明脾脏有寒。脾胃虚寒,则食物不能消化而水液代谢不分清浊,按照治法应当出现下利(腹泻)。少阴肾脉也。肾是肺的子脏,是肝的母脏。浮脉是肺的脉象,弦脉是肝的脉象。少阴脉既弦又浮,这是子母相生关系,所以说“调脉”(调和脉象)。如果是滑而数的脉象,则是客热(外来的热邪)在下焦,使血液腐败化为脓,所以排出的是脓血便。
寸口脉(手腕桡动脉,候全身脏腑之气)浮而紧,浮则表示风邪,紧则表示寒邪。风邪伤害卫气,寒邪伤害营血。营卫都受病,骨节烦扰疼痛,应当用发汗的方法治疗。
《脉经》说:风伤害阳分,寒伤害阴分。卫气属阳,营血属阴。风属阳,寒属阴。它们各自顺着同类性质而受到伤害。《易经》说:“水流向湿处,火趋向干燥处”,就是这个道理。卫气遇到风则发热,营血遇到寒则疼痛。营卫都受病,所以导致骨节烦疼。应当给予麻黄汤发汗,这样就能痊愈。
This is incorrect. The Classic (Neijing) states: "A pulse that is floating and large indicates excess Qi and deficient Blood." If the pulse is floating and large, it should be interpreted as excess Qi and deficient Blood. Now, the Fuyang pulse (Duzi pulse, located at the dorsum of the foot, reflecting Spleen and Stomach Qi) is floating and choppy (Se). Floating indicates deficiency of Stomach Qi, while choppy indicates Cold in the Spleen. When the Spleen and Stomach are deficient and cold, food fails to digest and fluids fail to separate clearly. According to treatment principles, this should manifest as diarrhea (Xiali).
The Shaoyin (Kidney) pulse is also relevant. The Kidney is the Child organ of the Lung and the Mother organ of the Liver. A floating pulse corresponds to the Lung, and a wiry (Xian) pulse corresponds to the Liver. A Shaoyin pulse that is both wiry and floating reflects the generative cycle between mother and child organs; hence, it is referred to as "regulating the pulse" (Tiaomai). If the pulse is slippery (Hua) and rapid (Shu), it indicates an exogenous heat pathogen residing in the Lower Jiao, causing blood to putrefy into pus, resulting in the passage of purulent stool.
The Cunkou pulse (Radial artery at the wrist, reflecting all Zang-Fu organs) is floating and tight. Floating indicates Wind, and tight indicates Cold. Wind injures the Defensive Qi (Wei), and Cold injures the Nutritive Blood (Ying). When both Ying and Wei are diseased, there is severe pain in the bone joints. Treatment should involve inducing sweating.
The Mai Jing (Pulse Classic) states: "Wind injures Yang, Cold injures Yin." Defensive Qi belongs to Yang, Nutritive Blood belongs to Yin. Wind belongs to Yang, Cold belongs to Yin. They injure according to their like categories. As stated in the I Ching (Book of Changes): "Water flows to wetness, Fire moves toward dryness." This principle applies here. When Defensive Qi encounters Wind, fever occurs; when Nutritive Blood encounters Cold, pain occurs. Since both Ying and Wei are diseased, severe bone joint pain results. One should administer Mahuang Tang (Ephedra Decoction) to induce sweating, which will lead to recovery.
A Fuyang pulse that is slow (Chi) and moderate/harmonious (Huan) indicates that Stomach Qi is normal. However, if the Fuyang pulse is floating and rapid, floating injures Stomach Qi, and rapidity disturbs Spleen Qi. This is not the original disease; the physician...