六脉纲领曰∶浮、沉、迟、数、滑、涩。浮沉以部位言,而虚、实、濡、弱、革、牢六
脉从之。迟数以至数言,而紧缓促结代五脉从之。滑涩以形象言,而长、短、洪、微、芤、
弦、动、伏、散、细十脉从之,此脉之大概也。又有解索、雀啄、屋漏、鱼翔、弹石、虾游
等名,皆死脉。人有四海,脑为髓海,丹田为精海,脐为气海,脾为血海。人有五余,头发
属心,血之余。眉毛属肝,筋之余。须属肾,精之余。腋毛属脾,肌肉之余。阴毛属肺,气
之余也。又指爪筋之余,筋乃骨之余,骨乃精之余,皮乃血之余,脉乃气之余,骨节乃五脏
之余也。五脏之窍,舌为心苗,心寄窍于耳,眼为肝窍,口为脾窍,鼻为肺窍,耳为肾窍,
肾又开窍于二阴焉。五脏绝症,鼻孔向上而
黑者,肺绝也。嘴唇反起黑色者,脾绝也。鱼目定睛,人中陷者,肝绝也。舌尖黑色,芒刺
有胎,心绝也。两耳黑色,肾囊吊起,肾绝也。以上五绝之症,不治。头为诸阳之会,正额
属心,心主血,最畏见风,若破伤风,头额发肿者即死。
寅时气血注于肺。卯时大肠辰时胃。巳脾午心未小肠。膀胱申注酉肾注。戌时包络亥三
焦。子胆丑肝各定位。
凡损伤骨断皮破者,药用水煎。皮不破者,药用酒煎。必加童便,以活瘀血。
六脉的纲领是:浮、沉、迟、数、滑、涩。浮脉和沉脉是从部位上来区分的,虚脉、实脉、濡脉、弱脉、革脉、牢脉这六种脉象归属于此类。迟脉和数脉是从至数(脉搏跳动的快慢)上来区分的,紧脉、缓脉、促脉、结脉、代脉这五种脉象归属于此类。滑脉和涩脉是从形象上来区分的,长脉、短脉、洪脉、微脉、芤脉、弦脉、动脉、伏脉、散脉、细脉这十种脉象归属于此类,这是脉象的大致分类。另外还有解索脉、雀啄脉、屋漏脉、鱼翔脉、弹石脉、虾游脉等名称,这些都是死脉(预示死亡的脉象)。
人有四海:脑被称为髓海,丹田被称为精海,脐部被称为气海,脾脏被称为血海。人有五余:头发属于心,是血的余气所生;眉毛属于肝,是筋的余气所生;胡须属于肾,是精的余气所生;腋毛属于脾,是肌肉的余气所生;阴毛属于肺,是气的余气所生。此外,手指指甲是筋的余气,筋是骨的余气,骨是精的余气,皮肤是血的余气,脉管是气的余气,骨节是五脏的余气。
五脏的开窍情况:舌为心的外候(心苗),心也寄窍于耳,眼睛是肝的窍,口是脾的窍,鼻子是肺的窍,耳朵是肾的窍,肾脏又开窍于前后二阴。
五脏的绝症表现:鼻孔向上翻且发黑的,是肺绝。嘴唇反卷且发黑的,是脾绝。眼球固定如鱼目,人中穴凹陷的,是肝绝。舌尖发黑,有芒刺且舌苔厚腻的,是心绝。两耳发黑,阴囊上缩的,是肾绝。以上五种绝症,无法治愈。头部是诸阳经汇聚的地方,正额头属心,心主血,最害怕受风邪侵袭,如果患破伤风,导致头额肿胀的就会死亡。
寅时气血流注于肺经。卯时流注大肠经,辰时流注胃经。巳时流注脾经,午时流注心经,未时流注小肠经。申时流注膀胱经,酉时流注肾经。戌时流注心包络,亥时流注三焦经。子时流注胆经,丑时流注肝经,各有固定的定位。
The guidelines of the six main pulse types are: Floating (Fu), Deep (Chen), Slow (Chi), Rapid (Shu), Slippery (Hua), and Choppy (Se). Floating and Deep pulses are distinguished by their location, while the Deficient (Xu), Excess (Shi), Soggy (Ru), Weak (Ruo), Leathery (Ge), and Firm (Lao) pulses follow this category. Slow and Rapid pulses are distinguished by their frequency, while the Tight (Jin), Relaxed (Huan), Hasty (Cu), Intermittent (Jie), and Arrested (Dai) pulses follow this category. Slippery and Choppy pulses are distinguished by their shape, while the Long (Chang), Short (Duan), Surging (Hong), Minute (Wei), Scallion-stalk (Kou), String-taut (Xian), Moving (Dong), Hidden (Fu), Scattered (San), and Thready (Xi) pulses follow this category; these constitute the general overview of pulses. There are also names such as Unraveling-Rope (Jiesuo), Sparrow-Pecking (Quezhao), House-Leak (Wulou), Fish-Swimming (Yuxiang), Stone-Bouncing (Tanshi), and Shrimp-Playing (Xiyou); all of these are Death Pulses (indicative of impending death).
Humans have Four Seas: the Brain is the Sea of Marrow, the Dantian is the Sea of Essence, the Umbilicus is the Sea of Qi, and the Spleen is the Sea of Blood. Humans have Five Remnants: Hair belongs to the Heart and is the remnant of Blood; Eyebrows belong to the Liver and are the remnant of Sinews; Beard belongs to the Kidney and is the remnant of Essence; Axillary hair belongs to the Spleen and is the remnant of Flesh; Pubic hair belongs to the Lung and is the remnant of Qi. Furthermore, fingernails are the remnant of Sinews, Sinews are the remnant of Bones, Bones are the remnant of Essence, Skin is the remnant of Blood, Vessels are the remnant of Qi, and Bone Joints are the remnant of the Zang Organs.
The orifices of the Five Zang Organs: The Tongue is the sprout of the Heart, and the Heart also opens into the Ears; the Eyes are the orifice of the Liver; the Mouth is the orifice of the Spleen; the Nose is the orifice of the Lung; the Ears are the orifice of the Kidney, and the Kidneys also open into the two Yin passages (anterior and posterior orifices).
Signs of the collapse of the Five Zang Organs: If the nostrils turn upward and black, it indicates the collapse of the Lung. If the lips roll outward and turn black, it indicates the collapse of the Spleen. If the eyes are fixed like those of a fish and the Renzhong point (philtrum) is sunken, it indicates the collapse of the Liver. If the tip of the tongue is black with prickles and coated, it indicates the collapse of the Heart. If both ears turn black and the scrotum retracts, it indicates the collapse of the Kidney. The above five signs of collapse are incurable. The Head is the convergence of all Yang meridians. The frontal region belongs to the Heart; since the Heart governs Blood, it is most fearful of Wind pathogen. If one contracts Tetanus (Po Shang Feng) and the forehead swells, death ensues.
During the Yin hour (03:00–05:00), Qi and Blood flow into the Lung Meridian. During the Mao hour (05:00–07:00), they flow into the Large Intestine Meridian; during the Chen hour (07:00–09:00), into the Stomach Meridian. During the Si hour (09:00–11:00), into the Spleen Meridian; during the Wu hour (11:00–13:00), into the Heart Meridian; during the Wei hour (13:00–15:00), into the Small Intestine Meridian. During the Shen hour (15:00–17:00), into the Bladder Meridian; during the You hour (17:00–19:00), into the Kidney Meridian. During the Xu hour (19:00–21:00), into the Pericardium; during the Hai hour (21:00–23:00), into the Sanjiao (Triple Burner). During the Zi hour (23:00–01:00), into the Gallbladder; during the Chou hour (01:00–03:00), into the Liver; each has its fixed position.
For injuries involving bone fractures or broken skin, herbs should be decocted in water. For injuries where the skin is not broken, herbs should be decocted in wine. Child’s urine (Tongbian) must be added to invigorate blood and resolve stasis.