一。微者阴盛阳衰。气虚怯弱之候。其脉之状。指下寻之。往来甚微。冉冉寻之。若有
若无
阳气
筋骨。
菀于上
血不止
漏下便数。体重腰疼。面无光泽。诸证生焉。
二。沉者阴气厥逆阳气不舒之候。沉与浮相对。浮以阳邪所胜。血气发越而在外。故为
阳主
无
潜
之至骨肉。则有余也。且气之在人。壮则形体强盛。衰则形体羸弱。惟人不知所以贵其生。
而
百病俱生。率原于此。
三。缓者卫气有余荣气不足之候。血流据气。气动根据血。二者相资。不得相失。缓者乃
荣中
力透
得者脾
于是。盖
此。乌得
脉小而衰
四。涩者阳盛阴虚之候。敷而施之。阳之正也。敛而涩之。阴之正也。脉有阴阳适平。
则血
涩之
者多
欠则血有余。故滑脉之来。流利而且圆。血欠则气有余。故涩脉之来。艰涩而且散。涩与滑
相对。故兼取而论之。无求子云∶涩细而迟。往来难。时一止。余居士喻涩脉如刀刮竹皮之
状。诚得。
五。迟者阴盛阳衰之候。由阴络透于阳络。阳气不下。阴气独上。因而荣卫凝涩。血气
痞阻
息。
由心
阴气
行之
六。伏者阴毒之气。伏于阳络。关膈闭塞之喉。指下寻之似有。呼吸定息全无。冉冉寻
之不
者。
七。濡者荣怯冲虚之候。夫血荣气卫。相随以行。流注于一身。其昼夜之有经、不可失
也。
故指
气虚
歌曰∶濡而不进为濡脉。虚软如按水中帛。血荣气卫总皆虚。三部逢之俱病亟。
八。弱者虚气攻表之候。故其脉见于肤表。状如烂绵。轻手乃得。重按即无。怏怏不能
前进
客
一、微脉是阴气盛而阳气衰，气虚怯弱的征候。其脉象特征为：手指下寻按，脉搏往来极其微弱；缓缓寻按，似有似无。这是阳气郁结于上，导致血不循经不止，出现漏下（非经期阴道出血）或小便频数，身体沉重，腰部疼痛，面色无光泽，各种病症由此产生。
二、沉脉是阴气厥逆、阳气不得舒展的征候。沉脉与浮脉相对。浮脉是因阳邪亢盛，气血发散而在体表，所以属阳主表。沉脉潜藏至骨肉之间，表示病在里且有余邪。况且气存在于人体中，强壮时形体强盛，衰弱时形体羸弱。只是人们不知道珍视生命，因而百病俱生，根源大多在于此。
三、缓脉是卫气有余而营气不足的征候。血液依附于气运行，气运动依靠血为基础，二者相互资助，不可分离。缓脉乃是营气中的……（原文此处有缺漏/错简，语意不全），力量透达……得到的是脾……于是……这……怎么能……脉象小而衰弱。
四、涩脉是阳气盛而阴虚的征候。敷布施泄，是阳的正常状态；收敛涩滞，是阴的正常状态。脉象有阴阳平衡适中，则血……涩滞……者多。若欠少则血有余，所以滑脉到来时，流利而且圆滑。若血不足则气有余，所以涩脉到来时，艰涩而且散乱。涩脉与滑脉相对，所以一并取来讨论。无求子说：涩脉细而迟，往来困难，时常有一止。余居士将涩脉比喻为刀刮竹皮的状态，确实贴切。
五、迟脉是阴盛阳衰的征候。由阴络透入阳络，阳气不能下行，阴气独自上行，因而营卫凝滞涩阻，气血痞塞阻滞。呼吸……由心……阴气……运行之。
六、伏脉是阴毒之气，潜伏于阳络，关膈闭塞咽喉。手指下寻按似乎有，但在呼吸定息（一次完整的呼吸周期）时完全感觉不到。缓缓寻按……不……者。
七、濡脉是营气怯弱、冲任空虚的征候。血为营，气为卫，相随而行，流注于一身，其昼夜循行经络，不可失度。所以指下……气虚。歌诀说：濡而不进为濡脉，虚软如按水中帛。血荣气卫总皆虚，三部逢之俱病亟。
八、弱脉是虚气攻表的征候。所以其脉见于肤表，状如烂棉，轻手乃得，重按即无。怏怏不能前进……客。
1. The *Wei* (Minute/Faint) pulse indicates an excess of Yin and deficiency of Yang, manifesting as Qi deficiency and timidity/weakness. Its characteristic is that upon searching with the fingers, the pulse comes and goes extremely faintly; upon slow searching, it seems to exist yet not exist. This represents Yang Qi stagnating above, leading to uncontrolled bleeding such as metrorrhagia (irregular vaginal bleeding) or frequent urination, heavy body sensation, lower back pain, lackluster complexion, and various symptoms arising from this.
2. The *Chen* (Deep) pulse indicates counterflow of Yin Qi and stagnation of Yang Qi. The Deep pulse contrasts with the Floating pulse. The Floating pulse arises when Yang pathogenic factors prevail, causing Blood and Qi to disperse outward, thus belonging to Yang and the exterior. The Deep pulse sinks to the level of bone and flesh, indicating excess in the interior. Furthermore, Qi within the person: when strong, the physique is robust; when weak, the physique is emaciated. However, people often fail to understand how to value their life, leading to the onset of myriad diseases, mostly originating from this cause.
3. The *Huan* (Slow/Lax) pulse indicates an excess of Wei (Defensive) Qi and a deficiency of Ying (Nutritive) Qi. Blood flows relying on Qi, and Qi moves based on Blood; the two mutually support each other and cannot be separated. The Huan pulse relates to... [text fragment] ...strength penetrating... obtaining Spleen... thereby... how can... the pulse is small and declining.
4. The *Se* (Choppy/Rough) pulse indicates an excess of Yang and deficiency of Yin. Spreading and disseminating is the correct state of Yang; contracting and restricting is the correct state of Yin. When the pulse has balanced Yin and Yang, then Blood... restriction... many cases. If deficient, Blood is in excess, so the *Hua* (Slippery) pulse arrives smoothly and roundly. If Blood is insufficient, Qi is in excess, so the *Se* pulse arrives with difficulty and scatters. The Se pulse opposes the Hua pulse, so they are discussed together. Wu Qiu Zi stated: The Se pulse is fine, slow, difficult to move, and occasionally stops. Yu Ju Shi compared the Se pulse to the feeling of a knife scraping bamboo skin, which is indeed accurate.
5. The *Chi* (Slow) pulse indicates an excess of Yin and deficiency of Yang. It occurs when Yin collaterals penetrate into Yang collaterals, Yang Qi fails to descend, and Yin Qi ascends alone, causing stagnation and obstruction of Ying and Wei, resulting in palpitations/blockage of Blood and Qi. Respiration... originates from the Heart... Yin Qi... its movement.
6. The *Fu* (Profound/Hidden) pulse involves Yin toxic Qi hiding in the Yang collaterals, blocking the Guan-Ge (diaphragm area) and throat. Upon searching with the fingers, it seems present, but during a complete respiratory cycle (Ding Xi), it is completely absent. Slow searching... not... those.
7. The *Ru* (Soggy) pulse indicates deficiency of Ying Qi and emptiness of the Chong and Ren vessels. Blood serves as Ying, Qi serves as Wei, moving together and circulating throughout the body. Their circulation through meridians day and night must not be lost. Therefore, under the finger... Qi deficiency. The verse states: "Rú without advancing is the Rú pulse, soft and empty like pressing silk in water. Both Blood-Ying and Qi-Wei are totally deficient; encountering it in all three positions indicates severe illness."
8. The *Ruo* (Weak) pulse indicates attacking of the exterior by deficient Qi. Thus, the pulse appears at the superficial level, resembling rotten cotton; it is felt with light pressure but disappears with heavy pressure. Listlessly unable to advance... guest/pathogen.