脉浮短者。其人肺伤。诸气微少。不过一季死。法当嗽也。脉涌涌不去者死。 脉分绝
者死
肝脉
反得濡而微者死。 病
微细涩。而反得紧大而
肢厥逆。脉反浮大而短
死。 病若耳聋。脉反浮大而涩者死。病若脑痛。脉反大而缓者死。 左有病右痛。下有病
者生。脉病形不病者死。 人病尸厥。呼之不应。脉绝者死。脉当大反小者死。 肥人。脉
细小如丝欲绝者死。羸人。得躁脉者死。 人自涩。而脉来往滑者死。 人自滑。而脉来
往涩者死。 人自小。而脉来往大者死。 人自短。而脉来往长者死。 人自长。而脉来往
短者死。人自大。而脉来往小者死。 尺脉上应寸口大迟者、半日死。诊五脏六腑十二经
脉。皆有相反逆。即为死候也。
七诊脉。诸家经论不尽分别。今显脉形状并疾病。有可疗者不可疗者同论于中。
独大者。皮肤壮热。喘息上冲。其脉通度三关。多出少入。与太过相似。两手并极。此
乃不
独小者。四体微寒。中膈气闭。腹冲两胁。其脉沉度于三关。名曰独小。小者气也。不
治之
独寒者。恶寒也。四肢俱冷。伏阳在内。其脉指下沉沉如烂绵。按之不知所在。此不治
之疾
独热者。四肢俱热。脏腑亦热。其脉洪数。故曰独热。可治之疾。
独迟者。其脉三部俱迟。气在脾肤。致有不安。可治之疾。独疾者。寸关急数。尺脉微
虚。
然。
脉象浮而短促的，此人肺脏受损，全身之气微弱稀少，不超过一个季度就会死亡，通常应当出现咳嗽症状。脉象如涌水般躁动不宁且不去者，主死。脉象分绝者，主死。
肝脉反而出现濡软而微弱的，主死。病情轻微细涩，反而出现紧大而（躁动）的，肢体厥冷逆乱，脉象反而浮大而短促的，主死。
如果病人耳聋，脉象反而浮大而涩的，主死。如果病人头痛，脉象反而大而缓的，主死。左侧有病右侧疼痛，下部有病上部（脉象反映异常但身体尚安），主生。脉象与病形不符（即脉证相反）的，主死。
人患尸厥病，呼叫没有反应，脉象断绝的，主死。脉象应当盛大反而细小的，主死。
肥胖的人，脉象细小如丝欲断绝的，主死。消瘦的人，出现躁急脉象的，主死。
人自身感觉涩滞，而脉象往来滑利的，主死。人自身感觉滑利，而脉象往来涩滞的，主死。
人自身感觉脉小，而脉象往来大的，主死。人自身感觉脉短，而脉象来长的，主死。人自身感觉脉长，而脉象往来短的，主死。人自身感觉脉大，而脉象往来小的，主死。
尺部脉向上对应寸口部位，脉大且迟缓的，半日内死亡。诊断五脏六腑十二经脉，都有相反逆乱的，即为死候。
七诊脉法，各家经论未能完全分别清楚。现在明确脉象形状及疾病，将可治疗与不可治疗的病症一同论述其中。
独大脉：皮肤壮热，喘息气逆上冲，其脉贯通三关，出多入少，与太过脉相似，两手脉搏均极度亢盛。这是……（原文此处似有脱漏或语意未完，结合上下文指危重之象）。
独小脉：四肢轻微寒冷，胸膈气机闭塞，腹部气冲两胁，其脉沉伏度于三关之下，名为独小。小脉属气虚，属于不治之症。
独寒脉：恶寒，四肢俱冷，伏阳在内，其脉指下感觉沉沉如烂棉絮，按之不知所在，这是不治之疾。
独热脉：四肢俱热，脏腑亦热，其脉洪大数急，故称为独热，属于可治之疾。
独迟脉：其脉三部皆迟，气在脾肤，导致身体不适不安，属于可治之疾。
独疾脉：寸部和关部脉急数，尺部脉微弱虚弱。
If the pulse is floating and short, it indicates damage to the Lung organ. The Qi of all organs is weak and scarce; death will occur within one season. Coughing is typically expected. If the pulse surges like flowing water and does not subside, death ensues. If the pulse is severed or disconnected, death ensues.
If the Liver pulse instead appears soft (Ru) and faint, death ensues. If the disease symptoms are slight, fine, and choppy, but the pulse instead appears tight, large, and restless, accompanied by cold extremities and reversal of Qi, with a pulse that is floating, large, and short, death ensues.
If the patient suffers from deafness and the pulse instead appears floating, large, and choppy, death ensues. If the patient suffers from headache and the pulse instead appears large and slow, death ensues. If there is disease on the left side causing pain on the right, or disease in the lower part manifesting in the upper part (with favorable signs), survival is indicated. If the pulse contradicts the physical manifestation of the disease (pulse-disease mismatch), death ensues.
In cases of Shijue (Corpse-like Coma) where the patient does not respond to calls, if the pulse is absent/severed, death ensues. If the pulse should be large but is instead small, death ensues.
In obese individuals, if the pulse is fine as a thread and nearly severed, death ensues. In emaciated individuals, if a restless (Zao) pulse appears, death ensues.
If a person feels internally stagnant/choppy but the pulse flows smoothly (Hua), death ensues. If a person feels internally smooth but the pulse flows choppy (Se), death ensues.
If a person feels their pulse is small but the actual pulse is large, death ensues. If a person feels their pulse is short but the actual pulse is long, death ensues. If a person feels their pulse is long but the actual pulse is short, death ensues. If a person feels their pulse is large but the actual pulse is small, death ensues.
If the Chi (Cun) pulse rises to correspond with the Cun (inch) position and is large and slow, death occurs within half a day. In diagnosing the Zang-Fu organs and the twelve meridians, any contradiction or reversal indicates a fatal prognosis.
The "Seven Diagnostic Pulses" were not fully distinguished in various classical texts. Here, the pulse shapes and diseases are clarified, discussing both treatable and untreatable conditions together.
**Du Da (Solely Large Pulse):** The skin is intensely hot, and there is panting with Qi rushing upward. The pulse extends through all three positions (Cun, Guan, Chi), with more outflow than inflow, resembling an Excessive pulse. Both hands show extreme hyperactivity. This indicates a critical condition.
**Du Xiao (Solely Small Pulse):** The four limbs are slightly cold, Qi is blocked in the chest/diaphragm, and abdominal Qi rushes to the flanks. The pulse sinks below the three positions. This is called Du Xiao. A small pulse indicates Qi deficiency; this is an untreatable condition.
**Du Han (Solely Cold Pulse):** There is aversion to cold, and all four limbs are cold. Hidden Yang is trapped inside. The pulse feels deep and soft like rotten cotton under the fingers, unlocatable upon pressure. This is an untreatable disease.
**Du Re (Solely Hot Pulse):** All four limbs are hot, and the Zang-Fu organs are also hot. The pulse is洪 (Hong/Surging) and rapid (Shu). This is called Du Re; it is a treatable condition.
**Du Chi (Solely Slow Pulse):** The pulse at all three positions is slow. Qi is located in the Spleen's superficial layer, causing discomfort. This is a treatable condition.
**Du Ji (Solely Rapid Pulse):** The Cun and Guan positions are urgent and rapid, while the Chi position is faint and deficient.