沉若烂绵寻至骨。 沉者阴也。主阴盛阳乘之候。沉者重也。阴气厥逆。阳气不舒。故
脉沉
但
。腰重便数。膀胱冷痛。又尺沉主肺弱水气痛。
微于指下细如丝。 微者阴盛阳衰之候。指下寻之。脉来而小。细细如丝。往来极微。
进退
主
缓小于迟来往慢。 缓者阴也。主卫气有余荣血不及之候。故指下寻之。往来迟缓也。
缓者
曰缓
风缓不利。
涩则如刀刮竹皮。 涩者阴也。主阳虚阴衰之候。积气虚弱。阴阳涩滞。寻之似有。举
之全
能
自禁。及女人胎气不安。败血不止。寸涩。胃中积冷。食不能转。关涩。主荣气
肌肉。尺涩。丹田积冷。夜梦遗精。女人败血。胎中冷痛。
迟重欲寻来隐隐。 迟者阴也。主阴盛阳衰。指下重手乃得。由阴络透于阳络。阳气不
来
厥
伏潜骨重似来时。 伏者阴也。主三阴毒瓦斯。伏于三阳。关格闭塞之候。指下寻之似有。
呼
伏
主
濡凑指边还怯怯。 濡者阴也。主荣中怯而卫气虚。指下按之似有。冉冉还来凑指。欲
按根据
虚精
弱按轻绵重不知。 弱者阴也。主虚气攻表。指下寻之。轻手乃得。重手稍无。往来无
力。
弱
微为虚。为弱。为衄。为呕。为泄。为亡汗。为拘急微弱。为少气。为中寒。
沉为在里。 为实。为水。为寒。为喘。为症。
沉紧。为上热下冷。沉重而直前绝者为瘀血。沉缓而中散。为寒食成瘕。沉重不至寸。
徘徊
缓为在下。 为风。为寒。为弱。为痹。为疼。为不仁。为气不足。为眩晕。
缓而滑。为热中。缓而迟。虚寒相搏。食冷则咽痛。
涩为少气血。 为亡汗。为气不足。为逆冷。为下痢。为心痛。
涩紧。为痹。为寒湿。
迟为寒。 为痛。
迟而涩。为症瘕咽酸。
伏为霍乱。 为疝瘕。为水气。为溏泄。为停痰。为宿食。为诸气上冲。为恶脓贯肌。
濡为虚。 为痹。为自汗。为气弱。为小便难。
濡而弱。为内热外冷自汗。
弱为虚。 为风热。为自汗。
沉脉如同烂棉,需寻至骨方得。沉脉属阴。主阴气盛而阳气被乘的证候。沉即重之意。因阴气厥逆,阳气不得舒展,故脉象沉伏。
微脉在指下细如丝线。微脉是阴盛阳衰的证候。在指下寻按,脉来细小,细细如丝,往来极微弱。
缓脉比迟脉更慢,来往迟缓。缓脉属阴。主卫气有余而营血不足的证候。所以在指下寻按,脉来去迟缓。
涩脉如同刀刮竹皮。涩脉属阴。主阳虚阴衰的证候。积气虚弱,阴阳涩滞,寻按时似有脉动,举按时全无。涩脉能自禁(指脉气不能自主流畅),以及妇女胎气不安、败血不止。寸部涩,主胃中积冷,食物不能运化;关部涩,主营气不足及肌肉病变;尺部涩,主丹田积冷,夜间梦遗精滑,妇女败血,胎中冷痛。
迟脉沉重,欲寻时隐隐约约。迟脉属阴。主阴盛阳衰。需在指下重手按压方能得之,由阴络透于阳络,阳气不来,潜伏于骨,重按似有脉来时。
伏脉呼之不应(指脉位深伏)。伏脉属阴。主三阴毒瓦斯,伏于三阳之间,呈关格闭塞之候。指下寻按似有脉动。
濡脉凑近指边,还显得怯弱无力。濡脉属阴。主营气怯弱而卫气虚。指下按之似有,冉冉而来凑近指端,欲按根据(指脉象浮软)而虚精(指精气不足)。
弱脉轻按如绵,重按则不知。弱脉属阴。主虚气攻表。指下寻按,轻手可得,重手稍无,往来无力。
微脉主虚、主弱、主鼻衄、主呕吐、主泄泻、主亡汗、主拘急微弱、主少气、主中寒。
沉脉主病在里、主实、主水饮、主寒、主喘、主症积。
沉紧脉,主上热下冷;沉重而直前断绝者,为瘀血;沉缓而中间散漫者,为寒食成瘕。沉重不至寸口者,徘徊不定。
缓脉主病在下、主风、主寒、主弱、主痹、主疼、主不仁、主气不足、主眩晕。
缓而滑脉,主热中;缓而迟脉,主虚寒相搏,食冷则咽痛。
涩脉主少气血、主亡汗、主气不足、主逆冷、主下痢、主心痛。
涩紧脉,主痹、主寒湿。
迟脉主寒、主痛。
迟而涩脉,主症瘕咽酸。
伏脉主霍乱、主疝瘕、主水气、主溏泄、主停痰、主宿食、主诸气上冲、主恶脓贯肌。
濡脉主虚、主痹、主自汗、主气弱、主小便难。
濡而弱脉,主内热外冷、自汗。
弱脉主虚、主风热、主自汗。
If the pulse is deep (Chen), it feels like rotten cotton and must be sought until the bone. Deep pulses belong to Yin. They indicate a condition where Yin is excessive and Yang is overpowered. "Deep" implies heaviness. Due to the rebellion of Yin Qi, Yang Qi fails to circulate freely, hence the pulse is deep.
The fine (Wei) pulse feels as thin as a silk thread under the fingers. The fine pulse indicates a condition of Yin excess and Yang deficiency. When sought under the fingers, the pulse comes forth small, thin as silk, and extremely faint in its coming and going.
The slow (Huan) pulse is slower than the delayed (Chi) pulse, with a sluggish rhythm. The slow pulse belongs to Yin. It indicates a condition where Wei (Defensive) Qi is excessive while Ying (Nutritive) Blood is insufficient. Therefore, when sought under the fingers, the pulse comes and goes slowly.
The choppy (Se) pulse feels like a knife scraping bamboo skin. The choppy pulse belongs to Yin. It indicates a condition of Yang deficiency and Yin decline. Accumulated Qi is weak, and Yin and Yang are stagnant; when pressed lightly, it seems present, but when lifted, it is entirely absent. A choppy pulse may also indicate spontaneous restriction (inability of Qi to flow freely), instability of fetal Qi in women, or unceasing discharge of spoiled blood. Choppy at the Cun position indicates cold accumulation in the Stomach and inability to digest food; choppy at the Guan position indicates insufficiency of Ying Qi and muscle disorders; choppy at the Chi position indicates cold accumulation in the Dantian, nocturnal emission during dreams, spoiled blood in women, and cold pain in the uterus.
The delayed (Chi) pulse is heavy and appears faintly when sought. The delayed pulse belongs to Yin. It indicates Yin excess and Yang deficiency. It can only be felt with heavy pressure under the fingers, penetrating from the Yin collaterals to the Yang collaterals, where Yang Qi does not arrive, hiding beneath the bone, feeling somewhat present upon heavy pressing.
The hidden (Fu) pulse is not palpable upon calling out (deeply submerged). The hidden pulse belongs to Yin. It indicates toxic pathogens of the Three Yin channels lying concealed within the Three Yang channels, presenting as a condition of obstruction and blockage (Guan Ge). When sought under the fingers, it seems barely present.
The soggy (Ru) pulse gathers near the finger edge yet appears timid and weak. The soggy pulse belongs to Yin. It indicates timidity of Ying Qi and deficiency of Wei Qi. When pressed under the fingers, it seems present, coming gently towards the fingertip, appearing soft and deficient upon attempted compression.
The weak (Ruo) pulse feels light and cotton-like upon gentle pressure, becoming imperceptible with heavy pressure. The weak pulse belongs to Yin. It indicates attacking deficiency Qi at the exterior. When sought under the fingers, it is felt with light pressure but disappears slightly with heavy pressure, lacking force in its coming and going.
Fine (Wei) indicates deficiency, weakness, epistaxis, vomiting, diarrhea, loss of sweat, spasmodic tension with weakness, shortness of breath, and interior cold.
Deep (Chen) indicates interior disease, excess, fluid retention, cold, asthma, and mass formations.
Deep and tight (Chen Jin) indicates heat above and cold below; if heavy and straight-cut off, it indicates blood stasis; if deep, slow, and scattered in the middle, it indicates cold and food stagnation forming masses. If heavy but not reaching the Cun position, it lingers uncertainly.
Slow (Huan) indicates disease in the lower body, wind, cold, weakness, bi-syndrome, pain, numbness, Qi insufficiency, and dizziness.
Slow and slippery (Huan Hua) indicates interior heat; slow and delayed (Huan Chi) indicates binding of deficiency and cold, causing sore throat after eating cold foods.
Choppy (Se) indicates insufficient Qi and Blood, loss of sweat, Qi insufficiency, cold extremities, dysentery, and heart pain.
Choppy and tight (Se Jin) indicates bi-syndrome and cold-dampness.
Delayed (Chi) indicates cold and pain.
Delayed and choppy (Chi Se) indicates mass formations and sour regurgitation.
Hidden (Fu) indicates cholera, hernia masses, fluid retention, loose stools, retained phlegm, retained food, upward rushing of various Qi types, and foul pus penetrating the muscles.
Soggy (Ru) indicates deficiency, bi-syndrome, spontaneous sweating, Qi weakness, and difficulty urinating.
Soggy and weak (Ru Ruo) indicates interior heat with exterior cold and spontaneous sweating.
Weak (Ruo) indicates deficiency, wind-heat, and spontaneous sweating.