济生拔萃云∶夫八里脉者、乃右手三部寸关尺受邪者也。阳乘阴也。是微沉缓涩迟伏濡
弱。
称之
表是
急。
当
假令恶寒者。里之表也。当与麻黄附子细辛汤缓发之。是渍形以为汗也。如有不恶风寒
而反
沉细
疾数者。是足少阴经反受火邪也。是里之里病。乃阴中之阴。阳邪也。此客邪当急下去之
以大承气汤除之。仲景桂枝脉得麻黄证。或麻黄脉得桂枝证。递用麻黄桂枝各半汤。如桂
证二停麻黄证一停。当用桂枝二麻黄一汤法。或麻黄证二停、桂枝证一停。当用麻黄二桂枝
一汤法。或麻黄
脉桂枝证取脉为主。脉便为二停证为一停。用麻黄二桂枝一汤治之。或桂
脉为二停证作一停。
脉而
如证
处
为内外皆阴缓汗。七表有汗者。为外阳而内阴急汗。八里有下者。
为内阳而外阴急下。故素问设标本之化。立四制之法。为此说也。
云岐子曰∶八里脉者。乃右手三部寸关尺受之。此八里脉。乃客邪之脉。主位之脉三部。
主
一。微者阴也。主败血不止。面色无光。微脉发象秋冬。在阴为惨。阴太过、阳不及。
是血
香附子（一两半） 白芍药 当归（各一两） 芎 （半两） 上为粗末。水煎一两。
食前服。
指下寻之有若无。漩凝败血小肠虚。崩中日久为白带。痛下多时骨髓枯。此肾气有余。命门
不足。当补命门。命门者、男子藏精。女子系胞。崩中白带者、命门败也
之骨已枯。伏龙肝散主之。是为血不能守。水胜火也。治妇人血去精亡。
形。养血补虚。宜当归芍药汤。
当归 白芍药 熟地黄（各一两） 干姜（半两） 上 咀。水煎一两。食前服。
微脉关前气上侵。 阳虚。内气上冲。冷则生气。主脉涩。客脉微。涩微相合。逆气上
侵。
阿胶（一两半） 甘草（三钱） 黍粘子（二钱半） 马兜铃（半两炒） 杏仁（去皮
尖十个）
上为
当关郁结气排心。 主脉缓。客脉微。缓微相合。太阴虚痞。匀气散主之。补肺散亦可。
微
尺部见之脐下积。身寒饮水即呻吟。 主脉数。客脉微。数微相合。阴盛阳虚。治之以
二气
二。沉者阴也。主气胀两胁。手足时冷。虚气冲心。闷而不痛。乃曰虚痞。健胃建中汤。
理
当归 白术 人参 干姜（各一两） 附子（炮去皮） 白芍药 桂（各半两） 丁香
（三钱）
上
按之似有举还无。气满三焦脏腑虚。冷气不调三部壅。通肠健胃始能除。
沉者阴也。壅者虚结也。言通肠者温也。局方温白丸主之。健胃者以理中汤主之。
寸脉沉兮胸有痰。 主脉涩。客脉沉。涩沉相合。留滞胸中变为痰。治用化痰玉壶丸。
中加
半夏（一两汤洗） 雄黄（三钱别研） 上为末。生姜汁糊丸。如梧桐子大。每服三十
丸至
五十
当关气短痛难堪。 主脉缓。客脉沉。缓沉相合。胃中有寒即痛。可以九痛丸。或橘皮
半夏
陈橘（去白三两） 半夏（制） 枳壳（炒去瓤各一两） 白术 茯苓 桂（各半两）
上咀。每
若在尺中腰脚重。小便稠数色如泔。 主脉数。客脉沉。数沉相合。客胜主也。寒气有
余。
三。缓者阴也。主四肢烦满。气促不安。证在太阳。风伤卫气。当服桂枝汤。一云∶主
四肢
白术 枳实（麸炒） 甘草（各半两） 上 咀。入生姜七片。水煎半两。食后温服。
来往寻之状若迟。肾间生气耳鸣时。邪风积气来冲背。脑后三针痛即移。
太阳中风。脉缓颈项强急不得转侧。可针风池风府浮白穴。则痛移也。用桂枝汤主之。
若缓
缓脉关前搐项筋。主脉涩。客脉缓。涩缓相合。风邪伤卫。项筋紧急。可用桂枝汤。
不已
羌活 升麻 黄芩 葛根 石膏（各一两） 麻黄（去节汤浸去黄汁焙） 防风 本
蔓荆子
当关气结腹难伸。 主脉客脉俱缓。脾湿太盛。胃中太虚。七气汤主之。
半夏（制一两） 人参 官桂 甘草（炙各半两） 上 咀。每服一两。入生姜七片。
水煎。
温
二
焦
加干
桂枝（一两） 白芍药 干姜（各半两） 炙甘草（四钱） 上各 咀。加生姜枣煎。
不已。
用半
四。涩者阴也。主痛。身疼痛。女子有孕胎痛。无孕败血为病。
涩脉如刀刮竹。行。丈夫有此号伤精。妇人有孕胎中痛。无孕还须败血成。
主亡血失精。妇人孕病。或带下赤白或败血。圣惠方乌金散。治败血。局方四物汤地黄
丸。
龙骨 苦楝子（各二两） 上为细末。醋糊丸。梧桐子大。空心温酒下五十丸。又云∶
亡
血失
涩脉关前胃气升 涩脉见处。气血俱伤。
金有余损伤万物。主脉与客脉俱涩是也。
金有余故升于上。治之以匀气散。或利膈丸。桔梗汤。涩在上焦。
桔梗（一两） 半夏（制半两） 陈皮（三两） 浓朴（一两） 枳实（麸炒半两） 上
咀。每
服半
当关血散不能停。 主脉缓。客脉涩。缓涩相合。故曰血散。可用温经丸。如胃不和。
调中
尺部如斯逢逆冷。体寒脐下作雷鸣。 主脉数。客脉涩。数涩相合。阳气内虚。阴气有
余。
人参 茯苓 地骨皮 熟地黄 牛膝（去苗酒浸各一两） 上蜜丸如桐子大。每服三十
丸。温
即服
诸疾。
服可去
五。迟者阴也。主肾虚不安。迟本土也。
迟脉人逢状且难。遇其季夏不能痊。迟者阴也。季夏阳也。此证为失时反候。阳盛阴虚。
治
神工诊着知时候。道是脾来水必干。 季夏见迟脉。是土克水也。故不能痊。
寸口脉迟心上寒。 主脉涩。客脉迟。涩迟相合。主阴盛之故。为心上寒。治之以橘皮
丸。不已。术附汤。白术 附子（炮去皮脐） 干姜（炮） 桂（各一两） 上 咀。煎一
两。食
前服。迟在上焦。
当关腹痛饮浆难。 主脉缓。客脉迟。缓迟相合。腹中痛甚。桂枝加附子汤。
桂 附子（炮各一两） 甘草（三钱半） 上 咀。煎服、或理中丸。脉回。以消食丸。
迟
在中
流入尺中腰脚重。浓衣重覆也嫌单。 主脉数。客脉迟。数迟相合。水能克火。阴气盛。
可
六。伏者阴也。主毒瓦斯闭塞三关。四肢沉重。手足自冷。主伏脉行于筋下。气伏于内。
阴毒伏气切三焦。不动荣家气不调。不问春秋与冬夏。徐徐发汗治能消。经曰∶清形以为汗。
麻黄附子细辛汤。或秋冬以升麻汤。春夏以麻黄汤。当缓与之。阴盛阳
积气胸中寸脉伏。 主脉涩。客脉伏。涩伏相合。主胸中积气。治以沉香丸。或加减温
白丸
当关肠 常瞑目。 主脉缓。客脉伏。缓伏相合。主中焦伏而不散。乃风湿之气。故肠
瞑
白豆蔻（一两） 缩砂仁 青皮 陈皮（去白） 丁香（各二两） 浓朴（制八两） 甘
草（炙）
木
如
发
尺部见之食不消。坐卧非安还破腹。 主脉数。客脉伏。数伏相合。邪胜寒之甚。而不
能化
白术（一两） 黄 茯苓 白芍药（各半两） 上为粗末。每服半两。入生姜煎服。
不已。
养
七。濡者阴也。主少力。五心烦热。脑转耳鸣。下元极冷。
按之似有举之无。髓海丹田定已枯。四体骨蒸劳热甚。脏腑终传命必殂。
髓者肾之精。四体骨蒸者肾气衰绝。终传者七传也。土来克水必殂也。
濡脉关前人多汗。 主脉涩。客脉濡。涩濡相合。肺气虚也。而卫不能固于荣。故多汗。
桂
当关气少精神散。 主脉缓。客脉濡。缓濡相合。精神散失。乃气衰弱也。治之以定志
丸。
尺部绵绵即恶寒。骨与肉疏都不管。 主脉数。客脉濡。数濡相合。主骨痿不能起于床。
五
八。弱者阴也。主气居于表。生产后客风面肿。气弱多伤也。
三关怏怏不能前。只为风邪与气连。年少得此须忧重。老弱逢之病却痊。
脉若烂绵者阳气弱也。以应秋毛之脉。气弱多伤。怏怏者轻手乃得。不前者重手稍无是
也。
春夏
关前弱脉阳道虚。 主脉涩。客脉弱。涩弱相合。阳气虚也。治之以五补丸为久补。四
逆汤
关中有此气多疏。 主脉缓。客脉弱。缓弱相合。胃气内虚。故气多疏散。治之以益黄
散平
若在尺中阴气绝。酸疼引变上皮肤。 主脉数。客脉弱。数弱相合。主下部损。肾气
内绝。既阴绝阳盛。疼引于皮肤。是三焦无阴镇抚。离其原也。气已损于肺。无法可治也。
济生拔萃说：所谓八里脉，是指右手三部（寸、关、尺）受到邪气侵袭的脉象。这是阳乘阴的现象。其脉象表现为微、沉、缓、涩、迟、伏、濡、弱。
如果患者有恶寒症状，这是病在里的表层，应当用麻黄附子细辛汤缓慢发汗。这就是通过浸渍形体来取汗的方法。如果患者不恶风寒，反而出现沉细、疾数脉象，这是足少阴经反受火邪侵袭。这是病在里的深层，属于阴中之阴，但由阳邪引起。这种客邪应当急用大承气汤攻下清除。如果是张仲景所说的桂枝脉却出现麻黄证，或者麻黄脉却出现桂枝证，可以交替使用麻黄桂枝各半汤。如果桂枝证占两份，麻黄证占一份，应当采用桂枝二麻黄一汤的方法。或者麻黄证占两份，桂枝证占一份，应当采用麻黄二桂枝一汤的方法。或者是麻黄脉而桂枝证，以脉象为主；如果脉象占两份，证候占一份，用麻黄二桂枝一汤治疗。或者桂脉占两份，证候占一份。
如果是内外皆属阴，则用缓汗法。七表脉有汗的，是外阳内阴，用急汗法。八里有下证的，是内阳外阴，用急下法。所以《素问》设立标本转化的理论，建立四制的方法，就是为了解释这些情况。
云岐子说：八里脉，是指右手三部（寸、关、尺）受到的脉象。这八种里脉，是客邪之脉。主位之脉分为三部。微脉属阴，主败血不止，面色无光泽。微脉像秋冬季节的脉象，在阴分表现为凄惨。阴气太过，阳气不及，导致血液亏损。方用香附子（一两半）、白芍药、当归（各一两）、川芎（半两）。以上药物捣成粗末，用水煎煮一两药量，饭前服用。
指下感觉若有若无，如漩涡中凝结的败血，小肠虚弱。崩漏日久变成白带，疼痛日久骨髓枯竭。这是肾气有余，命门不足，应当补命门。命门，男子藏精，女子系胞。崩中和白带，是命门衰败所致。骨骼已经枯槁，用伏龙肝散主治。这是因为血不能守，水胜火也。治疗妇人失血精亡，养血补虚，宜用当归芍药汤。
药材：当归、白芍药、熟地黄（各一两）、干姜（半两）。以上药物切碎，用水煎煮一两药量，饭前服用。
微脉出现在关前，气机上侵。阳虚，内气上冲，遇冷则生气。主脉涩，客脉微，涩微相合，逆气上侵。
药材：阿胶（一两半）、甘草（三钱）、黍粘子（二钱半）、马兜铃（半两，炒）、杏仁（去皮尖十个）。以上药物捣成粗末……（原文此处中断，推测为煎服法）
当关部郁结气排心。主脉缓，客脉微，缓微相合，太阴虚痞闷。用匀气散主治，补肺散也可以。
尺部见到微脉，脐下有积块，身体寒冷，饮水即呻吟。主脉数，客脉微，数微相合，阴盛阳虚。治用二气……（原文此处中断，推测为方名或药味）。沉脉属阴，主气胀两胁，手足时常发冷，虚气冲心，闷而不痛，这叫虚痞。用健胃建中汤。
药材：当归、白术、人参、干姜（各一两）、附子（炮制去皮）、白芍药、桂枝（各半两）、丁香（三钱）。以上药物切碎……（原文此处中断，推测为煎服法）
按之似有，举之还无。气满三焦，脏腑虚弱。冷气不调，三部壅滞。通肠健胃才能消除。
沉脉属阴，壅滞是虚结。说通肠是指温通。局方温白丸主治。健胃用理中汤主治。
寸脉沉，胸中有痰。主脉涩，客脉沉，涩沉相合，留滞胸中变为痰。治疗用化痰玉壶丸。
药材：半夏（一两，汤洗）、雄黄（三钱，另研）。以上药物研成末，用生姜汁糊丸，如梧桐子大。每服三十丸至五十丸……（原文此处中断）
当关部气短，疼痛难忍。主脉缓，客脉沉，缓沉相合，胃中有寒即痛。可以用九痛丸，或橘皮半夏……（原文此处中断，推测为方名或药味）。
药材：陈橘（去白三两）、半夏（制）、枳壳（炒去瓤各一两）、白术、茯苓、桂枝（各半两）。以上药物切碎，每服……（原文此处中断）
如果在尺中，腰脚沉重，小便稠数色如米泔。主脉数，客脉沉，数沉相合，客胜主也。寒气有余。
缓脉属阴，主四肢烦满，气促不安。证在太阳，风伤卫气。应当服用桂枝汤。一说：主四肢……（原文此处中断，推测为药味）。
药材：白术、枳实（麸炒）、甘草（各半两）。以上药物切碎，入生姜七片，水煎半两药量，食后温服。
往来寻找脉象状若迟脉，肾间生气耳鸣时作。邪风积气来冲背，脑后针刺三处痛即移。
太阳中风，脉缓，颈项强急不得转侧。可针风池、风府、浮白穴，则痛移。用桂枝汤主治。
如果缓脉……（原文此处中断）。
缓脉在关前，抽搐项筋。主脉涩，客脉缓，涩缓相合，风邪伤卫，项筋紧急。可用桂枝汤。如果不愈……（原文此处中断，推测为药味）。
药材：羌活、升麻、黄芩、葛根、石膏（各一两）、麻黄（去节，汤浸去黄汁焙）、防风、本（藁本？）、蔓荆子……（原文此处中断，推测为煎服法）
当关部气结，腹部难以伸展。主脉客脉俱缓，脾湿太盛，胃中太虚。用七气汤主治。
药材：半夏（制一两）、人参、官桂、甘草（炙各半两）。以上药物切碎，每服一两，入生姜七片，水煎。
温……（原文此处中断，推测为方名或药味）。
药材：桂枝（一两）、白芍药、干姜（各半两）、炙甘草（四钱）。以上药物切碎，加生姜、枣煎。如果不愈……（原文此处中断）。
用半……（原文此处中断，推测为方名或药味）。
涩脉属阴，主痛。身疼痛。女子有孕胎痛，无孕则是败血为病。
涩脉如刀刮竹行。丈夫有此脉号伤精。妇人有孕胎中痛，无孕还须败血成。
主亡血失精。妇人孕病，或带下赤白或败血。圣惠方乌金散治败血。局方四物汤地黄丸……（原文此处中断，推测为药味）。
药材：龙骨、苦楝子（各二两）。以上药物研成细末，醋糊丸，梧桐子大，空心温酒下五十丸。又说：亡……（原文此处中断，推测为药味）。
血失……（原文此处中断）。
涩脉在关前，胃气升。涩脉见处，气血俱伤。
金有余损伤万物。主脉与客脉俱涩是也。
金有余故升于上。治之以匀气散，或利膈丸，桔梗汤。涩在上焦。
药材：桔梗（一两）、半夏（制半两）、陈皮（三两）、浓朴（一两）、枳实（麸炒半两）。以上药物切碎，每服半……（原文此处中断）
当关部血散不能停。主脉缓，客脉涩，缓涩相合，故曰血散。可用温经丸。如胃不和……（原文此处中断，推测为方名或药味）。
调中……（原文此处中断）。
尺部如斯逢逆冷，体寒脐下作雷鸣。主脉数，客脉涩，数涩相合，阳气内虚，阴气有余。
药材：人参、茯苓、地骨皮、熟地黄、牛膝（去苗酒浸各一两）。以上药物蜜丸如桐子大，每服三十丸。温……（原文此处中断，推测为服法）。
即服……（原文此处中断）。
诸疾……（原文此处中断）。
服可去……（原文此处中断）。
五、迟脉属阴，主肾虚不安。迟本土也。
迟脉人逢状且难，遇其季夏不能痊。迟者阴也，季夏阳也。此证为失时反候，阳盛阴虚。
治……（原文此处中断，推测为方名或药味）。
神工诊着知时候，道是脾来水必干。季夏见迟脉，是土克水也。故不能痊。
寸口脉迟，心上寒。主脉涩，客脉迟，涩迟相合，主阴盛之故，为心上寒。治之以橘皮丸。如果不愈，用术附汤。
药材：白术、附子（炮去皮脐）、干姜（炮）、桂枝（各一两）。以上药物切碎，煎一两药量，饭前服用。迟在上焦。
当关部腹痛，饮浆难。主脉缓，客脉迟，缓迟相合，腹中痛甚。用桂枝加附子汤。
药材：桂枝、附子（炮各一两）、甘草（三钱半）。以上药物切碎，煎服，或用理中丸。脉回，以消食丸……（原文此处中断）。
迟在中……（原文此处中断）。
流入尺中，腰脚重，浓衣重覆也嫌单。主脉数，客脉迟，数迟相合，水能克火，阴气盛。
可……（原文此处中断，推测为方名或药味）。
六、伏脉属阴，主毒瓦斯闭塞三关，四肢沉重，手足自冷。主伏脉行于筋下，气伏于内。
阴毒伏气切三焦，不动荣家气不调。不问春秋与冬夏，徐徐发汗治能消。经曰：清形以为汗。
麻黄附子细辛汤。或秋冬以升麻汤，春夏以麻黄汤。当缓与之。阴盛阳……（原文此处中断，推测为药味或方名）。
积气胸中，寸脉伏。主脉涩，客脉伏，涩伏相合，主胸中积气。治以沉香丸，或加减温白丸……（原文此处中断，推测为药味）。
当关部肠……（原文此处中断，推测为症状或方名）常瞑目。主脉缓，客脉伏，缓伏相合，主中焦伏而不散，乃风湿之气。故肠……（原文此处中断，推测为症状）。
药材：白豆蔻（一两）、缩砂仁、青皮、陈皮（去白）、丁香（各二两）、浓朴（制八两）、甘……（原文此处中断，推测为药味）。
草……（原文此处中断）。
木……（原文此处中断）。
如……（原文此处中断）。
发……（原文此处中断）。
尺部见到，食不消，坐卧不安还破腹。主脉数，客脉伏，数伏相合，邪胜寒之甚，而不能化……（原文此处中断，推测为药味）。
药材：白术（一两）、黄……（原文此处中断，推测为药味）、茯苓、白芍药（各半两）。以上药物捣成粗末，每服半两，入生姜煎服。如果不愈……（原文此处中断，推测为方名或药味）。
养……（原文此处中断）。
七、濡脉属阴，主少力，五心烦热，脑转耳鸣，下元极冷。
按之似有，举之无。髓海丹田定已枯。四体骨蒸劳热甚，脏腑终传命必殂。
髓者肾之精，四体骨蒸者肾气衰绝，终传者七传也。土来克水必殂也。
濡脉在关前，人多汗。主脉涩，客脉濡，涩濡相合，肺气虚也。而卫不能固于荣，故多汗。
桂……（原文此处中断，推测为方名或药味）。
当关部气少精神散。主脉缓，客脉濡，缓濡相合，精神散失，乃气衰弱也。治之以定志丸。
尺部绵绵即恶寒，骨与肉疏都不管。主脉数，客脉濡，数濡相合，主骨痿不能起于床。
五……（原文此处中断，推测为药味）。
八、弱脉属阴，主气居于表，生产后客风面肿，气弱多伤也。
三关怏怏不能前，只为风邪与气连。年少得此须忧重，老弱逢之病却痊。
脉若烂绵者阳气弱也，以应秋毛之脉。气弱多伤。怏怏者轻手乃得，不前者重手稍无是也。
春夏……（原文此处中断，推测为药味或方名）。
关前弱脉阳道虚。主脉涩，客脉弱，涩弱相合，阳气虚也。治之以五补丸为久补，四逆汤……（原文此处中断，推测为药味）。
关中有此气多疏。主脉缓，客脉弱，缓弱相合，胃气内虚，故气多疏散。治之以益黄散平……（原文此处中断，推测为药味）。
若在尺中，阴气绝，酸疼引变上皮肤。主脉数，客脉弱，数弱相合，主下部损，肾气内绝。既阴绝阳盛，疼引于皮肤，是三焦无阴镇抚，离其原也。气已损于肺，无法可治也。
Jisheng Bacui states: The so-called "Eight Li Pulses" (Eight Interior Pulses) refer to the pulse conditions of the three positions (Cun, Guan, Chi) on the right hand that have been affected by pathogenic factors. This is a phenomenon where Yang overcomes Yin. The pulse qualities manifest as Micro (Wei), Deep (Chen), Slow/Relaxed (Huan), Choppy (Se), Delayed (Chi), Hidden (Fu), Soft/Soggy (Ru), and Weak (Ruo).
If the patient experiences aversion to cold, this indicates the exterior aspect of the interior disease. One should administer Mahuang Fuzi Xixin Tang (Ephedra, Prepared Aconite Root, and Asarum Decoction) to induce sweating gradually. This is a method of inducing sweat by soaking the body form. If the patient does not experience aversion to wind or cold, but instead presents with a deep, fine, rapid, and frequent pulse, this indicates that the Foot Shaoyin Meridian has been counter-affected by Fire Pathogen. This is a disease in the deepest aspect of the interior, belonging to Yin within Yin, yet caused by a Yang pathogen. This exogenous pathogen should be urgently purged using Dachengqi Tang (Major Order the Qi Decoction).
Regarding Zhang Zhongjing's teachings: If a Guizhi Pulse (associated with Wind Strike syndrome) presents with Mahall Zheng (Mahuang Syndrome symptoms), or if a Mahuang Pulse presents with Guizhi Zheng (Guizhi Syndrome symptoms), one may alternately use Mahuang Guizhi Banxia Tang (Half-and-Half Ephedra and Cinnamon Twig Decoction). If the Guizhi Syndrome accounts for two parts and the Mahuang Syndrome accounts for one part, the method of Guizhi Er Mahuang Yi Tang (Two Parts Cinnamon Twig, One Part Ephedra Decoction) should be employed. Conversely, if the Mahuang Syndrome accounts for two parts and the Guizhi Syndrome accounts for one part, the method of Mahuang Er Guizhi Yi Tang (Two Parts Ephedra, One Part Cinnamon Twig Decoction) should be used. Or, if it is a Mahuang Pulse with Guizhi Syndrome, prioritizing the pulse: if the pulse condition accounts for two parts and the symptomatic condition for one part, treat with Mahuang Er Guizhi Yi Tang. Or if the Gui Pulse accounts for two parts and the symptomatic condition for one part... [Text fragment]
If both interior and exterior are Yin, use gentle sweating. For Seven Biao Pulses (Seven Exterior Pulses) with sweating, this is Exterior Yang and Interior Yin, requiring urgent sweating. For Eight Li with downward indications, this is Interior Yang and Exterior Yin, requiring urgent purgation. Therefore, the *Suwen* established the theory of Biao-Biao transformation and the method of Si Zhi (Four Regulations) to explain these situations.
Yunqizi states: The Eight Li Pulses refer to the pulses received in the three positions (Cun, Guan, Chi) of the right hand. These eight interior pulses are pulses of exogenous pathogens. The main position pulses are divided into three sections. A Micro (Wei) pulse belongs to Yin, indicating unceasing failure of blood, lusterless complexion. The Micro pulse resembles the pulse of autumn and winter; in the Yin aspect, it appears desolate. Excess Yin and insufficient Yang lead to blood deficiency. Formula: Xiangfu Zi (Cyperi Rhizoma, 1.5 liang), Baishaoyao (Paeoniae Radix Alba, 1 liang each), Danggui (Angelicae Sinensis Radix, 1 liang each), Xiong (Chuanxiong Rhizoma, 0.5 liang). Grind these into coarse powder. Decoct 1 liang of herbs in water. Take before meals.
[Symptom description]: Under the fingers, it feels as if present yet absent, like stagnant failed blood in a vortex, with small intestine deficiency. Long-term metrorrhagia turns into leukorrhea; long-term pain causes bone marrow depletion. This is excess Kidney Qi and insufficiency of Mingmen (Gate of Life). One should tonify Mingmen. Mingmen stores essence in men and connects to the uterus in women. Metrorrhagia and leukorrhea indicate Mingmen failure. Bones are depleted; treat with Fulonggan San (Dragon's House Dust Powder). This is because blood cannot hold, and Water overcomes Fire. To treat women with loss of blood and essence, nourish blood and tonify deficiency with Danggui Shaoyao Tang (Angelica and Peony Decoction).
Herbs: Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Preparata) (1 liang each), Ganjiang (Zingiberis Rhizoma, 0.5 liang). Cut these herbs. Decoct 1 liang in water. Take before meals.
Micro pulse at Guan indicates Qi invading upwards. Yang deficiency, internal Qi rushing up; cold generates Qi. Main pulse is Choppy, guest pulse is Micro. Choppy and Micro combined indicate rebellious Qi invading upwards.
Herbs: Ejiao (Colla Corii Asini, 1.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian), Shunianzi (Araliae Fructus, 2.5 qian), Madangling (Aristolochiae Radix, 0.5 liang, stir-fried), Xingren (Armeniacae Semen Amarum, 10 pieces, skin and tip removed)... [Text fragment]
At Guan, Qi stagnation presses on the heart. Main pulse is Slow/Relaxed (Huan), guest pulse is Micro. Huan and Micro combined indicate Taiyin deficiency bloating. Treat with Yunqi San (Uniform Qi Powder); Bufei San (Tonify Lung Powder) is also acceptable.
At Chi, Micro pulse indicates accumulation below the navel, cold body, groaning after drinking water. Main pulse is Rapid (Shu), guest pulse is Micro. Shu and Micro combined indicate Yin excess and Yang deficiency. Treat with Erqi... [Text fragment]. Deep (Chen) pulse belongs to Yin, indicating Qi distension in both hypochondria, cold hands and feet, rebellious Qi hitting the heart, stifling without pain, called Xu Pi (Deficiency Bloatedness). Treat with Jianwei Jianzhong Tang (Strengthen Stomach and Establish Middle Decoction).
Herbs: Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix), Ganjiang (Zingiberis Rhizoma) (1 liang each), Fuzi (Prepared Aconiti Lateralis Radix, processed, peeled), Baishaoyao (Paeoniae Radix Alba), Guizhi (Cinnamomi Ramulus) (0.5 liang each), Dingxiang (Syzygdii Flos, 3 qian)... [Text fragment]
Pressing feels present, lifting feels absent. Qi fills the Triple Burner, Zang-Fu are deficient. Cold Qi is unregulated, Three Positions are congested. Only by unblocking intestines and strengthening stomach can it be eliminated.
Deep pulse belongs to Yin; congestion is deficiency knot. "Unblocking intestines" refers to warming. Ju Fang Wenbai Wan (Bureau Formula Warm White Pill) treats this. Strengthening stomach is treated with Lizhong Tang (Regulate Middle Decoction).
Cun pulse deep indicates phlegm in chest. Main pulse is Choppy, guest pulse is Deep. Choppy and Deep combined indicate stagnation in chest transforming into phlegm. Treat with Huatan Yuhu Wan (Phlegm-Resolving Jade Pot Pill).
Herbs: Banxia (Pinelliae Rhizoma, 1 liang, washed with ginger juice), Xionghuang (Realgar, 3 qian, separately ground). Grind into powder. Make pills with ginger juice paste, size of Sophora seeds. Take 30 to 50 pills per dose... [Text fragment]
At Guan, shortness of breath and unbearable pain. Main pulse is Slow/Relaxed (Huan), guest pulse is Deep. Huan and Deep combined indicate cold in stomach causing pain. Use Jiutong Wan (Nine Pain Pill) or Jupi Banxia... [Text fragment].
Herbs: Chenju (Citri Reticulatae Pericarpium, remove white pith, 3 liang), Banxia (Pinelliae Rhizoma, processed), Zhike (Aurantii Fructus Immaturus, stir-fried, remove core, 1 liang each), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria, 1 liang each), Guizhi (Cinnamomi Ramulus, 0.5 liang). Cut these herbs. Each dose... [Text fragment]
If at Chi, heavy waist and legs, thick and frequent urine resembling rice washings. Main pulse is Rapid (Shu), guest pulse is Deep. Shu and Deep combined indicate Guest overcoming Host. Excess Cold Qi.
Slow/Relaxed (Huan) pulse belongs to Yin, indicating irritability and fullness in four limbs, shortness of breath and unease. Syndrome is in Taiyang, Wind injuring Wei Qi. Should take Guizhi Tang (Cinnamon Twig Decoction). Another view: Indicates four limbs... [Text fragment].
Herbs: Baizhu (Atractylodis Macrocephalae Rhizoma), Zhishi (Aurantii Fructus Immaturus, bran-fried), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang each). Cut these herbs. Add 7 slices of fresh ginger. Decoct half a liang of herbs. Take warm after meals.
Searching for the pulse reveals a state similar to Delayed (Chi). Qi generated in Kidney area causes tinnitus. Evil wind and accumulated Qi rush to the back; three needles behind the head shift the pain.
Taiyang Wind Strike, pulse is Huan, neck and nape stiff and unable to turn. Needle Fengchi (GB20), Fengfu (DU16), Fu Bai (BL8) points to shift pain. Use Guizhi Tang (Cinnamon Twig Decoction) as main treatment.
If Huan pulse... [Text fragment].
Huan pulse at Guan front causes twitching of neck tendons. Main pulse is Choppy, guest pulse is Huan. Choppy and Huan combined indicate Wind pathogen injuring Wei, neck tendons tight. Can use Guizhi Tang (Cinnamon Twig Decoction). If not resolved... [Text fragment].
Herbs: Qianghuo (Notopterygii Rhizoma et Radix), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Gegen (Puerariae Lobatae Radix), Shigao (Gypsum Fibrosum) (1 liang each), Mahuang (Ephedrae Herba, remove joints, soak in boiling water, remove yellow juice, dry), Fangfeng (Saposhnikoviae Radix), Ben (Ligustici Rhizoma?), Manjingzi (Viticis Semen)... [Text fragment]
At Guan, Qi knot makes abdomen difficult to extend. Main and guest pulses are both Huan. Spleen dampness is too excessive, Stomach is too deficient. Treat with Qi Qi Tang (Seven Qi Decoction).
Herbs: Banxia (Pinelliae Rhizoma, processed, 1 liang), Renshen (Ginseng Radix), Guanyi (Cinnamomi Cortex, official), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang each). Cut these herbs. Each dose 1 liang, add 7 slices of fresh ginger. Decoct in water.
Warm... [Text fragment].
Herbs: Guizhi (Cinnamomi Ramulus, 1 liang), Baishaoyao (Paeoniae Radix Alba), Ganjiang (Zingiberis Rhizoma) (0.5 liang each), Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 4 qian). Cut these herbs separately. Add fresh ginger and jujube to decoct. If not resolved... [Text fragment].
Use Ban... [Text fragment].
Choppy (Se) pulse belongs to Yin, indicating pain. Body pain. In pregnant women, fetal pain; in non-pregnant women, failed blood disease.
Choppy pulse is like scraping bamboo with a knife. Men with this pulse are termed Jing Injury. Women with pregnancy have fetal pain; without pregnancy, it must be failed blood formation.
Indicates loss of blood and essence. Women's pregnancy disease, or leukorrhea red/white or failed blood. Shenghui Fang Wu Jin San (Golden Black Powder) treats failed blood. Ju Fang Siwu Tang Dihuang Wan (Bureau Formula Four Substances Decoction Rehmannia Pill)... [Text fragment].
Herbs: Longgu (Fossilia Ossis Mastodi et Ostei Cruris, 2 liang each), Keli Zi (Toosendan Fructus, 2 liang). Grind into fine powder. Make pills with vinegar paste, size of Sophora seeds. Take 50 pills with warm wine on an empty stomach. Also says: Wang... [Text fragment].
Blood loss... [Text fragment].
Choppy pulse at Guan front, Stomach Qi rises. Where Choppy pulse is seen, Qi and Blood are both injured.
Metal excess damages all things. Main and guest pulses are both Choppy.
Metal excess thus rises upward. Treat with Yunqi San (Uniform Qi Powder), or Lige Wan (Diaphragm-Unblocking Pill), Jiegeng Tang (Platycodon Decoction). Choppy in Upper Jiao.
Herbs: Jiegeng (Platycodonis Radix, 1 liang), Banxia (Pinelliae Rhizoma, processed, 0.5 liang), Chenpi (Citri Reticulatae Pericarpium, 3 liang), Houpo (Magnoliae Officinalis Cortex, 1 liang), Zhishi (Aurantii Fructus Immaturus, bran-fried, 0.5 liang). Cut these herbs. Each dose half... [Text fragment]
At Guan, blood scatters and cannot stop. Main pulse is Huan, guest pulse is Se. Huan and Se combined, hence called Blood Scattering. Can use Wenjing Wan (Warming Meridian Pill). If Stomach is not harmonious... [Text fragment].
Tiao Zhong... [Text fragment].
At Chi, encountering reverse cold, body cold, thunderous sounds below navel. Main pulse is Shu, guest pulse is Se. Shu and Se combined indicate internal Yang deficiency and external Yin excess.
Herbs: Renshen (Ginseng Radix), Fuling (Poria), Digupi (Lycii Cortex), Shudihuang (Rehmanniae Radix Preparata), Niuxi (Achyranthis Bidentatae Radix, remove sprouts, wine-soaked, 1 liang each). Make honey pills size of sesame seeds. Take 30 pills per dose. Warm... [Text fragment].
Take immediately... [Text fragment].
Various diseases... [Text fragment].
Taking can remove... [Text fragment].
Five. Delayed (Chi) pulse belongs to Yin, indicating Kidney deficiency and unrest. Chi corresponds to Earth.
Delayed pulse is difficult to encounter; in late summer, recovery is unlikely. Chi is Yin, late summer is Yang. This syndrome is contrary to the season, Yang excess and Yin deficiency.
Treat... [Text fragment].
Expert diagnosis knows the timing, saying when Spleen comes, Water must dry. Seeing Delayed pulse in late summer means Earth overcomes Water. Hence, no recovery.
Cunkou pulse delayed, upper heart cold. Main pulse is Se, guest pulse is Chi. Se and Chi combined indicate Yin excess, causing upper heart cold. Treat with Jupi Wan (Tangerine Peel Pill). If not resolved, use Shu Fu Tang (Atractylodes and Aconite Decoction).
Herbs: Baizhu (Atractylodis Macrocephalae Rhizoma), Fuzi (Prepared Aconiti Lateralis Radix, peel and remove umbilicus), Ganjiang (Zingiberis Rhizoma, roasted), Guizhi (Cinnamomi Ramulus) (1 liang each). Cut these herbs. Decoct 1 liang. Take before meals. Delayed in Upper Jiao.
At Guan, abdominal pain, difficulty drinking liquids. Main pulse is Huan, guest pulse is Chi. Huan and Chi combined, severe abdominal pain. Use Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction plus Aconite).
Herbs: Guizhi (Cinnamomi Ramulus), Fuzi (Prepared Aconiti Lateralis Radix, roasted, 1 liang each), Gancao (Glycyrrhizae Radix et Rhizoma, 3.5 qian). Cut these herbs. Decoct and take, or use Lizhong Wan (Regulate Middle Pill). When pulse returns, use Xiaoshi Wan (Digestive Pill)... [Text fragment].
Chi in Middle... [Text fragment].
Flowing into Chi, heavy waist and legs, preferring thick clothes, finding single layer cold. Main pulse is Shu, guest pulse is Chi. Shu and Chi combined, Water overcomes Fire, Yin Qi is excessive.
Can... [Text fragment].
Six. Hidden (Fu) pulse belongs to Yin, indicating toxic vapors blocking the Three Passes, heavy four limbs, cold hands and feet independently. Hidden pulse runs under tendons, Qi hidden inside.
Yin poison and hidden Qi affect the Triple Burner, Ying family Qi is unregulated. Regardless of spring, autumn, winter, or summer, gradual sweating can cure. Classic says: Clear the form to induce sweat.
Mahuang Fuzi Xixin Tang (Ephedra, Prepared Aconite Root, and Asarum Decoction). Or in autumn/winter use Shengma Tang ( Cimicifuga Decoction), in spring/summer use Mahuang Tang (Ephedra Decoction). Should give slowly. Yin excess Yang... [Text fragment].
Accumulated Qi in chest, Cun pulse Hidden. Main pulse is Se, guest pulse is Fu. Se and Fu combined indicate accumulated Qi in chest. Treat with Chenxiang Wan (Aquilaria Pill), or Jiajian Wenbai Wan (Modified Warm White Pill)... [Text fragment].
At Guan, Intestines... [Text fragment] often close eyes. Main pulse is Huan, guest pulse is Fu. Huan and Fu combined indicate Middle Jiao hidden Qi not dispersing, which is Wind-Damp Qi. Thus intestines... [Text fragment].
Herbs: Baixi Kou (Cardamomi Fructus, 1 liang), Suo Sha Ren (Amomi Fructus Rotundus), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium, remove white pith), Dingxiang (Syzygdii Flos) (2 liang each), Houpo (Magnoliae Officinalis Cortex, processed, 8 liang), Gan... [Text fragment].
Cao... [Text fragment].
Mu... [Text fragment].
Like... [Text fragment].
Fa... [Text fragment].
Seen at Chi, food not digesting, sitting and lying uneasy, even rupturing abdomen. Main pulse is Shu, guest pulse is Fu. Shu and Fu combined, evil overcomes cold severely, unable to transform... [Text fragment].
Herbs: Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Huang... [Text fragment], Fuling (Poria), Baishaoyao (Paeoniae Radix Alba) (0.5 liang each). Grind into coarse powder. Each dose 0.5 liang, add fresh ginger, decoct and take. If not resolved... [Text fragment].
Yang... [Text fragment].
Seven. Soft/Soggy (Ru) pulse belongs to Yin, indicating lack of strength, five-center heat, dizziness and tinnitus, extreme cold in lower origin.
Pressing feels present, lifting feels absent. Marrow sea and Dantian are definitely depleted. Four limbs bone-steaming labor heat is severe, organs eventually transmit, life will perish.
Marrow is Kidney essence. Four limbs bone-steaming is Kidney Qi exhaustion. Final transmission is Seven Transmissions. Earth overcoming Water leads to death.
Ru pulse at Guan front, people sweat much. Main pulse is Se, guest pulse is Ru. Se and Ru combined indicate Lung Qi deficiency. Wei cannot secure Ying, hence much sweating.
Gui... [Text fragment].
At Guan, little Qi, spirit scatters. Main pulse is Huan, guest pulse is Ru. Huan and Ru combined, spirit scatters, indicating Qi weakness. Treat with Dingzhi Wan (Stabilize Spirit Pill).
Chi pulse continuous implies aversion to cold, bones and flesh loose, indifferent. Main pulse is Shu, guest pulse is Ru. Shu and Ru combined indicate Bone Flaccidity unable to rise from bed.
Wu... [Text fragment].
Eight. Weak (Ruo) pulse belongs to Yin, indicating Qi residing in exterior, postpartum exogenous wind facial swelling, Qi weak and easily injured.
Three passes sluggish, unable to advance, only because Wind pathogen connects with Qi. Young people getting this must worry heavily; old and weak meeting it, disease recovers.
Pulse like rotten cotton indicates Yang Qi weakness, corresponding to Autumn Hair pulse. Qi weak and easily injured. Sluggish means obtained with light touch; inability to advance means slightly absent with heavy touch.
Spring and Summer... [Text fragment].
Weak pulse at Guan front, Yang pathway deficiency. Main pulse is Se, guest pulse is Ruo. Se and Ruo combined indicate Yang Qi deficiency. Treat with Wubu Wan (Five Tonics Pill) for long-term tonification, Sini Tang (Reverse the Yin Decoction)... [Text fragment].
In Guan, this indicates Qi is mostly scattered. Main pulse is Huan, guest pulse is Ruo. Huan and Ruo combined, Stomach Qi internally deficient, hence Qi scatters much. Treat with Yihuang San (Benefit Yellow Powder) to level... [Text fragment].
If at Chi, Yin Qi exhausted, sour pain radiates to upper skin. Main pulse is Shu, guest pulse is Ruo. Shu and Ruo combined indicate lower part damage, Kidney Qi internally exhausted. Since Yin exhausted and Yang excess, pain radiates to skin, this is Triple Burner lacking Yin to soothe, departing from origin. Qi already damaged in Lung, no method to treat.