三部脉实。长病得之不治。 三部脉虚。长病得之不治。虚而涩。长病亦死。虚而滑亦
死。
死。
卒
长
得
自
病
脉
病
脉
紧
人有三虚三实者。谓有脉之虚实。有病之虚实。有诊之虚实也。脉有虚实者。脉来濡者
为虚
急者
内虚
者是
五虚
脉有损至何谓也？曰∶至之脉。一呼再至曰平。三至曰离经。四至曰夺经。五至曰困。
六至
此
落
四
者
损于心者调其荣卫。损于脾者调其饮食。适其寒温。损于肝者缓其中。损于肾者益其精。此
治损之法也。
论曰∶声合五音。色合五行。声色符同。然后定脏腑之荣枯。若滋荣者其气生。如翠羽。
鸡
于
以
见黑黄。是谓真藏之见者。以
风而鼻黄。肾风而肌黑。以风
脾热而鼻赤。肾热而颐赤。以
气不同故尔。鼻青为腹水气。
故尔。然审病者。又皆以真脾
生者。以其真气外荣故也。
凡人赤者。欲如帛裹朱砂。不欲如赭色也。白者。欲如白璧之色。不欲如白垩也。青者。
欲
炭
也。 凡青如翠羽。黑如乌羽。赤如鸡冠。黄如蟹腹。白如豚膏。有此五色者。并为生候也。
病患耳目鼻口。有黑色起入口者必死。 病患两目皆有黄色起者。其病当愈。 病患耳目
及颊颧上赤者五日死。 病患有黑色。出于额上及发际。至鼻脊两颧上。五日死。 病患及
健人。黑及白色入目鼻口者。五日而死。病患及健人。面忽如马肝色。望之如青。近之如黑
者死。病患口如鱼口。不能复闭。而气出多不返者死。 病患妄语错乱。及不能语者不可治
。热病可治。 病患循衣缝谵言者不可治。 病患尸臭甚者不可治。 病患目回回直视。肩
息者一日中死。 病患面青。人中反者三日死。 病患面无精光似土色。不能食者四日死。
病患目无精光。及牙齿黑色不可治。病患面黄目黑。九日死。 病患面白目黑者不可治。
病患面赤目白者十日死。 病患但张其口不能闭者三日死。 病患面赤目青者立即死。
病患面黑目白者八日死。 病患目系倾者七日死。 病患齿忽变黑者。十三日死。 病患发
直者。十五日死。 病患遗尿不觉者死。 病患唇口忽干者必死。病患爪甲青者必死。
病患头目久痛。卒视物不见必死。病患舌卷及卵缩者死。 病患面黑。目直视恶风者死。
病患面黄目白者不死。 病患面黄目青者死。 病患面黄目赤者不死。 病患面色青目白者
死。 病患面目俱黄即不死。 病患面目俱白者即死。
麻。喜怒者死。 病患发与
眉冲起者死。
卒肿。面色苍黑者死。 病患手掌肿无纹
者死。 病患手足爪甲下肉黑者死。 病患汗出不流舌卷者死。 病患唇反。人中满者死。
病患阴阳绝。目眶陷者死。病患五脏已夺
恍惚者死。 病患阴阳俱绝。裂衣掇空。妄言者死。 病患阴阳俱泄绝。失音不能言者死。
病患荣卫竭绝。面浮肿者死。
三部脉象均表现为实脉。久病之人出现此脉象，属于不治之症。
三部脉象均表现为虚脉。久病之人出现此脉象，属于不治之症。
脉象虚而涩滞，久病者亦会死亡。
脉象虚而滑利，也会死亡。
人有三种“虚”和三种“实”，指的是：脉象的虚实、病症的虚实、诊察（指按诊或综合判断）的虚实。
所谓脉象的虚实：脉来柔软无力者为虚；脉来紧急有力者为实。
内虚证候包括五种虚证（五虚）。
脉象有“损”和“至”的区别，这是什么意思呢？回答说：“至”脉是指脉搏跳动次数增多。一呼之间脉搏跳动两次为平脉（正常）。三至为离经（偏离常道）。四至为夺经（精气被剥夺）。五至为困（正气困顿）。六至……（原文此处中断，通常指七至八至为脱绝等，但依原文只译可见部分）……落……四者……损于心者调其荣卫（营气和卫气），损于脾者调其饮食，适应寒温。损于肝者舒缓其中焦郁结，损于肾者补益其精。这是治疗损脉的方法。
论述说：声音符合五音规律，面色符合五行规律。声色相符同，然后才能确定脏腑的荣枯状况。如果气血滋荣，其气色生动，如翠鸟羽毛般光泽。……见到黑黄色，这叫做真脏色显现。……风邪侵袭则鼻现黄色，肾受风邪则肌肉发黑。因风邪……脾热则鼻头发红，肾热则下巴发红。这是因为气色不同所致。鼻头青色代表腹中有水气。……所以审察病人，又都以真脏色的出现为准。……生机旺盛，是因为真气外荣的缘故。
大凡面色红润的人，希望像白绢包裹朱砂那样润泽，不希望像赭石那样暗红无光。面色白的人，希望像白玉那样的色泽，不希望像白垩土那样干枯。面色青的人，希望像……炭……（原文此处可能有缺漏或排版错误，结合后文推断应为翠绿之意）。大凡青色如翠鸟羽毛，黑色如乌鸦羽毛，红色如鸡冠，黄色如蟹腹，白色如猪油。具备这五色中润泽鲜明特征的，都是生机的征象。
病患的耳、目、鼻、口周围，如果有黑色浮现并入口中，必定死亡。
病患两眼都有黄色浮现，其病应当痊愈。
病患耳目及脸颊颧骨部位发红，五日死。
病患如果出现黑色，从额头及发际线蔓延至鼻梁脊部及两颧骨上方，五日死。
病患及健康人，如果黑色或白色侵入眼、鼻、口，五日而死。
病患及健康人，面部突然呈现马肝色，远看发青，近看发黑的，死亡。
病患口张如鱼口，不能闭合，且气息多出而不返的，死亡。
病患胡言乱语、神志错乱，以及不能说话的，不可治。（注：若为热病所致则可治）。
病患抓摸衣缝、说胡话的，不可治。
病患身上散发严重尸臭气的，不可治。
病患眼球固定直视不动，耸肩呼吸的，一天之内死亡。
病患面色青，人中穴部位平坦或反平的，三日死。
病患面无神采，面色似泥土色，不能进食的，四日死。
病患眼中无神采，以及牙齿变黑的，不可治。
病患面黄目黑的，九日死。
病患面白目黑的，不可治。
病患面赤目白的，十日死。
病患只张口而不能闭嘴的，三日死。
病患面赤目青的，立即死亡。
病患面黑目白的，八日死。
病患目系（眼球连接脑部的筋脉）歪斜的，七日死。
病患牙齿突然变黑的，十三日死。
病患头发直立的，十五日死。
病患遗尿而不自知的，死亡。
病患嘴唇口腔突然干燥的，必定死亡。
病患指甲青紫的，必定死亡。
病患头部眼睛长期疼痛，突然视物不见的，必定死亡。
病患舌头卷缩及睾丸上缩的，死亡。
病患面色黑，目直视且恶风的，死亡。
病患面黄目白的，不死。
病患面黄目青的，死亡。
病患面黄目赤的，不死。
病患面色青目白的，死亡。
病患面目俱黄的，即不死。
病患面目俱白的，即死亡。
（原文此处有断行混乱：“麻。喜怒者死。 病患发与眉冲起者死。” 推测意为：头发干枯如麻，且易怒喜惊的死亡。病患头发与眉毛突然竖起的，死亡。）
突发肿胀，面色苍黑的，死亡。
病患手掌肿胀且没有纹理的，死亡。
病患手足爪甲下肉质发黑的，死亡。
病患出汗但汗液不流动（凝滞），舌头卷缩的，死亡。
病患嘴唇外翻，人中穴饱满平直的，死亡。
病患阴阳之气绝离，眼眶凹陷的，死亡。
病患五脏精气已极度亏损，神情恍惚的，死亡。
病患阴阳之气俱绝，撕扯衣服、空手抓取、胡言乱语的，死亡。
病患营卫之气泄尽绝离，失音不能说话的，死亡。
病患营卫之气竭绝，面部浮肿的，死亡。
The pulses in the three positions (Cun, Guan, Chi) are all Excess (Shi). If a patient with a chronic disease presents this pulse, it is untreatable.
The pulses in the three positions are all Deficiency (Xu). If a patient with a chronic disease presents this pulse, it is untreatable.
If the pulse is Deficient and Choppy (Se), the patient with a chronic disease will also die.
If the pulse is Deficient and Slippery (Hua), death will also occur.
Humans have three types of "Deficiency" and three types of "Excess," referring to: the Excess/Deficiency of the Pulse (Mai), the Excess/Deficiency of the Disease (Bing), and the Excess/Deficiency of Diagnosis (Zhen).
Regarding the Excess/Deficiency of the Pulse: A pulse that feels soft and weak indicates Deficiency; a pulse that feels tight and urgent indicates Excess.
Internal Deficiency syndromes include the Five Deficiencies (Wu Xu).
What is meant by the distinction between "Sun" (Damage/Loss) and "Zhi" (Increase/Arrival) pulses? It is said: The "Zhi" pulse refers to an increased frequency of beats. Two beats per exhalation indicate a Normal (Ping) pulse. Three beats per exhalation indicate Li Jing (Departure from the Canon/Abnormal). Four beats per exhalation indicate Duo Jing (Deprivation of the Canon/Essence Depletion). Five beats per exhalation indicate Kun (Distress/Qi Exhaustion). Six beats... [Text fragment] ... Luo... Si Zhe... Damage to the Heart is treated by regulating Ying Wei (Nutritive and Defensive Qi). Damage to the Spleen is treated by regulating diet and adapting to cold and warmth. Damage to the Liver is treated by soothing the interior. Damage to the Kidney is treated by benefiting the Essence (Jing). These are the methods for treating Sun pulses.
It is stated: Sounds correspond to the Five Tones (Wu Yin), and complexions correspond to the Five Elements (Wu Xing). Only when sound and complexion accord with each other can one determine the flourishing or withering state of the Zang-Fu organs. If nourishment is abundant, the Qi is vibrant, resembling the luster of kingfisher feathers... Seeing black and yellow hues indicates the manifestation of True Zang Colors (Zhen Zang). Wind pathogen affecting the nose manifests as yellow; Kidney wind affecting muscles manifests as black. Due to wind... Spleen heat manifests as redness at the nose tip; Kidney heat manifests as redness at the chin. This is due to differences in Qi color. Nasal cyanosis indicates abdominal fluid accumulation... Therefore, examining patients relies on the appearance of True Zang colors... Vitality thrives because True Qi flourishes externally.
Generally, a ruddy complexion should resemble white silk wrapping cinnabar (lustrous and bright), not like jasper (dull and dark). A white complexion should resemble white jade, not like white chalk (dry and dull). A green/cyan complexion should resemble... charcoal... [Text fragment]. Generally, if the green resembles kingfisher feathers, black resembles crow feathers, red resembles rooster combs, yellow resembles crab bellies, and white resembles pork fat, possessing these five colors with lustrous and distinct characteristics indicates signs of life.
If black color appears around the ears, eyes, nose, and mouth of a patient and enters the mouth, death is certain.
If both eyes of a patient show emerging yellow color, the illness should heal.
If the eyes, ears, and cheekbones of a patient are red, death occurs within five days.
If black color emerges on a patient from the forehead and hairline, extending to the nasal bridge and above the cheekbones, death occurs within five days.
If black or white color invades the eyes, nose, and mouth of either a patient or a healthy person, death occurs within five days.
If a patient's face suddenly takes on the color of a horse's liver—appearing green from afar and black up close—death ensues.
If a patient's mouth opens like a fish's and cannot close, with breath exiting but not returning, death ensues.
If a patient speaks deliriously, is confused, or is unable to speak, it is untreatable. (Note: If caused by Heat Disease, it may be treatable.)
If a patient grasps at the seams of clothes and speaks deliriously, it is untreatable.
If a patient emits a severe corpse-like odor, it is untreatable.
If a patient's eyes are fixed and staring straight ahead, and they breathe with raised shoulders (orthopnea), death occurs within one day.
If a patient's face is cyanotic and the philtrum is flat or inverted, death occurs within three days.
If a patient lacks luster, has a earthy complexion, and cannot eat, death occurs within four days.
If a patient's eyes lack luster and teeth turn black, it is untreatable.
If a patient has a yellow face and black eyes, death occurs within nine days.
If a patient has a white face and black eyes, it is untreatable.
If a patient has a red face and white eyes, death occurs within ten days.
If a patient only opens their mouth and cannot close it, death occurs within three days.
If a patient has a red face and cyan eyes, death occurs immediately.
If a patient has a black face and white eyes, death occurs within eight days.
If the eye tendons (Mu Xi) of a patient are deviated, death occurs within seven days.
If the teeth of a patient suddenly turn black, death occurs within thirteen days.
If the hair of a patient stands straight, death occurs within fifteen days.
If a patient urinates involuntarily without awareness, death ensues.
If the lips and mouth of a patient suddenly become dry, death is certain.
If the fingernails and toenails of a patient turn cyanotic, death is certain.
If a patient suffers from long-term headache and eye pain, followed by sudden blindness, death is certain.
If the tongue of a patient curls inward and the testicles retract, death ensues.
If a patient has a black face, stares straight ahead, and fears wind, death ensues.
If a patient has a yellow face and white eyes, they will not die.
If a patient has a yellow face and cyan eyes, death ensues.
If a patient has a yellow face and red eyes, they will not die.
If a patient has a cyan face and white eyes, death ensues.
If a patient's face and eyes are both yellow, they will not die.
If a patient's face and eyes are both white, death ensues.
[Fragmented text]: Hair resembling hemp, accompanied by anger and joy/fright, leads to death. If the hair and eyebrows of a patient suddenly stand upright, death ensues.
Sudden swelling with a pale-black complexion leads to death.
Swelling of the palms without visible lines leads to death.
Black flesh under the nails of hands and feet leads to death.
Sweat that does not flow combined with a curled tongue leads to death.
Everted lips and a full philtrum lead to death.
Extinction of Yin and Yang Qi with sunken eye orbits leads to death.
Extreme depletion of the Five Zang organs with mental confusion leads to death.
Simultaneous extinction of Yin and Yang Qi, manifested by tearing clothes, grasping at empty air, and delirious speech, leads to death.
Complete leakage and extinction of Ying Wei Qi, resulting in aphonia, leads to death.
Exhaustion of Ying Wei Qi with facial edema leads to death.