诊人温病。三四日不得汗出。脉大疾者生。脉细难得者死。诊人温病。穣穣大热。其脉
细小
见者
急螈
热病
得汗
也。
病已得汗。热未去脉微躁者。慎不得刺治也。热
不出。必不治。诊癫病。脉实坚者生。脉沉细小
者死。若腹大胀、四肢逆冷。其人脉形长者死。
大疾者死。诊人肠 下脓血。脉沉小流连者生。
浮者死。诊洞泄食不化下脓血。脉数微小者生
大则生。凡肠 之属。身不热。脉不弦绝。滑
生。热者死。诊诸肠 其脉滑者生。浮者死。
生。诊吐血衄血。脉滑小弱者生。实
气。其脉数。有热不得卧者死。病咳
谓其形损故也。诊嗽。脱形发热脉坚
诸咳嗽。其脉浮软者生。沉伏者死
上气面浮肿肩息。其脉大不可治。
人消渴。脉实大病久可治。脉小紧
死。诊人肠 筋挛。其脉小细安静
疾者死。诊人上气。喘息低昂。其
小滑者生。大躁者死。诊人阴阳俱
其脉代绝者死。诊金疮血出太多。
强者生。小弱者死。诊伤寒热盛。
大者死。诊心腹积聚。其脉劲强者
诊水病。脉洪者可治。微细者不可
腹大如鼓。脉实者生。虚者死。诊
而汗出。微呕而烦扰。手足厥逆。
者死。诊金疮出血。脉沉小者生。浮大者死。诊人卒得中恶。脉大而缓者生。坚而浮者死。
坚细而微者亦生。诊中恶吐血数升
细者死。洪大而速者生。诊老人脉
代。期月而死。诊热病。三五日身
坚。为血实气虚也。其发病腹痛逆
赤而死。脉来细而微者。血气俱不
左手寸口脉偏动。乍大乍小不齐。
其人仲夏得此脉。桃叶落而死。
太过鱼际。沉浮即不至关中。往
止。又须臾还三十动一止。乍动
手尺部脉。三十动而一止。止
至立春而死。
诊断温病患者。经过三四天仍无法出汗,若脉象宏大且急促的则预后良好(生),若脉象细微难以触及的则预后不良(死)。
诊断温病患者。身体高热炽盛,若出现脉象细小、抽搐(急螈)的症状,这是热病即将痊愈并出汗的表现。
如果疾病已经出汗,但发热仍未消退,且脉象微弱而躁动不安的,严禁使用针刺治疗。若热邪不能排出,必定无法治愈。
诊断癫病(精神失常类疾病)患者。若脉象实而坚硬的则预后良好(生),若脉象沉细微小的则预后不良(死)。如果出现腹部胀大、四肢逆冷的症状,且脉象形长且疾速的,预后不良(死)。
诊断患者肠道下注脓血(痢疾或肠痈等)。若脉象沉小且连绵不断的则预后良好(生),若脉象浮大的则预后不良(死)。
诊断洞泄(严重腹泻)、食物不消化、下部排出脓血的患者。若脉象数而微小则预后良好(生),若脉象盛大则预后良好(生)。凡是属于肠道病变的,若身体不发热,脉象不弦绝,脉滑者预后良好(生),若发热者预后不良(死)。
诊断各种肠道病变,若脉象滑利者预后良好(生),若脉象浮大者预后不良(死)。
诊断吐血、衄血(鼻出血)患者。若脉象滑小虚弱者预后良好(生),若脉象实而气盛,脉数且有热感、无法安卧者预后不良(死)。咳嗽导致形体消瘦,是因为身体受损的缘故。
诊断咳嗽患者。若形体脱失、发热且脉象坚硬,属于血实气虚。发病时伴有腹痛、气逆、面色赤红而死。若脉来细而微,说明气血俱衰。
诊断诸种咳嗽,若脉象浮软者预后良好(生),若脉象沉伏者预后不良(死)。
诊断上气(气逆喘促)、面部浮肿、肩息(呼吸时耸肩)的患者。若脉象盛大不可治。
诊断消渴(糖尿病类疾病)患者。若脉象实大,病程久者可治;若脉象小紧则预后不良(死)。
诊断患者肠道痉挛、筋脉拘挛。若脉象小细且安静者预后良好(生),若脉象疾速者预后不良(死)。
诊断患者上气,喘息声音高低不平。若脉象小滑者预后良好(生),若脉象大且躁动者预后不良(死)。
诊断阴阳俱虚的患者。若脉象代绝(间歇性停跳)者预后不良(死)。
诊断金疮(金属利器造成的创伤)出血过多。若脉象强者预后良好(生),若脉象小弱者预后不良(死)。
诊断伤寒热盛患者。若脉象大者预后不良(死)。
诊断心腹积聚(体内肿块或积滞)。若脉象劲强者预后良好(生),若脉象微细者不可治。
诊断水肿病。若脉象洪大可治,若脉象微细则不可治。腹部胀大如鼓,若脉象实者预后良好(生),若脉象虚者预后不良(死)。
诊断患者汗出后,轻微呕吐且烦躁不安,手足厥冷(四肢冰冷)者预后不良(死)。
诊断金疮出血。若脉象沉小者预后良好(生),若脉象浮大者预后不良(死)。
诊断患者突然患上中恶(急性中毒或突发性昏厥)。若脉象大而缓者预后良好(生),若脉象坚而浮者预后不良(死)。若脉象坚细而微者亦预后良好(生)。
诊断中恶且吐血数升的患者。若脉象细者预后不良(死),若脉象洪大而速者预后良好(生)。
诊断老年患者的脉象若出现代脉,预示一月内死亡。
诊断热病患者。经过三五天身体仍然发热,脉象坚硬,为血实气虚所致。
左手寸口脉偏动,忽大忽小不齐。若人在仲夏得到此脉,桃叶落时死亡。
脉气太过到达鱼际部位,沉浮不调直至关部之中,往而不返。
脉气停止,又过了一会儿还三十次跳动有一次停顿,乍动乍止。
右手尺部脉,三十次跳动有一次停顿,止而不复,至立春时死亡。
Diagnosing warm disease (Wen Bing) patients: If after three or four days there is no sweating, a pulse that is large and rapid indicates survival, whereas a pulse that is fine and difficult to feel indicates death.
Diagnosing warm disease patients: When the body suffers from intense high fever, if a fine pulse appears accompanied by acute convulsions (Ji Rong), this signifies that the heat disease is resolving and sweating will occur.
If the illness has already produced sweat but the fever persists, and the pulse is faint yet restless, acupuncture treatment must be strictly avoided. If the heat cannot be expelled, it is incurable.
Diagnosing epilepsy (Dian Bing): A solid and firm pulse indicates survival, while a deep, fine, and small pulse indicates death. If abdominal distension and cold extremities are present, and the pulse shape is long and rapid, death ensues.
Diagnosing patients with pus and blood in the stool (Chang Li): A deep, small, and continuous pulse indicates survival, whereas a floating pulse indicates death.
Diagnosing patients with severe diarrhea (Dong Xie), undigested food, and pus/blood in the lower bowels: A rapid, fine, and small pulse indicates survival; a large pulse also indicates survival. In cases of intestinal disorders, if the body is not hot and the pulse is not wiry or severed, a slippery pulse indicates survival, while heat indicates death. For various intestinal diseases, a slippery pulse indicates survival, and a floating pulse indicates death.
Diagnosing hematemesis (vomiting blood) and epistaxis (nosebleed): A slippery, small, and weak pulse indicates survival. If the pulse is excess and qi-dominant, rapid, accompanied by heat and inability to sleep, death ensues. Coughing leading to physical emaciation occurs due to bodily depletion.
Diagnosing cough: Emaciation with fever and a firm pulse indicates blood excess and qi deficiency. Onset with abdominal pain, counterflow qi, and red complexion leads to death. A fine and minute pulse indicates exhaustion of both blood and qi. For various coughs, a floating and soft pulse indicates survival, while a deep and hidden pulse indicates death.
For patients with ascending qi (Shang Qi), facial edema, and shoulder breathing (Shan Xi), an excessively large pulse is untreatable.
Diagnosing xiao ke (wasting-thirst syndrome): A solid and large pulse in a chronic case is treatable; a small and tight pulse indicates death.
Diagnosing patients with intestinal spasms and tendon contraction: A small, fine, and quiet pulse indicates survival, while a rapid pulse indicates death.
Diagnosing patients with ascending qi and irregular breathing sounds: A small and slippery pulse indicates survival, while a large and restless pulse indicates death.
Diagnosing patients with simultaneous yin and yang deficiency: A intermittent and severed pulse (Dai Jue) indicates death.
Diagnosing traumatic wounds (Jin Chuang) with excessive bleeding: A strong pulse indicates survival, while a small and weak pulse indicates death.
Diagnosing shang han (cold damage) with intense heat: A large pulse indicates death.
Diagnosing heart and abdominal accumulations (Ji Zhu): A vigorous and strong pulse indicates survival, while a minute and fine pulse is untreatable.
Diagnosing water disease (edema): A surging pulse is treatable, while a minute and fine pulse is untreatable. Abdominal distension like a drum: a solid pulse indicates survival, while a deficient pulse indicates death.
Diagnosing patients who have sweated, experience slight vomiting, restlessness, and cold extremities: death ensues.
Diagnosing bleeding from traumatic wounds: A deep and small pulse indicates survival, while a floating and large pulse indicates death.
Diagnosing sudden onset of zhong e (evil invasion/fainting): A large and slow pulse indicates survival, while a firm and floating pulse indicates death. A firm, fine, and minute pulse may also indicate survival.
Diagnosing zhong e with several shengs of vomited blood: A fine pulse indicates death, while a surging, large, and rapid pulse indicates survival.
Diagnosing the pulse of the elderly: A Dai pulse predicts death within one month.
Diagnosing heat disease: After three to five days, if the body remains hot and the pulse is firm, it indicates blood excess and qi deficiency.
The left cunkou pulse moves abnormally, varying between large and small irregularly. If a person obtains this pulse in midsummer, they will die when peach leaves fall.
Excessive pulse energy reaches the Yuji point, fluctuating without reaching the Guan position, moving forward but not returning.
Pulse cessation occurs, and after a moment, thirty beats occur with one stop, alternating between movement and stillness.
The right chixi pulse stops once every thirty beats, ceasing completely, predicting death at the beginning of spring.