饮食内伤气口急滑劳倦内伤脾脉大弱此言饮食劳倦内伤之为病也（内经曰）饮食自倍肠
胃
乃伤若饮食内伤则气口之脉必紧急而带滑若劳力之内伤则右关之脾脉必见大弱所谓饮食劳倦
则伤脾是也
欲知是气下手脉沉沉极则伏涩弱久深此言七气之为病也七气为内因故脉沉沉之极虽按之
至骨犹不显露是为伏脉再或见涩之往来不利弱之无力衰微非七气内伤之久不如是也
六郁多沉滑痰紧食气涩血芤数火细湿此言六郁证之脉也郁有六种亦为内因故脉多沉然不
尽沉也沉而滑停痰之郁也沉而紧食积之郁也沉而涩气虚不舒之郁也沉而芤血虚不濡之郁也沉
而数火伏之郁也沉而细湿着之郁也（内经曰）木郁则达之火郁则发之土郁则夺之金郁则泄之
水
郁则折之然调其气过者折之以其畏也所谓泻之（内经）五法为因五连之气所乘而致郁也（朱
震
亨曰）气血冲和百病不生一有怫郁诸病生焉又制为六郁之论立越鞠丸以治郁谓气郁而成湿滞
湿滞而成热热郁而成痰痰滞而血不行血不行而食不消此六者相因为病者也
滑主多痰弦主留饮热则滑数寒则弦紧浮滑兼风沉滑兼气食伤短疾湿留濡细此言滑脉兼诸
脉病证也滑脉往来流利如珠之应指故主多痰弦为木盛脾必受制故主留饮留饮者背寒如掌大或
短气如渴四肢历节疼痛胁下满引缺盆咳嗽转盛谓之留饮若内有热则脉必滑数若里有寒则脉必
弦紧鼓动浮越故浮滑者兼风动疾沉下故沉滑者兼气停食于中则气为食碍脉为之短疾湿为阴邪
留必缓渗故脉亦濡细耳
饮食内伤导致气口脉象紧急而滑利，劳倦内伤导致脾脉大而虚弱。这是在论述饮食和劳倦内伤所引发的疾病。（《内经》说）饮食过量一倍，肠胃就会受伤。如果是因为饮食内伤，那么气口的脉象必定紧急且带有滑象；如果是因体力劳动过度导致的内伤，那么右关部的脾脉必定表现为大而虚弱。这就是所说的“饮食劳倦则伤脾”。
想要了解这七种气机失调（七气）引起的疾病，其脉象深沉至极，甚至伏匿于骨下，往来涩滞、无力衰微。这是在论述七气致病的情况。七气属于内因致病，所以脉象深沉至极，即使按压至骨也显露不出来，这称为伏脉；或者出现往来不利的涩脉，以及无力衰微的弱脉。如果不是七气内伤日久，脉象不会达到这种程度。
六郁证的脉象多呈沉象，其中痰郁多见沉滑，食积郁结多见沉紧，气郁多见沉涩，血虚郁滞多见沉芤，火郁多见沉数，湿郁多见沉细。这是在论述六郁证候的脉象。郁证有六种，也属于内因致病，所以脉象多为沉脉，但并非全是沉脉。脉沉而滑，是痰邪郁结的表现；脉沉而紧，是食积郁结的表现；脉沉而涩，是气虚不畅的郁结表现；脉沉而芤，是血虚不能濡养的郁结表现；脉沉而数，是火邪伏匿的郁结表现；脉沉而细，是湿气留着的郁结表现。（《内经》说）木郁应当疏达，火郁应当发散，土郁应当攻夺，金郁应当宣泄，水郁应当折损。然而调理气机时，对于过盛的病邪，要用它畏惧的方法去制约它，这就叫做泻法。（《内经》中的）这五种治法，是针对因五连之气相乘而导致郁结的情况。（朱震亨说）气血冲和调畅，百病就不会产生；一旦有怫郁（气机郁滞），各种疾病就会产生。他又制定了六郁的理论，创立越鞠丸来治疗郁证，认为气郁会导致湿滞，湿滞会化热，热郁会生痰，痰滞会导致血行不畅，血行不畅会导致食物无法消化。这六种情况互为因果，共同致病。
滑脉主痰多，弦脉主饮邪停留，热证见滑数脉，寒证见弦紧脉，浮滑脉兼夹风邪，沉滑脉兼夹气滞，食伤见短疾脉，湿邪留恋见濡细脉。这是在论述滑脉兼见其他脉象时的病证。滑脉往来流利，如珠子在指下滚动，所以主痰多。弦脉为肝木偏盛，脾土必然受制，所以主饮邪停留。所谓留饮，是指背部寒冷如手掌大小，或短气似渴，四肢关节疼痛，胁下胀满牵引缺盆穴，咳嗽加重，这称为留饮。如果体内有热，脉象必定滑数；如果体内有寒，脉象必定弦紧。脉象鼓动浮越，所以浮滑脉兼夹风邪；脉象沉下，所以沉滑脉兼夹气滞。食物停滞在中焦，阻碍气机运行，脉象因此变得短促疾速；湿邪属于阴邪，留滞体内必致缓渗，所以脉象也呈现濡细之象。
Internal injury from diet results in a rapid and slippery pulse at the Qi Kou (radial artery site); internal injury from fatigue results in a large and weak pulse at the Spleen position. This discusses diseases caused by internal injuries from diet and fatigue. (*Neijing* states): If food intake doubles, the intestines and stomach will be injured. If the injury is due to diet, the Qi Kou pulse will necessarily be urgent and slippery; if the injury is due to overexertion, the Spleen pulse at the right Guan position will necessarily appear large and weak. This is what is meant by "diet and fatigue injure the Spleen."
To understand diseases caused by the Seven Qi (seven types of emotional/physiological qi disturbances), the pulse is extremely deep, even hiding beneath the bone, with a choppy, weak, and feeble quality. This discusses the pathology of the Seven Qi. As the Seven Qi are internal causes, the pulse is extremely deep; even when pressed to the bone, it does not reveal itself, which is called a Hidden Pulse (Fu Mai). Alternatively, one may observe a Choppy Pulse (Se Mai) indicating obstructed flow, or a Weak Pulse (Ruo Mai) indicating extreme feebleness. Unless the Seven Qi have caused internal injury for a long time, the pulse would not reach this state.
The Six Stagnations (Liu Yu) often present with a Deep (Chen) pulse: Phlegm stagnation is Slippery (Hua) and Tight (Jin); Food stagnation is Tight (Jin); Qi stagnation is Choppy (Se); Blood deficiency stagnation is Empty (Kou); Fire stagnation is Rapid (Shu); Dampness stagnation is Fine (Xi). This discusses the pulses associated with the Six Stagnations. There are six types of stagnation, also considered internal causes, so the pulse is mostly Deep, though not exclusively. A Deep and Slippery pulse indicates Phlegm stagnation; a Deep and Tight pulse indicates Food stagnation; a Deep and Choppy pulse indicates Qi deficiency and lack of free flow; a Deep and Empty pulse indicates Blood deficiency failing to nourish; a Deep and Rapid pulse indicates latent Fire; a Deep and Fine pulse indicates lingering Dampness. (*Neijing* states): Wood stagnation should be dispersed; Fire stagnation should be vented; Earth stagnation should be purged; Metal stagnation should be drained; Water stagnation should be broken. However, when regulating Qi, for excess conditions, use what the pathogen fears to subdue it; this is called Draining (Xie). These five methods address stagnation caused by the mutual overcoming of the Five Connected Qi. (Zhu Zhenheng stated): When Qi and Blood are harmonious, no disease arises; once there is depression/stagnation (Fu Yu), various diseases emerge. He formulated the theory of the Six Stagnations and created Yueju Wan to treat stagnation, stating that Qi stagnation leads to Dampness retention; Dampness retention generates Heat; Heat stagnation produces Phlegm; Phlegm obstruction impedes Blood circulation; impaired Blood circulation prevents digestion of food. These six factors cause disease mutually.
A Slippery pulse primarily indicates excessive Phlegm; a Wiry (Xian) pulse indicates retained Fluids (Yin); Heat presents with a Slippery-Rapid pulse; Cold presents with a Wiry-Tight pulse; Floating-Slippery indicates concurrent Wind; Deep-Slippery indicates concurrent Qi stagnation; Food injury presents with a Short-Rapid pulse; lingering Dampness presents with a soggy-Fine pulse. This discusses the syndromes associated with the Slippery pulse combined with other pulses. The Slippery pulse flows smoothly like pearls rolling under the finger, thus indicating excessive Phlegm. The Wiry pulse indicates excessive Liver Wood, which necessarily constrains Spleen Earth, thus indicating retained Fluids. Retained Fluids manifest as coldness on the back the size of a palm, shortness of breath resembling thirst, pain in the limbs and joints, fullness in the hypochondrium radiating to the Clavicular Fossa (Quepen), and aggravated coughing; this is termed Retained Fluids. If there is internal Heat, the pulse will be Slippery-Rapid; if there is internal Cold, the pulse will be Wiry-Tight. If the pulse beats and floats outward, it indicates concurrent Wind; if it sinks downward, it indicates concurrent Qi stagnation. Food stagnation in the middle jiao obstructs Qi movement, causing the pulse to become Short and Rapid; Dampness is a Yin pathogen that lingers and seeps, causing the pulse to appear Soggy and Fine.