肺心∶浮脉主表,浮紧伤寒,浮缓伤风,浮数风热,浮芤失血,(边有中空为芤)。浮洪
主火
,浮濡阴虚,浮滑痰热,浮弦痰饮,浮散危候,浮革劳极,(浮如鼓皮为革)。浮大内虚,多
在右关。
肾肝∶沉脉主里,沉紧内痛,沉弦伏饮,沉数内热,沉实热甚,沉迟内寒,沉滑宿食,
沉细
湿寒,沉弱气郁,沉牢固冷,沉伏霍乱。
脾脏∶迟脉主脏,迟浮表虚,迟沉里寒。有力为痛,无力寒虚。迟缓沉实,阳盛之端。
迟细
难涩,(涩脉)。阴衰可见。一息三至,脉现三关。
心腑∶数脉主腑,有力为热,无力为疮,细数为劳,滑数痰火。数止为促,阳盛之候,
一息
六至,数脉不谬。
胆肝∶弦脉主饮,弦数为热,弦迟为寒。寸弦头痛,尺弦肾伤。弦紧寒实,弦细病极。
伤暑
之脉,弦细芤迟。少阳伤寒,弦数弦细。
四至为缓,平和之候,有止为结,浮结气滞,沉结则积。动脉如豆,三关皆有,崩带失
精,
为痛为惊。动而中止,良久方出,此为代脉,病关生死,平人难救,妊妇可喜。
八脉奇经,直上下行。紧直任脉,浮督牢冲。寸左右弹,阳跷之形。尺左右弹,阴跷可
凭。
关左右弹,带脉在中。尺外斜上,至寸阴维。尺内斜上,至寸阳维。浮直为督,脊强癫痫。
牢直为冲,气逆表里。紧直任脉,七疝瘕坚。阳跷阴急,(阳缓)。阴跷阳急,(阴缓)。寒热
恍惚,螈 癫痫。阳维寒热,目眩僵仆,阴维心痛,胸胁刺筑。带主带下,脐痛失精。
肺与心:浮脉主表证,浮紧脉主伤寒,浮缓脉主伤风,浮数脉主风热,浮芤脉主失血(边缘中空称为芤),浮洪脉主火邪,浮濡脉主阴虚,浮滑脉主痰热,浮弦脉主痰饮,浮散脉为危重征候,浮革脉主劳损至极(浮取如鼓皮称为革),浮大脉主内虚,多见于右关部。
肾与肝:沉脉主里证,沉紧脉主内部疼痛,沉弦脉主伏饮,沉数脉主内热,沉实脉主热盛,沉迟脉主内寒,沉滑脉主宿食,沉细脉主湿寒,沉弱脉主气郁,沉牢脉主冷积,沉伏脉主霍乱。
脾脏:迟脉主脏病,迟而浮主表虚,迟而沉主里寒。有力为痛证,无力为寒虚证。迟缓而沉实,是阳盛的表现。迟细且难涩(涩脉),是阴衰可见之象。一息三至,脉现于三关。
心腑:数脉主腑病,有力为热证,无力为疮疡,细数为劳损,滑数为痰火。数而时止为促脉,是阳盛的征候,一息六至,为数脉无误。
胆与肝:弦脉主饮邪,弦数脉主热,弦迟脉主寒。寸部弦主头痛,尺部弦主肾伤。弦紧主寒实证,弦细主病极。伤暑的脉象,表现为弦、细、芤、迟。少阳伤寒,脉象为弦数或弦细。
四至为缓脉,是平和的征候;有止为结脉,浮结主气滞,沉结主积聚。动脉如豆状,三关皆有,主崩漏带下、失精,主痛主惊。动而中止,良久方出,此为代脉,病情关乎生死,常人难救,孕妇则可喜。
八脉奇经,直上下行。紧直为任脉,浮为督脉,牢为冲脉。寸部左右弹击,为阳跷脉之形。尺部左右弹击,可凭以判断阴跷脉。关部左右弹击,带脉在中。尺部外斜上行,至寸部为阴维脉。尺部内斜上行,至寸部为阳维脉。浮直为督脉,主脊强癫痫。牢直为冲脉,主气逆表里。紧直为任脉,主七疝瘕坚。阳跷急则阴缓,阴跷急则阳缓。寒热恍惚,抽搐癫痫。阳维脉病见寒热、目眩僵仆,阴维脉病见心痛、胸胁刺筑。带脉主带下、脐痛失精。
Lung and Heart: The floating pulse (Fu Mai, Floating Pulse) indicates exterior syndromes. A floating-tight pulse (Fu Jin) indicates Cold Damage (Shang Han); a floating-slow pulse (Fu Huan) indicates Wind Strike; a floating-rapid pulse (Fu Shu) indicates Wind-Heat; a floating-kun pulse (Fu Kou) indicates blood loss (Kou is described as hollow at the edges); a floating-hong pulse (Fu Hong) indicates Fire pathogen; a floating-ru pulse (Fu Ru) indicates Yin deficiency; a floating-slippery pulse (Fu Hua) indicates Phlegm-Heat; a floating-string-taut pulse (Fu Xian) indicates Phlegm-Fluid retention; a floating-scattered pulse (Fu San) indicates a critical condition; a floating-leather pulse (Fu Ge) indicates extreme exhaustion (Ge is described as feeling like a drum skin on superficial palpation); a floating-large pulse (Fu Da) indicates internal deficiency, often seen in the right Guan position.
Kidney and Liver: The deep pulse (Chen Mai, Deep Pulse) indicates interior syndromes. A deep-tight pulse (Chen Jin) indicates internal pain; a deep-string-taut pulse (Chen Xian) indicates latent fluid retention; a deep-rapid pulse (Chen Shu) indicates internal heat; a deep-excess pulse (Chen Shi) indicates severe heat; a deep-slow pulse (Chen Chi) indicates internal cold; a deep-slippery pulse (Chen Hua) indicates retained food; a deep-thin pulse (Chen Xi) indicates Damp-Cold; a deep-weak pulse (Chen Ruo) indicates Qi stagnation; a deep-firm pulse (Chen Lao) indicates cold accumulation; a deep-hidden pulse (Chen Fu) indicates Huoluan (Cholera-like disease).
Spleen Organ: The slow pulse (Chi Mai, Slow Pulse) indicates Zang organ diseases. A slow-floating pulse indicates exterior deficiency; a slow-deep pulse indicates interior cold. If forceful, it indicates pain; if weak, it indicates cold deficiency. A slow-slow and deep-excess pulse indicates the peak of Yang excess. A slow-thin and difficult-rough pulse (Se Mai, Choppy Pulse) indicates visible Yin decline. Three beats per respiration, the pulse manifests across the three positions.
Heart Bowel: The rapid pulse (Shu Mai, Rapid Pulse) indicates Fu bowel diseases. If forceful, it indicates heat; if weak, it indicates sores/ulcers; a thin-rapid pulse indicates consumptive disease; a slippery-rapid pulse indicates Phlegm-Fire. A rapid pulse with intermittent stops is called Cu Mai (Hasty Pulse), indicating Yang excess. Six beats per respiration confirms the Rapid pulse without error.
Gallbladder and Liver: The string-taut pulse (Xian Mai, Wiry Pulse) indicates fluid retention. A string-taut-rapid pulse indicates heat; a string-taut-slow pulse indicates cold. A string-taut pulse at the Cun position indicates headache; at the Chi position, it indicates Kidney injury. A string-taut-tight pulse indicates cold-excess syndrome; a string-taut-thin pulse indicates extreme disease. The pulse for Heat Stroke (Shang Shu) presents as string-taut, thin, kun, or slow. Shaoyang Cold Damage presents as string-taut-rapid or string-taut-thin.
Four beats per respiration constitute the Huan Mai (Slow/Pleasant Pulse), indicating a healthy state. Intermittent stops constitute the Jie Mai (Knotted Pulse): superficial knotted indicates Qi stagnation; deep knotted indicates accumulation. The Dong Mai (Moving Pulse) feels like a bean and can be felt at all three positions; it indicates metrorrhagia, leukorrhea, seminal emission, pain, and fright. If the pulse moves then stops, taking a long time to resume, this is the Dai Mai (Intermittent Pulse). This condition concerns life and death; it is difficult to save normal people, but is auspicious for pregnant women.
The Eight Extraordinary Vessels run vertically up and down. Tight and straight indicates the Ren Mai (Conception Vessel); floating indicates the Du Mai (Governing Vessel); firm indicates the Chong Mai (Penetrating Vessel). Pulsation beating left and right at the Cun position indicates the Yang Qiao Mai (Yang Heel Vessel). Pulsation beating left and right at the Chi position indicates the Yin Qiao Mai (Yin Heel Vessel). Pulsation beating left and right at the Guan position indicates the Dai Mai (Girdle Vessel) in the center. Slanting upward from Chi to Cun on the outer side indicates the Yin Wei Mai (Yin Linking Vessel). Slanting upward from Chi to Cun on the inner side indicates the Yang Wei Mai (Yang Linking Vessel). Floating and straight indicates the Du Mai, associated with stiff spine and epilepsy. Firm and straight indicates the Chong Mai, associated with rebellious Qi affecting interior and exterior. Tight and straight indicates the Ren Mai, associated with the Seven Types of Hernia (Qi She) and firm masses. When Yang Qiao is tense, Yin is relaxed; when Yin Qiao is tense, Yang is relaxed. Symptoms include alternating chills and fever, mental confusion, convulsions, and epilepsy. Yang Wei Mai disorders present with chills and fever, dizziness, and sudden collapse. Yin Wei Mai disorders present with heart pain and stabbing sensations in the chest and hypochondrium. The Dai Mai governs leukorrhea, umbilical pain, and seminal emission.