外此冲阳、太溪、太冲,皆足动脉。冲阳者,胃脉也。在足面上五寸骨间动脉上去陷谷三
寸。盖土者,万物之母。冲阳脉见不衰,胃气尚存,病虽危而犹可生也。然亦忌弦急,恐其肝旺克土耳。太
溪者,肾脉也,在足跗后两旁圆骨上动脉陷中。盖水者,天一之元,诊此不衰,尚可治也。太冲者,肝脉
也,在足大指本节后二寸陷中。肝为东方生物之始,不衰则病可治。然此三脉,止可诊此以定生死。若云
可推某病,则无是也。至于高章纲卑 损之脉,止是就其脉象而名。盖以高章纲为脉上行上浮满溢搏指。
卑损为脉下行下沉卑屑隐涩不振,仍是一阴一阳之意而别其名。至于太素一脉,古人传而不言,言而不
传,皆有义存。以其语涉荒唐,而不轻语以欺世耳。(今之江湖术士,多借此法取钱。)
若使诊心而见前曲后居,如操带钩,是为心死;诊肺而见如物浮水,如风吹毛,是为肺死;
诊肝而见急益劲如新张弓弦,是为肝死;诊脾而见锐坚如乌之喙,如鸟之距,如屋之漏,如水之流,是为脾
死;诊肾而见发如夺索,辟辟如弹石,是为肾死;与诊命门而见鱼翔虾游涌泉,是为命死;此五脏必死之脉
也。脉象如此。(诸脉形象止是。)
然究众脉而论,则浮与沉,一升一降之谓也;数与迟,一急一慢之谓也;疾则较数而更甚矣。滑
与涩,一通一滞之谓也;实与虚,一刚一柔之谓也。长与短,一盈一缩之谓也;大与小,一粗一嫩之谓也;细
则较小而愈极矣。紧与缓,一张一弛之谓也;革与牢,一空一实之谓也;动与伏,一出一处之谓也;洪与微,
一盛一衰之谓也;促与结,一阴一阳之谓也。至于弦与芤比,则脉之盛衰见矣;濡与弱比,则脉之进退见
矣;代与散比,则死之久暂卜矣。脉之对待如斯。(对待既明,则病阴阳表里虚实可知。)
除此之外,冲阳、太溪、太冲这三个穴位处的动脉,都是足部的动脉。冲阳穴是胃经的脉气所在。它位于足背上方五寸两骨之间的动脉处,距离陷谷穴三寸。土是万物的母亲(指脾胃属土,为后天之本)。如果冲阳脉象没有衰败,说明胃气尚存,即使病情危重,仍有生机。然而,此脉也忌讳出现弦急之象,因为担心肝木过旺克制脾土。太溪穴是肾经的脉气所在,位于足踝后方两侧圆骨上方的动脉凹陷中。水是天一之元(指肾属水,为先天之本),诊察此处脉象若不衰败,疾病尚可治疗。太冲穴是肝经的脉气所在,位于足大趾本节后二寸的凹陷中。肝属东方,是万物生发的开始,此处脉象不衰,则病可治。但是,这三处脉象,只能用来诊察以判断生死预后。如果说可以通过它们推断具体的某种疾病,那是不对的。至于高、章、纲、卑、损这些脉象名称,只是根据脉象形态而命名的。所谓“高、章、纲”,是指脉气上行、上浮、满溢且搏动有力触及手指;所谓“卑、损”,是指脉气下行、下沉、卑微细弱、隐涩不振。这仍然是一阴一阳的道理,只是名字不同罢了。至于《太素》一脉,古人传承下来却不详细说明,说明却不口传,其中都有深意存在。因为这种说法涉及荒诞不经的内容,所以不轻易说出来欺骗世人。(现在的江湖骗子,大多借此法骗取钱财。)
如果在诊察心脏时见到脉象前曲后居,像拿着带钩一样,这是心死脉;诊察肺脏时见到脉象像物体浮在水面,像风吹羽毛,这是肺死脉;诊察肝脏时见到脉象紧急强劲如同新拉开的弓弦,这是肝死脉;诊察脾脏时见到脉象锐利坚硬如同乌鸦的嘴,如同鸟的爪距,如同屋顶漏水滴答不断,如同水流不止,这是脾死脉;诊察肾脏时见到脉象如争夺绳索般紧束,或辟辟作响如同弹石,这是肾死脉;诊察命门时见到脉象如鱼翔浅底、虾游水中或涌泉般断续不定,这是命死脉;这些都是五脏必死的脉象。脉象就是这样的。(各种脉象的形象仅止于此。)
然而,探究众多脉象而言,浮脉与沉脉,是指一升一降的关系;数脉与迟脉,是指一急一慢的关系;疾脉则比数脉更加严重。滑脉与涩脉,是指一通一滞的关系;实脉与虚脉,是指一刚一柔的关系;长脉与短脉,是指一盈一缩的关系;大脉与小脉,是指一粗一嫩的关系;细脉则比小脉更为极端。紧脉与缓脉,是指一张一弛的关系;革脉与牢脉,是指一空一实的关系;动脉与伏脉,是指一出(浮出)一处(潜伏)的关系;洪脉与微脉,是指一盛一衰的关系;促脉与结脉,是指一阴一阳的关系。至于弦脉与芤脉相比,则可以看出脉气的盛衰;濡脉与弱脉相比,则可以看出脉气的进退;代脉与散脉相比,则可以占卜死亡的久暂。脉象的对待关系就是这样。(既然明白了对待关系,那么疾病的阴阳、表里、虚实就可以知道了。)
Apart from these, the arteries at Chongyang (ST42), Taixi (KI3), and Taichong (LR3) are all foot arteries. Chongyang is the pulse of the Stomach Meridian. It is located in the arterial depression between the bones on the dorsum of the foot, five cun above, three cun away from Xiangu (ST43). Earth serves as the mother of all things (referring to the Spleen/Stomach belonging to Earth, the foundation of acquired constitution). If the pulse at Chongyang does not appear weak, it indicates that Stomach Qi is still present; even if the illness is critical, there is still hope for survival. However, a wiry and rapid pulse is also contraindicated here, as it suggests Liver Wood overacting on Spleen Earth. Taixi is the pulse of the Kidney Meridian, located in the arterial depression behind and on both sides of the medial malleolus. Water is the origin of Tianyi (referring to the Kidney belonging to Water, the foundation of congenital constitution); if the pulse at this location does not weaken, the disease is treatable. Taichong is the pulse of the Liver Meridian, located two cun posterior to the base of the great toe in the depression. The Liver belongs to the East and represents the beginning of biological generation; if the pulse here does not weaken, the disease is treatable. Nevertheless, these three pulses can only be used to diagnose life and death prognosis. It is incorrect to claim that they can be used to deduce specific diseases. As for the pulse images named Gao (High), Zhang (Grand), Gang (Firm), Bei (Low), and Sun (Deficient), these names are derived solely from their morphological characteristics. "Gao," "Zhang," and "Gang" refer to pulses that ascend, float superficially, overflow, and beat forcefully against the fingers. "Bei" and "Sun" refer to pulses that descend, sink deeply, are humble and thin, hidden and choppy, and lack vigor. These still embody the principle of Yin and Yang, differing only in name. Regarding the "Tai Su" pulse, ancient texts transmitted it without explaining it fully, or mentioned it without passing down the details, implying that profound meanings exist within. Because such descriptions involve absurdity, they were not lightly disclosed to deceive the world. (Modern quacks often use this method to extort money.)
If, upon palpating the Heart, the pulse appears curved at the front and stationary at the back, resembling holding a hooked belt, this is the pulse of Heart death. If, upon palpating the Lungs, the pulse floats like an object on water or blows like wind through feathers, this is the pulse of Lung death. If, upon palpating the Liver, the pulse becomes urgent and strong like a newly strung bowstring, this is the pulse of Liver death. If, upon palpating the Spleen, the pulse is sharp and hard like a crow's beak or a bird's spur, intermittent like a leaking roof, or continuous like flowing water, this is the pulse of Spleen death. If, upon palpating the Kidneys, the pulse feels like pulling a rope or sounds crackling like striking stones, this is the pulse of Kidney death. If, upon palpating the Mingmen (Gate of Life), the pulse resembles a fish swimming shallowly, a shrimp darting, or a gushing spring (intermittent and erratic), this is the pulse of Life death. These are the fatal pulses of the Five Zang organs. Such are the appearances of these pulses. (The images of various pulses end here.)
However, examining the multitude of pulses, Fu (Floating) and Chen (Sinking) represent ascending and descending, respectively. Shu (Rapid) and Chi (Slow) represent urgency and slowness, respectively; Ji (Hasty) is more severe than Shu. Hua (Slippery) and Se (Choppy) represent unobstructed flow and stagnation, respectively. Shi (Excess) and Xu (Deficiency) represent firmness and softness, respectively. Chang (Long) and Duan (Short) represent fullness and contraction, respectively. Da (Large) and Xiao (Small) represent coarse and delicate qualities, respectively; Xi (Thready) is more extreme than Xiao. Jin (Tight) and Huan (Relaxed) represent tension and relaxation, respectively. Ge (Leather) and Lao (Wiry and Firm) represent emptiness and solidity, respectively. Dong (Moving) and Fu (Deep/Hidden) represent emerging and hiding, respectively. Hong (Surging) and Wei (Minute) represent abundance and decline, respectively. Cu (Crisis/Irregular) and Jie (Knotted) represent Yin and Yang dynamics. Comparing Xian (Wiry) with Kou (Hollow) reveals the abundance or decline of the pulse; comparing Ru (Soft) with Ruo (Weak) reveals the advancement or retreat of the pulse; comparing Dai (Intermittent) with San (Scattered) allows one to predict the duration until death. This is how pulses correspond to each other. (Once the correspondence is understood, the Yin-Yang, Exterior-Interior, Excess-Deficiency of the disease can be known.)