(仲景伤寒论曰。数脉见于关上。上下无头尾。如豆大。厥厥摇动者。名曰动。愚按两上字。其一乃浚人误添者。
当是数厥见于关上、下。经曰。女子手少阴脉动甚者。妊子也。手少阴属心。是寸者动脉矣。又曰。阴虚阳搏谓之崩。
肾之阴虚。阳搏之故。见崩症是尺有动脉矣。王叔和着脉经。不知两上字。其一乃衍字。因曰动脉见于关上。遂令谈之
论脉者。皆曰动脉。只见于阙。与经不合矣。)
动脉如豆形。数而厥厥动。阳动出汗兮。惊痛堪忧。(成无己曰。阴阳相搏。则虚者动。按阴搏阳则阳虚。阳虚故出
汗。经谓肝主惊。阳明主惊。按胆附于肝。肝气强者胆大。肝气弱者胆小。胆小当有畏惧之心。故易惊。此惊之生于内
者也。阳明属土。土性静。故闻木声惕然而惊。此惊之生于外者也。由是观之。则自惊者属肝。物触而惊者属阳明。然
而惊则皆归于心也。阴阳相搏。阴邪胜故痛。)阴动发热兮。血崩为重。(阳搏阴。则阴虚。阴虚故发热。阳邪盛。迫血
妄行。故崩。)
尺脉滑疾。心脉动来。三部浮沉脉正等。五十不止确为胎。疾而按散兮。其胎三月。但疾不散兮。五月可猜。沉则
为男浮则女。阴阳推测贵三才。(女子以血旺为本。尺脉当滑。然滑属血。阴也。痰属气。阳也。滑而疾。是阳之交阴也。
女子心脉当沉。今阴阳相搏。而其脉动。是阴之交阳也。阴阳相交。而三部之脉。无偏浮偏沉。五十不正。无或结或促。
其为胎也明矣。三月之胎。其形未实。故其脉按近而散。五月之胎。其形渐实。故其脉按之不散。而其疾如故者。蛊疾
为阳气。万物得天地之阳。气以生成。阴必得母之阳气以长养也。沉阴脉。何以反为努浮阳脉。何以反为女。盖男胎得
阳气多。胎得阳气多。则母之阳不足阴有余矣。阴有余阳不足。故其脉沉。女胎得阴气多。胎滑阴气多。则母之阴不足。
阳有余矣。阳有余。阴不足。故其脉浮。亦犹故为男。阴多于阳。且阴外而阳内也。虽为女。阳多于阴。且阳外而阴内
也。疾与滑。何以不主病。盖疾而不滑。则为阴虚火盛。滑而痰。则非病矣。尺既滑而疾。则寸之动。母非病矣。脉经
辨男女法。左手沉实为男。右手浮大为女。左右手俱沉实。生二男。俱浮大生二女。又左尺脉偏大为男。右尺脉偏大为
女。左右俱大生二子。)
(张仲景在《伤寒论》中说:数脉出现在关部,上下没有头尾,像豆粒那么大,动摇不定的,叫做动脉。我认为原文中两个“上”字,其中一个是后人误加的。应当是“数厥见于关上、下”。经典记载:女子手少阴脉跳动明显的,是怀孕了。手少阴经属于心,所以寸口处的动脉就是此象。又说:阴虚而阳脉搏击有力称为崩漏。这是肾之阴虚,因阳邪搏击的缘故,出现崩漏症状,说明尺部有动脉了。王叔和撰写《脉经》时,不知道那两个“上”字中有一个是衍文,因此说动脉只见于关部,于是让谈论脉理的人都说动脉只见于关部,这与经典不符。)
动脉形状如豆粒,脉率快且动摇不定。阳气发动则出汗,令人担忧惊悸疼痛。(成无己说:阴阳相互搏结,虚的一方就会动。按阴搏阳则导致阳虚,阳虚故而出汗。经典认为肝主惊,阳明经也主惊。胆附于肝,肝气强则胆大,肝气弱则胆小。胆小的人当有畏惧之心,所以容易受惊,这是由内而生的惊。阳明属土,土性安静,所以听到木声会惕然而惊,这是由外而生的惊。由此看来,自己无故受惊的属于肝,被事物触动而惊的属于阳明。然而惊最终都归于心。阴阳相互搏结,阴邪胜则痛。)阴气发动则发热,血崩为重症。(阳搏阴,则导致阴虚,阴虚故发热。阳邪盛,迫血妄行,所以发生崩漏。)
尺脉滑利快速,心脉跳动明显。三部脉浮沉力度相等,脉搏连续五十次不歇息,确认为怀孕。脉疾速但按之散漫的,胎儿约三个月;仅脉疾速而不散漫的,可推测为五个月。脉沉多为男胎,脉浮多为女胎,通过阴阳推测要参考天地人三才之道。(女子以血旺为本,尺脉应当滑利。然而滑脉属于血,属阴;痰湿属于气,属阳。滑而疾速,是阳与阴相交。女子的心脉应当沉,现在阴阳相搏,脉象跳动,是阴与阳相交。阴阳相交,使得三部脉没有偏浮或偏沉,五十次搏动规律正常,没有结脉或促脉,这显然是怀孕。三个月的胎儿,形体尚未坚实,所以脉象按之近而散漫。五个月的胎儿,形体逐渐坚实,所以脉象按之不散漫,且疾速依旧。疾脉代表阳气,万物得到天地的阳气,依靠气来生成,阴必得母体的阳气才能长养。为什么沉阴脉反而主男,浮阳脉反而主女?大概男胎得到的阳气多,母体阳气不足而阴有余。阴有余阳不足,所以脉沉。女胎得到的阴气多,母体阴不足而阳有余。阳有余阴不足,所以脉浮。这也如同生男时,阴多于阳,且阴在外阳在内;生女时,阳多于阴,且阳在外阴在内。为什么疾脉和滑脉不主病呢?盖因为疾而不滑,则是阴虚火盛;滑而有痰,则不是病。既然尺脉既滑又疾,那么寸口的动象,母亲并非有病。《脉经》辨别男女的方法:左手脉沉实为生男,右手脉浮大为生女。左右手脉都沉实,生两个男孩;都浮大,生两个女孩。又左尺脉偏大为男,右尺脉偏大为女,左右尺脉都大,生两个儿子。)
(Zhang Zhongjing stated in the *Shanghan Lun* (Treatise on Cold Damage): "When a rapid pulse (Shu Mai, 数脉) appears at the Guan position, without head or tail above and below, resembling the size of a bean and trembling, it is named Dong Mai (Moving Pulse, 动脉). I observe that among the two 'shang' (upper) characters in the original text, one was erroneously added by later editors. It should read 'Shu Jue appears at the Guan and Xia positions.' The classics state: 'If the Hand Shaoyin pulse moves significantly in women, she is pregnant.' The Hand Shaoyin channel belongs to the Heart; thus, the Moving Pulse at the Cun position indicates this. It also states: 'Yin deficiency with Yang pounding is called Beng (Metrorrhagia/Metrostaxis).' This is due to Kidney Yin deficiency caused by Yang pounding; the appearance of Beng symptoms indicates a Moving Pulse at the Chi position. Wang Shuhe, in compiling the *Mai Jing* (Pulse Classic), did not realize that one of the two 'shang' characters was a redundant character, and therefore stated that the Moving Pulse appears only at the Guan position. Consequently, those discussing pulses have all claimed that the Moving Pulse is found only at the Guan position, which contradicts the classics.)
The Moving Pulse resembles a bean, rapid and trembling. When Yang moves, sweating occurs; anxiety and pain are causes for concern. (Cheng Wuji said: "When Yin and Yang contend, the deficient side moves." Analyzing, if Yin pounds Yang, Yang becomes deficient; due to Yang deficiency, sweating occurs. The classics state that the Liver governs fright, and the Yangming channel also governs fright. The Gallbladder attaches to the Liver; strong Liver Qi results in a brave Gallbladder, while weak Liver Qi results in a timid Gallbladder. A timid person harbors fear, hence easily startled; this is fright generated from within. Yangming belongs to Earth, and Earth's nature is quiet; thus, hearing the sound of Wood causes sudden alarm; this is fright generated from without. From this perspective, spontaneous fright belongs to the Liver, while being startled by external objects belongs to Yangming. However, all fright ultimately returns to the Heart. When Yin and Yang contend, if Yin pathogen prevails, pain occurs.) When Yin moves, fever occurs; severe blood loss (Beng) is a heavy condition. (Yang pounding Yin leads to Yin deficiency; due to Yin deficiency, fever occurs. If Yang pathogen is excessive, it forces blood to move recklessly, causing Beng.)
The Chi pulse is slippery and rapid, and the Xin (Heart) pulse moves. If the floating and sinking qualities of the three positions (Cun, Guan, Chi) are equal, and the pulse beats fifty times without interruption, pregnancy is confirmed. If the pulse is rapid but disperses upon pressure, the fetus is approximately three months old; if the pulse is rapid but does not disperse, it can be estimated as five months. A deep pulse suggests a male fetus, while a floating pulse suggests a female fetus; inferring through Yin and Yang requires reference to the Three Powers (Heaven, Earth, Human). (Women take abundant blood as their foundation, so the Chi pulse should be slippery. Slippery pulse belongs to Blood, which is Yin; phlegm-dampness belongs to Qi, which is Yang. Slippery and rapid indicates the interaction of Yang and Yin. The Heart pulse in women should be deep; now, due to the contention of Yin and Yang, the pulse moves, indicating the interaction of Yin and Yang. With Yin and Yang interacting, the three pulse positions show no bias toward floating or sinking, beat regularly fifty times without Knotted (Jie) or Cursory (Cu) interruptions, clearly indicating pregnancy. At three months, the fetus's form is not yet solid, so the pulse feels near and disperses upon pressure. At five months, the form gradually solidifies, so the pulse does not disperse upon pressure, yet remains rapid. The Rapid pulse represents Yang Qi; all things generate through Heaven and Earth's Yang Qi, and Yin must receive the mother's Yang Qi to grow. Why does the Deep Yin pulse indicate a male, and the Floating Yang pulse indicate a female? Generally, a male fetus receives more Yang Qi, leaving the mother with insufficient Yang and excess Yin. Excess Yin and insufficient Yang result in a deep pulse. A female fetus receives more Yin Qi, leaving the mother with insufficient Yin and excess Yang. Excess Yang and insufficient Yin result in a floating pulse. This is similar to how, when bearing a boy, Yin exceeds Yang and Yin is exterior while Yang is interior; when bearing a girl, Yang exceeds Yin and Yang is exterior while Yin is interior. Why do Rapid and Slippery pulses not indicate disease? Because if it is Rapid but not Slippery, it indicates Yin deficiency with Fire hyperactivity; if it is Slippery with Phlegm, it is not a disease. Since the Chi pulse is both Slippery and Rapid, the Moving Pulse at the Cun position indicates the mother is not diseased. The method in the *Mai Jing* to distinguish gender: Left hand Deep and Solid indicates a boy; Right hand Floating and Large indicates a girl. Both hands Deep and Solid indicate twin boys; both hands Floating and Large indicate twin girls. Additionally, an enlarged Left Chi pulse indicates a boy, an enlarged Right Chi pulse indicates a girl, and both Chi pulses enlarged indicate twin sons.)