迢迢自若指间长。倘带搏坚便失常。（长脉在春。乃肝脉也。软弱如揭长竿末稍。曰肝平。实而滑。如循长竿。曰肝
病。按长则气治。若应指搏坚。而不 弱。则气不治矣。）伤寒传变。阳明可评。（伤寒二三日脉长。目痛鼻干不得眠。
阳明病也。）左寸足疼舌卷缩。（经曰。寸口脉长曰足胫痛。按左寸心为阳。主血脉。长立有余之病。上余有则下不及。
血脉不通。故足肿痛。肾脉挟舌本。舌为心病。心火盛则水急。水急则舌本缩。而舌卷不能言矣。）右寸分明呕血伤。（肾
主唾。其脉入肺中。循喉咙。血随火升。故唾血。）关中少气髀如折。（长本肝脉。木邪克土。故脾虚中气不足。肢内曰
髀。胃脉之所下。胃虚故脾痛如折。又脾有邪。其气亦留于两髀。）尺则腰痛不可当。（火盛则水衰。腰为肾府。肾空则
腰痛。）
本位不能及。缩缩其形短。（短则气病。若秋时肺脉短涩。乃平脉也。）滑短酒伤浮短嗽。寸主头疼尺腹满。（短主不
及之病。酒伤与嗽。则气不及也。上不及。则头疼。下不及。则腹满也。）
（内经谓之小。）濡（同 。）弱（脉经以浮细为 。沉细为弱。岂细脉无浮二候。独于不浮不沉候之乎。而内经何
以有沉细之说也。且经曰。脉弱以滑。是有胃气。滑者流利如深之谓。若以沉细为弱。则沉细如经之中。不能见滑矣。
且脉经既以沉细为弱。而论肺痿。何以又有浮弱之言乎。今据内经。以弦脉 弱为肝之。平脉。则所谓 弱者。无力之
谓。不得以浮细为 。沉细为弱矣。况 弱所主之病。大概与细同。今附于此。）
直 如丝细。劳伤损血气。（细主气血两虚。）身汗来。心慌至。（浮细属阴虚。多盗汗。沉细属阳虚。多自汗。汗多
心虚故慌。）寸须呕吐关须胀。（脾胃虚寒。上则呕吐。下则腹满。）尺属骨蒸痢与痹。（骨蒸。久痢。皆属肾虚。故脉细。
痹为寒湿之阴邪。故脉亦细。）
迢迢自若指间长。倘带搏坚便失常。（长脉在春。乃肝脉也。软弱如揭长竿末稍。曰肝平。实而滑。如循长竿。曰肝病。按长则气治。若应指搏坚。而不弱。则气不治矣。）
在手指下感觉悠长自如，即为长脉。如果脉象带有搏动坚实的感觉，就属于异常。（长脉出现在春季，是肝脏的脉象。脉象软弱柔和，就像拿着长竹竿的末端一样，称为肝脏平和之脉；脉象充实而滑利，就像抚摸长竹竿一样，称为肝脏病变之脉。一般来说，长脉表示气机调畅，但如果脉象应指时搏动坚硬，而不柔和，则表示气机不调畅。）
伤寒传变。阳明可评。（伤寒二三日脉长。目痛鼻干不得眠。阳明病也。）
伤寒病发生传变时，可以通过脉象判断是否传入阳明经。（伤寒发病两三天后，出现长脉，伴有眼睛疼痛、鼻子干燥、无法入睡的症状，这是阳明病的表现。）
左寸足疼舌卷缩。（经曰。寸口脉长曰足胫痛。按左寸心为阳。主血脉。长立有余之病。上余有则下不及。血脉不通。故足肿痛。肾脉挟舌本。舌为心病。心火盛则水急。水急则舌本缩。而舌卷不能言矣。）
左手寸部脉长，提示足部疼痛和舌头卷曲缩短。（医经说：寸口脉长，说明足胫部疼痛。从脏腑归属来看，左手寸部对应心脏，心属阳，主宰血脉。长脉代表阳气有余的病证，上部有余则下部不足，导致血脉不通畅，所以出现足部肿胀疼痛。肾经脉络夹持舌根，舌头与心脏有关。心火旺盛会导致肾水亏虚急促，肾水亏虚则舌根收缩，从而出现舌头卷曲、不能说话的症状。）
右寸分明呕血伤。（肾主唾。其脉入肺中。循喉咙。血随火升。故唾血。）
右手寸部脉象清晰呈现长脉，提示呕吐血液或唾血损伤。（肾脏主管唾液，其经脉进入肺部，沿着喉咙上行。血液随着火势上升，所以会出现唾血的现象。）
关中少气髀如折。（长本肝脉。木邪克土。故脾虚中气不足。肢内曰髀。胃脉之所下。胃虚故脾痛如折。又脾有邪。其气亦留于两髀。）
关部和中部脉长，提示气短乏力，大腿内侧像折断一样疼痛。（长脉本是肝脏的脉象。肝木邪气克制脾土，导致脾气虚弱，中气不足。肢体内部称为“髀”，是胃经经脉下行经过的地方。因为胃气虚弱，所以脾脏疼痛感觉像折断一样。另外，脾脏如果有邪气，其病气也会停留在两侧的大腿部位。）
尺部脉长，提示腰部疼痛难以忍受。（心火旺盛则肾水衰退，腰部是肾脏的府邸。肾脏空虚就会导致腰痛。）
本位不能及。缩缩其形短。（短则气病。若秋时肺脉短涩。乃平脉也。）
脉气在本位（寸关尺）不能达到，形态收缩短小，即为短脉。（短脉表示气机病变。如果在秋季出现肺脉短而涩，那是正常的平和脉象。）
滑短酒伤浮短嗽。寸主头疼尺腹满。（短主不及之病。酒伤与嗽。则气不及也。上不及。则头疼。下不及。则腹满也。）
脉象滑而短提示饮酒过度损伤，脉象浮而短提示咳嗽。寸部短脉主要引起头痛，尺部短脉主要引起腹部胀满。（短脉主要主气机不足的病证。饮酒损伤和咳嗽，都是气机不足的表现。上部气机不足，就会头痛；下部气机不足，就会腹部胀满。）
（内经谓之小。）濡（同 。）弱（脉经以浮细为 。沉细为弱。岂细脉无浮二候。独于不浮不沉候之乎。而内经何以有沉细之说也。且经曰。脉弱以滑。是有胃气。滑者流利如深之谓。若以沉细为弱。则沉细如经之中。不能见滑矣。且脉经既以沉细为弱。而论肺痿。何以又有浮弱之言乎。今据内经。以弦脉 弱为肝之 平脉。则所谓 弱者。无力之谓。不得以浮细为 。沉细为弱矣。况 弱所主之病。大概与细同。今附于此。）
（《内经》称之为小脉。）濡脉（同“软”字）。弱脉（《脉经》将浮取细脉称为濡，沉取细脉称为弱。难道细脉没有浮取这一候吗？难道只在既不浮也不沉的位置去诊察吗？而且《内经》为什么会有沉细的说法呢？况且医经说：脉象弱而滑，说明有胃气。滑是指流利深沉的意思。如果把沉细当作弱脉，那么在沉细的脉象中，就无法见到滑象了。而且《脉经》既然把沉细当作弱脉，但在论述肺痿时，为什么又有浮弱的说法呢？现在依据《内经》，将弦而弱的脉象作为肝脏的平和脉象，那么所谓的“弱”，是指无力之意，不能把浮细当作濡，沉细当作弱了。何况濡弱所主的病证，大致与细脉相同。现在附记在这里。）
直如丝细。劳伤损血气。（细主气血两虚。）
脉象笔直如丝线般细微，多因劳累损伤导致气血亏损。（细脉主要主气血两虚。）
身汗来。心慌至。（浮细属阴虚。多盗汗。沉细属阳虚。多自汗。汗多心虚故慌。）
身体出汗，心慌随之而来。（浮取细脉属于阴虚，多见盗汗；沉取细脉属于阳虚，多见自汗。出汗过多导致心气虚弱，所以感到心慌。）
寸部脉细提示呕吐，关部脉细提示腹胀。（脾胃虚寒，向上则呕吐，向下则腹部胀满。）
The pulse feels long and leisurely under the fingers. If it carries a firm, beating quality, it deviates from normal. (A Long Pulse appears in spring and corresponds to the Liver Meridian. A soft and weak pulse, resembling the tip of a long bamboo pole held loosely, indicates a healthy Liver. A solid and slippery pulse, like stroking a rigid long pole, indicates Liver pathology. Generally, a Long Pulse signifies regulated Qi; however, if the pulse feels firm and hard upon pressure without softness, it indicates disordered Qi.)
When Shaoyang disease transmits, one can evaluate involvement of the Yangming stage. (If, two or three days after the onset of Cold Damage, a Long Pulse appears accompanied by eye pain, nasal dryness, and insomnia, this is Yangming disease.)
A Long Pulse at the Left Cun position suggests foot pain and tongue retraction. (The Classics state: "A Long Pulse at the Cun Kou indicates pain in the lower legs." Anatomically, the Left Cun corresponds to the Heart, which governs Yang and controls the blood vessels. A Long Pulse represents an excess condition. Excess above leads to deficiency below, causing obstruction in the blood vessels, resulting in swollen and painful feet. The Kidney meridian surrounds the root of the tongue, and the tongue is linked to the Heart. When Heart Fire is excessive, Kidney Water becomes depleted and agitated. This depletion causes the root of the tongue to retract, leading to tongue retraction and inability to speak.)
A distinct Long Pulse at the Right Cun position indicates injury from vomiting blood. (The Kidneys govern saliva. Their meridian enters the Lungs and follows the throat. Blood rises with the fire, leading to hemoptysis or spitting of blood.)
A Long Pulse at the Guan and Zhong positions indicates shortness of Qi and pain in the thighs as if broken. (The Long Pulse originally belongs to the Liver. Wood pathogen overacting on Earth leads to Spleen deficiency and insufficiency of Middle Qi. The inner part of the limb is called "Bi" (thigh), which is traversed by the Stomach meridian. Stomach deficiency causes Spleen pain feeling like a break. Furthermore, when the Spleen harbors pathogens, their Qi also remains in both thighs.)
A Long Pulse at the Chi position indicates unbearable lower back pain. (Excessive Fire leads to deficient Water. The waist is the mansion of the Kidneys. Kidney emptiness results in lower back pain.)
The pulse fails to reach its proper position, appearing contracted and short—this is a Short Pulse. (A Short Pulse indicates Qi pathology. However, a short and choppy Lung Pulse in autumn is considered a normal pulse.)
A Slippery-Short pulse indicates alcohol damage; a Floating-Short pulse indicates coughing. A Short Pulse at the Cun position primarily causes headache; at the Chi position, abdominal fullness. (The Short Pulse mainly indicates conditions of insufficiency. Alcohol damage and coughing reflect insufficient Qi. Insufficiency above causes headache; insufficiency below causes abdominal fullness.)
(Referred to as "Small" in the *Nei Jing*.) Ru (Soft) pulse (Same as "Ruan"). Ruo (Weak) pulse (*Mai Jing* defines Floating-Fine as Ru and Deep-Fine as Ruo. Does the Fine pulse lack a floating phase? Is it only examined where it is neither floating nor deep? Why does the *Nei Jing* mention deep-fine? Moreover, the Classics say: "A weak and slippery pulse indicates Stomach Qi." Slippery means flowing smoothly and deeply. If deep-fine were defined as weak, the slipperiness would not be visible within the deep-fine quality. Also, since *Mai Jing* defines deep-fine as weak, why does it mention floating-weak when discussing Lung Atrophy? Based on the *Nei Jing*, a string-taut and weak pulse is the healthy pulse for the Liver. Therefore, "weak" here refers to lack of force. One cannot define floating-fine as Ru and deep-fine as Ruo. Furthermore, diseases governed by Ru/Ruo are generally similar to those of the Fine pulse. This is appended here.)
Fine as a straight silk thread indicates damage to Blood and Qi from overwork. (The Fine Pulse mainly indicates dual deficiency of Qi and Blood.)
Sweating occurs, followed by palpitations. (Floating-Fine belongs to Yin deficiency, often presenting with night sweats. Deep-Fine belongs to Yang deficiency, often presenting with spontaneous sweating. Excessive sweating depletes Heart Qi, causing palpitations.)
Fine pulse at the Cun suggests vomiting; at the Guan, distension. (Spleen and Stomach deficiency-cold leads to vomiting upward and abdominal fullness downward.)
Fine pulse at the Chi indicates bone-steaming fever, chronic dysentery, and Bi syndrome. (Bone-steaming and chronic dysentery belong to Kidney deficiency, hence the Fine pulse. Bi syndrome is caused by cold-damp Yin pathogens, hence the Fine pulse as well.)