寸口脉动而弱,动则为惊,弱则为悸。趺阳脉微而浮,浮则胃气虚,微则不能食,此恐惧之脉,忧迫所作也。惊生
病者,其脉止而复来,其人目睛不转,不能呼气。
寸口脉紧,趺阳脉浮,胃气则虚。
寸口脉紧,寒之实也。寒在上焦,胸中必满而噫。胃气虚者,趺阳脉浮,少阳脉紧,心下必悸。何以言之?寒水相
抟,二气相争,是以悸。脉得诸涩濡弱,为亡血。
寸口脉弦而大,弦则为减,大则为芤。减则为寒,芤则为虚。寒虚相抟,此名为革。妇人则半产漏下,男子则亡血。
亡血家,不可攻其表,汗出则寒栗而振。
问曰∶病衄连日不止,其脉何类?师曰∶脉来轻轻在肌肉,尺中自溢(一云尺脉浮),目睛晕黄,衄必未止,晕黄去,
目睛慧了,知衄今止。
师曰∶从春至夏发衄者太阳,从秋至冬发衄者阳明。
寸口脉微弱,尺脉涩弱,则发热,涩为无血,其人必厥,微呕。夫厥,当眩不眩,而反头痛,痛为实,下虚上实必
衄也。太阳脉大而浮,必衄、吐血。病患面无血色,无寒热,脉沉弦者,衄也。衄家,不可发其汗,汗出必额上促急而
紧,直视而不能 不得眠。脉浮弱,手按之绝者,下血,烦咳者,必吐血。
寸口脉微而弱,气血俱虚,男子则吐血,女子则下血。呕吐、汗出者,为可。趺阳脉微而弱,春以胃气为本,吐利
者为可,不者,此为有水气,其腹必满,小便则难。病患身热,脉小绝者,吐血,若下血,妇人亡经,此为寒,脉迟者,
胸上有寒,悸气喜唾。脉有阴阳、趺阳、少阴脉皆微,其人不吐下,必亡血。脉沉为在里,荣卫内结,胸满,必吐血。
男子盛大,其脉阴阳微,趺阳亦微,独少阴浮大,必便血而失精。设言淋者,当小便不利。趺阳脉弦,必肠痔下血。病
人胸满,唇痿,舌青,口燥,其人但欲漱水,不欲咽,无寒热,脉微大来迟,腹不满,其人言我满,为有瘀血。当汗出
不出,内结亦为瘀血。病者如热状。烦满,口干燥而渴,其脉反无热,此为阴伏,是瘀血也,当下之。下血,先见血,
后见便,此近血也;先见便,后见血,此远血也。
寸口脉跳动且虚弱,跳动主惊证,虚弱主悸证。趺阳脉微弱而浮,浮表示胃气虚,微表示不能进食,这是恐惧的脉象,由忧思逼迫所致。惊病发作时,其脉搏停止后又复来,患者眼睛不转动,不能呼气。
寸口脉紧,是寒邪实证。寒邪在上焦,胸中必然胀满并嗳气。胃气虚者,趺阳脉浮,少阳脉紧,心下必然悸动。为什么这样说?因为寒与水相互搏结,二气相争,所以产生悸动。脉象呈现各种涩、濡、弱象,是失血的表现。
寸口脉弦而大,弦表示阳气减退,大表示中空如芤。减退表示有寒,中空表示虚。寒与虚相互搏结,这种脉象称为革脉。妇女患此则半产漏下,男子患此则失血。
问:鼻衄连续多日不止,其脉象如何?老师说:脉象轻取在肌肉层,尺部脉自溢(一说尺脉浮),眼球周围发黄晕,鼻衄必定未止;若黄晕消退,眼神清明,可知鼻衄已止。
老师说:从春季到夏季发生鼻衄的属太阳经,从秋季到冬季发生鼻衄的属阳明经。
寸口脉微弱,尺脉涩弱,则发热,涩表示无血,人必然四肢厥冷,轻微呕吐。凡厥证,应当眩晕却不眩晕,反而头痛,痛为实证,下虚上实必然导致鼻衄。太阳脉大而浮,必然出现鼻衄或吐血。病人面色无血色,无恶寒发热,脉沉弦的,是鼻衄。经常鼻衄的人,不可发汗,若发汗必致额头拘急紧绷,两眼直视而不能闭目,不得安眠。脉浮弱,手按之断绝的,是下部出血;伴有烦躁咳嗽的,必然吐血。
寸口脉微而弱,气血俱虚,男子则吐血,女子则下部出血。呕吐、出汗的,尚可。趺阳脉微而弱,以胃气为本,若出现吐利症状尚可,否则,这是有水气,腹部必然胀满,小便困难。病人身体发热,脉小至似无,吐血或下部出血,妇女月经断绝,这是寒证,脉迟的,胸上有寒,心悸气短喜唾。脉分阴阳,趺阳脉、少阴脉皆微,人不吐下,必然失血。脉沉表示病在里,营卫内结,胸中胀满,必然吐血。
男子脉象盛大,其阴阳脉微,趺阳脉亦微,唯独少阴脉浮大,必然便血且遗精。如果说淋证,应当小便不利。趺阳脉弦,必然肠痔下血。病人胸中胀满,嘴唇枯萎,舌色青紫,口干燥,只想含水漱口而不想咽下,无恶寒发热,脉微大来势迟缓,腹部并不胀满,但病人自述胀满,这是有瘀血。当汗出而未出的,内结也为瘀血。病人像有热状,烦闷,口干燥而渴,但其脉反无热象,这是阴分伏热,是瘀血,应当用下法治疗。便血,先见血后见大便,这是近血;先见大便后见血,这是远血。
The pulse at the Cun Kou (Inch Position) is moving and weak. "Moving" indicates Jing syndrome (startle disease), while "weak" indicates Ji syndrome (palpitation). The pulse at the Zu Yang (Foot-Yangming Position) is faint and floating. Floating indicates deficiency of Stomach Qi, while faint indicates inability to eat. This is the pulse of fear, caused by anxiety and pressure. When Jing illness occurs, the pulse stops and then returns; the patient's eyes do not move, and they cannot exhale.
The pulse at the Cun Kou is tight, and the pulse at the Zu Yang is floating, indicating deficiency of Stomach Qi.
A tight pulse at the Cun Kou indicates excess Cold. If Cold is in the Upper Jiao (Upper Burner), the chest will be full and accompanied by belching. In cases of Stomach Qi deficiency, the Zu Yang pulse is floating and the Shao Yang (Lesser Yang) pulse is tight, leading to palpitations in the epigastrium. Why? Because Cold and Water contend with each other, and these two energies struggle, resulting in palpitations. Pulses that are variously choppy (Se), soft (Ru), or weak (Ruo) indicate loss of Blood.
A pulse at the Cun Kou that is wiry (Xian) and large: Wiry indicates reduction (of Yang), and Large indicates hollow like a Scallion Stem (Kou). Reduction indicates Cold, and Hollow indicates deficiency. When Cold and deficiency contend, this is named Ge pulse (Leather pulse). In women, it leads to miscarriage and continuous bleeding; in men, it leads to blood loss.
Those who have lost blood should not be treated with exterior-releasing methods (sweating); if sweating is induced, chills and tremors will occur.
Question: What is the pulse pattern when nasal bleeding (Nu) continues for days without stopping? The Master said: If the pulse is light and felt in the muscle layer, and the Chi pulse overflows (or floats), and there is yellow haze around the eyes, the nasal bleeding has not stopped. Once the yellow haze disappears and the eyes become clear, one knows the nasal bleeding has ceased.
The Master said: Nasal bleeding occurring from Spring to Summer belongs to the Tai Yang (Greater Yang) channel; nasal bleeding occurring from Autumn to Winter belongs to the Yang Ming (Bright Yang) channel.
If the Cun Kou pulse is faint and weak, and the Chi pulse is choppy and weak, fever will occur. Choppy indicates lack of Blood, so the person will likely experience Jue syndrome (cold extremities) and slight vomiting. In Jue syndrome, dizziness is expected but absent; instead, headache occurs. Headache indicates excess; lower deficiency and upper excess inevitably lead to nasal bleeding. A Tai Yang pulse that is large and floating inevitably leads to nasal bleeding or hematemesis. A patient with a pale face, no aversion to cold or fever, and a deep, wiry pulse is suffering from nasal bleeding. Those prone to nasal bleeding should not be sweated; if sweating is induced, the forehead will feel tight and constricted, the eyes will stare fixedly without blinking, and sleep will be impossible. A floating and weak pulse that feels cut off upon pressure indicates lower body bleeding; if accompanied by irritability and coughing, hematemesis will surely follow.
If the Cun Kou pulse is faint and weak, indicating deficiency of both Qi and Blood, men will suffer from hematemesis, and women from lower body bleeding. Vomiting or sweating is permissible. If the Zu Yang pulse is faint and weak, since the Stomach Qi is fundamental in Spring, vomiting and diarrhea are permissible; otherwise, this indicates accumulation of Fluids, leading to abdominal fullness and difficult urination. If a patient has a hot body but a small or imperceptible pulse, and suffers from hematemesis or lower body bleeding, or if a woman experiences amenorrhea, this indicates Cold. If the pulse is slow, there is Cold in the upper chest, palpitations, and a tendency to salivate. Regarding pulses divided into Yin and Yang: if both the Zu Yang and Shao Yin pulses are faint, and the patient has not vomited or purged, blood loss must have occurred. A deep pulse indicates interior pathology, with Ying and Wei (Nutritive and Defensive Qi) knotted internally, causing chest fullness and inevitable hematemesis.
In men, if the general pulse is vigorous but the Yin and Yang pulses are faint, and the Zu Yang pulse is also faint, while only the Shao Yin pulse is floating and large, hematochezia and seminal emission will occur. If Lin syndrome (strangury) is mentioned, there should be difficulty in urination. A wiry Zu Yang pulse indicates hemorrhoids with lower body bleeding. If a patient has chest fullness, withered lips, a bluish tongue, dry mouth, desires to rinse water in the mouth but not swallow, has no aversion to cold or fever, and has a pulse that is slightly large, slow in arrival, and the abdomen is not actually distended though the patient claims fullness, this indicates Blood stasis. Failure to sweat when sweating is indicated, or internal knotting, also causes Blood stasis. If a patient appears to have heat symptoms, irritability, fullness, dry mouth, and thirst, but the pulse shows no signs of heat, this is Yin entrapment, indicating Blood stasis, which requires purgation. In rectal bleeding, if blood appears before stool, it is called Jin Xue (proximal bleeding); if stool appears before blood, it is called Yuan Xue (distal bleeding).