寸浮中风头热痛。
寸。阳部也。浮。阳脉也。风。阳气也。头。诸阳之会也。今两寸而见浮脉。故主
风热上攻头目也。
按脉经云。寸口浮。中风发热头痛。宜服桂枝汤。葛根汤。针风池风府。向
火灸身。摩治风膏。覆令取汗。又云。寸口脉浮而盛者。病在外。
关浮腹胀胃虚空。
熊氏曰。左关属肝。右关属脾。左关脉浮。主肝木生风。右关脉浮。主风不
胜土。故胃气虚空而胀满也。
按脉经云。关上浮腹痛心下满。又云。腹满不欲食。浮为虚满。宜服平胃
丸。茯苓汤。生姜前胡汤。针胃管。先泻后补之。又云。关上脉浮而大。风在
胃中。张口肩息。心下澹澹。食欲呕。
尺部见之风入肺。大肠干涩故难通。
尺脉见浮。主大肠干涩。而云风入肺者。何也。经云。阳明之上燥气主之。
中见太阴。夫手太阴肺也。手阳明大肠也。正以大肠之络络肺。肺之络
络大肠。大肠居少腹之中。尺所以候腹中者。浮为风。风既入肺。不传于
脏。而传于腑。故大肠干涩而难通也。张世贤释谓风不在于命门。而在
于肺大肠。所以干涩而难通。风在下焦。治之以七圣丸。方见后结脉条
内。
按脉经云。尺中浮。小便难。又云。尺脉浮下热风。小便难。宜服瞿麦汤。滑
石散。针横骨关元泻之。人云是脉浮。客热在下焦。
寸部脉浮,主中风病,症状为头部发热疼痛。
寸部属于阳的部位。浮脉属于阳脉。风邪属于阳气。头部是诸阳经汇聚之处。现在两寸部位出现浮脉,所以主治风热上攻头目。
根据《脉经》记载,寸口脉浮,表现为中风、发热、头痛,适宜服用桂枝汤、葛根汤,针刺风池穴和风府穴,面向火源熏灸身体,涂抹治疗风邪的药膏,覆盖身体使其出汗。又记载:寸口脉浮而盛大,表示病在体表。
关部脉浮,主腹胀,胃气空虚。
熊氏说:左关对应肝脏,右关对应脾脏。左关脉浮,主肝木生风;右关脉浮,主风邪不能克制脾土,导致胃气空虚而出现胀满。
根据《脉经》记载,关上脉浮,腹痛且心下(胃脘部)胀满;又记载:腹部胀满不想进食,浮脉代表虚性胀满,适宜服用平胃丸、茯苓汤、生姜前胡汤,针刺胃管穴,先泻后补。又记载:关上脉浮而大,风邪在胃中,张口呼吸,肩膀起伏(肩息),心下悸动不安,食欲减退且想呕吐。
尺部见到浮脉,是风邪入肺,大肠干涩所以难以通畅。
尺脉见浮,主大肠干涩,而说风邪入肺,为什么呢?经文说:阳明之上,燥气主之,中见太阴。手太阴肺经和手阳明大肠经,正因为大肠的络脉联络肺,肺的络脉联络大肠。大肠位于小腹之中,尺部所以用来候察腹中的情况。浮脉代表风邪,风邪既然入肺,不传于脏,而传于腑,所以大肠干涩而难以通畅。张世贤解释认为风邪不在于命门,而在于肺和大肠,所以导致干涩难通。风邪在下焦,用七圣丸治疗,方剂见后文结脉条内。
根据《脉经》记载,尺中脉浮,小便困难;又记载:尺脉浮,下焦有热风,小便困难,适宜服用瞿麦汤、滑石散,针刺横骨穴、关元穴进行泻法。有人说这是脉浮,客热在下焦。
The pulse at the Cun position is floating, indicating Wind-stroke (Zhongfeng), with symptoms of heat and pain in the head.
The Cun position belongs to the Yang aspect. The Floating pulse (Fu Mai) is a Yang pulse. Wind pathogen belongs to Yang Qi. The head is the convergence point of all Yang meridians. Now that a Floating pulse appears at both Cun positions, it indicates Wind-Heat attacking the head and eyes from above.
According to the *Mai Jing* (Pulse Classic), when the Kou position (Cunkou) pulse is Floating, it presents as Wind-stroke with fever and headache. It is appropriate to administer Guizhi Tang (Cinnamon Twig Decoction) and Gegen Tang (Kudzu Decoction), needle Fengchi (GB20) and Fengfu (GV16), warm-moxa the body facing fire, apply wind-treating ointment, and cover the patient to induce sweating. It also states: When the Kou position pulse is Floating and vigorous, the disease is in the exterior.
The pulse at the Guan position is Floating, indicating abdominal distension and deficiency of Stomach Qi.
Mr. Xiong said: The left Guan corresponds to the Liver, and the right Guan corresponds to the Spleen. A Floating pulse at the left Guan indicates Liver Wood generating Wind; a Floating pulse at the right Guan indicates that Wind fails to control Earth (Spleen/Stomach), leading to empty Stomach Qi and abdominal distension.
According to the *Mai Jing*, when the Guan position pulse is Floating, there is abdominal pain and fullness below the heart (epigastrium). It also states: Abdominal fullness with loss of appetite; a Floating pulse signifies false/fullness due to deficiency. It is appropriate to administer Pingwei Wan (Pingwei Pill), Fuling Tang (Poria Decoction), and Shengjiang Qianhu Tang (Fresh Ginger and Peucedanum Decoction), needle Weiguan (CV12) using the method of draining first and tonifying later. It also states: When the Guan position pulse is Floating and large, Wind is in the Stomach, manifesting as gasping with open mouth and shoulder movement (shoulder breathing), palpitations below the heart, decreased appetite, and nausea.
When the Chi position shows a Floating pulse, it indicates Wind entering the Lung, and dryness/astringency of the Large Intestine causing difficulty in passage.
A Floating pulse at the Chi position primarily indicates dryness and astringency of the Large Intestine. Why is it said that Wind enters the Lung? The classic states: Above the Yangming, Dryness Qi governs, and it internally connects with Taiyin. The Hand-Taiyin Lung Meridian and the Hand-Yangming Large Intestine Meridian are connected because the collaterals of the Large Intestine link to the Lung, and the collaterals of the Lung link to the Large Intestine. The Large Intestine resides in the lower abdomen, which is why the Chi position is used to inspect the interior of the abdomen. A Floating pulse represents Wind. Since Wind has entered the Lung but does not transmit to the Zang organs, it transmits to the Fu organs, resulting in dryness and astringency of the Large Intestine making passage difficult. Zhang Shixian explained that the Wind is not in the Mingmen (Gate of Life) but in the Lung and Large Intestine, thus causing dryness and difficulty in passage. With Wind in the Lower Jiao, treat with Qisheng Wan (Seven Sages Pill); the formula is found in the section on Knot Pulse later.
According to the *Mai Jing*, when the Zhong (middle/Chi) pulse is Floating, there is difficulty in urination. It also states: When the Chi pulse is Floating, there is Heat-Wind in the lower part, causing difficulty in urination. It is appropriate to administer Qumai Tang (Dianthus Decoction) and Huashi San (Talc Powder), needle Henggu (KI11) and Guanyuan (CV4) using the draining method. Some say this Floating pulse indicates Exogenous Heat in the Lower Jiao.