缓脉关前搐项筋。
缓脉主湿。经曰。诸痉项强。皆属于湿。关前寸部也。寸主头项之事。寸部
而见缓脉。乃湿气客于足太阳之经。而项筋为之搐强矣。
按脉经云。寸口脉缓。皮肤不仁。风寒在肌肉。宜服防风汤以药薄熨之。
摩以风膏。灸诸治风穴。
当关气结腹难伸。
脾主中州。中州治则阴阳升降。上下宣通。而气无结滞之患。今缓脉见
于关中。乃阴邪湿气。结塞中州。清者不得上升。浊者不得下降。而腹难
以舒伸也。
按脉经云。关脉缓。其人不欲食。此胃气不调。脾气不足。宜服平胃丸补
肺汤。针章门补之。
尺上若逢 结冷。夜间常梦鬼随人。
尺上若逢缓脉。则为冷气结于下焦。而为 瘕之疾。何也。夫尺。阴位也。
缓。阴脉也。冷。阴气也。夜间。阴盛之时也。常梦鬼随人者。群阴合。而从其
类也。
按脉经云。尺脉缓。脚弱下肿。小便难。有余沥。宜服滑石汤。瞿麦散。针横
骨泻之。
四涩者阴也。指下寻之似有。举之全无。前虚后实。无复攻序曰涩。主腹痛。
女子有孕。胎痛。无孕败血为病。
涩者。阴金也。何为阴金。夫沉。阴也。涩为阴为里。当于沉中候。故指法曰。
寻之似有。重手取之而似有。亦不若他。脉之往来分明也。举之全无。谓
浮取则不得也。举之全无。则前虚矣。寻之似有。则后实矣。脉经谓其往
来难短且散。即前虚后实之谓也。无复次序者。即参伍不调。如雨沾沙
之谓也。夫脉者。血之府也。犹沟渠之水。水多则滑。水少则涩。血盛则脉
滑。血虚则脉涩。腹痛者。血虚而作腹痛也。血所以养胎者也。若有孕而
见涩脉。则为血虚。胎失其养而痛矣。若无孕而见涩脉。则为伤精败血
之证。夫涩属金。为气多血少。即下文所云血衰气旺定无妊。血旺气衰
应有体也。
按脉经云。涩脉细而迟。往来难且散。或一止复来。一曰浮而短。一曰短
而止。或曰散也。丹溪心法曰。涩为血虚。为有郁。
缓脉在寸部出现时，会导致颈项部的筋脉抽搐僵硬。
缓脉主湿邪。医经中说：“各种痉病、颈项强直的症状，都归属于湿邪。”这里的“关前”指的是寸部。寸部主要反映头颈部的问题。如果在寸部见到缓脉，说明湿气侵袭了足太阳膀胱经，从而导致颈项部的筋脉抽搐僵硬。
《脉经》记载：寸口脉呈现缓象，皮肤感觉麻木不仁，这是风寒之邪停留在肌肉之间。适宜服用防风汤，并用药渣热敷熨烫患处。再涂抹风膏按摩，并灸治各种治疗风邪的穴位。
缓脉出现在关部时，会导致气机郁结，腹部难以舒展伸展。
脾脏主管中焦（中州）。中焦的功能正常，则阴阳之气升降有序，上下宣通，就不会有气机郁结停滞的病患。现在缓脉出现在关部，说明阴邪湿气结塞在中焦，导致清气不能上升，浊气不能下降，从而使得腹部难以舒展开来。
《脉经》记载：关脉呈现缓象，患者不想进食，这是胃气不调、脾气不足的表现。适宜服用平胃丸和补肺汤，针刺章门穴并进行补法操作。
尺部如果遇到缓脉，会出现冷结症状，夜间常常梦见鬼怪跟随自己。
尺部如果遇到缓脉，说明冷气结聚在下焦，形成瘕积类的疾病。为什么呢？尺部属于阴位，缓脉属于阴脉，冷属于阴气，夜间是阴气旺盛的时候。经常梦见鬼怪跟随人，是因为群阴相合，同类相聚的缘故。
《脉经》记载：尺脉呈现缓象，脚部软弱无力，下肢浮肿，小便困难，排尿后有余沥不尽的感觉。适宜服用滑石汤和瞿麦散，针刺横骨穴进行泻法操作。
涩脉属于阴脉。手指下仔细寻按感觉似乎有脉动，轻轻抬起手指却完全感觉不到。脉象表现为前虚后实，没有规律次序，称为涩脉。涩脉主腹痛。女子怀孕时见涩脉，会有胎痛；未怀孕时见涩脉，则是败血为病的证候。
涩脉对应五行中的阴金。什么是阴金？沉脉属阴，涩脉也属阴、属里，应当在沉取时诊察。所以指法说：仔细寻按时似乎有脉动，重手按压时感觉似乎有脉，但不像其他脉那样往来分明。轻取（举）时完全感觉不到，说明浮取不得，这就是“前虚”。仔细寻按（寻）时似乎有脉，这就是“后实”。《脉经》说它往来艰难、短促且散乱，就是指前虚后实的含义。“无复次序”，就是参差不齐不调匀，就像雨水沾湿沙子一样。脉是血液的府库，就像沟渠里的水，水多则流畅，水少则滞涩。血液盛则脉滑，血液虚则脉涩。腹痛是由于血虚引起的。血液是用来滋养胎儿的。如果怀孕时见到涩脉，说明血虚，胎儿失去滋养而疼痛。如果没有怀孕而见到涩脉，则是伤精败血的证候。涩脉属金，代表气多血少，即下文所说的“血衰气旺定无妊，血旺气衰应有体”。
《脉经》记载：涩脉细而迟，往来艰难且散乱，或者有时停止后又恢复跳动。有的说是浮而短，有的说是短而止，有的说是散脉。丹溪心法说：涩脉主血虚，主气机郁滞。
When the Huan (Moderate/Slack) pulse is found at the Cun (Inch) position, it causes twitching and stiffness of the tendons in the neck.
The Huan pulse indicates Dampness. The Classics state: "All spasmodic conditions and neck stiffness belong to Dampness." Here, "before the Guan (Carpal)" refers to the Cun position. The Cun position primarily reflects issues of the head and neck. If a Huan pulse is observed at the Cun position, it signifies that Dampness has invaded the Foot-Taiyang Bladder Meridian, causing twitching and stiffness of the neck tendons.
The *Mai Jing* (Pulse Classic) records: "If the Cun Kou pulse is Huan, the skin feels numb; this is Wind-Cold residing in the muscles. It is appropriate to administer Fangfeng Tang (Saposhnikovia Decoction), apply hot compresses with medicinal dregs, massage with Feng Gao (Wind Ointment), and moxa various acupoints for treating Wind."
When the Huan pulse appears at the Guan position, it leads to Qi stagnation and difficulty in extending or stretching the abdomen.
The Spleen governs the Middle Jiao (Central Region). When the function of the Middle Jiao is normal, Yin and Yang Qi ascend and descend in order, and the upper and lower parts communicate freely, preventing Qi stagnation. Now, if a Huan pulse appears at the Guan position, it indicates that Yin pathogenic Dampness is obstructing the Middle Jiao. Clear Qi cannot ascend, and turbid Qi cannot descend, resulting in abdominal discomfort and inability to stretch.
The *Mai Jing* records: "If the Guan pulse is Huan, the patient lacks appetite. This is due to disharmony of Stomach Qi and insufficiency of Spleen Qi. It is appropriate to administer Pingwei Wan (Stomach-Pacifying Pill) and Bufeitang (Lung-Supplementing Decoction), and needle Zhangmen (LR13) with the tonification method."
If a Huan pulse is encountered at the Chi (Cubit) position, cold stagnation occurs, and one often dreams of ghosts following them during the night.
If a Huan pulse is found at the Chi position, it means Cold Qi is stagnating in the Lower Jiao, leading to Jian (abdominal masses) disorders. Why? The Chi position belongs to Yin, the Huan pulse is a Yin pulse, Cold is Yin Qi, and nighttime is when Yin Qi is abundant. Dreaming of ghosts following people occurs because multiple Yins combine and gather by their kind.
The *Mai Jing* records: "If the Chi pulse is Huan, the legs are weak, there is edema in the lower limbs, difficult urination, and dribbling after voiding. It is appropriate to administer Shihui Tang (Talcus Decoction) and Qumai San (Knotweed Powder), and needle Henggu (KI11) with the sedation method."
Se pulses are Yin. Upon careful searching with the fingers, they seem present; upon lifting the fingers lightly, they disappear completely. They appear deficient anteriorly and solid posteriorly, lacking regular sequence, and are called Se (Choppy) pulses. The Se pulse governs abdominal pain. In pregnant women, a Se pulse indicates fetal pain; in non-pregnant women, it indicates disease caused by damaged blood.
The Se pulse corresponds to Yin Metal in the Five Elements. What is Yin Metal? Chen (Deep) pulses are Yin; Se pulses are also Yin and interior, so they should be assessed during deep palpation. Thus, the finger technique states: "Searching reveals a semblance of presence." Heavy pressure feels as if the pulse is there, but unlike other pulses, its movement is not distinct. Lifting (light pressure) yields nothing, meaning superficial palpation fails; this is "anterior deficiency." Searching (medium/deep pressure) reveals a semblance of presence; this is "posterior solidity." The *Mai Jing* describes it as "difficult to move, short, and scattered," which refers to anterior deficiency and posterior solidity. "No regular sequence" means irregularity, like rain soaking into sand. The pulse is the residence of Blood, like water in a ditch. Abundant water flows smoothly; scarce water is sluggish. Abundant Blood makes the pulse Slippery; deficient Blood makes the pulse Choppy. Abdominal pain arises from Blood deficiency. Blood nourishes the fetus. If a Se pulse appears during pregnancy, it indicates Blood deficiency, causing fetal pain due to lack of nourishment. If a Se pulse appears without pregnancy, it indicates injury to Essence and damaged Blood. The Se pulse belongs to Metal, representing excessive Qi and deficient Blood, as stated later: "Deficient Blood and Excess Qi ensure no conception; Abundant Blood and Deficient Qi indicate pregnancy."
The *Mai Jing* records: "The Se pulse is fine and slow, difficult to move and scattered, or stops intermittently. Some say it is floating and short; some say short and stopping; some call it Scattered." Danxi Xinfa states: "The Se pulse indicates Blood deficiency and Qi stagnation."