（以轻重分脏腑）
左寸。心小肠脉所出。
重按至血脉。浮大而散者。心脉也。属脏。或谓浮涩而短。轻按至皮毛。浮滑而长者。小肠脉也。
属腑。
左关。肝、胆脉所出。
重按至筋骨。沉短而弦急者。肝脉也。属脏。轻按至皮毛。弦紧而浮长者。胆脉也。属腑。
左尺。肾、膀胱脉所出。
重按至筋骨。沉而迟者。肾脉也。属脏。轻按至皮毛。沉实而稍疾者。膀胱脉也。属腑。
右寸。肺、大肠脉所出。
微重按于皮肉。浮短而涩者。肺脉也。属脏。轻按至皮毛。浮短而疾者。大肠脉也。属腑。
右关。脾、胃脉所出。
重按至肌肉。缓而迟者。脾脉也。属脏。轻按至皮毛。微缓而稍疾者。胃脉也。属腑。
右尺。命门、三焦脉所出。
重按至筋骨。沉实而疾者。命门脉也。属脏。轻按至皮毛。沉实而稍疾者。三焦也。属腑。
机按。命门三焦。配合右尺。刊误辩之详矣。兹不复赘。但此与刊误。并以轻重而分诊脏腑
之脉。不知何所据也。意者脏属阴主沉。腑属阳主浮。故以义取轻重为诊式耶。他本又谓内以候脏。
外以候腑。其义亦犹此也。然考之脉经。及素难诸书。只论五脏之脉。于六腑之脉。虽言之而不详。六腑病脉。
虽间或言之。诊法轻重亦未之及。盖谓脏脉可以兼腑欤。抑谓能知脏脉。而腑脉无劳诊欤。或病在
六腑为轻。而脉无要紧耶。愚皆莫解其意也。且所论五脏脉状。及六腑脉状。与下编大不相侔。亦
不知其何所本也。故着之以俟明者。
左寸部。是心和手太阳小肠经脉气发出的部位。
重按至血脉层次。脉象浮大而散的，是心脉。属于脏。有人说是浮涩而短。轻按至皮毛层次。脉象浮滑而长的，是小肠脉。
属于腑。
左关部。是肝和足少阳胆经脉气发出的部位。
重按至筋骨层次。脉象沉短而弦急的，是肝脉。属于脏。轻按至皮毛层次。脉象弦紧而浮长的，是胆脉。
属于腑。
左尺部。是肾和足太阳膀胱经脉气发出的部位。
重按至筋骨层次。脉象沉而迟缓的，是肾脉。属于脏。轻按至皮毛层次。脉象沉实而稍快的，是膀胱脉。
属于腑。
右寸部。是肺和大肠经脉气发出的部位。
微重按于皮肉之间。脉象浮短而涩的，是肺脉。属于脏。轻按至皮毛层次。脉象浮短而快的，是大肠脉。
属于腑。
右关部。是脾和足阳明胃经脉气发出的部位。
重按至肌肉层次。脉象缓而迟缓的，是脾脉。属于脏。轻按至皮毛层次。脉象微缓而稍快的，是胃脉。
属于腑。
右尺部。是命门和三焦经脉气发出的部位。
重按至筋骨层次。脉象沉实而快的，是命门脉。属于脏。轻按至皮毛层次。脉象沉实而稍快的，是三焦脉。
属于腑。
作者机按语：命门和三焦配合右尺部进行诊察，在《刊误》中已经辨析得很详细了。这里不再赘述。只是这种通过按压轻重来分别诊断脏腑脉象的方法，不知道依据是什么。猜想可能是脏属阴主沉，腑属阳主浮，所以根据义理取法轻重作为诊断模式呢？其他版本又说内以候脏，外以候腑，其义理也与此类似。然而考证《脉经》及《素问》、《难经》等书籍，只论述五脏的脉象，对于六腑的脉象，虽然提及但不详尽。六腑的病脉，虽然偶尔有所提及，但关于诊法中按压轻重的内容也未涉及。大概是认为脏脉可以兼候腑脉吗？还是说能知晓脏脉，就不必劳烦诊察腑脉了呢？或者是病在六腑较轻，而脉象没有要紧的变化呢？我都无法理解其中的意旨。况且所论述的五脏脉状，以及六腑脉状，与下编的内容大不相同，也不知道其本源在哪里。所以记录下来以等待明白的人指正。
(Distinguishing Zang and Fu organ pulses by the depth of pressure)
Left Cun (Cun position on the left wrist). The site where the Heart and Small Intestine meridians' Qi emerge.
Pressing heavily to the level of the blood vessels: a pulse that is floating, large, and scattered is the Heart pulse. It belongs to the Zang organs. Some say it is floating, choppy, and short. Pressing lightly to the level of the skin and hair: a pulse that is floating, slippery, and long is the Small Intestine pulse.
It belongs to the Fu organs.
Left Guan (Guan position on the left wrist). The site where the Liver and Gallbladder meridians' Qi emerge.
Pressing heavily to the level of the sinews and bones: a pulse that is deep, short, wiry, and rapid is the Liver pulse. It belongs to the Zang organs. Pressing lightly to the level of the skin and hair: a pulse that is wiry, tight, floating, and long is the Gallbladder pulse.
It belongs to the Fu organs.
Left Chi (Chi position on the left wrist). The site where the Kidney and Bladder meridians' Qi emerge.
Pressing heavily to the level of the sinews and bones: a pulse that is deep and slow is the Kidney pulse. It belongs to the Zang organs. Pressing lightly to the level of the skin and hair: a pulse that is deep, solid, and slightly rapid is the Bladder pulse.
It belongs to the Fu organs.
Right Cun (Cun position on the right wrist). The site where the Lung and Large Intestine meridians' Qi emerge.
Pressing slightly heavily between the skin and flesh: a pulse that is floating, short, and choppy is the Lung pulse. It belongs to the Zang organs. Pressing lightly to the level of the skin and hair: a pulse that is floating, short, and rapid is the Large Intestine pulse.
It belongs to the Fu organs.
Right Guan (Guan position on the right wrist). The site where the Spleen and Stomach meridians' Qi emerge.
Pressing heavily to the level of the muscles: a pulse that is moderate and slow is the Spleen pulse. It belongs to the Zang organs. Pressing lightly to the level of the skin and hair: a pulse that is slightly moderate and slightly rapid is the Stomach pulse.
It belongs to the Fu organs.
Right Chi (Chi position on the right wrist). The site where the Mingmen (Gate of Life) and Sanjiao (Triple Burner) meridians' Qi emerge.
Pressing heavily to the level of the sinews and bones: a pulse that is deep, solid, and rapid is the Mingmen pulse. It belongs to the Zang organs. Pressing lightly to the level of the skin and hair: a pulse that is deep, solid, and slightly rapid is the Sanjiao pulse.
It belongs to the Fu organs.
Commentary by Ji: The association of Mingmen and Sanjiao with the Right Chi position has been thoroughly discussed and corrected in the *Pulse Formula Corrections* (Maijue Kanwu). There is no need to repeat it here. However, this method of distinguishing Zang and Fu organ pulses based on the lightness or heaviness of pressure is unclear in its basis. One might speculate that since Zang organs belong to Yin and govern sinking, while Fu organs belong to Yang and govern floating, the diagnostic protocol adopts lightness and heaviness according to this theoretical principle? Other editions state that the interior corresponds to Zang organs and the exterior to Fu organs; the rationale is similar. However, consulting the *Mai Jing* (Classic of Pulse Diagnosis) and texts such as the *Suwen* (Basic Questions) and *Nanjing* (Classic of Difficult Issues), only the pulses of the Five Zang organs are discussed in detail. Regarding the pulses of the Six Fu organs, although mentioned, they are not elaborated upon. Although pathological pulses of the Six Fu organs are occasionally mentioned, the diagnostic methods regarding the depth of pressure are not addressed. Perhaps it is assumed that the Zang pulse can encompass the Fu pulse? Or perhaps knowing the Zang pulse renders the diagnosis of the Fu pulse unnecessary? Or maybe diseases in the Six Fu organs are mild, resulting in insignificant pulse changes? I cannot comprehend the intent behind these views. Furthermore, the descriptions of the Five Zang pulses and Six Fu pulses here differ significantly from those in the subsequent chapters, and their source remains unknown. Therefore, I record this for future scholars to clarify.