眼上赤脉。下贯瞳人。囟门肿起。兼及作坑。鼻干黑燥。肚大筋青。目多直视。睹不转睛。
指甲黑色。忽作鸦声。虚舌退场门。啮齿咬人。鱼口气急。啼不作声。蛔虫既出。必是死形。用药速急。
十无一生。
两手脉浮之俱有阳。沉之俱有阴。阳阴皆实盛者。此为冲督之脉也。冲督之脉者。十二经之道
路也。冲督用事。则十二经不复朝于寸口。其人皆苦恍惚狂痴。否者必当犹豫有两心。两手阳脉浮
而细微。绵绵不可知。俱有阴脉亦复细绵绵。此为阴跷阳跷之脉。此家曾有病鬼魅。厥死。苦恍惚
亡人为祸。诊得阳跷病拘急。阴跷病缓。尺寸俱浮。直上直下。此为督脉。腰脊强痛。不得俯仰。
大人癫疾。小儿风痫。脉来中央浮直上下痛者。督脉也。动苦。腰背膝寒。大人颠。小儿痫。尺寸
脉俱牢。（一作芤。直上直下。）此为冲脉。胸中有寒疝也。
以上元具浮脉条下。
脉来中央坚实径至关者。冲脉也。动苦。小腹痛。上抢心。有瘕疝。绝孕。遗失溺。胁支满烦。
横寸口边丸丸者。任脉也。苦腹中有气如指。上抢心。不得俯仰。拘急。脉来紧细实长至关者。任
脉也。动苦。少腹绕脐下。引横骨。阴中切痛。
以上元具实脉条下。
吴先生云五脏六腑之经。分布手足。凡十二脉。鱼际下寸内九分。尺内十分者。手太阴肺经之一
脉也。医者于寸关尺。辄名之曰此心脉、此肺脉、此肝脉、此肾脉非也。两手三部皆
肺脏脉。而分其部位。以候他脏之气焉耳。其说见于素问脉要精微论。而其所以之故。则秦越人
八十一难之首章。发明至矣。是何也。脉者血之流派。气使然也。肺居五脏之上。气所出入门户也。
脉行始肺终肝。而后复会于肺。故其经穴名曰气口。而为脉之大会。一身之害必于是占焉。
眼上出现赤色血脉，向下贯穿瞳孔。囟门肿胀突起，甚至凹陷如坑。鼻干黑燥，腹部胀大且青筋暴露。两眼直视，目光呆滞不转动。指甲发黑，突然发出乌鸦般的叫声。舌头虚软无力地伸出体外（舌出），咬齿或咬人。口鼻气息如鱼腥味且急促，啼哭却发不出声音。蛔虫排出后，必定是死症。用药必须迅速紧急。十人中无一生还。
两手脉象轻取（浮取）时，阳部与阴部均有脉动；重按（沉取）时，阳部与阴部也均有脉动。若阳气与阴气皆表现为实盛，这是冲脉和督脉的脉象。冲脉和督脉是十二经脉运行的道路。当冲脉和督脉主导时，十二经脉不再汇聚于寸口脉处。这类患者常苦于神志恍惚、狂乱痴呆，否则必然犹豫不决，怀有二心。如果两手阳脉浮取而细微，连绵不断难以感知，同时阴脉也细弱连绵，这是阴跷脉和阳跷脉的脉象。这类患者曾患过被鬼魅附体之病，导致厥逆死亡，常苦于神志恍惚，仿佛亡魂作祟。诊得阳跷脉病则肢体拘急，阴跷脉病则肢体弛缓。尺部和寸部脉象均浮，直上直下，这是督脉。腰部脊柱强痛，不能俯仰。成人患癫疾，小儿患风痫。脉象在中央部位浮起，直上下行，伴有疼痛，这是督脉。病人苦于腰背膝盖寒冷，成人患癫证，小儿患痫证。尺部和寸部脉象均牢坚（一说为芤脉，直上直下），这是冲脉。胸中有寒疝。以上内容原本列在浮脉条目下。
脉象在中央部位坚实，直达关部，这是冲脉。病人苦于小腹痛，气向上冲击心脏，有瘕疝积聚，绝育不孕，遗尿失禁，胁肋部胀满烦闷。脉象横越寸口脉旁，呈丸丸跳动状，这是任脉。病人苦于腹中有气感如手指，向上冲击心脏，不能俯仰，身体拘急。脉象紧细实长，直达关部，这是任脉。病人苦于少腹绕脐下，牵引至横骨部位，外阴中剧烈疼痛。以上内容原本列在实脉条目下。
吴先生说：五脏六腑的经络，分布于手足，共十二条经脉。在鱼际穴下一寸九分，尺泽穴下一寸的地方，是手太阴肺经的一条经脉。医生在寸、关、尺三部脉位上，直接称之为“此心脉”、“此肺脉”、“此肝脉”、“此肾脉”，这是错误的。两手三部脉实际上都是肺脏的脉象，只是通过划分不同部位来候察其他脏腑的气机罢了。这种说法见于《素问·脉要精微论》，而其原理则在秦越人（扁鹊）的《难经》八十一难的首章中阐述得非常透彻。为什么呢？脉是血液运行的流派，由气所推动。肺位于五脏之上，是气出入的门户。脉气运行始于肺，终于肝，然后又重新会合于肺。所以该处的穴位名叫“气口”，作为脉的总会之处。全身的疾病必然在此处占察判断。
Red blood vessels appear on the upper eyelids, extending downward through the pupil. The fontanelle swells and protrudes, or even sinks into a pit. The nose is dry, black, and parched; the abdomen is distended with visible green veins. The eyes stare straight ahead without turning. The fingernails turn black, and the patient suddenly makes sounds like a crow. The tongue hangs out limp (prolapsed tongue), biting teeth or people. There is a fishy odor from the mouth and nose with rapid breathing, yet crying produces no sound. Once roundworms are expelled, it is definitely a fatal condition. Medication must be administered urgently. Not one in ten will survive.
In both hands, pulse palpated lightly (superficially) shows movement in both Yang and Yin positions; palpated deeply (deeply), both Yang and Yin positions also show movement. If both Yang and Yin Qi manifest as excess and vigorous, this is the pulse of the Chong Mai (Penetrating Vessel) and Du Mai (Governing Vessel). The Chong and Du Mai serve as pathways for the twelve meridians. When the Chong and Du Mai dominate, the twelve meridians no longer converge at the Cun Kou (Radial Artery Pulse Point). Such patients suffer from mental confusion, mania, and dementia; otherwise, they are likely to be indecisive and harbor divided loyalties. If the Yang pulses of both hands are superficial, fine, and continuous yet difficult to perceive, and the Yin pulses are also thin and continuous, this is the pulse of the Yin Qiao Mai (Yin Heel Vessel) and Yang Qiao Mai (Yang Heel Vessel). These individuals previously suffered from illnesses attributed to demonic possession, leading to syncope and death, often suffering from mental confusion as if haunted by spirits. Diagnosis reveals that disease of the Yang Qiao Mai causes limb stiffness, while disease of the Yin Qiao Mai causes flaccidity. If the Chi (Cun) and Cun (Chi) pulses are both floating, moving straight up and down, this is the Du Mai. Symptoms include stiffness and pain in the waist and spine, inability to bend forward or backward. Adults suffer from Dian Ji (Epilepsy/Madness), children suffer from Feng Xian (Wind Epilepsy). A pulse appearing floating in the center, moving straight up and down with pain, indicates the Du Mai. Patients suffer from coldness in the lower back, back, and knees; adults have Dian syndrome, children have Xian syndrome. If the Chi and Cun pulses are both firm (or hollow, moving straight up and down), this is the Chong Mai. There is cold Han Shan (Cold Hernia) in the chest. The above content was originally listed under the Floating Pulse category.
A pulse that is solid in the center and extends directly to the Guan position indicates the Chong Mai. Patients suffer from lower abdominal pain, Qi rushing upward to strike the heart, Jia Shan (abdominal masses), sterility, urinary incontinence, and fullness and irritability in the hypochondrium. A pulse moving horizontally beside the Cun Kou, pulsating like a bead, indicates the Ren Mai (Conception Vessel). Patients suffer from a sensation of Qi in the abdomen like a finger, rushing upward to strike the heart, inability to bend, and stiffness. A pulse that is tight, thin, solid, and long, extending to the Guan position, indicates the Ren Mai. Patients suffer from pain around the navel in the lower abdomen, radiating to the Heng Gu (pubic bone) area, and severe pain in the genital region. The above content was originally listed under the Excess Pulse category.
Mr. Wu stated: The meridians of the five Zang organs and six Fu organs are distributed across the hands and feet, totaling twelve meridians. At nine fen below the Yu Ji acupoint and one cun below the Chi position lies a branch of the Hand Taiyin Lung Meridian. It is incorrect for physicians to directly name the Cun, Guan, and Chi positions as "this Heart pulse," "this Lung pulse," "this Liver pulse," or "this Kidney pulse." The pulses in all three positions of both hands are essentially the Lung organ's pulse; different positions are merely divided to observe the Qi of other Zang organs. This theory is found in the *Su Wen: Mai Yao Jing Wei Lun* (Essential Questions: Treatise on the Essence and Subtleties of Pulse Diagnosis), and its rationale is thoroughly elucidated in the first chapter of Qin Yueren’s (Bian Que’s) *Nan Jing* (Classic of Difficult Issues). Why is this so? Pulses are the flow channels of blood, driven by Qi. The Lung resides above the five Zang organs and serves as the gateway for Qi entry and exit. Pulse Qi begins at the Lung, ends at the Liver, and then reconvenes at the Lung. Therefore, the acupoint at this location is named Qi Kou (Air Mouth), serving as the great convergence of pulses. Diseases of the entire body must be assessed here.