雀啄连来三五啄。(脉经曰。雀啄者。脉来数而疾绝。止复顿来也。诊脉要诀云主脾元谷气已绝。胃气无所荣养。其
脉来指下。连连凑指。数急殊无息数。但有进而无退。顿绝自去。良久准前又来。宛如鸡践食之貌。但数日之寿也。王
叔和云雀啄顿来而又住。据此云脾绝之脉。萧处浓谓之心绝。吴仲广谓之木脉。其说尤远。当以脾绝为是。)
屋漏半日一点落。(脉经曰屋漏者。其来既绝而止。时时复起。而不相连属也。王叔和云。屋漏将绝而复起。吴仲广
云。脉来指下。按之极慢。一息之间。或来一至。若屋漏之水。滴于地上。而四畔溅起之貌。主胃经已绝。谷气空虚。
立死之候。据此云胃绝。而萧处浓又谓心肺绝。何耶。)
弹石硬来寻即散。(脉经曰脉来如弹石。去如解索者死。弹石者。辟辟急也。解索者。动数而随散乱。无复次序也。
萧处浓谓肺绝之脉。吴仲广谓肝绝。当以谓肾绝为正。盖石乃肾之本脉。合沉濡而滑。今真藏脉见。如弹石。劈劈然凑
指。殊无息数。死无疑矣。一说脉来指下。如坚硬之物击于石。貌劈劈然无息数。)
搭指散乱真解索。(解索见前弹石下。吴仲广云解索脉者。其形见于两尺。脉来指下。散而不聚。若分于两畔。更无
息数。是精髓已耗。将死之候。机按。脉经云。来如弹石。去如解索。似通指一脉来去而言也。今此分为二脉。则与脉
经相反矣。宜考之。)
鱼翔似有一似无。(脉经云鱼翔者。似鱼不行而但掉尾动头。身摇而久住者。是也。王叔和云。鱼跃澄澄而迟疑掉尾。
吴仲广云。脉来指下。寻之即有。泛泛高虚。前定而后动。殊无息数。宛如鱼游于水面。头不动而尾缓摇之貌。主肾与
命门俱绝。卫气与营气两亡。旦占夕死。)
虾游静中跳一跃。(脉经曰。虾游者冉冉而起。寻复退没。不知所在。久乃复起。起辄迟而没去速者是也。王叔和云。
虾游冉冉。而进退难寻。吴仲广云。脉来指下。若虾游于水面。沉沉不动。瞥然惊掉而去。将手欲趁。杳然不见。须臾
于指下又来。良久准前复去。如虾游入水之形。瞥然而上。倏然而去。此是神魂已去之候。一说。脾胃绝也。)
寄语医家子细看。此脉一见休饵药。
雀啄脉连续跳动,如同鸟儿啄食般三五下后停顿。(《脉经》说:雀啄脉,脉搏来得快速而急促地停止,停后又突然来复。《诊脉要诀》说此脉主脾元谷气已绝,胃气失去荣养。其脉在指下连连凑近手指,次数急迫完全没有正常的呼吸节律,只有进势没有退势,突然断绝自行离去,过了很久才像先前一样再来。宛如鸡在地上啄食的样子,预示病人只能存活数日。王叔和说雀啄脉是突然来复又停止。据此说是脾绝之脉,萧处浓认为是心绝,吴仲广称之为木脉,他们的说法尤其遥远,应当以脾绝为正确。)
屋漏脉半天才落下一点。(《脉经》说屋漏脉,脉搏既已断绝停止,时常再次兴起,但不相连属。王叔和说屋漏脉是将绝而复起。吴仲广说脉搏在指下按之极慢,一息之间,有时来一次,就像屋檐漏水滴在地上,四畔溅起的样子。主胃经已绝,谷气空虚,是立即死亡的征兆。据此说是胃绝,而萧处浓又说是心肺绝,这是为什么呢?)
弹石脉坚硬而来,随即消散。(《脉经》说脉搏来如弹石,去如解索的会死。弹石脉,是指辟辟急迫。解索脉,是指动数而随后散乱,不再有次序。萧处浓说是肺绝之脉,吴仲广说是肝绝,应当以肾绝为正。因为石脉是肾的本脉,符合沉濡而滑的特征。如今真脏脉出现,如弹石般劈劈然凑近手指,完全没有呼吸节律,死亡无疑了。另一种说法是脉搏在指下,如坚硬之物击于石头,样子劈劈然没有呼吸节律。)
搭指脉散乱,真是解索脉。(解索脉见前文弹石脉之下。吴仲广说解索脉,其形态见于两尺部,脉搏在指下散而不聚,好像分向两边,更没有呼吸节律,这是精髓已耗竭,将死的征兆。我按:《脉经》说来如弹石,去如解索,似乎通指一脉的来去而言。如今将此分为二脉,则与《脉经》相反了,宜加考证。)
鱼翔脉似有似无。(《脉经》说鱼翔脉,像鱼不游动而只是摆动尾巴摇动头部,身体摇晃而久留不动,就是这种脉象。王叔和说鱼跃澄澄而迟疑摆动尾巴。吴仲广说脉搏在指下,寻之即有,泛泛高虚,前面定住而后动,完全没有呼吸节律,宛如鱼在水面游动,头不动而尾巴缓慢摇动的样子。主肾与命门俱绝,卫气与营气两亡,早晨占卜晚上就会死。)
虾游脉在静止中跳跃一下。(《脉经》说虾游脉,冉冉而起,随即退没,不知所在,过了很久才再起,起来就迟缓而消失迅速就是这样。王叔和说虾游脉冉冉升起,进退难寻。吴仲广说脉搏在指下,若虾游于水面,沉沉不动,忽然惊动摇摆而去,想要伸手去追,却杳然不见,一会儿又在指下出现,过了很久才像先前一样再次消失,像虾游入水的形状,忽然上浮,瞬间离去。这是神魂已去的征兆。另一种说法是脾胃绝。)
寄语医家仔细观看,此脉一见不要服药。
Que Zhuo (Sparrow Pecking) pulse beats continuously, stopping after three or five beats as if a bird is pecking. (*Mai Jing* states: Que Zhuo pulse comes rapidly and abruptly stops, then suddenly returns. *Zhen Mai Yao Jue* states this pulse indicates the exhaustion of Spleen Yuan Gu Qi (Source Grain Qi), with Stomach Qi losing its nourishment. Under the fingers, the pulse comes continuously close to the finger, rapid and urgent without any normal respiratory rhythm, showing only advancement without retreat, suddenly cutting off and departing on its own, returning after a long time just as before. It resembles the appearance of a chicken pecking at food, indicating the patient will survive only for a few days. Wang Shuhe states that Que Zhuo pulse suddenly returns and then stops. Based on this, it is considered the pulse of Spleen exhaustion. Xiao Chunong considers it Heart exhaustion, while Wu Zhongguang calls it the Wood pulse; their theories are particularly distant. It should be regarded as Spleen exhaustion.)
Wu Lou (Leaking Roof) pulse falls like a single drop every half day. (*Mai Jing* states Wu Lou pulse: having cut off and stopped, it occasionally rises again but does not connect continuously. Wang Shuhe states Wu Lou pulse is about to cut off and then rises again. Wu Zhongguang states that under the fingers, pressing feels extremely slow; within one respiration cycle, it may come once, resembling water dripping from a leaking roof onto the ground, splashing up on all sides. It indicates the exhaustion of the Stomach Meridian and emptiness of Gu Qi, a sign of imminent death. Based on this, it is Stomach exhaustion, yet Xiao Chunong claims it is Heart and Lung exhaustion; why?)
Dan Shi (Flicking Stone) pulse comes hard and quickly dissipates. (*Mai Jing* states: if the pulse comes like flicking a stone and goes like untying a knot, death ensues. Dan Shi refers to being abrupt and urgent. Jie Suo (Untying a Knot) refers to being rapid and subsequently disordered, losing sequence. Xiao Chunong identifies it as Lung exhaustion, Wu Zhongguang as Liver exhaustion; however, Kidney exhaustion is correct. The Stone pulse is the fundamental pulse of the Kidney, consistent with deep, soft, and slippery characteristics. Now that the Zang True Pulse appears, striking the fingers abruptly like a stone without respiratory rhythm, death is certain. Another view holds that under the fingers, the pulse feels like a hard object striking stone, appearing abrupt without respiratory rhythm.)
Da Zhi (Touching Finger) pulse is scattered and chaotic, truly resembling Jie Suo (Untying a Knot). (Jie Suo is described below under Dan Shi. Wu Zhongguang states that in Jie Suo pulse, the form appears at both Chi positions; under the fingers, it is scattered and not gathered, as if dividing to both sides, lacking respiratory rhythm. This indicates depletion of essence and marrow, a sign of impending death. I note: *Mai Jing* states "comes like flicking a stone, goes like untying a knot," seemingly referring to the coming and going of a single pulse. Dividing this into two pulses contradicts *Mai Jing* and requires verification.)
Yu Xiang (Fish Floating) pulse seems present yet absent. (*Mai Jing* states Yu Xiang pulse: similar to a fish that does not swim but merely wags its tail and moves its head, swaying its body and staying put for a long time. Wang Shuhe states the fish leaps clearly but hesitates, wagging its tail. Wu Zhongguang states that under the fingers, seeking reveals presence, floating high and empty, stabilizing before moving, completely lacking respiratory rhythm, resembling a fish swimming on the water surface, head still while the tail slowly sways. It indicates exhaustion of both Kidney and Ming Men (Gate of Life), and loss of both Wei Qi (Defensive Qi) and Ying Qi (Nutritive Qi); prognosis is death by evening if diagnosed in the morning.)
Xia You (Shrimp Swimming) pulse jumps once amidst stillness. (*Mai Jing* states Xia You pulse: rising gently, then retreating and disappearing, unknown whereabouts, rising again after a long time, rising slowly but disappearing quickly. Wang Shuhe states Xia You pulse rises gently, making advance and retreat difficult to trace. Wu Zhongguang states under the fingers, like a shrimp swimming on water, sinking and motionless, then suddenly startled and shaking away; attempting to chase with the hand, it vanishes mysteriously, reappearing under the fingers shortly, disappearing again after a long time as before, resembling a shrimp entering water, suddenly surfacing and instantly departing. This is a sign that the Hun and Shen (Spirit) have departed. Another view suggests Stomach and Spleen exhaustion.)
I advise physicians to examine carefully; upon seeing these pulses, do not administer medicine.