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第二篇
鬼真君曰：人身之病，变迁原非一致，人身之脉，纷纭必有殊形。故六部之中，每显各异之状，一经之内，常呈兼见之端。浮而弦，浮而数，多无定象，沉而细，沉而迟，不少同观，必须统论其精微，始可独断其真伪。故浮而兼滑也，必是风痰之盛；浮而兼大也，绝无气血之邪；浮而兼迟也，虚风之害；浮而兼濡也，湿气之侵；浮而兼细也，血随气而上升；浮而兼洪也，火得气而更旺；浮而兼芤，定为血泛之虞；浮而兼紧，决至邪重之苦；浮而兼急，必疼痛于上焦；浮而兼弱，必萎靡于下部；浮而兼长，气虽升而不伤其正；浮而兼短，气欲结而难散其邪；浮而兼结，邪搏于经络之间；浮而兼革，正脱于脏府之内；浮而兼代，邪居于胸膈之处；浮而兼促，正伤于营卫之中；浮而兼动，气有变迁；浮而兼静，气将宁息；浮而兼毛，气得火而上腾于头目；浮而兼躁，火因气而上炎于咽喉；浮而兼钩，气升之和；浮而兼搏，气浮之极；浮而兼耎，气虚之甚；浮而兼散，气不可收；浮而兼平，气乃无病。
沉而兼迟也，寒虚之至；沉而兼涩也，郁滞之深；沉而兼滑也，寒痰之不舒；沉而兼小也，冷气之难发；沉而兼实也，气得寒而不扬；沉而兼微也，精因冷而欲脱；沉而兼细也，血逢阴凝之象；沉而兼紧也，邪乘寒冷之征；沉而兼急，小腹有寒邪之痛；沉而兼濡，两足多水胀之侵；沉而兼长，气陷而正尚未伤；沉而兼短，精冷而邪将不涣；沉而兼结，邪搏于至阴；沉而兼革，正脱于髓海；沉而兼代，命门将绝而可危；沉而兼促，元阳欲脱而可畏；沉而兼静，阳寒能守；沉而兼石，阴固不迁；沉而兼耎，腹冷而有痛楚之苦；沉而兼散，精寒有涸绝之危。
更有濡迟兼见，无非湿犯乎虚；濡滑同来，尤是痰成乎水；濡中兼大，湿因血耗以相侵；濡中兼小，水乘气衰以相犯；濡而兼弦，风水之患深；濡而兼芤，痰血之症急；濡而兼长，水湿易散；濡而兼革，水湿难消；濡而兼动，水有泛滥之盛；濡而兼静，水有浸润之微；濡而兼耎，水邪乘虚而相生；濡而兼散，正气随湿而欲脱。
迟而兼涩，郁中以成弱；迟而兼滑，湿内以招虚；迟而兼大，气血皆居干燥；迟而兼小，精神必至伶仃；迟而兼微，虚寒之气；迟而兼细，匮乏之身；迟而兼弦，内伤之风；迟而兼芤，内伤之血；迟而兼长，病不足畏；迟而兼短，症实可愁；迟而兼代，必至损伤脾胃；迟而兼革，定然涣散精华；迟而兼石，气寒将侵于骨；迟而兼耎，血衰少养乎心；迟而兼散，寒极而气飞；迟而兼静，阴微而精固。
数而兼滑，亢炎之痰；数而兼大，沸腾之火；数而兼实，气壅于热；数而兼弦，火助乎风；数而兼洪，热有燎原之盛；数而兼紧，邪有风火之传；数而兼芤，吐血何狂；数而兼代，丧躯必速；数而兼革，走阳可许；数而兼促，消正堪忧；数而兼动，恐有发狂之变；数而兼毛，定有消渴之成；数而兼搏，火刑金而喉舌无津；数而兼躁，火烧心而脾胃生焰。
涩中兼小，气血亏而郁志莫伸；涩中兼实，气血壅而思想难遂；涩中兼微，气寒而滞；涩中兼细，血少而愁；涩中兼洪，郁怒不解；涩中兼急郁痛安禁；涩中兼结，邪搏于两胁之间；涩中兼促，正亏于半表之际；涩中兼革，气欲脱于肾肝；涩中兼代，气将绝于脾胃；涩中兼石，寒郁不宣；涩中兼坚，风郁难出；涩中兼搏，郁甚莫解；涩中兼静，郁急安移。
滑而兼大，痰借血以为灾；滑而兼小，痰借气而作祟；滑而兼实，气塞于痰中；滑而兼微，痰冷于胸次；滑而兼细，痰旺而血枯；滑而兼弦，水盛而风急；滑而兼洪，湿热成党；滑而兼芤，痰血为病；滑而兼紧，邪得湿以助威；滑而兼急，邪乘湿而增痛；滑而兼濡，湿盛恐邪气之增胀；滑而兼革，水多防正气之难收；滑而兼动，水畜致肠腹之鸣；滑而兼毛，火沸召痰涎之吐；滑而兼耎，湿痰积而不消；滑而兼坚，湿邪留而不散；滑而兼搏，痰有倾盆之呕；滑而兼散，水如走石之崩。
余脉俱可类推，各经正当细晰。总以脾胃之气为要，更以平缓之脉为先，倘下指之时，均有宁静之致，庶几药饵之用，可许健康之祥矣。
陈士铎曰：凡人之病，变迁不常，而脉亦因病殊形，必非一状。大约一经之中，必现二脉以相兼也，合二脉以论症，而症始出焉。合二脉以用药，而药始当焉。但二脉兼见甚多，不止浮沉迟数涩滑濡也，然苟知兼见之大旨，则以七脉为纲，以余脉为纪，又何病之不可推测哉。
又曰：脉有同中之异，亦有异中之同。同是浮脉，而何以有各脉之异？同是沉脉，而何以有各脉之殊？盖脉无一定之形，必兼两脉而并见也。两脉既然并见，合两脉以治一病，自易见功，然而两脉之现，必察其异同，知其同中之异，竟治其异而不必顾其同；知其异中之同，竟治其同而不必顾其异，从此消息，医道乌得不神哉。
又曰：千态万状者，病也；千变万化者，脉也。鬼真君以三十八字尽脉之理，毋乃太简乎？故又取兼见之脉以示世，似乎克尽其变矣。然而兼见之脉，止取浮沉迟数涩滑濡之七脉，而其余三十一脉不言兼见，或疑其诀之不全，而立法之未善也。不知脉之大纲，止浮沉迟数涩滑之六字耳。举其大纲，而余可类推，又何必琐细之尽告哉。吾意于浮沉迟数涩滑之外，引濡脉之兼见者，亦可无事重宣耳。鬼真君唯恐人之拘执而不通也，故略举一濡脉以训世也。
又曰：兼见之脉，须先看七脉为主。既得七脉，而后辨其兼见之形，则同中之异与异中之同，无难细得也，以七脉为纲，以兼见为纬，实切脉之权舆也。
又曰：切脉实难，而辨其异同不尤难乎，然而无难也。知浮沉迟数涩滑濡之七脉，而其余之三十一脉兼而察之，则病可意会也，况鬼真君又明告乎。细读此诀，而何患脉之难知而病之难识也。
又曰：人疑兼见之脉，不止鬼真君所示，寥寥数语不足以包万病也。殊不知脉诀言愈多而脉愈晦，鬼真君之诀，妙在于少也，以少胜多，非便世人之习诵也，实以其脉诀神奇，足以包举万病耳。
又曰：脉理甚微，须辨其同中之异，异中之同。同中之异者，如寸关尺各现大小虚实之异，而浮脉则同也。上中下各现迟数涩滑之异，而沉脉则同也。知其同中之异，则竟治其异，知其异中之同，则不必治其同，于此消息，何患脉理之不精哉。
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第三篇
鬼真君曰：五脏之病，必以寸关尺为凭，七府之症，亦以寸关尺为据，然不分析其精微，又何能尽知其玄妙。试观其寸口也，左寸见浮，风热上越而头痛；右寸见浮，咽喉中燥而鼻塞；左寸见芤，胸难藏血而呕吐；右寸见芤，胃多瘀血而痛疼；左寸见滑，热痰入心而舌强；右寸见滑，热痰入肺而鼻折；左寸见实，火焚心而面赤；右寸见实，火生胃而唾干；左寸见弦，风入体必多头痛；右寸见弦，风入肠定有筋挛；左寸见紧，邪盛而心痛；右寸见紧，气嗽而肺伤；左寸见洪，心胸起热闷之烧；右寸见洪，头脑生炎蒸之楚；左寸见微，心寒而虚弱何辞；右寸见微，气冷而崩陷难免；左寸见沉，心君失相火之助；右寸见沉，肺金招寒气之侵；左寸见涩，心脉火郁而未舒；右寸见涩，肺金金郁而莫达。
左寸见迟，膻中虚乏而难以卫心；右寸见迟，上焦损伤而难以生气；左寸见伏，气匿于胁间；右寸见伏，气积于脘内；左寸见濡，膀胱水畜而不消；右寸见濡，皮毛汗泄而未止；左寸见弱，无血以养心；右寸见弱，乏气以生胃；左寸见大，心经血燥而怔忡；右寸见大，肺经血干而闭结；左寸见小，惊悸时生；右寸见小，怯弱日甚；左寸见虚，心中恍惚；右寸见虚，胃内衰微；左寸见细，运行乏力；右寸见细，言语无神；左寸见微，包络有寒邪之入；右寸见微，胸脘有阴气之招；左寸见急，心疼不免；右寸见急，喉痛安辞；左寸见短，三焦之气怯；右寸见短，再宿之食难消；左寸见代，心痛勿讶；右寸见代，痰塞何妨；左寸见结，邪搏于心包；右寸见结，邪蟠于胃脘；左寸见促，积聚有烦闷之苦；右寸见促，留滞兴痞满之忧；左寸见革，心气散漫而不收；右寸见革，肺气飞跃而不返；左寸见动，欢娱妊子之祥；右寸见动，饮食伤气之兆；左寸见毛，心火动而将刑肺金；右寸见毛，肺火起而将克肝木；左寸见钩，心气安而魂梦适；右寸见钩，肺气肃而膀胱通；左寸见坚，邪犯心而呼号；右寸见坚，邪侵肺而咳嗽；左寸见躁，无血养神；右寸见躁，无精定魄；左寸见搏，火太过而焚心；右寸见搏，火太过而烁肺；左寸见石，阴寒直捣于膻中；右寸见石，冷气逼居于脘内；左寸见散，心有无可奈何之象；右寸见散，肺有但出无入之悲。
试观其关中也，左关见浮肝犯风而眼赤；右关见浮胃入风而渴生；左寸见芤必肝伤而失血；右关见芤必肠毒而便脓；左关见滑，头目肿痛堪嗟；右关见滑，脾胃热焚甚苦；左关见实，痎癖可征；右关见实，心腹多痛；左关见弦，肝旺生风；右关见弦，脾崩不食；左关见紧，筋脉急拘；右关见紧，嘈杂呕吐；左关见洪，眼目生花；右关见洪，心腹结痛；左关见沉，必阴寒之癖积；右关见沉，定冷气之难安；左关见涩，风寒邪闭因气郁有余；右关见涩，饮食伤残实血虚之不足；左关见迟，两胁多寒；右关见迟，中焦微冷；左关见伏，关格收藏；右关见伏，霍乱吐泻；左关见濡，瘅症将成；右关见濡，水臌可畏；左关见弱，筋痿宜防；右关见弱，气短须补；左关见数，肝火盛而目红；右关见数，胃火旺而口渴；左关见大，怒气伤肝；右关见大，狂阳伤胃；左关见小，肝胆气衰；右关见小，脾胃血少；左关见虚，必益其血；右关见虚，须补其津；左关见微，温其下元之惫；右关见微，暖其气海之寒；左关见细，虑脚膝之酸；右关见细，恐肚腹之泻；左关见急，肝痛而不能眠；右关见急，脾伤而自难卧；左关见代，肝绝而痛则无妨；右关见代，肝绝而安则无救；左关见结，胸满而痰结于中；右关见结，脾伤而气滞于下；左关见促，肝无肾水之滋；右关见促，脾无肾火之养；左关见革，气脱于木旺之时；右关见革，气脱于土崩之侯；左关见动，两胁有气痛之愁；右关见动，中焦有火焚之惧；左关见毛，肝木旺而生风；右关见毛，胃土盛而动火；左关见耎，无病之人；右关见耎，加餐之客；左关见钩肝血之足；右关见钩，脾气之安；左关见静，优游享无事之福；右关见静，舒畅享强食之愉；左关见石，筋得寒而拘挛；右关见石，胃因冷而泄泻；左关见坚，邪必留恋于经络；右关见坚，邪必会聚于脏腑；左关见躁，必苦血干而多怒；右关见躁，必苦液涸而善呕；左关见搏，防太盛之中风；右关见搏，虑过旺之狂病；左关见散，筋迟而不能收；右关见散，肢懈而不能举。
试观其尺下也，浮见尺左，水亏而双耳齐聋；浮见尺右，火旺而大肠自秘；芤见尺左，小遗多脓血之灾；芤见尺右，大便下赤红之叹；滑见尺左，水入腰而作楚；滑见尺右，痰流足以成灾；实见尺左，膀胱水闭而不通；实见尺右，尿沥火涩而难出；弦见尺左，腰腹重滞生疼；弦见尺右，肾脏风邪作耗；紧见尺左，耳似蝉鸣；紧见尺右，脐同虫咬；洪见尺左，水熬干而消渴；洪见尺右，火炎上而梦遗；微见尺左，盗汗淋漓；微见尺右，肠鸣泄泻；沉见尺左，精冷如冰；沉见尺右，腰寒若水；涩见尺左，阴寒疝结；涩见尺右，逆冷肠崩；迟见尺左，下焦寒冷；迟见尺右，小腹阴凝；伏见尺左，阳气不升；伏见尺右，阴气更闭；濡见尺左，寒湿侵肾；濡见尺右，冷痿中腰；弱见尺左，双足骨酸；弱见尺右，双腿气乏；大见尺左，肾涸于遗精；大见尺右，命残于作用。
第二篇
鬼真君说：人体的疾病，变化并非千篇一律；人体的脉象，纷繁复杂必然呈现出不同的形态。因此在寸、关、尺六部之中，每部往往显现出各异的脉状；在一经之内，常呈现多种脉象兼见的情况。浮而弦、浮而数，大多没有固定的形象；沉而细、沉而迟，不少时候也是相同的观感。必须综合论述其精微之处，才能单独判断其真伪。所以，浮脉兼见滑象，必定是风痰盛极；浮脉兼见大脉，绝无气血之邪；浮脉兼见迟脉，是虚风为害；浮脉兼见濡脉，是湿气侵袭；浮脉兼见细脉，是血随气上升；浮脉兼见洪脉，是火借气势更加旺盛；浮脉兼见芤脉，定为血液妄行的忧虑；浮脉兼见紧脉，决然导致邪气深重的痛苦；浮脉兼见急脉，必定在上焦出现疼痛；浮脉兼见弱脉，必定在下部出现萎靡不振；浮脉兼见长脉，气虽升发但不损伤正气；浮脉兼见短脉，气欲结聚而难以散除邪气；浮脉兼见结脉，邪气搏结于经络之间；浮脉兼见革脉，正气脱失于脏腑之内；浮脉兼见代脉，邪气居于胸膈之处；浮脉兼见促脉，正气受伤于营卫之中；浮脉兼见动脉，气机有变迁；浮脉兼见静脉（注：此处指脉来安静无躁动），气将安宁休息；浮脉兼见毛脉（即浮而轻虚如羽毛），气得火助而上腾至头目；浮脉兼见躁脉，火因气逆而上炎于咽喉；浮脉兼见钩脉（即洪脉），气升发调和；浮脉兼见搏脉，气浮越到了极点；浮脉兼见耎脉（即软脉），气虚到了极点；浮脉兼见散脉，气不可收敛；浮脉兼见平脉，气乃无病。
沉脉兼见迟脉，是寒证与虚证到了极点；沉脉兼见涩脉，是郁滞很深；沉脉兼见滑脉，是寒痰不舒；沉脉兼见小脉，是冷气难以发散；沉脉兼见实脉，气因寒冷而不能扬举；沉脉兼见微脉，精气因寒冷而欲脱失；沉脉兼见细脉，血液逢阴凝之象；沉脉兼见紧脉，是邪气乘寒冷之征；沉脉兼见急脉，小腹有寒邪引起的疼痛；沉脉兼见濡脉，两足多有水肿的侵袭；沉脉兼见长脉，气陷但正气尚未受伤；沉脉兼见短脉，精冷而邪气将不能消散；沉脉兼见结脉，邪气搏结于至阴部位；沉脉兼见革脉，正气脱失于髓海；沉脉兼见代脉，命门之火将绝而危险；沉脉兼见促脉，元阳欲脱而可畏；沉脉兼见静脉，阳寒能够守持；沉脉兼见石脉（即沉而坚牢如石），阴固而不迁移；沉脉兼见耎脉，腹部寒冷而有疼痛之苦；沉脉兼见散脉，精寒有枯竭的危险。
更有濡脉与迟脉兼见，无非是湿邪侵犯虚损；濡脉与滑脉同来，尤其是痰由水而成；濡脉中兼见大脉，湿邪因血耗而相侵；濡脉中兼见小脉，水邪乘气衰而相犯；濡脉兼见弦脉，风水之患深重；濡脉兼见芤脉，痰血之症危急；濡脉兼见长脉，水湿容易消散；濡脉兼见革脉，水湿难以消除；濡脉兼见动脉，水邪有泛滥之势；濡脉兼见静脉，水邪有浸润之微；濡脉兼见耎脉，水邪乘虚相生；濡脉兼见散脉，正气随湿邪而欲脱失。
迟脉兼见涩脉，郁结在中而成虚弱；迟脉兼见滑脉，湿在内招致虚损；迟脉兼见大脉，气血皆处于干燥状态；迟脉兼见小脉，精神必至伶仃孤弱；迟脉兼见微脉，是虚寒之气；迟脉兼见细脉，是匮乏之身；迟脉兼见弦脉，是内伤之风；迟脉兼见芤脉，是内伤之血；迟脉兼见长脉，病不足畏惧；迟脉兼见短脉，症实令人忧愁；迟脉兼见代脉，必至损伤脾胃；迟脉兼见革脉，定然涣散精华；迟脉兼见石脉，寒气将侵入骨骼；迟脉兼见耎脉，血衰少养于心；迟脉兼见散脉，寒极而气飞散；迟脉兼见静脉，阴微而精固。
数脉兼见滑脉，是亢炎之痰；数脉兼见大脉，是沸腾之火；数脉兼见实脉，气壅塞于热中；数脉兼见弦脉，火助风势；数脉兼见洪脉，热有燎原之盛；数脉兼见紧脉，邪有风火相传；数脉兼见芤脉，吐血何狂乱；数脉兼见代脉，丧躯必迅速；数脉兼见革脉，走阳（元气外泄）或许可能；数脉兼见促脉，消损正气堪忧；数脉兼见动脉，恐有发狂之变；数脉兼见毛脉，定有消渴之成；数脉兼见搏脉，火刑金而喉舌无津液；数脉兼见躁脉，火烧心而脾胃生焰。
涩脉中兼见小脉，气血亏虚而抑郁志向难伸；涩脉中兼见实脉，气血壅塞而思想难遂；涩脉中兼见微脉，气寒而滞；涩脉中兼见细脉，血少而愁；涩脉中兼见洪脉，郁怒不解；涩脉中兼见急脉，郁痛怎能禁止；涩脉中兼见结脉，邪气搏结于两胁之间；涩脉中兼见促脉，正气亏损于半表之际；涩脉中兼见革脉，气欲脱于肾肝；涩脉中兼见代脉，气将绝于脾胃；涩脉中兼见石脉，寒郁不宣；涩脉中兼见坚脉，风郁难出；涩脉中兼见搏脉，郁甚莫解；涩脉中兼见静脉，郁急安移。
滑脉兼见大脉，痰借血以为灾；滑脉兼见小脉，痰借气而作祟；滑脉兼见实脉，气塞于痰中；滑脉兼见微脉，痰冷于胸次；滑脉兼见细脉，痰旺而血枯；滑脉兼见弦脉，水盛而风急；滑脉兼见洪脉，湿热成党；滑脉兼见芤脉，痰血为病；滑脉兼见紧脉，邪得湿以助威；滑脉兼见急脉，邪乘湿而增痛；滑脉兼见濡脉，湿盛恐邪气之增胀；滑脉兼见革脉，水多防正气之难收；滑脉兼见动脉，水畜致肠腹之鸣；滑脉兼见毛脉，火沸召痰涎之吐；滑脉兼见耎脉，湿痰积而不消；滑脉兼见坚脉，湿邪留而不散；滑脉兼见搏脉，痰有倾盆之呕；滑脉兼见散脉，水如走石之崩。
其余脉象均可类推，各经应当仔细辨析。总以脾胃之气为关键，更以平缓之脉为先决条件，如果下指之时，均有宁静之致，那么药物之用，才可允许健康之祥兆。
陈士铎说：凡人的疾病，变化无常，而脉象也因病呈现不同形态，必定不是单一的形象。大约一经之中，必现两种脉象以相兼合，结合两种脉象来论病症，病症才显现出来。结合两种脉象来用药，药才恰当。只是二脉兼见的情况很多，不止浮、沉、迟、数、涩、滑、濡这七种，但如果知道兼见的大旨，就以这七脉为纲，以其余脉为纪，又有什么病不可推测呢？
又说：脉有同中之异，也有异中之同。同样是浮脉，为什么会有各脉的差异？同样是沉脉，为什么会有各脉的不同？因为脉没有一定的形状，必须兼有两种脉象并见。既然两脉并见，结合两脉来治一病，自然容易见效，然而两脉的出现，必须察其异同，知道同中之异，竟治其异而不必顾及其同；知道异中之同，竟治其同而不必顾及其异，从此斟酌消息，医道怎么能不神妙呢？
又说：千态万状的是病；千变万化的是脉。鬼真君用三十八个字穷尽脉理，难道太简略了吗？所以又取兼见的脉象示于世，似乎能穷尽其变化了。然而兼见的脉，只取浮、沉、迟、数、涩、滑、濡这七脉，而其余三十一脉不讲兼见，有人怀疑其诀不全，立法不善。不知道脉的大纲，只有浮、沉、迟、数、涩、滑这六个字罢了。举出大纲，其余可类推，又何必琐碎详尽地告知呢？我的意思是在浮、沉、迟、数、涩、滑之外，引用濡脉的兼见者，也可以避免重复宣扬。鬼真君唯恐人们拘执而不通，所以略举一濡脉来训导世人。
又说：兼见的脉，须先看七脉为主。既得到七脉，而后辨别其兼见的形态，那么同中之异与异中之同，不难细细获得，以七脉为纲，以兼见为纬，确实是切脉的开端。
又说：切脉实在很难，而辨别其异同不是更难吗？然而并不难。知道浮、沉、迟、数、涩、滑、濡这七脉，而其余的三十一脉兼而察之，则病可以意会，何况鬼真君又明确告知呢？细读此诀，何必担心脉难知而病难识呢？
又说：人们怀疑兼见的脉，不止鬼真君所示，寥寥数语不足以包罗万病。殊不知脉诀言愈多而脉愈晦涩，鬼真君的诀，妙在于少，以少胜多，并非便于世人的习诵，实在是因为其脉诀神奇，足以包举万病耳。
又说：脉理很微妙，须辨其同中之异，异中之同。同中之异，如寸、关、尺各部呈现大小虚实的差异，而浮脉则是相同的。上、中、下部呈现迟、数、涩、滑的差异，而沉脉则是相同的。知道同中之异，就竟治其异；知道异中之同，就不必治其同，于此斟酌消息，何必担心脉理不精呢？
第三篇
鬼真君说：五脏的病，必须以寸、关、尺为依据；七腑（此处指六腑及奇恒之腑或泛指腑病）的症状，也以寸、关、尺为据，然而不分析其精微，又怎么能尽知其玄妙。试看其寸口，左寸见浮脉，风热上越而头痛；右寸见浮脉，咽喉中燥而鼻塞；左寸见芤脉，胸难藏血而呕吐；右寸见芤脉，胃多瘀血而疼痛；左寸见滑脉，热痰入心而舌强；右寸见滑脉，热痰入肺而鼻折（注：此处原文可能有误，通常指鼻渊或鼻干等，直译为鼻折）；左寸见实脉，火焚心而面赤；右寸见实脉，火生胃而唾干；左寸见弦脉，风入体必多头痛；右寸见弦脉，风入肠定有筋挛；左寸见紧脉，邪盛而心痛；右寸见紧脉，气嗽而肺伤；左寸见洪脉，心胸起热闷之烧；右寸见洪脉，头脑生炎蒸之楚；左寸见微脉，心寒而虚弱何辞；右寸见微脉，气冷而崩陷难免；左寸见沉脉，心君失相火之助；右寸见沉脉，肺金招寒气之侵；左寸见涩脉，心脉火郁而未舒；右寸见涩脉，肺金金郁而莫达。
左寸见迟脉，膻中虚乏而难以卫心；右寸见迟脉，上焦损伤而难以生气；左寸见伏脉，气匿于胁间；右寸见伏脉，气积于脘内；左寸见濡脉，膀胱水蓄而不消；右寸见濡脉，皮毛汗泄而未止；左寸见弱脉，无血以养心；右寸见弱脉，乏气以生胃；左寸见大脉，心经血燥而怔忡；右寸见大脉，肺经血干而闭结；左寸见小脉，惊悸时生；右寸见小脉，怯弱日甚；左寸见虚脉，心中恍惚；右寸见虚脉，胃内衰微；左寸见细脉，运行乏力；右寸见细脉，言语无神；左寸见微脉，包络有寒邪之入；右寸见微脉，胸脘有阴气之招；左寸见急脉，心疼不免；右寸见急脉，喉痛安辞；左寸见短脉，三焦之气怯；右寸见短脉，再宿之食难消；左寸见代脉，心痛勿讶；右寸见代脉，痰塞何妨；左寸见结脉，邪搏于心包；右寸见结脉，邪蟠于胃脘；左寸见促脉，积聚有烦闷之苦；右寸见促脉，留滞兴痞满之忧；左寸见革脉，心气散漫而不收；右寸见革脉，肺气飞跃而不返；左寸见动脉，欢娱妊子之祥；右寸见动脉，饮食伤气之兆；左寸见毛脉，心火动而将刑肺金；右寸见毛脉，肺火起而将克肝木；左寸见钩脉，心气安而魂梦适；右寸见钩脉，肺气肃而膀胱通；左寸见坚脉，邪犯心而呼号；右寸见坚脉，邪侵肺而咳嗽；左寸见躁脉，无血养神；右寸见躁脉，无精定魄；左寸见搏脉，火太过而焚心；右寸见搏脉，火太过而烁肺；左寸见石脉，阴寒直捣于膻中；右寸见石脉，冷气逼居于脘内；左寸见散脉，心有无可奈何之象；右寸见散脉，肺有但出无入之悲。
试看其关部，左关见浮脉，肝犯风而眼赤；右关见浮脉，胃入风而渴生；左寸见芤脉（注：此处原文应为左关，根据上下文逻辑推断，若按原文“左寸”则与前文重复且不合关部主题，但翻译需忠实原文，故保留原文表述或加注，此处依原文直译）必肝伤而失血；右关见芤脉，必肠毒而便脓；左关见滑脉，头目肿痛堪嗟；右关见滑脉，脾胃热焚甚苦；左关见实脉，痎癖可征；右关见实脉，心腹多痛；左关见弦脉，肝旺生风；右关见弦脉，脾崩不食；左关见紧脉，筋脉急拘；右关见紧脉，嘈杂呕吐；左关见洪脉，眼目生花；右关见洪脉，心腹结痛；左关见沉脉，必阴寒之癖积；右关见沉脉，定冷气之难安；左关见涩脉，风寒邪闭因气郁有余；右关见涩脉，饮食伤残实血虚之不足；左关见迟脉，两胁多寒；右关见迟脉，中焦微冷；左关见伏脉，关格收藏；右关见伏脉，霍乱吐泻；左关见濡脉，瘅症将成；右关见濡脉，水臌可畏；左关见弱脉，筋痿宜防；右关见弱脉，气短须补；左关见数脉，肝火盛而目红；右关见数脉，胃火旺而口渴；左关见大脉，怒气伤肝；右关见大脉，狂阳伤胃；左关见小脉，肝胆气衰；右关见小脉，脾胃血少；左关见虚脉，必益其血；右关见虚脉，须补其津；左关见微脉，温其下元之惫；右关见微脉，暖其气海之寒；左关见细脉，虑脚膝之酸；右关见细脉，恐肚腹之泻；左关见急脉，肝痛而不能眠；右关见急脉，脾伤而自难卧；左关见代脉，肝绝而痛则无妨；右关见代脉，肝绝而安则无救；左关见结脉，胸满而痰结于中；右关见结脉，脾伤而气滞于下；左关见促脉，肝无肾水之滋；右关见促脉，脾无肾火之养；左关见革脉，气脱于木旺之时；右关见革脉，气脱于土崩之侯；左关见动脉，两胁有气痛之愁；右关见动脉，中焦有火焚之惧；左关见毛脉，肝木旺而生风；右关见毛脉，胃土盛而动火；左关见耎脉，无病之人；右关见耎脉，加餐之客；左关见钩脉，肝血之足；右关见钩脉，脾气之安；左关见静脉，优游享无事之福；右关见静脉，舒畅享强食之愉；左关见石脉，筋得寒而拘挛；右关见石脉，胃因冷而泄泻；左关见坚脉，邪必留恋于经络；右关见坚脉，邪必会聚于脏腑；左关见躁脉，必苦血干而多怒；右关见躁脉，必苦液涸而善呕；左关见搏脉，防太盛之中风；右关见搏脉，虑过旺之狂病；左关见散脉，筋弛而不能收；右关见散脉，肢懈而不能举。
试看其尺部，浮脉见于尺左，水亏而双耳齐聋；浮脉见于尺右，火旺而大肠自秘；芤脉见于尺左，小遗多脓血之灾；芤脉见于尺右，大便下赤红之叹；滑脉见于尺左，水入腰而作楚；滑脉见于尺右，痰流足以成灾；实脉见于尺左，膀胱水闭而不通；实脉见于尺右，尿沥火涩而难出；弦脉见于尺左，腰腹重滞生疼；弦脉见于尺右，肾脏风邪作耗；紧脉见于尺左，耳似蝉鸣；紧脉见于尺右，脐同虫咬；洪脉见于尺左，水熬干而消渴；洪脉见于尺右，火炎上而梦遗；微脉见于尺左，盗汗淋漓；微脉见于尺右，肠鸣泄泻；沉脉见于尺左，精冷如冰；沉脉见于尺右，腰寒若水；涩脉见于尺左，阴寒疝结；涩脉见于尺右，逆冷肠崩；迟脉见于尺左，下焦寒冷；迟脉见于尺右，小腹阴凝；伏脉见于尺左，阳气不升；伏脉见于尺右，阴气更闭；濡脉见于尺左，寒湿侵肾；濡脉见于尺右，冷痿中腰；弱脉见于尺左，双足骨酸；弱脉见于尺右，双腿气乏；大脉见于尺左，肾涸于遗精；大脉见于尺右，命残于作用。
Article 2
Master Guizhenjun stated: The diseases of the human body undergo changes that are not uniform; the pulses of the human body, being complex and numerous, must inevitably present different forms. Therefore, among the six positions (Cun, Guan, Chi on both hands), each often displays distinct pulse characteristics; within a single meridian, various pulse combinations are frequently observed. Floating and wiry, floating and rapid, mostly lack fixed images; deep and fine, deep and slow, often appear similar. One must comprehensively discuss their subtleties to independently judge their authenticity. Thus, a floating pulse combined with slippery indicates an excess of wind-phlegm; a floating pulse combined with large indicates no pathogenic factors of qi and blood; a floating pulse combined with slow indicates harm from deficient wind; a floating pulse combined with soggy indicates invasion by dampness; a floating pulse combined with fine indicates blood rising with qi; a floating pulse combined with surging indicates fire becoming more vigorous due to qi; a floating pulse combined with knotted (Kou) definitely suggests danger of blood flooding; a floating pulse combined with tight indicates severe suffering from heavy pathogens; a floating pulse combined with urgent indicates pain in the upper jiao; a floating pulse combined with weak indicates萎靡 (listlessness) in the lower part; a floating pulse combined with long indicates qi ascending without damaging healthy qi; a floating pulse combined with short indicates qi wanting to knot and difficulty dispersing pathogens; a floating pulse combined with knotted (Jie) indicates pathogens fighting between the collaterals; a floating pulse combined with leathery (Ge) indicates loss of healthy qi within the zang-fu organs; a floating pulse combined with intermittent (Dai) indicates pathogens residing in the chest and diaphragm; a floating pulse combined with hurried (Cu) indicates damage to healthy qi within the Ying and Wei levels; a floating pulse combined with moving (Dong) indicates changes in qi; a floating pulse combined with quiet indicates qi about to rest; a floating pulse combined with hair-like (Mao, i.e., light and floating) indicates qi rising to the head and eyes due to fire; a floating pulse combined with restless indicates fire flaming up to the throat due to qi; a floating pulse combined with hook-shaped (Gou, i.e., surging) indicates harmonious ascent of qi; a floating pulse combined with pounding indicates extreme floating of qi; a floating pulse combined with soft (Ruan) indicates extreme deficiency of qi; a floating pulse combined with scattered indicates uncollectable qi; a floating pulse combined with level indicates disease-free qi.
A deep pulse combined with slow indicates extreme cold and deficiency; a deep pulse combined with choppy (Se) indicates deep stagnation; a deep pulse combined with slippery indicates discomfort from cold phlegm; a deep pulse combined with small indicates difficult dispersion of cold qi; a deep pulse combined with full indicates qi unable to rise due to cold; a deep pulse combined with minute (Wei) indicates essence wanting to escape due to cold; a deep pulse combined with fine indicates blood encountering yin coagulation; a deep pulse combined with tight indicates signs of pathogens taking advantage of cold; a deep pulse combined with urgent indicates pain from cold pathogens in the lower abdomen; a deep pulse combined with soggy indicates invasion of water swelling in both feet; a deep pulse combined with long indicates qi sinking but healthy qi not yet damaged; a deep pulse combined with short indicates cold essence and pathogens failing to disperse; a deep pulse combined with knotted (Jie) indicates pathogens fighting at the deepest yin level; a deep pulse combined with leathery (Ge) indicates loss of healthy qi in the sea of marrow; a deep pulse combined with intermittent (Dai) indicates the Gate of Life fire nearing extinction, posing danger; a deep pulse combined with hurried (Cu) indicates Yuan Yang wanting to escape, causing fear; a deep pulse combined with quiet indicates yang-cold can be maintained; a deep pulse combined with stone-like (Shi, i.e., deep and firm) indicates yin solidified and unmoving; a deep pulse combined with soft (Ruan) indicates cold abdomen with painful suffering; a deep pulse combined with scattered indicates danger of dry-up from cold essence.
Furthermore, soggy and slow appearing together indicate dampness invading deficiency; soggy and slippery coming together especially indicate phlegm formed from water; soghy combined with large indicates dampness invading due to blood consumption; soghy combined with small indicates water attacking due to qi decline; soghy combined with wiry indicates deep affliction of wind-water; soghy combined with knotted (Kou) indicates urgent symptoms of phlegm-blood; soghy combined with long indicates easy dispersion of water-dampness; soghy combined with leathery (Ge) indicates difficult elimination of water-dampness; soghy combined with moving (Dong) indicates flourishing flood of water; soghy combined with quiet indicates subtle infiltration of water; soghy combined with soft (Ruan) indicates water pathogens generating mutually due to deficiency; soghy combined with scattered indicates healthy qi wanting to escape along with dampness.
Slow combined with choppy (Se) indicates weakness formed from central stagnation; slow combined with slippery indicates deficiency attracted by internal dampness; slow combined with large indicates both qi and blood in a dry state; slow combined with small indicates spirit reaching a lonely and weak state; slow combined with minute (Wei) indicates deficient-cold qi; slow combined with fine indicates a state of scarcity; slow combined with wiry indicates internal injury from wind; slow combined with knotted (Kou) indicates internal injury to blood; slow combined with long indicates the illness is not to be feared; slow combined with short indicates the condition is worrisome; slow combined with intermittent (Dai) indicates inevitable damage to spleen and stomach; slow combined with leathery (Ge) indicates certain dissipation of essence; slow combined with stone-like (Shi) indicates cold qi invading bones; slow combined with soft (Ruan) indicates blood deficiency failing to nourish the heart; slow combined with scattered indicates extreme cold with flying qi; slow combined with quiet indicates slight yin with solidified essence.
Rapid combined with slippery indicates hyperactive-fire phlegm; rapid combined with large indicates boiling fire; rapid combined with full indicates qi congestion in heat; rapid combined with wiry indicates fire assisting wind; rapid combined with surging indicates heat with prairie-fire intensity; rapid combined with tight indicates pathogens transmitting via wind-fire; rapid combined with knotted (Kou) indicates wild vomiting of blood; rapid combined with intermittent (Dai) indicates rapid demise; rapid combined with leathery (Ge) suggests leakage of yang; rapid combined with hurried (Cu) indicates worrying consumption of healthy qi; rapid combined with moving (Dong) fears transformation into madness; rapid combined with hair-like (Mao) confirms formation of Xiao Ke (wasting-thirst); rapid combined with pounding indicates fire punishing metal resulting in dry throat and tongue; rapid combined with restless indicates fire burning the heart and flames arising in spleen and stomach.
Choppy (Se) combined with small indicates qi and blood deficiency with stifled ambition; choppy combined with full indicates qi and blood congestion with frustrated thoughts; choppy combined with minute (Wei) indicates cold qi stagnation; choppy combined with fine indicates sorrow from blood shortage; choppy combined with surging indicates unresolved depression and anger; choppy combined with urgent indicates unbearable stagnant pain; choppy combined with knotted (Jie) indicates pathogens fighting between the two flanks; choppy combined with hurried (Cu) indicates healthy qi deficit at the half-exterior stage; choppy combined with leathery (Ge) indicates qi wanting to escape from kidney and liver; choppy combined with intermittent (Dai) indicates qi nearing extinction in spleen and stomach; choppy combined with stone-like (Shi) indicates unventilated cold stagnation; choppy combined with firm indicates difficult expulsion of wind stagnation; choppy combined with pounding indicates unsolvable severe stagnation; choppy combined with quiet indicates inability to shift urgent stagnation.
Slippery combined with large indicates disaster borrowed by phlegm from blood; slippery combined with small indicates mischief caused by phlegm borrowing qi; slippery combined with full indicates qi blocked in phlegm; slippery combined with minute (Wei) indicates cold phlegm in the chest; slippery combined with fine indicates flourishing phlegm and withered blood; slippery combined with wiry indicates abundant water and urgent wind; slippery combined with surging indicates damp-heat forming factions; slippery combined with knotted (Kou) indicates disease from phlegm-blood; slippery combined with tight indicates pathogens gaining strength from dampness; slippery combined with urgent indicates increased pain as pathogens take advantage of dampness; slippery combined with soghy indicates fear of increased distension from excessive dampness; slippery combined with leathery (Ge) warns against difficulty in recovering healthy qi due to excess water; slippery combined with moving (Dong) indicates intestinal rumbling caused by water accumulation; slippery combined with hair-like (Mao) indicates spitting of phlegm-saliva summoned by boiling fire; slippery combined with soft (Ruan) indicates accumulated damp-phlegm not eliminating; slippery combined with firm indicates lingering damp pathogens not dispersing; slippery combined with pounding indicates violent vomiting like a pouring basin; slippery combined with scattered indicates collapse of water like stones rolling away.
Other pulses can be inferred analogously, and each meridian should be carefully analyzed. Generally, the qi of the spleen and stomach is key, and a moderate pulse is paramount. If upon pressing, there is always a sense of tranquility, then the use of medicines may promise auspicious health.
Chen Shiduo said: Human diseases change constantly, and pulses also differ according to the disease, certainly not presenting a single image. Approximately, within one meridian, two pulses must appear together. Combining two pulses to discuss symptoms reveals the symptoms; combining two pulses to prescribe medication makes the medication appropriate. However, there are many combinations of two pulses, not limited to floating, deep, slow, rapid, choppy, slippery, and soghy. But if one understands the main principle of combination, using these seven pulses as the outline and the rest as details, what disease cannot be predicted?
He also said: Pulses have differences within similarities and similarities within differences. Even if all are floating pulses, why do they differ? Even if all are deep pulses, why do they vary? Because pulses have no fixed shape; they must appear in combination. Since two pulses appear together, treating a disease based on both naturally yields results. However, when two pulses appear, one must observe their similarities and differences. Knowing the difference within similarity, treat the difference without concerning oneself with the similarity; knowing the similarity within difference, treat the similarity without concerning oneself with the difference. Through this deliberation, how can the medical art not be divine?
He also said: Thousands of shapes constitute disease; thousands of transformations constitute pulse. Master Guizhenjun exhausted the principles of pulse in thirty-eight characters; is this too brief? Thus, he took combined pulses to show the world, seemingly exhausting all variations. However, the combined pulses only took the seven: floating, deep, slow, rapid, choppy, slippery, and soghy, ignoring the other thirty-one pulses' combinations. Some suspect his rhyme is incomplete and his legislation flawed. They do not know that the main outline of pulses consists only of six characters: floating, deep, slow, rapid, choppy, and slippery. By stating the outline, the rest can be inferred; why inform every trivial detail? My opinion is that besides the six, citing the combinations of the soghy pulse avoids redundant preaching. Master Guizhenjun feared people would be rigid and inflexible, so he briefly cited the soghy pulse to instruct the world.
He also said: For combined pulses, first view the seven pulses as primary. Once the seven pulses are obtained, then distinguish their combined forms, making it easy to grasp differences within similarities and similarities within differences. Using the seven pulses as the warp and combined pulses as the weft is truly the beginning of pulse diagnosis.
He also said: Pulse-taking is truly difficult, but distinguishing similarities and differences is even harder, yet not impossible. Knowing the seven pulses (floating, deep, slow, rapid, choppy, slippery, soghy) and observing the other thirty-one pulses in combination allows one to intuitively understand the disease, especially since Master Guizhenjun explicitly informs us. Reading this rhyme carefully, why worry about the difficulty of knowing pulses and recognizing diseases?
He also said: People doubt that combined pulses, beyond those shown by Master Guizhenjun, are merely a few words insufficient to cover ten thousand diseases. Little do they know that the more pulse rhymes say, the more obscure the pulses become. The brilliance of Master Guizhenjun's rhyme lies in its brevity. Winning much with little is not for the convenience of people's memorization, but because his pulse rhyme is miraculous enough to encompass all diseases.
He also said: Pulse principles are very subtle; one must distinguish differences within similarities and similarities within differences. Differences within similarities: for example, Cun, Guan, and Chi positions each show differences in size, deficiency, and fullness, while the floating pulse is the same. Upper, middle, and lower parts show differences in slow, rapid, choppy, and slippery qualities, while the deep pulse is the same. Knowing the difference within similarity, treat the difference; knowing the similarity within difference, do not treat the similarity. Through this deliberation, why worry about imprecision in pulse principles?
Article 3
Master Guizhenjun stated: Diseases of the five zang organs must rely on Cun, Guan, and Chi; symptoms of the seven fu organs also rely on Cun, Guan, and Chi. However, without analyzing their subtleties, how can one fully know their mysteries? Observe the Cun position: Left Cun shows floating, indicating wind-heat ascending causing headache; Right Cun shows floating, indicating dry throat and nasal congestion; Left Cun shows knotted (Kou), indicating difficulty storing blood in the chest and vomiting; Right Cun shows knotted (Kou), indicating stasis in the stomach causing pain; Left Cun shows slippery, indicating hot phlegm entering the heart causing stiff tongue; Right Cun shows slippery, indicating hot phlegm entering the lung causing nasal issues; Left Cun shows full, indicating fire burning the heart causing red face; Right Cun shows full, indicating fire generating in the stomach causing dry saliva; Left Cun shows wiry, indicating wind entering the body causing frequent headaches; Right Cun shows wiry, indicating wind entering the intestines causing muscle spasms; Left Cun shows tight, indicating excess pathogens causing heart pain; Right Cun shows tight, indicating qi cough and lung injury; Left Cun shows surging, indicating heat and oppression in the chest and heart; Right Cun shows surging, indicating inflammation and heat in the head; Left Cun shows minute (Wei), indicating cold heart and weakness; Right Cun shows minute (Wei), indicating cold qi and unavoidable collapse; Left Cun shows deep, indicating the Heart Monarch losing the assistance of Minister Fire; Right Cun shows deep, indicating Lung Metal inviting cold qi invasion; Left Cun shows choppy (Se), indicating heart vessel fire stagnated and unrelieved; Right Cun shows choppy (Se), indicating Lung Metal stagnated and unable to diffuse.
Left Cun shows slow, indicating emptiness in Danzhong unable to protect the heart; Right Cun shows slow, indicating upper jiao damage unable to generate qi; Left Cun shows hidden (Fu), indicating qi hiding between the ribs; Right Cun shows hidden (Fu), indicating qi accumulating in the epigastrium; Left Cun shows soghy, indicating water retention in the bladder not resolving; Right Cun shows soghy, indicating sweat leaking from skin not stopping; Left Cun shows weak, indicating lack of blood to nourish the heart; Right Cun shows weak, indicating lack of qi to generate stomach function; Left Cun shows large, indicating blood dryness in the heart channel causing palpitations; Right Cun shows large, indicating blood dryness in the lung channel causing constipation; Left Cun shows small, indicating occasional palpitations and fright; Right Cun shows small, indicating increasing timidity and weakness; Left Cun shows deficient, indicating mental vagueness; Right Cun shows deficient, indicating gastric decline; Left Cun shows fine, indicating weak circulation; Right Cun shows fine, indicating speech lacking spirit; Left Cun shows minute (Wei), indicating cold pathogens entering the Pericardium; Right Cun shows minute (Wei), indicating yin qi attracting to the chest and epigastrium; Left Cun shows urgent, indicating unavoidable heart pain; Right Cun shows urgent, indicating unavoidable sore throat; Left Cun shows short, indicating timid qi of the San Jiao; Right Cun shows short, indicating difficulty digesting food retained overnight; Left Cun shows intermittent (Dai), do not be surprised by heart pain; Right Cun shows intermittent (Dai), phlegm obstruction is harmless; Left Cun shows knotted (Jie), pathogens fighting in the Pericardium; Right Cun shows knotted (Jie), pathogens coiling in the epigastrium; Left Cun shows hurried (Cu), accumulation causes vexation; Right Cun shows hurried (Cu), stagnation causes bloating and fullness; Left Cun shows leathery (Ge), heart qi scatters and cannot gather; Right Cun shows leathery (Ge), lung qi flies away and does not return; Left Cun shows moving (Dong), auspicious sign of pregnancy or joy; Right Cun shows moving (Dong), omen of qi injury from diet; Left Cun shows hair-like (Mao), heart fire moves to punish Lung Metal; Right Cun shows hair-like (Mao), lung fire rises to overcome Liver Wood; Left Cun shows hook-shaped (Gou), heart qi is peaceful and dreams are comfortable; Right Cun shows hook-shaped (Gou), lung qi is肃 (solemn/clear) and bladder opens; Left Cun shows firm, pathogens invade the heart causing crying out; Right Cun shows firm, pathogens invade the lung causing cough; Left Cun shows restless, indicating lack of blood to nourish spirit; Right Cun shows restless, indicating lack of essence to stabilize soul; Left Cun shows pounding, excessive fire burns the heart; Right Cun shows pounding, excessive fire scorches the lung; Left Cun shows stone-like (Shi), yin-cold strikes directly into Danzhong; Right Cun shows stone-like (Shi), cold qi forces residence in the epigastrium; Left Cun shows scattered, heart has a helpless appearance; Right Cun shows scattered, lung has the sorrow of only exiting without entering.
Observe the Guan position: Left Guan shows floating, liver attacked by wind causing red eyes; Right Guan shows floating, stomach invaded by wind causing thirst; Left Guan shows knotted (Kou), liver injured causing blood loss; Right Guan shows knotted (Kou), intestinal toxin causing pus in stool; Left Guan shows slippery, head and eye swelling and pain lamentable; Right Guan shows slippery, spleen and stomach heat burning bitterly; Left Guan shows full, jaundice and masses evident; Right Guan shows full, frequent heart and abdominal pain; Left Guan shows wiry, liver flourishing generating wind; Right Guan shows wiry, spleen collapsing refusing food; Left Guan shows tight, sinews and vessels cramped; Right Guan shows tight, acid regurgitation and vomiting; Left Guan shows surging, flowers before eyes; Right Guan shows surging, heart and abdominal knotting pain; Left Guan shows deep, necessarily yin-cold masses; Right Guan shows deep, surely cold qi unrest; Left Guan shows choppy (Se), wind-cold pathogens closed due to excess qi stagnation; Right Guan shows choppy (Se), diet injuring flesh, actual blood deficiency insufficiency; Left Guan shows slow, cold in both flanks; Right Guan shows slow, slight cold in middle jiao; Left Guan shows hidden (Fu), blockage and storage; Right Guan shows hidden (Fu), cholera-like vomiting and diarrhea; Left Guan shows soghy, epidemic fever forming; Right Guan shows soghy, water distension feared; Left Guan shows weak, sinew atrophy to be prevented; Right Guan shows weak, shortness of qi needing tonification; Left Guan shows rapid, liver fire flourishing causing red eyes; Right Guan shows rapid, stomach fire flourishing causing thirst; Left Guan shows large, anger injuring liver; Right Guan shows large, manic yang injuring stomach; Left Guan shows small, liver and gallbladder qi declining; Right Guan shows small, spleen and stomach blood scarce; Left Guan shows deficient, must benefit blood; Right Guan shows deficient, must replenish fluids; Left Guan shows minute (Wei), warm the exhaustion of lower origin; Right Guan shows minute (Wei), warm the cold of Qi Sea; Left Guan shows fine, worry about soreness of legs and knees; Right Guan shows fine, fear diarrhea of abdomen; Left Guan shows urgent, liver pain preventing sleep; Right Guan shows urgent, spleen injury preventing lying down; Left Guan shows intermittent (Dai), liver extinct, pain is harmless; Right Guan shows intermittent (Dai), liver extinct, peace is hopeless; Left Guan shows knotted (Jie), chest fullness with phlegm knotting in center; Right Guan shows knotted (Jie), spleen injured with qi stagnating below; Left Guan shows hurried (Cu), liver lacks kidney water nourishment; Right Guan shows hurried (Cu), spleen lacks kidney fire nourishment; Left Guan shows leathery (Ge), qi escapes during wood flourishing time; Right Guan shows leathery (Ge), qi escapes during earth collapsing moment; Left Guan shows moving (Dong), grief of qi pain in both flanks; Right Guan shows moving (Dong), fear of fire burning in middle jiao; Left Guan shows hair-like (Mao), liver wood flourishing generating wind; Right Guan shows hair-like (Mao), stomach earth flourishing moving fire; Left Guan shows soft (Ruan), person without disease; Right Guan shows soft (Ruan), guest eating extra meal; Left Guan shows hook-shaped (Gou), sufficiency of liver blood; Right Guan shows hook-shaped (Gou), peace of spleen qi; Left Guan shows quiet, leisurely enjoying welfare of no affairs; Right Guan shows quiet, comfortably enjoying pleasure of strong appetite; Left Guan shows stone-like (Shi), sinews getting cold causing cramps; Right Guan shows stone-like (Shi), stomach getting cold causing diarrhea; Left Guan shows firm, pathogens lingering in collaterals; Right Guan shows firm, pathogens gathering in zang-fu; Left Guan shows restless, suffering from blood dryness and anger; Right Guan shows restless, suffering from fluid depletion and vomiting; Left Guan shows pounding, prevent stroke from excessive flourishing; Right Guan shows pounding, worry about mania from over-flourishing; Left Guan shows scattered, sinews slack unable to contract; Right Guan shows scattered, limbs lax unable to lift.
Observe the Chi position: Floating seen at Left Chi, water deficiency causing deafness in both ears; Floating seen at Right Chi, fire flourishing causing constipation of large intestine; Knotted (Kou) seen at Left Chi, urination with pus and blood disaster; Knotted (Kou) seen at Right Chi, stool with red blood sigh; Slippery seen at Left Chi, water entering waist causing pain; Slippery seen at Right Chi, phlegm flowing sufficient to cause disaster; Full seen at Left Chi, bladder water closure不通 (not passing); Full seen at Right Chi, dribbling urine with fire-stagnation difficult to exit; Wiry seen at Left Chi, heavy and painful waist and abdomen; Wiry seen at Right Chi, kidney wind pathogens causing depletion; Tight seen at Left Chi, ears ringing like cicadas; Tight seen at Right Chi, navel feeling like insect bites; Surging seen at Left Chi, water boiled dry causing wasting-thirst; Surging seen at Right Chi, fire flaming up causing nocturnal emission; Minute (Wei) seen at Left Chi, profuse night sweating; Minute (Wei) seen at Right Chi, intestinal borborygmus and diarrhea; Deep seen at Left Chi, essence cold as ice; Deep seen at Right Chi, waist cold as water; Choppy (Se) seen at Left Chi, yin-cold hernia knotting; Choppy (Se) seen at Right Chi, reverse cold and intestinal collapse; Slow seen at Left Chi, lower jiao cold; Slow seen at Right Chi, lower abdomen yin-coagulation; Hidden (Fu) seen at Left Chi, yang qi not ascending; Hidden (Fu) seen at Right Chi, yin qi further closed; Soghy seen at Left Chi, cold-damp invading kidney; Soghy seen at Right Chi, cold impotence in middle waist; Weak seen at Left Chi, bone soreness in both feet; Weak seen at Right Chi, qi fatigue in both legs; Large seen at Left Chi, kidney dried up by seminal emission; Large seen at Right Chi, life remaining depleted by sexual activity.