(寸口脉迟〔浮〕而缓,迟〔浮〕则为寒〔风〕,缓则为虚;荣缓则为亡血,卫缓则
为中风;邪气中经,)浮者血虚,络脉空虚,贼邪不泻,或左或右;邪气反缓,正气即急,
正气引邪, 僻不遂。邪在于络,肌肤不仁;邪在于经,即重不胜;邪入于腑,即不识人;
邪入于脏,舌即难言,口吐涎。
【按】“寸口脉浮而紧,紧则为寒,浮则为虚,寒虚相抟,邪在皮肤”,此五句原文在
本条之首,当在后条之首。“寸口脉迟而缓,迟则为寒,缓则为虚;荣缓则为亡血,卫缓
则为中风;邪气中经”,此六句原文在后条,当在此条之首,文气始各得相属,必系错简,
当移之。其中有“浮者血虚”一句,必是衍文,当删之。寸口脉迟而缓,迟则为寒,二
“迟”字当是“浮”字,“寒”字当是“风”字,始得文义了然,且迟缓二脉不能并见,当改
之。
(寸口脉浮而紧,紧则为寒,浮则为虚〔风〕,寒虚〔风〕相抟,邪在皮肤,)则身痒
而瘾疹;心气不足,邪气入中,则胸满而短气。
【按】“浮则为虚,寒虚相抟”二“虚”字,应是“风”字,当改之。
味酸则伤筋,筋伤则缓,名曰泄;咸则
伤骨,骨伤则痿,名曰枯。枯泄相抟,名曰断泄〔绝〕,荣气不通,卫不独行,荣卫俱微,
三焦无所御,四属断绝,身体羸瘦。独足肿大,黄汗出,胫冷。假令发热,便为历节也。
病历节,不可屈伸,疼痛,乌头汤主之。
【按】“名曰断泄”之“泄”字,当是“绝”字,始与下文相属,当改之。
诸肢节疼痛,身体 羸,脚肿如脱,头眩短气,温温( )欲吐,桂枝芍药知母
汤主之。
【按】温温应是“ ”,当改之。
(寸口脉迟而缓,迟则为寒,缓则为虚;营气缓则导致亡血,卫气缓则导致中风;邪气侵入经脉,)浮脉表示血虚,络脉空虚,贼邪无法排出,病势或偏左或偏右;邪气所在的一侧肌肉松弛,正气所在的一侧肌肉拘急,正气牵引邪气,导致口眼歪斜、肢体活动不利。邪气在络脉,肌肤麻木不仁;邪气在经脉,身体沉重难以抬举;邪气进入腑,神志不清不认识人;邪气进入脏,舌体僵硬难以言语,口吐涎沫。
【按】“寸口脉浮而紧,紧则为寒,浮则为虚,寒虚相搏,邪在皮肤”,这五句原文在本条之首,应当移到后一条的开头。“寸口脉迟而缓,迟则为寒,缓则为虚;营缓则亡血,卫缓则中风;邪气中经”,这六句原文在后一条,应当移到此条的开头,文气才能各自连贯,必定是竹简错乱,应当调整。其中有一句“浮者血虚”,必定是衍文,应当删除。寸口脉迟而缓,两个“迟”字应当是“浮”字,“寒”字应当是“风”字,这样文义才能明了,且迟缓二脉不能同时出现,应当改正。
(寸口脉浮而紧,紧则为寒,浮则为虚,寒虚相搏,邪在皮肤,)则身体瘙痒并出现瘾疹;心气不足,邪气侵入体内,则胸满而短气。
【按】“浮则为虚,寒虚相搏”中的两个“虚”字,应当是“风”字,应当改正。
味酸则伤筋,筋受伤则弛缓,名叫泄;咸味则伤骨,骨受伤则痿弱,名叫枯。枯和泄相互搏结,名叫断绝,营气不通,卫气不能独行,营卫都微弱,三焦无所统御,四肢失去营养而断绝,身体消瘦。唯独足部肿大,汗出呈黄色,小腿发冷。假如发热,就是历节病。
患历节病,关节不可屈伸,疼痛,用乌头汤主治。
【按】“名曰断泄”的“泄”字,应当是“绝”字,这样才能与下文相连贯,应当改正。
各个肢节疼痛,身体消瘦,脚肿得像要脱落一样,头晕目眩,短气,心中温温欲吐,用桂枝芍药知母汤主治。
【按】“温温”应当是“愠愠”(形容心中烦闷不适),应当改正。
(Cun Kou pulse [Radial Artery Pulse] is slow and moderate. Slow indicates cold, moderate indicates deficiency; a moderate Ying Qi (Nutritive Qi) indicates loss of blood, a moderate Wei Qi (Defensive Qi) indicates Wind-stroke; when pathogenic factors invade the meridians,) a floating pulse indicates blood deficiency, collaterals are empty, evil pathogens cannot be expelled, affecting either the left or right side; the side affected by pathogenic factors becomes flaccid, while the healthy side becomes tense. The healthy side pulls towards the diseased side, resulting in facial deviation and inability to move freely. If pathogens are in the collaterals, there is numbness of the skin and muscles; if in the meridians, the body feels heavy and difficult to lift; if entering the Fu organs, consciousness is lost and one does not recognize people; if entering the Zang organs, speech becomes difficult, and saliva dribbles from the mouth.
[Note] "Cun Kou pulse is floating and tight, tight indicates cold, floating indicates deficiency, cold and deficiency interact, pathogens are in the skin" — these five sentences originally at the beginning of this section should be moved to the beginning of the next section. "Cun Kou pulse is slow and moderate, slow indicates cold, moderate indicates deficiency; moderate Ying Qi leads to loss of blood, moderate Wei Qi leads to Wind-stroke; pathogenic factors strike the meridians" — these six sentences originally in the next section should be moved to the beginning of this section, so that the textual flow connects properly. This must be a result of misplaced bamboo slips and should be corrected. The sentence "floating indicates blood deficiency" is likely an interpolation and should be deleted. In "Cun Kou pulse is slow and moderate," the two instances of "slow" should be "floating," and "cold" should be "wind," for the meaning to be clear, as slow and moderate pulses do not typically appear together; this should be amended.
(Cun Kou pulse is floating and tight, tight indicates cold, floating indicates deficiency, cold and deficiency interact, pathogens are in the skin,) then the body itches and urticaria appears; if Heart Qi is insufficient and pathogens enter the interior, there is chest fullness and shortness of breath.
[Note] The two instances of "deficiency" in "floating indicates deficiency, cold and deficiency interact" should be "wind"; this should be amended.
Sour taste injures the sinews; injured sinews become flaccid, termed "Xie" (Leakage); salty taste injures the bones; injured bones become weak, termed "Ku" (Withering). Withering and leakage interact, termed "Duan Xie" (Severance), Ying Qi circulation is blocked, Wei Qi cannot circulate independently, both Ying and Wei Qi become deficient, the San Jiao (Triple Burner) loses its control, the four limbs are severed from nourishment, and the body becomes emaciated. Only the feet swell, yellow sweat appears, and the calves feel cold. If fever occurs, it is Li Jie disease (Gouty Arthritis).
For Li Jie disease, where joints cannot flex or extend and pain is present, Wu Tou Tang (Aconite Decoction) is the primary treatment.
[Note] The character "Xie" (Leakage) in "termed Duan Xie" should be "Jue" (Severance) to connect with the following text; this should be amended.
Pain in all limb joints, emaciation of the body, swollen feet as if detached, dizziness, shortness of breath, a sensation of warmth and discomfort in the chest with desire to vomit, Gui Zhi Shao Yao Zhi Mu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction) is the primary treatment.
[Note] "Wen Wen" should be "Yun Yun" (feeling stifled and uncomfortable), this should be amended.