心脉喜浮洪。安居五脏通。沉滞兼滑石。时逆命须终。弦应心无病。神疑缓脉通。忽浮微细短。邪热满心中。弦数
因风热。微沉怯外风。实长胞膈壅。阳极至阴充。微怯心还恐。长弦忽气风。动者分轻浊。表里病来从。肝脉春来旺。
长长细可怜。短微浮涩见。金克木难全。洪大旬中愈。微沉短滑延。缓时忧胃冷。弦数主筋挛。浮实双肿赤。虚因涩伏
摊。滑时连胆渴。头痛有风寒。微缓轻浮散。生花视物难。动看四十二。甲乙就中看。肺脏脉轻浮。平和涩更忧。更加
洪紧互。无事一场忧。沉脉虚还变。阴交阳自周。若和迟弄紧。进退亦无由。浮实必相指。洪迟数忧浮。肺金还又涩。
涎吐不宜秋。肾盖宜清净。微沉主有疑。若加伏绝立。心有事和非。浮肾虚应久。缓疼梦泄多。动时有六八。壬癸应前
歌。脾脏脉宜轻。根据根据缓太平。及和弦紧急。长忧命应嗔。浮实中消水。微浮客热并。脉来脾应隐。实火用心情。滑主
脾热燥。牙宣口气升动看二十八戊己合中营。
寸脉 洪(饱满。肠结。膈热闷。) 浮(胸虚弱。肌虚客热。) 滑(胃热。胃冷。胆浊饮食化。)
实(心气溢痛受邪。腹中疼痛。) 弦(脾疼。胃冷。心痛。劳瘦极热。) 微(心气受邪。脏闭不通。肾虚。)
沉(逆冷四肢。黄瘦疾瘦骨热。) 缓(风痹下虚败。项背拘急疼。) 涩(气虚血散。胃不和。)
伏(胸中积冷。气闭不通。肾虚。)
关脉 洪(积邪口涎。邪气食。胃停食。) 浮(下虚耳声。肾风停闭。肤痒。) 滑(积冷气。便涩。腰肚疼。)
实(小便不禁。腹胀梦泄。) 弦(小腹疼。气涩。香港脚。肾风痒。) 微(心腹胀满。气结疼痛。虚怯。)
沉(心气疼痛。闭塞不通。脾虚。) 缓(胃冷吐逆多。心腹肝疼。) 涩(血淋血败。血肤干。发黄。)
伏(症癖气冷。血积目昏。)
尺脉 洪(小脚热涩。脚疼肾虚。) 浮(筋骨明热。便血头痛。) 滑(风壅舌强。心热。呕吐胃逆。)
实(风热面赤。胸膈不利。烦躁。) 弦(血脚拥。头痛。目涩。吐。筋急。) 微(腹中积冷泄。劳气盗汗。)
沉(气滞腰痛。虚热积死。) 缓(肾冷虚汗。冷梦泄。) 涩(四肢逆冷。脐下浮泄泻痛。)
伏(食不下。腹痛手足痛。下泄。)
心脉(心脏的脉象)喜欢浮洪(轻取即得,宽大有力)。安居于五脏之中而通达。若见沉滞兼滑石(此处“滑石”疑为传抄之误,结合语境及后文“弦数因风热”,可能指代某种特定的脉象特征或病理状态,但在标准脉学中无“滑石脉”,此处依原文直译:脉象沉滞且带有滑象),时常出现气逆则性命终结。脉弦表示心脏没有疾病,神志疑惑时缓脉通畅。忽然出现浮、微、细、短,是邪热充满心中。脉弦数是因为风热,脉微沉是怯弱并受外风侵袭。脉实长表示胞膈壅塞,阳极导致阴气充盈。脉微怯表示心脏虚弱还伴有恐惧,脉长弦忽然出现气风(风气扰动)。脉动者分轻重浊,表里病症由此而来。
肝脉在春季旺盛。脉长长细弱令人怜悯。若见短、微、浮、涩,是金克木,难以保全。脉洪大经过旬日可愈,脉微沉短滑则病程延长。脉缓时担忧胃冷,脉弦数主筋挛。脉浮实表示身体双肿且发红,脉虚因涩伏表示瘫痪。脉滑时连累胆部口渴,头痛且有风寒。脉微缓轻浮散,视物困难如生花。脉动看四十二候,甲乙日中观察。
肺脏脉象轻浮,平和中带涩更令人担忧。若更加洪紧互见,虽无事也有一场担忧。脉沉虚还会变化,阴阳交合自然周流。若脉和迟弄紧,进退也无由头。脉浮实必相互指向,洪迟数忧浮。肺金脉又涩,吐涎不宜在秋季。
肾脉盖宜清净,脉微沉主有疑虑。若加伏绝立至,心脏有事或非正常。脉浮肾虚应久,脉缓疼梦泄多。脉动时有六八候,壬癸日应前歌。
脾脏脉象宜轻,根据缓太平。若和弦紧急,长久担忧性命应嗔怒。脉浮实中消水,脉微浮客热并见。脉来脾应隐,实火用心情。脉滑主脾热燥,牙宣口气升。脉动看二十八候,戊己日合中营。
寸脉:洪(饱满。肠结。膈热闷。) 浮(胸虚弱。肌虚客热。) 滑(胃热。胃冷。胆浊饮食化。) 实(心气溢痛受邪。腹中疼痛。) 弦(脾疼。胃冷。心痛。劳瘦极热。) 微(心气受邪。脏闭不通。肾虚。) 沉(逆冷四肢。黄瘦疾瘦骨热。) 缓(风痹下虚败。项背拘急疼。) 涩(气虚血散。胃不和。) 伏(胸中积冷。气闭不通。肾虚。)
关脉:洪(积邪口涎。邪气食。胃停食。) 浮(下虚耳声。肾风停闭。肤痒。) 滑(积冷气。便涩。腰肚疼。) 实(小便不禁。腹胀梦泄。) 弦(小腹疼。气涩。香港脚。肾风痒。) 微(心腹胀满。气结疼痛。虚怯。) 沉(心气疼痛。闭塞不通。脾虚。) 缓(胃冷吐逆多。心腹肝疼。) 涩(血淋血败。血肤干。发黄。) 伏(症癖气冷。血积目昏。)
尺脉:洪(小脚热涩。脚疼肾虚。) 浮(筋骨明热。便血头痛。) 滑(风壅舌强。心热。呕吐胃逆。) 实(风热面赤。胸膈不利。烦躁。) 弦(血脚拥。头痛。目涩。吐。筋急。) 微(腹中积冷泄。劳气盗汗。) 沉(气滞腰痛。虚热积死。) 缓(肾冷虚汗。冷梦泄。) 涩(四肢逆冷。脐下浮泄泻痛。) 伏(食不下。腹痛手足痛。下泄。)
The Heart pulse (pulse of the Heart) prefers to be Floating and Full (superficial and large with force). It resides peacefully within the Five Zang organs and connects smoothly. If it appears Deep, stagnant, combined with a Slippery quality (note: "Hua Shi" likely refers to a specific pathological state or is a textual error for a pulse characteristic), frequent Qi rebellion indicates impending death. A Wiry pulse indicates no disease in the Heart; when spirit is confused, a Slow pulse signifies smooth flow. Sudden appearance of Floating, Fine, Thin, or Short pulses indicates Evil Heat filling the Heart. A Wiry and Rapid pulse is due to Wind-Heat; a Micro and Deep pulse indicates deficiency and susceptibility to External Wind. a Solid and Long pulse indicates obstruction in the Bao and Diaphragm, where Extreme Yang leads to Yin fullness. A Micro and deficient pulse suggests Heart weakness accompanied by fear; a Long and Wiry pulse suddenly appearing indicates Qi disturbance by Wind. A Moving pulse distinguishes between light/heavy and turbid/clear, from which exterior and interior diseases arise.
The Liver pulse thrives in Spring. A Long, thin, and weak pulse is pitiable. Appearance of Short, Micro, Floating, or Choppy pulses indicates Metal overcoming Wood, making preservation difficult. A Full and Large pulse heals after ten days; a Micro, Deep, Short, and Slippery pulse prolongs the illness. A Slow pulse worries about Cold Stomach; a Wiry and Rapid pulse governs tendon spasms. A Floating and Solid pulse presents as bilateral swelling and redness; a Deficient pulse due to Choppy and Hidden qualities indicates paralysis. A Slippery pulse involves Gallbladder involvement with thirst, headache, and Wind-Cold. A Micro, Slow, Light, Floating, and Scattered pulse causes difficulty in vision, as if seeing flowers. Pulse movement is observed at forty-two intervals, examined during Jia-Yi days.
The Lung organ's pulse is Light and Floating; peacefulness combined with Choppy is more concerning. If Full, Tight, and alternating appear, even without obvious cause, there is worry. A Deep and Empty pulse changes; Yin and Yang intersect naturally. If Harmonious, Slow, and Tight interact, progress and retreat are inexplicable. Floating and Solid must point to each other; Full, Slow, and Rapid worry about Floating. The Lung Metal pulse is also Choppy; expectoration of saliva is unfavorable in Autumn.
The Kidney cover should be pure and quiet; a Micro and Deep pulse indicates suspicion. If Hidden and Absent appear immediately, matters regarding the Heart are abnormal. A Floating pulse indicates chronic Kidney deficiency; a Slow pulse with pain involves frequent dream emission. Pulse movement occurs at six-eight intervals, corresponding to Ren-Gui days as per the preceding song.
The Spleen organ's pulse should be Light; based on Slowness and Peace, it is calm. If Harmonious, Wiry, Tight, and Urgent appear, long-term worry about life and anger arises. A Floating and Solid pulse indicates internal consumption of fluids; a Micro and Floating pulse shows external heat merging. When the pulse comes, the Spleen should be hidden; Excess Fire uses emotional states. A Slippery pulse governs Spleen Heat and dryness; gingival bleeding and foul breath rise. Pulse movement is observed at twenty-eight intervals, combining with Wu-Ji days in the middle camp.
Cun (Inch) position: Full (Saturated. Intestinal knotting. Diaphragmatic heat and oppression.) Floating (Chest weakness. Muscle deficiency with external heat.) Slippery (Stomach heat. Stomach cold. Gallbladder turbidity affecting food digestion.) Solid (Heart Qi overflow causing pain and pathogen invasion. Abdominal pain.) Wiry (Spleen pain. Stomach cold. Heart pain. Emaciation from extreme heat.) Micro (Heart Qi invaded by pathogen. Organ closure and blockage. Kidney deficiency.) Deep (Reversed cold in limbs. Yellow emaciation, rapid wasting, bone heat.) Slow (Wind-Bi with lower deficiency and decay. Neck and back stiffness and pain.) Choppy (Qi deficiency and blood dispersion. Stomach disharmony.) Hidden (Cold accumulation in chest. Qi closure and blockage. Kidney deficiency.)
Guan (Bar) position: Full (Accumulated evil causing salivation. Pathogenic food. Food stagnation in Stomach.) Floating (Lower deficiency affecting hearing. Kidney wind stagnation. Skin itching.) Slippery (Accumulated cold qi. Difficult urination. Waist and abdominal pain.) Solid (Incontinence of urine. Abdominal distension and dream emission.) Wiry (Lower abdominal pain. Qi stagnation. Podagra/Gout. Kidney wind itching.) Micro (Heart and abdominal fullness. Qi knotting and pain. Deficiency and timidity.) Deep (Heart Qi pain. Blockage and non-flow. Spleen deficiency.) Slow (Stomach cold with frequent vomiting and reflux. Heart, abdomen, and Liver pain.) Choppy (Blood strangury and blood deterioration. Dry blood skin. Jaundice.) Hidden (Masses and accumulations with cold qi. Blood stasis causing dim vision.)
Chi (Cubit) position: Full (Heat and choppy sensation in feet. Foot pain due to Kidney deficiency.) Floating (Bright heat in sinews and bones. Hematochezia and headache.) Slippery (Wind obstruction causing stiff tongue. Heart heat. Vomiting and Stomach reflux.) Solid (Wind-Heat causing red face. Chest and diaphragm discomfort. Irritability.) Wiry (Blood congestion in legs. Headache. Dry eyes. Vomiting. Tendon tension.) Micro (Cold accumulation in abdomen causing diarrhea. Labor-Qi night sweats.) Deep (Qi stagnation causing lower back pain. Deficient heat accumulation leading to death.) Slow (Kidney cold with spontaneous sweating. Cold dream emission.) Choppy (Reversed cold in four limbs. Floating diarrhea and pain below the umbilicus.) Hidden (Inability to eat. Abdominal pain and pain in hands/feet. Lower diarrhea.)