浮主中风无力虚。皮上为阳外得之。沉为积聚无力气。三固方温下至骨。
迟而主痛无力冷。一息三至寒为阳。数热无疮热为燥。一息六至皮为阳。
寸浮头面眼目风。休虚齿痛口斜 。沉胸气满嗽疾喘。翻胃吐食息气胸。
迟冷呕吐疼满膈。虚汗拘急痛不已。数热上壅燥口干。头痛烦渴疼口疮。
关浮两胁拘急运。背脊筋痛不能伸。沉气腹胀鸣心痛。上下关格不思食。
迟冷 癖腹游走。上下不定刺番胃。数热大小便不通。肾痈烦渴或不已。
尺浮腰痛连小胁。疝气腿疮虚阳淋。沉小便淋闭 阴。腹胀 豚满不食。
迟便滑数泄精禁。膝胫疼软温盗汗。数渴不止便淋血。HT 脚疮温阴囊痒。
天一生水。地六成之。地二生火。天七成之。天三生木。地八成之。地四生金。天九成之。天五生土。地十成之。
假如心脉诊得一动一止。六动一止。十一。十六。二十一。二十六。三十一。三十六。四十一。四十六动而止者。
是
水克火也。又遇丙辛辰戌年月日时死也。
假如肺脉诊得二动一至。七动一止。十二。十七。二十二。二十七。三十二。三十七。四十二。四十七动而止者。
是火
来克金也。又遇戊癸子午年月日时必死也。（董按。此条原本缺。且与肝脉条误杂。兹据珍秘抄本补入）
假如肝脉诊得四动一止。九动一止。十四。十九。二十四。二十九。三十四。三十九。四十四。四十九动而止者。
是
金克木也。又遇乙庚卯酉年月日时死也。
假如脾脉诊得三动一止。八动一止。十三。十八。二十三。二十八。三十三。三十八。四十三。四十八动而止者。
是
木克土也。又遇丁壬巳亥年月日时死也。
假如肾脉诊得五动一止。十动一止。十五。二十。二十五。三十。三十五。四十。四十五动而止者。是土克水也。
又遇甲己丑未年月日时死也。
脉运化气岁干先。前进四位是在泉。后位同上根据般用。此法诊之作地仙。
浮脉主要主中风，若按之无力则为虚证。浮脉位于皮肤表层，属阳，多为外感邪气所致。沉脉主要主体内积聚，若按之无力则为气虚。沉脉需重按至骨方得，其象坚实稳固，此时宜用温法。
迟脉主要主疼痛，若按之无力且伴有寒冷感，是因为阳气不足（一息跳动三次为迟）。数脉主要主热证，若无疮疡则热盛导致津液干燥（一息跳动六次为数），脉位偏浅属阳。
寸部见浮脉，主头面部及眼目受风邪侵袭；若兼见虚弱，则可能出现牙齿疼痛、口眼歪斜。寸部见沉脉，主胸中气机壅满、咳嗽急促、气喘，或翻胃吐食、气息短促、胸部不适。
寸部见迟脉，主寒冷引起的呕吐、膈肌疼痛胀满；若兼见虚汗、筋脉拘挛急迫、疼痛不止。寸部见数脉，主热邪上壅、口干舌燥；头痛、烦躁口渴、口腔生疮。
关部见浮脉，主两胁拘挛急迫、运化不利，背脊筋脉疼痛不能伸展。关部见沉脉，主气滞腹胀、肠鸣、心痛，上下气机格拒、不思饮食。
关部见迟脉，主寒凝导致的癖块（腹内结块）、腹部游走性疼痛，上下不定，刺痛并引发翻胃。关部见数脉，主热盛导致大小便不通，肾痈、烦躁口渴或疼痛不止。
尺部见浮脉，主腰痛牵连小胁，疝气、腿部疮疡、虚阳上浮导致的淋证。尺部见沉脉，主小便淋沥闭塞、阴部不适，腹胀、豚疝（腹内结块）胀满、不思饮食。
尺部见迟脉，主大便滑泄；数脉主遗精禁固不住；膝胫疼痛软弱、盗汗。尺部见数脉，主口渴不止、小便带血；HT（此处疑为原文衍文或特定符号，暂略）脚部疮疡、阴囊瘙痒。
天一生水，地六成之；地二生火，天七成之；天三生木，地八成之；地四生金，天九成之；天五生土，地十成之。
假如诊得心脉，出现一次跳动后停顿一次，或者六次跳动后停顿一次，乃至十一、十六、二十一、二十六、三十一、三十六、四十一、四十六次跳动后停顿的情况，这是水克火的表现。又如果遇到丙辛年、辰戌月、日、时，则必死。
假如诊得肺脉，出现两次跳动后停顿一次，或者七次跳动后停顿一次，乃至十二、十七、二十二、二十七、三十二、三十七、四十二、四十七次跳动后停顿的情况，这是火来克金的表现。又如果遇到戊癸年、子午月、日、时，则必死。（董氏按语：此条原本缺失，且与肝脉条文混淆，现依据珍秘抄本补入）
假如诊得肝脉，出现四次跳动后停顿一次，或者九次跳动后停顿一次，乃至十四、十九、二十四、二十九、三十四、三十九、四十四、四十九次跳动后停顿的情况，这是金克木的表现。又如果遇到乙庚年、卯酉月、日、时，则必死。
假如诊得脾脉，出现三次跳动后停顿一次，或者八次跳动后停顿一次，乃至十三、十八、二十三、二十八、三十三、三十八、四十三、四十八次跳动后停顿的情况，这是木克土的表现。又如果遇到丁壬年、巳亥月、日、时，则必死。
假如诊得肾脉，出现五次跳动后停顿一次，或者十次跳动后停顿一次，乃至十五、二十、二十五、三十、三十五、四十、四十五次跳动后停顿的情况，这是土克水的表现。又如果遇到甲己年、丑未月、日、时，则必死。
The floating pulse primarily indicates wind-stroke; if it feels weak upon pressure, it signifies deficiency. Floating pulses are located at the skin level, belong to Yang, and often result from external pathogenic factors. The sinking pulse primarily indicates internal accumulation; if it feels weak upon pressure, it signifies Qi deficiency. Sinking pulses require heavy pressure to reach the bone; their image is firm and solid, indicating a condition suitable for warming methods.
The slow pulse primarily indicates pain; if it feels weak accompanied by coldness, it is due to Yang deficiency (three breaths per cycle denotes slow). The rapid pulse primarily indicates heat syndromes; without sores, excessive heat leads to dryness (six breaths per cycle denotes rapid), and the pulse position being superficial belongs to Yang.
At the Cun (inch) position, a floating pulse indicates wind pathogen affecting the head, face, and eyes; if accompanied by deficiency, dental pain or facial paralysis (mouth deviation) may occur. At the Cun position, a sinking pulse indicates chest Qi stagnation/fullness, coughing with urgency, asthma, regurgitation/vomiting, shortness of breath, and chest discomfort.
At the Cun position, a slow pulse indicates vomiting caused by cold, diaphragmatic pain and fullness; if accompanied by spontaneous sweating, tendon spasm/cramping, and unceasing pain. At the Cun position, a rapid pulse indicates heat pathogen rising upward, dry mouth and tongue; headache, irritability, thirst, and oral ulcers.
At the Guan (bar) position, a floating pulse indicates spasm and stiffness in both hypochondriac regions, impaired transformation and transportation, back and spine tendon pain preventing extension. At the Guan position, a sinking pulse indicates Qi stagnation with abdominal distension, borborygmus, heart pain, upper and lower Qi obstruction, and loss of appetite.
At the Guan position, a slow pulse indicates cold coagulation leading to masses (Pi masses within the abdomen), wandering abdominal pain that is fixed or moving, stabbing pain triggering regurgitation. At the Guan position, a rapid pulse indicates heat excess causing constipation and urinary retention, kidney abscess, irritability, thirst, or unceasing pain.
At the Chi (cubit) position, a floating pulse indicates lower back pain radiating to the small hypochondrium, hernia, leg sores, and strangury due to floating deficient Yang. At the Chi position, a sinking pulse indicates dribbling urinary retention, Yin region discomfort, abdominal distension, tun hernia (masses in abdomen) with fullness, and loss of appetite.
At the Chi position, a slow pulse indicates loose stools/slippage; a rapid pulse indicates seminal emission/involuntary discharge; knee and shin pain/weakness, night sweats. At the Chi position, a rapid pulse indicates unquenchable thirst, hematuria; foot sores, scrotal pruritus.
Heaven generates Water with One; Earth completes it with Six. Earth generates Fire with Two; Heaven completes it with Seven. Heaven generates Wood with Three; Earth completes it with Eight. Earth generates Metal with Four; Heaven completes it with Nine. Heaven generates Earth with Five; Earth completes it with Ten.
If the Heart pulse is diagnosed as stopping after one beat, or after six beats, or even after eleven, sixteen, twenty-one, twenty-six, thirty-one, thirty-six, forty-one, or forty-six beats, this indicates Water overcoming Fire. Death is inevitable if encountering Bing/Xin years, Chen/Xu months, days, or hours.
If the Lung pulse is diagnosed as stopping after two beats, or after seven beats, or even after twelve, seventeen, twenty-two, twenty-seven, thirty-two, thirty-seven, forty-two, or forty-seven beats, this indicates Fire overcoming Metal. Death is inevitable if encountering Wu/Gui years, Zi/Wu months, days, or hours. (Note by Dong: This section was originally missing and confused with the Liver pulse section; now supplemented based on the Zhenmi manuscript.)
If the Liver pulse is diagnosed as stopping after four beats, or after nine beats, or even after fourteen, nineteen, twenty-four, twenty-nine, thirty-four, thirty-nine, forty-four, or forty-nine beats, this indicates Metal overcoming Wood. Death is inevitable if encountering Yi/Geng years, Mao/You months, days, or hours.
If the Spleen pulse is diagnosed as stopping after three beats, or after eight beats, or even after thirteen, eighteen, twenty-three, twenty-eight, thirty-three, thirty-eight, forty-three, or forty-eight beats, this indicates Wood overcoming Earth. Death is inevitable if encountering Ding/Ren years, Si/Hai months, days, or hours.
If the Kidney pulse is diagnosed as stopping after five beats, or after ten beats, or even after fifteen, twenty, twenty-five, thirty, thirty-five, forty, or forty-five beats, this indicates Earth overcoming Water. Death is inevitable if encountering Jia/Ji years, Chou/Wei months, days, or hours.
The movement and transformation of pulse Qi relate to the annual Heavenly Stem. Advancing four positions reveals the "Zai Quan" (In-Office) Qi. Retreating follows the same logic, generally applied in this manner. This diagnostic method is considered as profound as that of an Earth Immortal.