浮而有力主风。无力主虚。浮举指在皮上见之。为人之表为阳。乃外得之证。
浮而有力主积。无力主气。三因方为湿为实。沉脉下指至骨得之。乃为里为阴。是内受之病。
迟而有力主。痛。无力主冷。又为寒。迟脉重按之在内。转按之方见。一息三至。是为阴主寒。乃内受之病。数而
有力为热无力为虚。
心部浮主心虚。触事易惊。神不守舍。舌强不能。言语错谬。
肝部浮。主肝虚。中风瘫痪。筋脉拘挛。面痛牙痛。肠风下血。脾部虚浮。主腹胀呕逆。饮食少进。气喘气急。泄
泻无度。
肺部浮。主肺虚。大便闭。面浮多疮。吐血吐脓嗽喘。
肾部浮。主肾虚。腿足生疮。虚阳淋沥。腰痛牙痛。小肠疝气。
心部沉。主小肠淋沥。喀血溺血。小便不通。睡而不寐。
肝部沉。主怒气伤肝。胁痛肥气。眼目赤涩肚疼腹满。
脾部沉。主虚伤脾。肌寒客热。食不作。肌肤气痞。身黄瘦。
肺部沉。主咳嗽多呕。上气喘急。呕血失血息贲肠痈。
肾部沉。主胀满不食。小便淋漓。阴痈作胀。贲豚肠满。
心部迟。主小便频数。心痛呕水。怔忡多状。伏梁肠痛。
肝部迟。主筋挛骨疼。眼昏多泪。觞事易惊。转筋麻木。
脾部迟。主泄泻咳嗽。蛔虫出痰。涎壅多。饮食不化。
肺部迟。主嗽喘满。大便溏泄。皮肤燥涩。梦涉大水。
肾部迟。主小便滑数。泄精不禁。膝胫痛软。阴湿盗汗香港脚。
浮脉有力主风邪。无力主虚证。浮脉轻取即在皮肤表面即可触及。它对应人体的体表,属于阳,是外感引起的病证。
浮脉有力主积滞。无力主气滞。《三因方》认为浮脉也主湿邪和实证。沉脉重按至骨才能触及。它对应体内,属于阴,是内伤引起的疾病。
迟脉有力主痛证。无力主冷证,又主寒证。迟脉重按在里位,转动手指仔细寻找才能见到,一息跳动三次,这属于阴脉,主寒,是内伤引起的疾病。数脉有力主热证,无力主虚证。
心部出现浮脉,主心气虚。表现为遇事容易惊恐,神志不宁,舌体僵硬不能言语或言语错乱。
肝部出现浮脉,主肝气虚。表现为中风瘫痪,筋脉拘挛,面部疼痛,牙齿疼痛,肠风下血。脾部出现虚浮脉,主腹胀、呕吐逆气,饮食减少,气喘急促,泄泻无度。
肺部出现浮脉,主肺气虚。表现为大便闭塞,面部浮肿且多疮疡,吐血、吐脓、咳嗽气喘。
肾部出现浮脉,主肾气虚。表现为腿足生疮,虚阳上浮导致小便淋漓不尽,腰痛,牙齿疼痛,小肠疝气。
心部出现沉脉,主小肠淋沥(小便不利),咯血、尿血,小便不通,睡眠浅而难以入睡。
肝部出现沉脉,主怒气伤肝。表现为胁痛,肥气(腹中结块),眼睛红涩,腹痛腹胀。
脾部出现沉脉,主脾气虚伤。表现为肌肉寒冷兼有客热,食物不消化,肌肤气痞,身体发黄消瘦。
肺部出现沉脉,主咳嗽多呕,上气喘急,呕血失血,息贲(肺积),肠痈。
肾部出现沉脉,主胀满不食,小便淋漓,阴部痈肿作胀,奔豚气,肠道胀满。
心部出现迟脉,主小便频数,心痛呕吐清水,怔忡症状多,伏梁(腹中积块),肠痛。
肝部出现迟脉,主筋脉拘挛,骨骼疼痛,眼睛昏花多泪,遇事易惊,转筋麻木。
A floating pulse with strength indicates wind pathogen. A floating pulse without strength indicates deficiency. The floating pulse is felt superficially on the skin level. It corresponds to the exterior of the body and belongs to Yang; it represents an exogenous syndrome.
A floating pulse with strength indicates accumulation. A floating pulse without strength indicates Qi stagnation. *San Yin Fang* (Treatise on the Three Causes) states that a floating pulse also indicates dampness and excess syndromes. A deep pulse is felt only upon heavy pressure reaching the bone. It corresponds to the interior and belongs to Yin; it represents an endogenous disease.
A slow pulse with strength indicates pain. A slow pulse without strength indicates cold, and also indicates cold pathogen. The slow pulse is found in the interior upon heavy pressure, becoming visible only when the finger is rotated carefully; it beats three times per breath cycle. This is a Yin pulse indicating cold, representing an endogenous disease. A rapid pulse with strength indicates heat; a rapid pulse without strength indicates deficiency.
When the Heart position shows a floating pulse, it indicates Heart Qi deficiency. Symptoms include being easily startled by events, unsettled spirit (Shen), stiff tongue unable to speak or speaking erroneously.
When the Liver position shows a floating pulse, it indicates Liver Qi deficiency. Symptoms include stroke paralysis, tendon and vessel spasm, facial pain, toothache, intestinal wind with bleeding. When the Spleen position shows a deficient-floating pulse, it indicates abdominal distension, vomiting and regurgitation, reduced food intake, asthma and shortness of breath, and profuse diarrhea.
When the Lung position shows a floating pulse, it indicates Lung Qi deficiency. Symptoms include constipation, facial edema with many sores, hemoptysis, expectoration of pus, cough, and asthma.
When the Kidney position shows a floating pulse, it indicates Kidney Qi deficiency. Symptoms include sores on the legs and feet, floating deficient Yang causing dribbling urination, lower back pain, toothache, and small intestine hernia.
When the Heart position shows a deep pulse, it indicates small intestine strangury, hematemesis, hematuria, dysuria, and sleeplessness despite sleeping.
When the Liver position shows a deep pulse, it indicates Liver injury due to anger. Symptoms include hypochondriac pain, Fei Qi (abdominal mass), red and dry eyes, abdominal pain and fullness.
When the Spleen position shows a deep pulse, it indicates Spleen injury due to deficiency. Symptoms include cold muscles with external heat, indigestion, Qi stagnation in the skin and flesh, jaundice, and emaciation.
When the Lung position shows a deep pulse, it indicates cough with frequent vomiting, upper asthma and rapid breathing, hematemesis and blood loss, Xi Ben (Lung accumulation), and intestinal abscess.
When the Kidney position shows a deep pulse, it indicates abdominal fullness and anorexia, dribbling urination, yin abscess with swelling, Ben Tun (rushing pig/Qi counterflow), and intestinal fullness.
When the Heart position shows a slow pulse, it indicates frequent urination, heart pain with vomiting of clear fluid, palpitations with various manifestations, Fu Liang (abdominal mass), and intestinal pain.
When the Liver position shows a slow pulse, it indicates tendon spasm and bone pain, dim vision with excessive tearing, easy startle, muscle cramps, and numbness.
When the Spleen position shows a slow pulse, it indicates diarrhea and cough, expulsion of roundworms, excessive phlegm and saliva, and undigested food.
When the Lung position shows a slow pulse, it indicates cough, asthma, and chest fullness, loose stools, dry and rough skin, and dreaming of wading through large waters.
When the Kidney position shows a slow pulse, it indicates slippery and frequent urination, involuntary seminal emission, soreness and weakness of the knees and shins, dampness in the genital area, night sweats, and Hong Kong foot (foot qi).