异脉者。乖戾不和。索然无气。不与寻常诸脉相类。内经大奇论。贯列诸脉。摹写最微。苟非逐一稽研。乌
能心领神会。如心脉满大。痫螈筋挛。肝脉小急。痫螈筋挛。二条见证皆同。而脉象迥异。受病各别。其同病
异治等法。良有见乎此也。若肝脉惊暴。有所惊骇。脉不至。若喑。皆惊气失常。所以肝脉驰骤。气平自已。
毋治也。肾脉小急。肝脉小急。心脉小急。不鼓。皆为瘕。言诸经之脉。皆有小急。但以按之不鼓者为瘕。若
纵之鼓指。又为火伏之象。非瘕也。肾肝并沉为石水。并浮为风水。并虚为死。并小弦欲惊。并者。六位皆然
。非见一二部也。水脉当沉。以风势鼓激则浮。浮则重按不乏。虚则按之即空。以水气内蓄。不当并见虚脉。故
死。并小弦欲惊者。以少阳生气。为阴邪所埋。故惕惕如惊。而实非惊也。肾脉大急沉。肝脉大急沉。皆为疝
。心脉搏滑急为心疝。肺脉沉搏为肺疝。疝脉无不弦急者。观下文三阳急为瘕。三阴急为疝。则疝瘕之阴阳辨治。
可了然矣，二阴急为痫厥。厥属肾。而痫属心包也。二阳急为惊。闻水音则惕然而惊也。脾脉外鼓沉为肠 。久
自已。肝脉小缓为肠 。易治。肾脉小搏沉为肠 下血。血温身热者死。心肝病亦下血。二脏同病者可治。其脉
小沉涩为肠 。其身热者死。热见七日死。肠 之脉。总以缓小为易治。坚搏为难治。外鼓沉者。言虽浮大而
根气不乏也。小搏沉者。阴邪内注而脉显阴象。不当复见虚阳外扰也。心肝二脏。水火同气。故同病者易治。脾肾同病。
为土崩水竭。故死不
治。胃脉沉鼓涩。胃外鼓大。心脉小坚急。皆鬲。偏枯。男子发左。女子发右。不喑。舌转可治。三十日起。
其从者喑。三岁起。年不满二十者。三岁死。言胃脉重按则涩。浮取则大。阴血受伤而阳气失守也。心脉小坚
急。阴邪胜而上侮君主也。胃气既伤。血脉又病。故心下痞鬲。而半体偏枯也。偏枯以男子发左。女子发右为
逆。然虽逆而非不治也。如不喑舌转。非脏受病。见证虽逆。治亦易起。若喑不能言。肾气内亏。证虽不逆。治亦
难痊。若年不满二十。气血方盛之时。而见偏废之疾。此根气之夭。不出三年必死也。脉至而搏。血衄身热者
死。脉来悬钩浮为常脉。血衄身热而脉来搏指。虚阳外脱。阴血内亡。安得不死。脉来悬钩浮。言浮而中空之
状。隐然言外。脉至如喘。名暴厥。暴厥者。不知与人言。言暴逆气浮。故脉喘喘乏力。肾气不能下守可知。脉
至如数。使人暴惊。三四日自已。言暴惊气乱。故脉至如数。而实未常数。故不须治。脉至浮合。浮合如数。
言一息十至以上。如浮波之合。后至凌前。虚疾而动无常候。是经气予不足也。脉至如火薪然。言浮数而散。
瞥瞥如羹上肥。是心精之予夺也。脉至如散叶。言飘忽无根。是肝气予虚也。脉至如省客。省客者。言如省问
之客。乍见欲言而迟疑不吐。故以脉塞而鼓四字体贴之。是肾气予不足也。脉至如丸泥。言指下动滑。如循薏苡子
。是胃精予不足也。脉至如横格。言坚强如横木之拒于指下。是胆气予不足也。脉至如弦缕。言弦急而强。如
转索之状。是胞精予不足也。脉至如交漆。交漆者。左右旁至也。言指下艰涩不前。重按则不由正道而出。或
前大后细。与绵绵如泻漆之绝互发。脉至如涌泉。言寸口洪盛。如泉出穴之涌。而按之散漫。浮鼓肌中。太阳气
予不足也。脉至如颓土之状。言涩大模糊。如雨中颓土。按之不得。是肌气予不足也。脉至如悬雍。悬雍者。
浮揣切之益大。重按即无。故以 间下垂之肉喻之。是十二俞之予不足也。脉至如偃刀。偃刀者。浮之小急。按
之坚大急。五脏
郁热。寒热独并于肾也。脉至如丸。滑不直手。按之不可得。是大肠气予不足也。脉至如华者。言如花之虚
浮。令人善恐。不欲坐卧，行立常听。是小肠气予不足也。如上诸脉。古圣目之大奇。洵非寻常可拟。余尝反
复互参。始得其旨。前九条。咸以脉证异同。究其病之所属。如脾脉外鼓沉。及胃脉沉鼓涩。胃外鼓大之脉皆
仿佛。而为病迥殊。后十四条。又以指下乖异。辨诸经
之气予不足。而悉予之短期。近世但知弹石解索。雀啄屋漏。鱼翔虾游。谓之六绝。若浮合等脉。真脏七诊。
茫然不知何义。而漫治取谤者有之。多有病本濒危。药之不应。而显绝脉绝证。如病患身热脉大。服药后。忽
然微细欲绝。厥冷下利。呃逆不止者死。脉转躁疾亦死。病患厥逆下利。脉微欲绝。服药后。脉暴出者死。与
厥逆下利。本不能食。今骤能食。为除中者死。同义。又脉来忽沉忽浮。乍疏乍数。来去无次。皆不可治。经
谓不大不小。病犹可治。其有大小者。为难治也。真脏者。独弦独钩独毛独石独代。而指下坚强。绝无和缓之
象。脏气病气。打成一片。故曰真脏。见之必死。七诊者。独小独大独疾独迟。诸部皆然。非一部两部见病脉
也。独热者。尺炬然热。独寒者。尺肤寒是也。独陷下者。诸部皆陷伏不应也。真脏悉为死候。七诊犹为病
脉。其所重全在胃气。胃主肌肉。故言形肉已脱。九候虽调犹死。七诊虽见。九候皆从者不死。胃为五脏之本
也。若有七诊之病。其脉候亦败者死矣。前篇汇次逆顺。此篇专辑异脉。欲人贯彻其旨。庶无轻诺许治之失。
异脉，是指脉象乖戾不和、索然无气，与寻常各种脉象都不相同。《内经·大奇论》中罗列了各种异常脉象，描写得最为精微。如果不是逐一考证研究，怎么能心领神会呢？比如心脉满大，出现痫病抽搐、筋脉挛急；肝脉小急，也出现痫病抽搐、筋脉挛急。这两条见证症状虽然相同，但脉象截然不同，受病的脏腑各异。这种同病异治的方法，确实是有见于此的。如果是肝脉惊悸暴乱，因受到惊吓骇怕，脉搏摸不到，或者声音嘶哑，这都是因为惊恐之气失常所致。所以肝脉表现为驰骤不宁，只要气息平复，病症自然痊愈，不需要治疗。
肾脉小急，肝脉小急，心脉小急，如果按之搏动无力（不鼓），都主瘕积（腹内结块）。意思是各经的脉象都有小急的情况，但只要按之搏动无力（不鼓）的就是瘕积。如果按之搏动有力（鼓指），又是火邪潜伏的迹象，就不是瘕积了。肾脉和肝脉同时沉取为石水病，同时浮取为风水病，同时虚取为死证，同时小弦则欲发惊悸。“并”是指寸关尺六部脉象都是如此，而不是只见到一两个部位。水脉应当沉，因为风势鼓激所以变浮，浮脉重按仍有根，虚脉则是按之即空。由于水气内蓄，不应当同时见到虚脉，所以主死。同时小弦而欲惊的，是因为少阳生气被阴邪埋没，所以心中惕惕不安像要惊悸一样，但实际上并不是真正的惊悸。
肾脉大急且沉，肝脉大急且沉，都主疝气。心脉搏动滑利且急，主心疝。肺脉沉而搏指，主肺疝。疝气的脉象没有不弦急的。看下文“三阳急为瘕，三阴急为疝”，那么疝和瘕的阴阳辨治，就可以明白了。二阴急主痫厥，厥逆属于肾，而痫病属于心包络。二阳急主惊悸，听到水声就会惕然而惊。脾脉外部鼓大而内部沉，主肠澼（痢疾或便脓血），日久可自行痊愈。肝脉小缓主肠澼，容易治疗。肾脉小搏且沉主肠澼下血，如果血色温而身体发热的主死。心和肝病也会下血，这两脏同病的人可以治疗。如果脉象小沉涩主肠澼，如果身体发热的主死，热象持续七天死亡。肠澼的脉象，总体以缓小为易治，坚搏为难治。外鼓沉的，是说虽然浮大但根气不匮乏。小搏沉的，是阴邪内注而脉显阴象，不应当再见到虚阳外扰。心和肝两脏，水火同气，所以同病者易治。脾和肾同病，如同土崩水竭，所以主死不治。
胃脉沉取涩而浮取鼓大，胃脉浮取鼓大，心脉小坚急，都主膈塞（噎膈）。偏枯（半身不遂），男子发于左侧，女子发于右侧，如果不失语，舌头转动灵活，可以治疗，三十天起效。如果伴有失语，三年才能起效。年龄不满二十岁的，三年后死亡。这是说胃脉重按时涩滞，轻取时盛大，是阴血受伤而阳气失守。心脉小坚急，是阴邪胜而上侮君主（心）。胃气既已受伤，血脉又有病变，所以心下痞塞膈阻，且出现半身偏枯。偏枯以男子发左、女子发右为逆证，然而虽然是逆证却并非不可治。如不失语、舌头转动，说明不是内脏受病，虽然见证属逆，治疗也容易见效。如果失语不能言，是肾气内亏，虽然证候不逆，治疗也难以痊愈。如果年龄不满二十岁，正值气血方盛之时，却出现偏废的疾病，这是先天根气夭折，不出三年必死。
脉来搏击有力，伴有鼻衄（鼻出血）和身体发热的主死。脉来悬钩浮是正常的脉象。如果鼻衄身热而脉来搏击手指，这是虚阳外脱，阴血内亡，怎么能不死呢？“脉来悬钩浮”，是说浮而中空的状貌，隐约在言外。脉至如喘息的急促感，名为暴厥。暴厥的人，不知道与人交谈，这是因为暴逆之气上浮，所以脉象喘喘乏力，可知肾气不能下守。脉至如数脉，使人突然惊悸，三四日后自行痊愈。这是说暴惊导致气机紊乱，所以脉至如数，但实际上并未真正变成数脉，所以不需要治疗。
脉至如浮合，浮合就像数脉一样，一息十至以上，像浮波汇聚，后浪凌驾前浪，虚疾而动无常候，这是经气给予不足。脉至如火薪燃烧，是说浮数而散漫，瞥瞥如羹汤上面的浮油，这是心精的给予不足。脉至如散落的树叶，是说飘忽无根，这是肝气的给予不足。脉至如省客（拜访的客人），“省客”是说像拜访的客人，乍见想说话却迟疑不说，所以用“脉塞而鼓”四个字来贴切形容，这是肾气的给予不足。脉至如丸泥，是说指下动滑，像抚摸薏苡子，这是胃精的给予不足。脉至如横格，是说坚强如横木阻挡在指下，这是胆气的给予不足。脉至如弦缕，是说弦急而强，像搓转绳索的样子，这是胞精（生殖之精）的给予不足。脉至如交漆，“交漆”是说左右旁至，指下艰涩不前，重按则不由正道而出，或者前大后细，与绵绵如泻漆将断绝时的状态交替出现。脉至如涌泉，是说寸口洪盛，像泉水从洞穴涌出，但按之散漫，浮鼓于肌中，这是太阳经气的给予不足。脉至如颓土（崩塌的泥土）的样子，是说涩大模糊，像雨中的烂泥，按之不得，这是肌气的给予不足。脉至如悬雍（喉头肉垂），悬雍是说浮揣切之益大，重按即无，所以用喉间下垂的肉来比喻，这是十二俞穴之气的给予不足。脉至如偃刀（仰卧的刀），偃刀是说轻取小急，重按坚大急，这是五脏郁热，寒热独并于肾。脉至如丸，滑利不直手，按之不可得，这是大肠气的给予不足。脉至如华（花），是说如花之虚浮，令人善恐，不想坐卧，行立时常倾听，这是小肠气的给予不足。
如上诸种脉象，古代圣人称之为“大奇”，确实不是寻常脉象所能比拟的。我反复互参，才得其旨意。前九条，都是以脉证的异同，探究疾病的所属。如脾脉外鼓沉，以及胃脉沉鼓涩、胃外鼓大的脉象都仿佛相似，但所患疾病却迥然不同。后十四条，又以指下的乖异，辨别各经之气的给予不足，并全部给予预后的短期判断。近世之人只知道弹石、解索、雀啄、屋漏、鱼翔、虾游这六种绝脉。对于浮合等脉象，以及真脏七诊，茫然不知其含义，因而胡乱治疗招致责备的有之。多有病情本已濒危，用药无效，而出现绝脉绝证的情况。比如病患身体发热脉大，服药后，忽然变得微细欲绝，四肢厥冷下利，呃逆不止的主死。脉转躁疾也主死。病患厥逆下利，脉微欲绝，服药后，脉暴出的主死。这与厥逆下利，本来不能进食，现在突然能进食，称为“除中”的主死，意义相同。又脉来忽沉忽浮，乍疏乍数，来去无次序，都不可治。经文说不大不小，病还可以治疗；如果有大小不一的脉象，就难治了。真脏脉，是独弦、独钩、独毛、独石、独代，而指下坚强，绝无和缓之象，脏气与病气打成一片，所以叫真脏，见到必死。七诊，是独小、独大、独疾、独迟，各部脉象都这样，不是仅在一两部见到病脉。独热，是指尺部灼热；独寒，是指尺肤寒冷。独陷下，是指各部脉皆陷伏不应指。真脏脉全为死候，七诊尚为病脉。其关键全在于胃气。胃主肌肉，所以说形体肌肉已经脱失，九候脉象虽然调和也主死；七诊脉象虽然出现，如果九候脉象都顺从胃气就不死。胃是五脏的根本啊。如果有七诊的病脉，其脉候也已经败坏，那就死了。前篇汇次了逆顺，此篇专门收录异脉，想要人们贯彻其中的旨意，从而避免轻易许诺治疗的失误。
Heterodox pulses refer to pulse conditions that are discordant and inharmonious, lacking vitality, and do not resemble ordinary pulse patterns. The *Da Qi Lun* (Treatise on Great Anomalies) in the *Neijing* lists various abnormal pulses with exquisite description. Unless one investigates them one by one, how can one grasp their essence intuitively? For instance, a full and large heart pulse accompanied by epilepsy, convulsions, and tendon spasms; or a small and urgent liver pulse also presenting with epilepsy, convulsions, and tendon spasms. Although these two cases present identical symptoms, their pulse images are vastly different, and the affected organs vary. This approach of treating the same disease differently is indeed based on such distinctions. If the liver pulse is suddenly startled and erratic due to fright or shock, resulting in an imperceptible pulse or aphonia, this is caused by the dysfunction of qi due to fear. Thus, when the liver pulse is erratic, once the qi calms down, the condition will resolve spontaneously without treatment.
A small and urgent kidney pulse, a small and urgent liver pulse, or a small and urgent heart pulse, if they feel weak upon pressure (non-pounding), all indicate *jia* masses (abdominal lumps). This means that while various meridians may exhibit small and urgent pulses, those that feel non-pounding upon pressure are classified as *jia* masses. However, if they feel pounding upon pressure, it indicates latent fire pathology, not a *jia* mass. When both the kidney and liver pulses are deep, it indicates *Shi Shui* (Stone Water edema); when both are floating, it indicates *Feng Shui* (Wind Water edema); when both are empty, it indicates death; and when both are small and wiry, it suggests impending fright. "Both" implies that this pattern appears across all six positions (cun, guan, chi on both hands), not just in one or two positions. Water-related pulses should be deep; however, due to the stirring effect of wind, they become floating. A floating pulse still has root upon heavy pressure, whereas an empty pulse feels hollow immediately upon pressure. Since water qi accumulates internally, it should not present with an empty pulse simultaneously; thus, it indicates death. When both are small and wiry with a sensation of impending fright, it is because the Shao Yang (Lesser Yang) generating qi is buried by yin pathogens, causing palpitations resembling fright, though it is not actual fright.
A large, urgent, and deep kidney pulse, or a large, urgent, and deep liver pulse, both indicate *shan* hernias. A slippery, urgent heart pulse indicates Heart Hernia (*Xin Shan*). A deep and pounding lung pulse indicates Lung Hernia (*Fei Shan*). Pulses associated with hernias are invariably wiry and urgent. Referring to the later text stating "Urgency in the Three Yang meridians leads to *jia* masses, urgency in the Three Yin meridians leads to *shan* hernias," the differentiation and treatment of *shan* and *jia* based on Yin and Yang become clear. Urgency in the Two Yin meridians indicates epilepsy and厥 (Jue/cold extremities); Jue belongs to the Kidney, while epilepsy belongs to the Pericardium. Urgency in the Two Yang meridians indicates fright; hearing the sound of water causes sudden alarm. An external-full and internal-deep spleen pulse indicates Chang Pi (dysentery or bloody stools), which may resolve spontaneously after a long duration. A small and slow liver pulse indicates Chang Pi, which is easy to treat. A small, pounding, and deep kidney pulse indicates Chang Pi with blood loss; if the blood is warm and the body is feverish, it indicates death. Liver and Heart diseases can also cause blood loss; cases involving both organs are treatable. If the pulse is small, deep, and choppy indicating Chang Pi, and the body is feverish, it indicates death; fever persisting for seven days leads to death. Generally, pulses for Chang Pi are easier to treat if small and slow, but difficult if firm and pounding. "External-full and internal-deep" means that although the pulse is superficial and large, the root qi is not depleted. "Small, pounding, and deep" indicates yin pathogens invading internally, manifesting yin signs; it should not coexist with floating yang disturbance. The Heart and Liver share the nature of water and fire, so concurrent disease in these two organs is easier to treat. Concurrent disease in the Spleen and Kidney resembles the collapse of earth and exhaustion of water, indicating untreatable death.
A stomach pulse that is deep and choppy yet superficially full, or a stomach pulse that is superficially full and large, combined with a small, firm, and urgent heart pulse, all indicate Ge Syndrome (dysphagia/chest obstruction). Hemiplegia (Pian Ku) manifests on the left side in men and the right side in women. If there is no aphonia and the tongue moves freely, it is treatable, with improvement expected within thirty days. If accompanied by aphonia, recovery may take three years. For patients under twenty years old, death occurs within three years. This describes a stomach pulse that is choppy upon deep pressure and large upon light pressure, indicating injury to yin blood and loss of yang qi protection. A small, firm, and urgent heart pulse indicates yin pathogens overcoming and insulting the Sovereign (Heart). With damaged stomach qi and diseased blood vessels, epigastric fullness and hemiplegia occur. Hemiplegia appearing on the left in men and right in women is considered a adverse sign (Ni), yet it is not necessarily untreatable. If there is no aphonia and the tongue moves, indicating no internal organ damage, treatment is effective despite the adverse sign. If aphonia is present, it indicates internal deficiency of Kidney qi; even if not adverse, recovery is difficult. In patients under twenty, during peak qi and blood development, hemiplegia indicates congenital root depletion, leading to death within three years.
A pulsating pulse accompanied by nasal bleeding (Xu Nu) and fever indicates death. A normal pulse is described as Xuan Gou Fu (suspended hook floating). If nasal bleeding and fever accompany a pulsating pulse that strikes the fingers, it indicates external escape of deficient yang and internal loss of yin blood, leading to death. "Xuan Gou Fu" refers to a floating pulse with a hollow center, subtly implied. A pulse feeling like panting is named Bao Jue (Sudden Jue syndrome). Patients with Bao Jue cannot converse due to sudden rebellious qi floating upward, resulting in a weak, panting pulse, indicating the Kidney qi fails to descend and anchor. A pulse resembling a rapid rate causing sudden fright resolves spontaneously in three to four days. This indicates chaotic qi due to sudden fright, making the pulse appear rapid without actually being consistently rapid, requiring no treatment.
A "Fu He" (Floating Convergence) pulse, resembling a rapid pulse, exceeds ten beats per breath, like converging waves where later waves override earlier ones, moving vacuously and rapidly without regular rhythm, indicating insufficiency of Jing Qi. A pulse resembling burning firewood, floating, rapid, and scattered, flickering like fat on soup, indicates insufficiency of Heart Essence. A pulse resembling scattered leaves, drifting without root, indicates insufficiency of Liver Qi. A pulse resembling a visiting guest ("Sheng Ke"), hesitant to speak, described as blocked yet pulsating, indicates insufficiency of Kidney Qi. A pulse resembling a mud pellet, smooth and sliding under the finger like Coix seed, indicates insufficiency of Stomach Essence. A pulse resembling a horizontal grid, hard and resisting like a crossbar, indicates insufficiency of Gallbladder Qi. A pulse resembling a silk thread, wiry, urgent, and strong like twisting rope, indicates insufficiency of Bao Jing (Reproductive Essence). A pulse resembling interlaced lacquer, rough and obstructed, difficult to advance, deviating from the proper path upon heavy pressure, alternating between large anterior/small posterior and thinning like dripping lacquer, indicates severe obstruction. A pulse resembling a gushing spring, vigorous at Cun position like water erupting from a cave but scattering upon pressure, beating superficially in the muscles, indicates insufficiency of Tai Yang (Greater Yang) Qi. A pulse resembling collapsing earth, choppy, large, and blurred like wet mud, indistinct upon pressure, indicates insufficiency of Muscle Qi. A pulse resembling the uvula ("Xuan Yong"), enlarging upon superficial palpation but disappearing upon deep pressure,喻 by the hanging flesh of the throat, indicates insufficiency of the Twelve Shu points' Qi. A pulse resembling a supine knife, small and urgent on superficial touch, firm, large, and urgent on deep touch, indicates pent-up heat in the Five Zang organs and cold-heat merging exclusively in the Kidney. A pulse resembling a pill, slippery and slipping out of hand, unobtainable upon pressure, indicates insufficiency of Large Intestine Qi. A pulse resembling a flower, floating and empty, causing fearfulness, restlessness, and constant listening while standing or walking, indicates insufficiency of Small Intestine Qi.
The above pulses were termed "Great Anomalies" by ancient sages, truly incomparable to ordinary pulses. I have repeatedly cross-referenced them to understand their meaning. The first nine items analyze disease attribution through pulse-symptom similarities and differences. For example, Spleen pulses (external-full/internal-deep) and Stomach pulses (deep-choppy/superficial-large) appear similar but correspond to vastly different diseases. The subsequent fourteen items differentiate insufficiency of Qi in various meridians based on anomalous tactile sensations, providing prognostic timeframes. Modern practitioners only recognize the Six Extinction pulses: Dan Shi (Stone Striking), Jie Suo (Untying Rope), Que Zhuo (Sparrow Pecking), Wu Lou (House Leak), Yu Xiang (Fish Swimming), and Xia You (Shrimp Swimming). They remain ignorant of meanings behind pulses like Fu He or the True Zang and Seven Diagnoses, leading to erroneous treatments and blame. Many cases involve critical illness unresponsive to medicine, presenting extinction pulses and signs. For instance, a patient with fever and large pulse becomes micro-thready and near-extinction after medication, with cold limbs, diarrhea, and intractable hiccups—this indicates death. A turning to rapid/agitated pulse also indicates death. A patient with Jue and diarrhea, micro-thready pulse, suddenly exhibiting a violent pulse after medication indicates death. This parallels the concept of "Chu Zhong" (Elimination of Middle) where a patient unable to eat suddenly gains appetite, indicating death. Pulses that fluctuate between deep and floating, sparse and rapid, irregular in arrival and departure, are untreatable. The Classic states that moderate pulses allow for treatment, while varying sizes make it difficult. True Zang pulses are exclusively Wiry, Hook, Hair, Stone, or Intermitting, feeling hard and rigid without any harmonious quality, representing the merger of organ qi and pathological qi, guaranteeing death. The Seven Diagnoses are exclusively Small, Large, Rapid, or Slow across all positions, not limited to one or two positions. "Exclusive Heat" refers to burning heat in the Chi area; "Exclusive Cold" refers to cold skin in the Chi area. "Exclusive Depression" refers to all positions being depressed and unresponsive. True Zang pulses are all death omens; Seven Diagnoses are still pathological pulses. The crux lies in Stomach Qi. The Stomach governs muscles; thus, even if Nine Pulse inspections are harmonious, if flesh is emaciated, death occurs. Even if Seven Diagnoses appear, if Nine Pulses follow the Stomach Qi, death does not occur. The Stomach is the root of the Five Zang. If Seven Diagnosis diseases exist alongside failed pulse conditions, death ensues. The previous chapter compiled favorable and unfavorable outcomes; this chapter specializes in heterodox pulses, aiming to ensure thorough understanding to avoid premature therapeutic commitments.