《濒湖脉诀》各有主病歌辞，然只言其梗概，余撰脉象统类，各脉所主之病已详，但琐
碎无
文义相贯，难于记识，因仿濒湖法，作二十七脉主病诗，阅者读此，复按核统类，则某脉主
某病，某病合某脉，庶益洞然于中矣。
（其象轻手乃得，重手不见，动在肌肉以上。）
浮脉为阳表病真，迟风数热紧寒因（是浮脉兼迟、兼数、兼紧也，各脉相兼仿此，）浮而
有力是风热，无力而浮血弱人。（此首总言浮脉病。）
寸头疼眩（目眩）热（身热）因风，更有风痰（左寸病）右咳攻（右寸肺感风邪作咳，）关右脾
虚（中满不食）左腹胀，溲多赤涩（左尺膀胱风热）粪难通（右尺风邪客下焦，故大便秘。）
浮而有力为洪（即大脉，其象极大而数，按之满指，如群波之涌起，来盛去衰，来大去
脉洪阳盛血应虚，相火炎炎热病居，胀满胃翻须早治，阴虚泄痢急当除。（此首总言洪
心经火盛内多烦（左寸病，又兼目赤、口疮、头疼，）肺热毛焦咽更干（右寸病，又兼涎
粘，）肝火身疼（左关病，又兼四肢浮热）胃虚呕（右关病，又兼口枯舌干，）肾虚阴火便相难（
左尺，膀胱热、小便赤涩，右尺，腹满、大便难或下血。）
浮而无力为芤（其象浮大而软，按之中空两边实，指下成窟，诊在轻举重按之间。）
左芤吐衄兼心血（左寸病，）关上为瘀胁痛真（腹中瘀血，胁间血气痛，吐血，目暗，）左
尺男人小便血，女人月事病相因。（此首单言左手芤脉病。）
右芤积血在于胸（右寸病，又兼衄血、呕血，）关内逢之肠胃痈，呕血不食兼瘀血，尺多
血痢与肠红。（此首单言右手芤脉病。）
浮而端直为弦（其象按之不移，举之应手，端直如筝弦。）
左弦头痛还心惕，盗汗劳伤力懒牵，关左胁疼兼 癖，尺疼小腹脚拘挛。（此首单言左
右寸膈痰多喘嗽（由肺受风寒，）右关胃冷腹心疼（脾胃伤冷，宿食不化，多饮，）下焦停
水弦逢尺，阴疝常从脐下侵。（此首单言右手弦脉病。）
浮而迟大为虚（其象迟软散大，举按无力，豁豁然空，不能自固。）
脉虚（血气虚，故脉亦虚）身热为伤暑，虚损疲烦汗自多，发热阴虚宜早治，养荣益气莫
蹉跎。（此首总言虚脉病。）
怔忡惊悸寸常虚，血不荣心奈若何，腹胀诊关（食不化）尺痹痿，损伤精血骨蒸俱。（此
首统言左右两手虚脉病。）
浮而迟细为濡（即软脉，其象虚软无力，应手细散，如绵絮之在水中，轻手乃得，重按
濡为亡血阴虚病，髓海丹田暗已亏，汗雨夜来蒸入骨，血山崩倒湿浸牌。（此首总言濡
左寸心虚（故惊悸盗汗）还短气，精神离散左关濡（又兼荣卫不和，体虚少力，）尺男精败
女脱血，自汗淋漓溲数俱。（此首单言左手濡脉病。）
憎寒烘热濡右寸，气乏身疲怎得安，关上胃虚（饮食不进）脾更弱（食不消，）尺肠虚泻下
元寒。（此首单言右手濡脉病。）
浮而迢亘为长（其象不大不小，迢迢自若，指下有余，过于本位。）
气血有余长脉见（长脉主有余之病，）阳明热势自然深，若非阳毒（阳毒内蕴）癫和痫，即
是焦烦壮热侵。
浮而虚大为散（其象有表无里，有阴无阳，按之满指，散而不聚，去来不明，漫无根柢
左寸怔忡右寸汗，溢饮左关应软散，右关软散肿 ，散居两尺魂当断。
《濒湖脉诀》中各有描述主病的歌诀，但只提及大概情况。我撰写了《脉象统类》，对各脉所主的疾病已详细论述，只是内容琐碎，缺乏连贯的文义，难以记忆和识别。因此，我模仿李时珍（濒湖）的方法，创作了二十七种脉象主病的诗作。读者阅读此诗后，再对照查阅《脉象统类》，就能清楚地明白某脉主某病、某病对应某脉，从而在内心豁然开朗。
（浮脉的指感是轻取即得，重按反而不明显，脉动位置在肌肉层以上。）
浮脉属阳，主表证，这是确切的。兼见迟脉多因风邪，兼见数脉多因热邪，兼见紧脉多因寒邪。（这是指浮脉兼见迟、数、紧脉的情况，其他脉象相兼以此类推。）浮而有力的属于风热证，浮而无力的属于血虚体质的人。（这一首总述浮脉的主病。）
左寸部：头痛、眩晕（目眩）、身热，病因多为风邪；另有风痰为患（左寸病变）。右寸部：咳嗽由风邪侵袭肺脏引起。关部：右侧脾虚导致腹部胀满、食欲不振；左侧气滞导致腹胀。尺部：左尺部小便频多、色赤且排尿涩痛（膀胱风热）；右尺部大便难通（风邪客居下焦，故大便秘结）。
浮而有力即为洪脉（即大脉，其形象极大且数急，重按时感觉充实饱满，如波浪涌起，来势盛而去势衰，来势大而去势小）。
洪脉属阳，表示阳气亢盛，阴血相对不足。相火炽盛，多见于热病。出现腹胀满、胃气上逆呕吐等症状需及早治疗；阴虚导致的泄泻痢疾应当紧急清除。（这一首总述洪脉的主病。）
心经火盛，内心多烦躁（左寸病变，又兼见目赤、口疮、头痛）。肺热则毛发干枯、咽喉更干燥（右寸病变，又兼见唾液粘稠）。肝火旺则身体疼痛（左关病变，又兼见四肢浮热）。胃虚则呕吐（右关病变，又兼见口干舌燥）。肾虚伴有阴火，则排尿困难（左尺部为膀胱热、小便赤涩；右尺部为腹满、大便难或便血）。
浮而无力即为芤脉（其形象浮大而软，重按时中间空虚、两边实，指下感觉像窟窿一样，诊察时在轻举重按之间感知）。
左手芤脉：吐血、鼻衄并伴心血亏虚（左寸病变）。关部见到芤脉，真是瘀血阻滞胁肋疼痛（腹中有瘀血，胁间气血疼痛，吐血，视力昏暗）。左尺部男性出现尿血，女性月经病由此引起。（这一首单独讲述左手芤脉的主病。）
右手芤脉：胸中有积血（右寸病变，又兼见鼻衄、呕血）。关部遇到芤脉，提示肠胃痈肿，伴有呕血、不能进食及瘀血。尺部多见血痢与肠红（便血）。（这一首单独讲述右手芤脉的主病。）
浮而端直即为弦脉（其形象重按时不移位，轻取应指，端直如同筝弦）。
左手弦脉：头痛且心中惊惕，盗汗、劳伤导致体力懒怠牵制。关部左侧胁痛兼有癖块（积聚）。尺部疼痛涉及小腹及脚部拘挛。（这一首单独讲述左手弦脉的主病。）
右寸部膈间痰多导致喘嗽（由肺受风寒引起）。右关部胃冷导致腹心疼（脾胃受伤于寒冷，宿食不化，多饮水）。下焦停水，尺部见到弦脉，阴疝常从脐下侵入。（这一首单独讲述右手弦脉的主病。）
浮而迟大即为虚脉（其形象迟慢柔软、散大，轻取重按都无力，豁豁然中空，不能固摄）。
脉虚（因血气虚弱，所以脉象也虚），身体发热属于伤暑证。虚损疲劳烦闷，汗出过多。发热阴虚宜及早治疗，滋养荣血、益气不要拖延。（这一首总述虚脉的主病。）
怔忡、惊悸在寸部常见虚脉，血液不能濡养心脏，无可奈何。关部腹胀（食物不消化），尺部痹证痿证，损伤精血导致骨蒸潮热。（这一首统述左右两手虚脉的主病。）
浮而迟细即为濡脉（即软脉，其形象虚软无力，应指细散，像水中的棉絮，轻取即得，重按消失）。
濡脉主亡血、阴虚之病。髓海和丹田暗中已经亏损，夜间出汗如雨蒸入骨髓，血崩倒下如同湿浸脾土。（这一首总述濡脉的主病。）
左手寸部心虚（故见惊悸、盗汗）还伴有短气。左手关部濡脉（又兼见营卫不和，体虚少力）。左手尺部男性精败，女性脱血，自汗淋漓、小便频数俱见。（这一首单独讲述左手濡脉的主病。）
右手寸部憎寒烘热，气乏身疲怎能安宁？右手关部胃虚（饮食不进）脾更弱（食物不消化）。右手尺部肠虚泄泻，下元寒冷。（这一首单独讲述右手濡脉的主病。）
浮而迢亘即为长脉（其形象不大不小，迢迢自然，指下有余，超过本位）。
气血有余则见长脉（长脉主有余之病），阳明经热势自然深重。如果不是阳毒（阳毒内蕴），就是癫病和痫病，或者是焦躁烦闷、壮热侵袭。
浮而虚大为散脉（其形象有表无里，有阴无阳，按之满指但散而不聚，去来不明，漫无根底）。
左寸部怔忡，右寸部汗出过多。溢饮病在左关部应表现为软散。右关部软散提示肿胀。散脉居于两尺部，魂魄当断（预后不良）。
The *Binhu Maijue* (Li Shi Zhen's Pulse Classification) contains songs describing the diseases associated with each pulse, but they only mention the general outline. I compiled the *Maixiang Tonglei* (Comprehensive Classification of Pulse Images), detailing the diseases governed by each pulse. However, the content is fragmented and lacks coherent literary flow, making it difficult to memorize and recognize. Therefore, imitating Li Shi Zhen's method, I composed poems on the diseases governed by twenty-seven pulses. Readers who study these poems and cross-reference them with the *Maixiang Tonglei* will gain a clear understanding of which pulse governs which disease and which disease corresponds to which pulse, thereby achieving profound insight.
(The floating pulse [Fu Mai] can be felt with light pressure but disappears with heavy pressure; its movement is located above the muscle layer.)
The floating pulse belongs to Yang and indicates exterior syndromes, which is definitive. A floating pulse combined with a slow [Chi] pulse suggests wind; combined with a rapid [Shu] pulse, heat; combined with a tight [Jin] pulse, cold. (This refers to the combination of the floating pulse with slow, rapid, or tight pulses; other combinations follow this pattern.) A floating pulse that is forceful indicates wind-heat; a floating pulse that is weak indicates blood deficiency in the person. (This stanza generally describes the diseases governed by the floating pulse.)
At the Cun position on the left: headache, dizziness (vertigo), and body heat are caused by wind; additionally, wind-phlegm affects the left Cun. At the Cun position on the right: coughing is caused by wind pathogen invading the lungs. At the Guan position: weakness of the Spleen on the right leads to abdominal fullness and anorexia; Qi stagnation on the left causes abdominal distension. At the Chi position: frequent urination with red, scanty, and painful urine at the left Chi indicates Bladder wind-heat; difficulty in defecation at the right Chi occurs because wind pathogen resides in the Lower Jiao, causing constipation.
A floating pulse that is forceful is the Surging pulse [Hong Mai] (also known as the Large pulse). Its image is extremely large and rapid; upon deep pressure, it feels full under the fingers, like waves surging up—strong in arrival and weak in departure, large in onset and small in decline.
The Surging pulse indicates Yang excess and relative Yin-blood deficiency. Flaring ministerial fire [Xiang Huo] is prevalent, commonly seen in heat syndromes. Abdominal fullness and rebellious Stomach Qi causing vomiting require early treatment; diarrhea and dysentery due to Yin deficiency must be urgently cleared. (This stanza generally describes the diseases governed by the Surging pulse.)
Excess fire in the Heart channel causes inner irritability (Left Cun syndrome, accompanied by red eyes, mouth ulcers, and headache). Lung heat causes dry hair and parched throat (Right Cun syndrome, accompanied by sticky saliva). Liver fire causes body pain (Left Guan syndrome, accompanied by floating heat in the four limbs). Stomach deficiency causes vomiting (Right Guan syndrome, accompanied by dry mouth and tongue). Kidney deficiency with Yin fire makes urination difficult (Left Chi: Bladder heat, red and scanty urine; Right Chi: abdominal fullness, difficult defecation, or hematochezia).
A floating pulse that is weak is the Scallion-Stalk pulse [Kou Mai]. Its image is floating, large, and soft; upon heavy pressure, the center is empty while the sides are firm, feeling like a hollow pit under the fingers. It is diagnosed between light lifting and heavy pressing.
Left Kou pulse: hematemesis and epistaxis accompanied by Heart blood deficiency (Left Cun syndrome). At the Guan position, it signifies true blood stasis causing hypochondriac pain (abdominal blood stasis, Qi and blood pain in the hypochondrium, hematemesis, dim vision). In men, Left Chi indicates hematuria; in women, it is the cause of menstrual disorders. (This stanza exclusively describes the diseases governed by the left hand Kou pulse.)
Right Kou pulse: accumulated blood in the chest (Right Cun syndrome, accompanied by epistaxis and hematemesis). Meeting the Kou pulse at the Guan position indicates intestinal abscess, accompanied by hematemesis, anorexia, and blood stasis. The Chi position often shows bloody dysentery and intestinal bleeding (hematochezia). (This stanza exclusively describes the diseases governed by the right hand Kou pulse.)
A floating pulse that is straight and rigid is the Bowstring pulse [Xian Mai]. Its image does not shift upon pressing, responds to lifting, and is straight like a zither string.
Left Xian pulse: headache and cardiac palpitations/fear, night sweats, and fatigue/laziness due to overwork. At the Guan position on the left, hypochondriac pain accompanies accumulations [Pi]. Pain at the Chi position involves the lower abdomen and leg spasms. (This stanza exclusively describes the diseases governed by the left hand Xian pulse.)
At the Right Cun position, excessive phlegm in the diaphragm causes wheezing and coughing (due to Wind-Cold invading the Lungs). At the Right Guan position, Cold Stomach causes abdominal and heart pain (Spleen and Stomach injured by cold, undigested food retention, excessive drinking). Water retention in the Lower Jiao presents with a Xian pulse at the Chi position; Yin hernias [Yin Han] often invade from below the navel. (This stanza exclusively describes the diseases governed by the right hand Xian pulse.)
A floating, slow, and large pulse is the Deficient pulse [Xu Mai]. Its image is slow, soft, and scattered/large; both light and heavy pressures feel weak, hollow and empty, unable to maintain itself.
The Xu pulse (due to Qi and Blood deficiency, the pulse is also deficient); body heat indicates Summerheat injury. Deficiency, fatigue, and irritability with spontaneous sweating. Fever due to Yin deficiency should be treated early; nourishing Ying and benefiting Qi should not be delayed. (This stanza generally describes the diseases governed by the Deficient pulse.)
Palpitations [Zheng Chong] and fright/panic [Jing Ji] are commonly deficient at the Cun position; if Blood fails to nourish the Heart, what can be done? Abdominal distension at the Guan position (undigested food); Bi syndrome and Wei syndrome at the Chi position; damage to Essence and Blood leads to bone-steaming tidal fever. (This stanza collectively describes the diseases governed by the Deficient pulse on both hands.)
A floating, slow, and fine pulse is the Soggy pulse [Ru Mai] (also known as the Soft pulse). Its image is deficient, soft, and weak; responding to the fingers, it is fine and scattered, like cotton wool in water. It is felt with light pressure but disappears with heavy pressure.
The Ru pulse indicates loss of Blood and Yin deficiency. The Sea of Marrow and Dantian are secretly depleted. Night sweats fall like rain, steaming into the bones; blood collapse falls down, resembling dampness soaking the Spleen. (This stanza generally describes the diseases governed by the Soggy pulse.)
Left Cun Heart deficiency (thus palpitations and night sweats) is accompanied by shortness of breath. Left Guan Ru pulse (accompanied by disharmony of Ying and Wei, physical weakness and lack of strength). Left Chi in men indicates essence depletion; in women, blood loss. Spontaneous sweating profusely and frequent urination are all present. (This stanza exclusively describes the diseases governed by the left hand Ru pulse.)
Right Cun aversion to cold and sensation of internal heat; how can one be at ease with Qi deficiency and physical fatigue? Right Guan Stomach deficiency (anorexia) and weaker Spleen (indigestion). Right Chi intestinal deficiency causes diarrhea, and the Lower Yuan is cold. (This stanza exclusively describes the diseases governed by the right hand Ru pulse.)
A floating and continuous pulse is the Long pulse [Chang Mai]. Its image is neither too large nor too small, continuous and natural, feeling abundant under the fingers, extending beyond its normal position.
When Qi and Blood are in excess, the Long pulse appears (the Long pulse governs excess syndromes). The heat intensity of the Yangming channel is naturally deep. If not Yang Toxin [Yang Du] (accumulated internally), then Epilepsy [Dian He Xian], or scorching irritability and high fever invasion.
A floating, deficient, and large pulse is the Scattered pulse [San Mai]. Its image has surface but no depth, Yin but no Yang; although it feels full under the fingers, it is scattered and not gathered, coming and going unclearly, without root.
Left Cun palpitations; Right Cun excessive sweating. Overflowing fluid [Yi Yin] at the Left Guan should manifest as soft and scattered. Soft and scattered at the Right Guan indicates swelling. If the Scattered pulse resides at both Chi positions, the Soul is destined to break (poor prognosis).