七情之脉。内伤五志。喜则脉缓。悲短忧涩。思结恐沉。惊动怒急。七脉宜先。审而处
治。
妇人之脉。以血为本。血旺易胎。气旺难孕。少阴动甚。谓之有子。尺脉滑利。妊娠可
喜。
滑疾不散。胎必三月。但疾不散。五月可别。左疾为男。右疾为女。女腹如箕。男腹如斧。
欲产之脉。其至离经。水下乃产。未下勿惊。新产之脉。缓滑为吉。实大弦牢。有证则逆。
岐伯曰∶凡人形瘦脉大。胸中多气死。形盛脉细。少气不足以息者危。形气相得者生。
三五
不调者病。人有强弱盛衰之不一。而脉实应焉。脉有阴阳虚实之不同。而病实应焉。脉病形
证相应而不相反。每万举而万全少有乖张良工不能施其巧矣。故脉之于病。有宜有不宜。为
医不可以不辨也。左有病而右痛。右有病而左痛。上病下痛。下病上痛。此为逆。死不可治
。腹胀脉浮大生。沉小死。壮热脉浮大有力生。无力及沉微小死。癫痫脉亦然。谵语洪大生
。厥逆微小死。暴忤脉实大生。虚弱伏细死。中毒洪大紧急生。微细不齐危。
头痛浮大安。短涩危。吐血发热洪大生。细微死。不发热细少生。洪大危。伤寒发热后脉沉静者生。洪
躁危。自汗脉虚细安。躁盛危。厥逆沉涩生浮大危。诸失血小弱生。洪大危。久病脉细软
生
。洪大危。泻利微细弱生。浮大危。滞下洪大数或缓生。微小弱危。产后微小生。洪大数危
。胎前忌微小涩。咳嗽浮大缓生。沉弦小危。细疾结代死。中风口噤浮迟身静者生。洪数搏
指
气粗者死。上气喘急。面目俱浮脉浮滑手足温者生。脉涩小肢厥者死。疮疽洪大生。沉细危
。既
溃脉静安。溃后洪大危。阳病得阴脉。阴病得阳脉。皆死。消渴诸疽数大生。虚细死。霍乱
浮洪生。虚细死。诸水浮缓生。数疾死。沉迟小死。痿痹紧急或中病脉坚。外病脉涩。汗出
脉盛。虚劳心数。风家脾缓。人瘦脉大而喘。形盛脉微短气。更有伤寒厥利而脉不至。脉微
厥冷烦躁。脉迟而反消食。与夫人短脉长。人长脉短。人滑脉涩。人涩脉滑。皆死脉也。
七情（喜、怒、忧、思、悲、恐、惊）所致的脉象，源于内伤五志（心藏神，主喜；肝藏魂，主怒；脾藏意，主思；肺藏魄，主悲；肾藏精，主恐）。喜悦则脉象缓散，悲伤则脉象短促，忧愁则脉象涩滞，思虑过度则脉气结聚，恐惧则脉象沉伏，惊骇则脉象动乱，愤怒则脉象急疾。这七种脉象应当首先仔细审察，然后进行诊治。
妇女的脉象以血为根本。血气旺盛容易受孕，气机旺盛难以怀孕。少阴经（手少阴心经或足少阴肾经，此处指尺部脉）搏动明显加快，称为怀孕。尺部脉象滑利，是妊娠可喜之兆。
脉象滑疾且不散乱，胎儿必定满三个月。若仅见疾数而不散乱，五个月时可以辨别性别。左手脉疾数为男胎，右手脉疾数为女胎。怀女胎者腹部形状如箕（宽平），怀男胎者腹部形状如斧（尖长）。
临产前的脉象，其至数会偏离常度（离经之脉）。羊水破裂后才分娩，在羊水未破之前不要惊慌。刚生产后的脉象，以缓滑为吉利。若脉象实大、弦硬或牢坚，并伴有证候，则为逆证（凶险）。
岐伯说：凡是人体形消瘦而脉象盛大，胸中多气胀满的，会死亡。人体形肥胖而脉象细弱，气息短少不足以呼吸的，处境危险。形体与脉气相协调的能生存。脉象三五不调乱的会生病。人有强弱盛衰的不同，而脉象如实反映出来。脉有阴阳虚实的不同，而疾病也如实对应。脉象、疾病、形体和证候相应而不相反，每次治疗都能万无一失。稍有违背，即使是良医也不能施展其技巧。所以脉象对于疾病，有适宜和不适宜的区别，作为医生不可以不辨明。左边有病而右边疼痛，右边有病而左边疼痛，上部有病而下部疼痛，下部有病而上部疼痛，这叫做逆证，无法治愈，必死。腹胀而脉象浮大，预后良好（生）；脉象沉小，预后不良（死）。高热而脉象浮大有力，预后良好；无力及沉微小，预后不良。癫痫病的脉象也是如此。胡言乱语而脉象洪大，预后良好；脉象厥逆微小，预后不良。突然发怒冲撞而脉象实大，预后良好；脉象虚弱伏细，预后不良。中毒而脉象洪大紧急，预后良好；脉象微细不齐，处境危险。
头痛而脉象浮大，预后平安；脉象短涩，处境危险。吐血伴发热而脉象洪大，预后良好；脉象细微，预后不良。不发热而脉象细少，预后良好；脉象洪大，预后危险。伤寒发热后脉象沉静的，预后良好；脉象洪躁，预后危险。自汗而脉象虚细，预后平安；脉象躁盛，预后危险。厥逆而脉象沉涩，预后良好；脉象浮大，预后危险。各种失血病症，脉象小弱，预后良好；脉象洪大，预后危险。久病而脉象细软，预后良好；脉象洪大，预后危险。腹泻痢疾而脉象微细弱，预后良好；脉象浮大，预后危险。痢疾（滞下）而脉象洪大数或缓，预后良好；脉象微小弱，预后危险。产后脉象微小，预后良好；脉象洪大数，预后危险。怀孕期间忌讳脉象微小涩。咳嗽而脉象浮大缓，预后良好；脉象沉弦小，预后危险；脉象细疾结代，预后死亡。中风口噤而脉象浮迟、身体安静的，预后良好；脉象洪数搏指、气息粗重的，预后死亡。上气喘急，面目浮肿，脉象浮滑、手足温暖的，预后良好；脉象涩小、四肢厥冷的，预后死亡。疮疽而脉象洪大，预后良好；脉象沉细，预后危险。疮疡溃破后脉象安静，预后平安；溃破后脉象洪大，预后危险。阳病得到阴脉，阴病得到阳脉，都会死亡。消渴病和各种疮疽，脉象数大，预后良好；脉象虚细，预后死亡。霍乱而脉象浮洪，预后良好；脉象虚细，预后死亡。各种水肿病，脉象浮缓，预后良好；脉象数疾，预后死亡；脉象沉迟小，预后死亡。痿痹病症，脉象紧急或中病脉坚硬的，预后尚可；外感病脉象涩滞，预后不佳。出汗而脉象盛大，预后不佳。虚劳病脉数。风病脉缓。人瘦而脉大且喘息的，预后不佳。形盛而脉微短气的，预后不佳。更有伤寒厥冷腹泻而脉不至，脉微、四肢厥冷、烦躁不安，脉迟而反而能消食，以及人短脉长、人长脉短、人滑脉涩、人涩脉滑，这些都是死脉。
The pulses associated with the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) stem from internal injury to the Five Zhi (Spiritual Activities). Joy causes the pulse to be slow and loose; sorrow makes it short; worry makes it choppy; excessive thought causes knotting; fear causes sinking; fright causes agitation; anger causes rapidity. These seven types of pulses should be carefully examined first, followed by appropriate treatment.
In women, the pulse is rooted in Blood. Abundant Blood facilitates conception, while abundant Qi makes pregnancy difficult. When the Shaoyin pulse (referring to the Chi position on the wrist, corresponding to the Kidney/Heart) beats vigorously, it indicates pregnancy. A slippery and smooth pulse at the Chi position is a auspicious sign of gestation.
A pulse that is slippery and rapid without scattering suggests the fetus is three months old. If only rapid without scattering, the gender can be distinguished at five months. A rapid pulse on the left side indicates a male fetus; on the right side, a female fetus. The abdomen of a woman carrying a female resembles a wide basket (Ji), while that of a man resembles an axe handle (Fu).
The pulse before delivery deviates from the regular pattern (Li Jing Mai). Delivery occurs after the waters break; do not panic if the waters have not yet broken. After fresh delivery, a slow and smooth pulse is auspicious. A solid, large, wiry, or deep-firm pulse accompanied by symptoms indicates a adverse prognosis (Ni).
Qibo stated: Generally, if a person is emaciated but the pulse is large, with excessive Qi stagnation in the chest, death will ensue. If a person is robust but the pulse is thin, with insufficient Qi to breathe, the condition is critical. Survival is indicated when the physical form and Qi are harmonious. Disease arises when the pulse is irregular (three-five discordance). Humans vary in strength and decline, which the pulse reflects accurately. Pulses differ in Yin-Yang and Deficiency-Excess, corresponding to diseases. When the pulse, disease, physical form, and symptoms correspond without contradiction, every treatment succeeds completely. Any deviation renders even a skilled physician ineffective. Therefore, one must distinguish whether the pulse is suitable or unsuitable for the disease. Pain on the left when the disease is on the right, pain on the right when the disease is on the left, pain below when the disease is above, and pain above when the disease is below—these are termed "Reverse" (Ni) patterns, which are incurable and fatal. Abdominal distension with a floating and large pulse indicates survival; a sinking and small pulse indicates death. High fever with a floating, large, and forceful pulse indicates survival; lack of force, or sinking/small pulse indicates death. Epilepsy follows the same principle. Delirium with a洪大 (Hong Da, Surging-Large) pulse indicates survival; Jue Ni (Cold Extremities) with a small pulse indicates death. Sudden violent anger with a solid and large pulse indicates survival; weak, hidden, and fine pulse indicates death. Poisoning with a洪大 and urgent pulse indicates survival; micro-fine and irregular pulse indicates danger.
Headache with a floating and large pulse indicates safety; short and choppy pulse indicates danger. Hematemesis with fever and a洪大 pulse indicates survival; fine pulse indicates death. Hematemesis without fever and a fine, sparse pulse indicates survival;洪大 pulse indicates danger. After Shang Han (Cold Damage) fever subsides, a calm pulse indicates survival;洪躁 (Surging-Irritable) pulse indicates danger. Spontaneous sweating with a deficient and fine pulse indicates safety; vigorous/restless pulse indicates danger. Jue Ni with a sinking and choppy pulse indicates survival; floating pulse indicates danger. All blood loss conditions with a small and weak pulse indicate survival;洪大 pulse indicates danger. Chronic illness with a fine and soft pulse indicates survival;洪大 pulse indicates danger. Diarrhea/dysentery with a micro-fine and weak pulse indicates survival; floating pulse indicates danger. Dysentery (Zhi Xia) with a洪大, rapid, or slow pulse indicates survival; micro-small and weak pulse indicates danger. Postpartum with a micro pulse indicates survival;洪大 and rapid pulse indicates danger. During pregnancy, micro, small, and choppy pulses are contraindicated. Cough with a floating, large, and slow pulse indicates survival; sinking, wiry, and small pulse indicates danger; fine, rapid, Ji Dai (Knotted-Regularly Intermittent) pulse indicates death. Stroke with locked jaw, floating and slow pulse, and still body indicates survival;洪数 (Surging-Rapid) pulse beating against the finger and coarse breathing indicates death. Upper jiao asthma with急促 (rapid) breathing, swollen face and eyes, floating and slippery pulse, and warm hands and feet indicates survival;涩小 (Choppy-Small) pulse and cold extremities indicate death. Carbuncles and sores with a洪大 pulse indicate survival; sinking and fine pulse indicates danger. After ulceration, a quiet pulse indicates safety;洪大 pulse after ulceration indicates danger. Yang disease presenting with Yin pulse, or Yin disease presenting with Yang pulse, both result in death. Xiao Ke (Wasting-Thirst) and various sores with rapid and large pulses indicate survival; deficient and fine pulses indicate death. Huo Luan (Colic-Cholera) with a floating and洪 pulse indicates survival; deficient and fine pulse indicates death. Various edema conditions with floating and slow pulses indicate survival; rapid and疾 (hurried) pulses indicate death; sinking, slow, and small pulses indicate death. Wei Bi (Atrophy-Fibrosis) with urgent or firm pulses matching the disease course, or external diseases with choppy pulses, suggest poor outcomes. Sweating with a vigorous pulse suggests poor outcome. Xu Lao (Deficiency Consumption) with a rapid pulse. Wind disorders with a slow spleen pulse. Emaciated persons with large pulses and panting indicate poor outcomes. Robust persons with micro pulses and shortness of breath indicate poor outcomes. Additionally, Shang Han with Jue Li (cold extremities and diarrhea) and absent pulse, micro pulse with cold extremities and irritability, slow pulse with apparent appetite, as well as short person with long pulse, long person with short pulse, smooth person with choppy pulse, and choppy person with smooth pulse—all these are death pulses.