冲阳绝。死不治。足阳明胃经脉在足大指。彼陷中有动脉应指是也。尺泽绝。死不治。
手
太阴肺经脉在手臂曲纹。陷中有动应指是也。天府绝。死不治。手太阴肺经脉在手臂内肩
下。有动脉应指是也。太冲脉绝。死不治。足厥阴肝经脉。足内大指后二寸动脉应指是也。
神门绝。死不治。手少阴心经脉在掌内侧。有动脉应指是也。太溪绝。死不治。足少阴肾经
脉在足内踝骨下。有动脉应指是也。
愚按经云∶独小者病。独大者病。独疾者病。独迟者病。独热者病。独寒者病
。独陷下者病。此为七独脉而即七诊之义。谓脉失其常候。非吉兆也。经又云七诊虽见。九
候皆从者不死。所言不死者。风气之病。及经月之病。似七诊之义而非也。故言不死。释谓
风者阳病。故偶感于风。而阳分之脉或大或疾经者常期也。或适值去。血而阴分之脉或小或
迟或见陷下此皆似七诊之脉。而实非也。皆不可以言。死但非此而得七诊之脉。则凶经又云
若有七诊之病其脉候亦败者。死矣。必发哕噫。此经又言脉息证候之败。而非七诊之比。然
其死也。必发哕噫。盖哕出于胃。土气败也。噫出于心。阴邪胜也。可见脉证须要相应。而
有胃气。虽属近死之病而亦不死。若其脉证俱败。即非七诊之病。而又不免于死也。
冲阳脉绝。死不治。足阳明胃经的脉在足大趾间,凹陷处有动脉应手即是。尺泽脉绝。死不治。手太阴肺经的脉在手臂弯曲处的纹路中,凹陷处有动脉应手即是。天府脉绝。死不治。手太阴肺经的脉在手臂内侧肩下,有动脉应手即是。太冲脉绝。死不治。足厥阴肝经的脉在足内大趾后二寸,有动脉应手即是。神门脉绝。死不治。手少阴心经的脉在手掌内侧,有动脉应手即是。太溪脉绝。死不治。足少阴肾经的脉在足内踝骨下,有动脉应手即是。
我按:《内经》说:独小的是病。独大的是病。独快的是病。独慢的是病。独热的是病。独寒的是病。独陷下的是病。这就是七独脉而即七诊的意义。谓脉失去了其正常的征候,不是吉兆。《内经》又说七诊虽见,九候皆从者不死。所说的不死,是风气之病,以及经期之病,似七诊的意义而非也。所以说不死。解释谓风是阳病,所以偶感于风,而阳分之脉或大或疾;经是常期也。或适值去血,而阴分之脉或小或迟或见陷下,此皆似七诊之脉,而实非也。都不可以言死。但非此而得七诊之脉,则凶。《内经》又说若有七诊之病,其脉候亦败者,死矣。必发哕噫。这又言脉息证候之败,而非七诊之比。然而其死也,必发哕噫。盖哕出于胃,土气败也。噫出于心,阴邪胜也。可见脉证须要相应,而有胃气,虽属近死之病而亦不死。若其脉证俱败,即非七诊之病,而又不免于死也。
Chongyang (ST42) pulse is absent. Death is inevitable and untreatable. The Foot-Yangming Stomach Meridian pulse is located at the first toe; the pulsation felt in the depression indicates its presence. Cize (LU5) pulse is absent. Death is inevitable and untreatable. The Hand-Taiyin Lung Meridian pulse is located in the crease of the elbow; the pulsation felt in the depression indicates its presence. Tianfu (LU3) pulse is absent. Death is inevitable and untreatable. The Hand-Taiyin Lung Meridian pulse is located on the medial aspect of the arm, below the shoulder; the pulsation felt indicates its presence. Taichong (LR3) pulse is absent. Death is inevitable and untreatable. The Foot-Jueyin Liver Meridian pulse is located two cun posterior to the first toe; the pulsation felt indicates its presence. Shenmen (HT7) pulse is absent. Death is inevitable and untreatable. The Hand-Shaoyin Heart Meridian pulse is located on the medial aspect of the palm; the pulsation felt indicates its presence. Taixi (KI3) pulse is absent. Death is inevitable and untreatable. The Foot-Shaoyin Kidney Meridian pulse is located below the medial malleolus; the pulsation felt indicates its presence.
In my opinion: The Classic states: A pulse that is exclusively small indicates disease. A pulse that is exclusively large indicates disease. A pulse that is exclusively rapid indicates disease. A pulse that is exclusively slow indicates disease. A pulse that is exclusively hot indicates disease. A pulse that is exclusively cold indicates disease. A pulse that is exclusively sunken indicates disease. These are the "Seven Exclusive Pulses," which correspond to the meaning of the "Seven Examinations" (Qizhen). It means that the pulse has lost its normal characteristics, which is not an auspicious sign. The Classic further states: Even if the Seven Examinations are observed, if the Nine Probes (Jiu Hou) all follow the normal pattern, death will not occur. The reason for saying "death will not occur" refers to diseases caused by wind or menstrual disorders, which may resemble the patterns of the Seven Examinations but are not actually so. Therefore, it says "death will not occur." The explanation states that wind is a Yang pathogen; thus, upon accidental contraction of wind, the pulses of the Yang aspect may be either large or rapid. "Jing" refers to the regular menstrual cycle. If blood loss occurs coincidentally, the pulses of the Yin aspect may be small, slow, or sunken. All these resemble the pulses of the Seven Examinations but are not truly so. None of these should be considered as indicating death. However, if one obtains the pulses of the Seven Examinations without these specific conditions, then the prognosis is ominous. The Classic further states: If there are diseases corresponding to the Seven Examinations, and the pulse signs are also exhausted/failed, death will occur. There will inevitably be hiccups (yue) and belching (yi). This again refers to the failure of pulse and symptom manifestations, which is different from the mere observation of the Seven Examinations. Nevertheless, in cases of death, there will inevitably be hiccups and belching. Hiccups originate from the Stomach, indicating the failure of Earth Qi. Belching originates from the Heart, indicating the dominance of Yin pathogens. Thus, it can be seen that pulse and symptoms must correspond, and as long as Stomach Qi is present, even in critical illnesses near death, survival is possible. However, if both pulse and symptoms are exhausted/failed, even if it is not a case of the Seven Examinations, death cannot be avoided.