、股 、髀 ，谓 通膝上下也。平按∶痈《素问》作雍， 作脚。《甲乙》 作胫，无大字。）
心脉满大，痫螈筋挛。（心脉满实仍大，是则多气热盛，故发小儿痫病。以其少血阴气不足，故
寒而筋挛也。平按∶《甲乙》螈作 ，下同。）肝脉小急，痫螈筋挛。（小则阴阳二气不足，急
即为寒，是为虚寒热乘为痫，及寒为筋挛。）肝脉惊暴，有所惊骇，脉不至若喑，不治自已。（肝
至有惊气者，是因惊魂，失喑不言或脉不至，皆不疗自已也。平按∶惊暴《素问》作骛暴，《甲乙》
作骛暴。）肾脉小急，肝脉小急，心脉不鼓，皆为瘕。（肾肝二脉小急及心脉不鼓，皆内虚寒气，
故为瘕也。平按∶《素问》、《甲乙》不鼓上有小急二字。）肾脉大急沉，肝脉大急沉，皆为疝。
（肾肝二脉大为多气少血，急沉皆寒，是为寒气内盛，故为疝病也。平按∶肾脉大急沉上《素问》
有“肾肝并沉为石水，并浮为风水，并虚为死，并小弦欲惊”二十一字，新校正云∶“详肾肝并
沉至下并小弦欲惊，全元起本在《厥论》中，王氏移于此。”本
书见卷二十六《经脉厥》篇，据此则本书与全元起本同。）心脉揣滑急为心疝，（揣，动也。滑，
阳气盛而微热。急为多寒。心气寒，寒盛而微热，寒胜故结为心疝也。平按∶揣《素问》作搏，下
同。）肺脉沉揣为肺疝。（肺脉应虚浮，今更沉，寒多故为肺疝也。平按∶肺疝下《素问》有“三
阳急为瘕，三阴急为疝，二阴急为痫厥，二阳急为惊”二十一字，新校正云∶“详三阳急为瘕至
为惊，全元起本在《厥论》，王氏移于此。”本书见卷二十六《寒热相移》篇。）脾脉外鼓沉为
肠辟，久自已；（脾脉向外鼓，外鼓仍沉，沉寒为利，胃气强盛，故久自已也。平按∶辟《素问》、
《甲乙》作 ，下同。）肝脉小缓为肠辟，易治；（肝脉气血虽少，胃气强盛，故疗易瘥也。）肾
脉小揣沉为肠辟，下血、温身热者死；（肾脉气血俱少，仍冷利下血者，胃气虚冷，故死。下血、
温身热，皆胃气散去也。平按∶《素问》血字重。《甲乙》温作湿，注∶《素问》作温。）心肝
辟亦下血，二脏同病者可治，其身热者死，热见七日死。（心肝二气共为肠辟下血，是母子相扶，
故可疗也。身热以胃气散去，远至七日死。平按∶可治下《素问》、《甲乙》有“其脉小沉涩为
肠”八字。热见《甲乙》作热甚，注云∶《素问》作热见。）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，其顺者，喑三岁起，年不满
二十者，三岁死。（胃脉足阳明，阳也。胃脉反更沉细，鼓动而涩。涩，寒也。其脉向外而鼓，
其气伤多。如此诊得足阳明脉沉鼓而寒，向外鼓而气多，又得心脉血气俱少，坚实而寒。然则胃
之与心，二者同病，名鬲偏枯。男子发于左箱，女子发于右箱。若喑不能言、舌不转者，死。若能
言、转舌者，疗之三十日能行。虽喑，舌转顺者，三年得瘥。若年不至二十，得前病者，三年而死
也。平按∶《甲乙》转下有者字。顺《素问》、《甲乙》
作从。）脉至而揣，血衄身有热者，死。（脉至而动，又阳虚衄血，身体应冷，而衄血身热，虚
为逆，故死也。平按∶血衄《甲乙》作衄血。《素问》热上无有字。）脉来悬勾浮为脉鼓。（夏
秋二脉并至，以为脉鼓。平按∶浮为脉鼓《素问》作浮为常脉，《甲乙》作浮者为热。）脉至如喘，
名曰气逆者，不知与人言。（气厥不知言也。平按∶气厥者《素问》、《甲乙》作“暴厥，暴厥
者”。）脉至如数，使人暴惊，三四日自已。（卒惊不疗，三四日自已也。平按∶如数《甲乙》
作而数。）脉至浮合，浮合如数，一息十至以上，是与经气予不足，微见，九十日死。（浮合之
脉，经气不足，微而见，九十日即死也。平按∶《素问》、《甲乙》是下无与字，足下有也字。）
脉至如火新燃，是心精之予夺也，草干死。（心脉如钩，今如火新燃，是心脉急疾，火精夺，故
至草干──水时，被克而死。平按∶新燃《素问》作薪然，《甲乙》作新然。《素问》、《甲乙》
死上有而字。）脉至如散采，肝气予虚也，木叶落死。（肝脉如弦，今散如五采，变见不定，是
为肝木气之虚损，至木叶落──金时，被克而死，有本为 棘、散叶也。平按∶散采《素问》作
散叶，《甲乙》作 棘。）脉至省容者，脉寒如鼓也，是肾气予不足也，悬去枣华死。（肾脉如
石，今如省容，寒而鼓动，是为肾之水气有伤，故至枣华──土时，被克而死也。平按∶省容
《素问》、《甲乙》作如省客。脉寒《素问》作脉塞。）脉至如丸泥，胃精予不足也，榆荚落而
死。（荚，兼牒反，如豆荚等草实。胃脉 弱，今反如丸泥，干坚之丸，即是胃土气之有损，故
至榆荚--木时而死也。）脉至如横格，是胆气予不足也，禾熟而死。（胆脉如弦，今如横格之
木，即是木之胆气有损，故至禾熟──秋金时，被克而死也。）脉至如弦缕，胞精予不足也，病
善言，下霜而死；不
言，可治。（心胞脉至如钩，今如弦之缕线，散而不聚，是为心胞火府有损，故至霜雪--水时，
被克而死。不好言者，心气未尽，故可疗也。）脉至如交荚，交荚者，左右旁至也，微见，三十
日而死。（荚，兼牒反，如豆荚等草实也。脉至如相交，左右旁至是次转，故微见三十日死也。
平按∶荚《素问》作漆，《甲乙》作棘。注次转二字疑有误。）脉至如泉浮鼓胞中，太阳气予不
足也，少气味，韭华死。（足太阳是肾之府脉，今如泉之浮鼓而动，即膀胱胞气水之不足，故至
韭荚华--土时，被克而死。一曰韭英也。平按∶泉上《素问》有涌字，《甲乙》有涌字。胞中
《素问》、《甲乙》作肌中。韭华死《素问》作韭英而死，《甲乙》作韭花生而死。）脉至如委
土之状，按之不得，肌气予不足，五色先见黑白累发死。（脾脉代，如鸡足践地，中间代绝。今
按止如委土之状，无有脾胃 弱之气，又先累见黑白之色，是肺肾来乘，故死也。平按∶委土《素
问》作颓土。不得《甲乙》作不足。累发《素问》作垒发。）脉至如悬离，悬离者，浮揣切之益大，
十二输之予不足也，水凝而死亟。（浮实切之益大，此是悬离之状。悬离脉见，即五脏六腑、十二
经输气皆不足。十二经输皆属太阳，故至水冻--冬时而死。亟，急也。病至水凝而死亟。居力
反。平按∶悬离《素问》作悬雍，《甲乙》作悬痈，《素问》新校正云∶“按全元起本悬雍作悬
离，元起注云∶悬离者，言脉与肉不相得也。”水凝《甲乙》作水冻。《素问》无亟字，《甲乙》
同。）脉至如偃刀，偃刀者浮小急，按之坚急大，五脏宛熟寒热，独并于肾也，如此其人不得坐，
立春而死。（浮之小急，按之坚急大者，此是偃刀之状也。浮手取之即小，为气血俱少，按之坚
实急大，多气少血，即知五脏宛熟寒热之气，唯并于肾，至春实邪来乘致死。平按∶《素问》浮
下有之字，急大作大急，宛熟作
菀熟，《甲乙》作寒热，注云∶《素》作菀熟。）脉至如丸，滑不直，手按之不得也，胆气予不
足也，枣叶生而死。（直，当也。脉如弹丸，按之不可当于指下，此是滑不直，胆气病脉状也。
至于孟夏枣叶生，实邪来乘而死。平按∶胆原抄作瞻，注同，疑是胆字之误。《素问》、《甲乙》
作大肠，查大肠为肺之腑，属金；胆为肝腑，属木。本注云∶“至于孟夏枣叶生，实邪来乘而死。”
按《五十难》曰∶“邪从前来者为实邪。”滑氏本义云∶“我生者相，气方实也，居吾之前而来
为邪，故曰实邪。”孟夏火旺之时，为木所生，乃木之实邪，应从胆为是。再按上注“并于肾，
至春实邪来乘致死。”肾为水脏，水来生木，为肾之实邪，其义正同。）脉至如华者，令人善恐，
不欲坐卧，行立常听，小肠予不足也，季秋而死。（脉之浮散，故如华也。心腑小肠虚小，故多
恐坐卧不安。心虚耳中如有物声，故恒听。至于季秋，为肺气来乘，遂致于死也。平按∶如华
《甲乙》作如舂。）
大腿、小腿、大腿根部，是指经脉贯通膝盖上下部位。（平按：《素问》中“痈”写作“雍”，“ ”写作“脚”。《甲乙经》中“ ”写作“胫”，没有“大”字。）
心脉满实而大，会导致癫痫抽搐和筋脉拘挛。（心脉满实且大，说明多气热盛，因此引发小儿癫痫。因为阴血不足，所以发冷并导致筋脉拘挛。平按：《甲乙经》中“螈”写作“ ”，以下相同。）肝脉细小而急，会导致癫痫抽搐和筋脉拘挛。（细小表示阴阳二气不足，急则代表寒邪，这是虚寒与热邪相乘引发的癫痫，以及寒邪导致的筋脉拘挛。）肝脉出现惊骇之象，因受惊吓或惊恐，脉搏微弱甚至消失，或者声音嘶哑不能言语，这些情况不治疗也能自愈。（肝脉出现惊气，是因为受到惊吓，失声不语或脉搏不至，都不需要治疗即可自愈。平按：《素问》中“惊暴”写作“骛暴”，《甲乙经》也写作“骛暴”。）肾脉细小而急，肝脉细小而急，心脉搏动无力，都会形成瘕积。（肾脉和肝脉细小而急，加上心脉搏动无力，都是内部虚弱寒气所致，因此形成瘕积。平按：《素问》和《甲乙经》在“不鼓”之上还有“小急”二字。）肾脉大而急且沉，肝脉大而急且沉，都会形成疝病。（肾脉和肝脉盛大而急且沉，盛大表示多气少血，急和沉都代表寒邪，这是寒气内盛，因此形成疝病。平按：《素问》在“肾脉大急沉”之上还有“肾肝并沉为石水，并浮为风水，并虚为死，并小弦欲惊”二十一个字，新校正说：“考察肾肝并沉至下并小弦欲惊这段文字，全元起本在《厥论》篇中，王冰将其移到了此处。”本书见于卷二十六《经脉厥》篇，据此可知本书与全元起本相同。）心脉搏动滑利而急，形成心疝，（揣，即跳动之意。滑利表示阳气盛而有微热。急表示多寒。心气寒冷，寒盛而伴有微热，寒胜故凝结成心疝。平按：《素问》中“揣”写作“搏”，以下相同。）肺脉沉而搏动，形成肺疝。（肺脉应当虚浮，现在反而沉，寒邪多，因此形成肺疝。平按：《素问》在“肺疝”之下还有“三阳急为瘕，三阴急为疝，二阴急为痫厥，二阳急为惊”二十一个字，新校正说：“考察三阳急为瘈至为惊这段文字，全元起本在《厥论》，王冰将其移到了此处。”本书见于卷二十六《寒热相移》篇。）脾脉向外鼓动且沉，形成肠辟，日久可自愈；（脾脉向外鼓动，外鼓且沉，沉主寒，寒致泄利，但胃气强盛，所以日久可自愈。平按：《素问》和《甲乙经》中“辟”写作“ ”，以下相同。）肝脉细小而缓，形成肠辟，容易治疗；（肝脉气血虽少，但胃气强盛，所以治疗容易痊愈。）肾脉细小、搏动且沉，形成肠辟，若出现便血、身体温热者预后不良；（肾脉气血俱少，仍出现冷利便血，说明胃气虚冷，所以预后不良。便血、身体温热，都是胃气散失的表现。平按：《素问》中“血”字重文。《甲乙经》中“温”写作“湿”，注解说：《素问》作“温”。）心和肝发生肠辟也会便血，两脏同病的可以治疗，若身体发热者预后不良，发热持续七天死亡。（心和肝二气共同导致肠辟便血，这是母子相生相互扶持，所以可以治疗。身体发热是因为胃气散失，最迟七天死亡。平按：《素问》和《甲乙经》在“可治”之下还有“其脉小沉涩为肠”八个字。《甲乙经》中“热见”写作“热甚”，注解说：《素问》作“热见”。）胃脉沉而搏动涩滞，胃脉向外鼓动盛大，心脉小而坚实紧急，都会形成膈偏枯，男子发病在左侧，女子发病在右侧，若不失语、舌能转动者可治，三十日可起身；若失语但舌能转动属顺证，三年可起身；年龄不满二十岁的，三年后死亡。（胃脉属足阳明，为阳脉。胃脉反而沉细，搏动而涩。涩，代表寒邪。脉向外鼓动，说明气伤较多。如此诊得足阳明脉沉而搏动且寒，向外鼓动且气多，又得心脉气血俱少，坚实而寒。那么胃与心，两脏同病，名为膈偏枯。男子发病于左胁，女子发病于右胁。若失语不能言、舌不转动者，预后不良。若能言、舌能转动者，治疗三十日能行走。虽然失语，但舌能转动属顺证，三年可痊愈。若年龄不到二十岁，得上述病症者，三年后死亡。平按：《甲乙经》在“转”下有“者”字。顺，《素问》和《甲乙经》写作“从”。）脉来搏动有力，伴有鼻出血且身体发热者，预后不良。（脉来搏动有力，又是阳虚鼻出血，身体应当发冷，现在却鼻出血且身体发热，虚证见逆象，所以预后不良。平按：《甲乙经》中“血衄”写作“衄血”。《素问》在“热”上无“有”字。）脉来悬钩而浮，称为脉鼓。（夏秋两季脉象均至，称为脉鼓。平按：《素问》中“浮为脉鼓”写作“浮为常脉”，《甲乙经》写作“浮者为热”。）脉来急促如喘息，名为气逆，患者不知与人交谈。（气厥导致不知言语。平按：《素问》和《甲乙经》中“气厥者”写作“暴厥，暴厥者”。）脉来急促，使人突然惊恐，三四日后自愈。（突然惊恐不治疗，三四日后自愈。平按：《甲乙经》中“如数”写作“而数”。）脉来浮合，浮合脉象如同数脉，一呼吸十次以上，这是给予经气不足，轻微出现，九十日后死亡。（浮合之脉，经气不足，轻微出现，九十日即死亡。平按：《素问》和《甲乙经》在“是”下无“与”字，“足”下有“也”字。）脉来如火刚点燃，这是心精被剥夺，草干时死亡。（心脉如钩，现在像火刚点燃，这是心脉急疾，火精被夺，所以在草干——水旺之时，被克而死。平按：《素问》中“新燃”写作“薪然”，《甲乙经》写作“新然”。《素问》和《甲乙经》在“死”上有“而”字。）脉来如散采，这是肝气虚弱，木叶落时死亡。（肝脉如弦，现在散乱如五彩，变化不定，这是肝木气虚损，到木叶落——金旺之时，被克而死，有的版本作棘、散叶。平按：《素问》中“散采”写作“散叶”，《甲乙经》写作“棘”。）脉来省容，脉寒如鼓动，这是肾气不足，枣花谢时死亡。（肾脉如石，现在如省容，寒而鼓动，这是肾之水气受损，所以在枣花——土旺之时，被克而死。平按：《素问》和《甲乙经》中“省容”写作“如省客”。脉寒，《素问》写作“脉塞”。）脉来如丸泥，这是胃精不足，榆荚落时死亡。（荚，音兼牒反，像豆荚等草实。胃脉弱，现在反而如丸泥，干坚的丸子，即是胃土气受损，所以在榆荚——木旺之时死亡。）脉来如横格，这是胆气不足，禾熟时死亡。（胆脉如弦，现在如横格的木头，即是木之胆气受损，所以在禾熟——秋金之时，被克而死。）脉来如弦缕，这是胞精不足，病善言，下霜时死亡；不言者，可治。（心包脉如钩，现在如弦之缕线，散而不聚，这是心包火府受损，所以在霜雪——水旺之时，被克而死。不好言者，心气未尽，所以可治疗。）脉来如交荚，交荚，指左右旁至，轻微出现，三十日后死亡。（荚，音兼牒反，像豆荚等草实。脉来如相交，左右旁至是次转，所以轻微出现三十日死亡。平按：《素问》中“荚”写作“漆”，《甲乙经》写作“棘”。注中的“次转”二字疑有误。）脉来如泉浮鼓于胞中，这是太阳气不足，气味少，韭花时死亡。（足太阳是肾之府脉，现在如泉水浮鼓而动，即膀胱胞气水不足，所以在韭荚华——土旺之时，被克而死。一说韭英。平按：《素问》在“泉”上有“涌”字，《甲乙经》也有“涌”字。胞中，《素问》和《甲乙经》写作“肌中”。韭华死，《素问》写作“韭英而死”，《甲乙经》写作“韭花生而死”。）脉来如委土之状，按压不得，这是肌气不足，五色先见黑白交替发作死亡。（脾脉代，如鸡足践地，中间代绝。现在按压止如委土之状，没有脾胃弱之气，又先交替见到黑白之色，是肺肾来乘，所以死亡。平按：《素问》中“委土”写作“颓土”。《甲乙经》中“不得”写作“不足”。《素问》中“累发”写作“垒发”。）脉来如悬离，悬离，指浮取搏动切按益大，这是十二输不足，水凝时死亡紧迫。（浮取实切按益大，这是悬离之状。悬离脉见，即五脏六腑、十二经输气皆不足。十二经输皆属太阳，所以在冰冻——冬之时死亡。亟，急也。病至水凝而死紧迫。居力反。平按：《素问》中“悬离”写作“悬雍”，《甲乙经》写作“悬痈”，《素问》新校正说：“按全元起本悬雍作悬离，元起注云：悬离者，言脉与肉不相得也。”水凝，《甲乙经》写作“水冻”。《素问》无“亟”字，《甲乙经》同。）脉来如偃刀，偃刀，指浮取小急，按之坚急大，五脏郁结熟寒热，独并于肾，这样的人不能坐，立春时死亡。（浮取小急，按之坚急大，这是偃刀之状。浮手取之即小，为气血俱少，按之坚实急大，多气少血，即知五脏郁结寒热之气，唯并于肾，到春实邪来乘致死。平按：《素问》在“浮”下有“之”字，“急大”作“大急”，“宛熟”作“菀熟”，《甲乙经》作“寒热”，注云：《素问》作“菀熟”。）脉来如丸，滑不直，手按之不得，这是胆气不足，枣叶生时死亡。（直，当也。脉如弹丸，按之不可当于指下，这是滑不直，胆气病脉状也。至于孟夏枣叶生，实邪来乘而死。平按：胆原抄作瞻，注同，疑是胆字之误。《素问》、《甲乙经》作大肠，查大肠为肺之腑，属金；胆为肝腑，属木。本注云：“至于孟夏枣叶生，实邪来乘而死。”按《五十难》曰：“邪从前来者为实邪。”滑氏本义云：“我生者相，气方实也，居吾之前而来为邪，故曰实邪。”孟夏火旺之时，为木所生，乃木之实邪，应从胆为是。再按上注“并于肾，至春实邪来乘致死。”肾为水脏，水来生木，为肾之实邪，其义正同。）脉来如华，令人善恐，不欲坐卧，行立常听，这是小肠不足，季秋时死亡。（脉之浮散，故如华也。心腑小肠虚小，故多恐坐卧不安。心虚耳中如有物声，故恒听。至于季秋，为肺气来乘，遂致于死也。平按：如华，《甲乙经》作如舂。）
Thigh, lower leg, and upper thigh refer to the meridians connecting above and below the knee. (Ping An: In *Su Wen*, "yong" is written as "yong", and " " is written as "jiao". In *Jia Yi Jing*, " " is written as "jing", without the character "da".)
The Heart pulse is full and large, leading to epilepsy, convulsions, and tendon cramps. (A Heart pulse that is full, solid, and large indicates excessive Qi and flourishing heat, thus triggering pediatric epilepsy. Due to insufficient Yin blood, cold arises causing tendon cramps. Ping An: In *Jia Yi Jing*, "yong" is written as " ", same below.) The Liver pulse is small and rapid, leading to epilepsy, convulsions, and tendon cramps. ("Small" indicates insufficiency of both Yin and Yang Qi; "rapid" signifies Cold. This deficiency-cold combined with heat triggers epilepsy, while Cold causes tendon cramps.) The Liver pulse shows signs of sudden fright; due to shock or terror, the pulse may be absent or the patient may become aphonic. These conditions will resolve spontaneously without treatment. (Liver pulse showing Qi of fright is due to startled spirit; aphonia or absent pulse resolves spontaneously without medical intervention. Ping An: In *Su Wen* and *Jia Yi Jing*, "jing bao" is written as "wu bao".) If the Kidney pulse is small and rapid, and the Liver pulse is small and rapid, and the Heart pulse beats weakly, all result in Jia masses. (Small and rapid pulses of Kidney and Liver, along with a weak Heart pulse, indicate internal deficiency and Cold Qi, leading to Jia masses. Ping An: *Su Wen* and *Jia Yi Jing* add "xiao ji" before "bu gu".) If the Kidney pulse is large, rapid, and deep, and the Liver pulse is large, rapid, and deep, both result in Shan disease. (Large pulses of Kidney and Liver indicate excess Qi and deficient Blood; rapid and deep indicate Cold. Internal flourishing Cold leads to Shan disease. Ping An: *Su Wen* adds twenty-one characters before "Shen mai da ji chen": "Ren Gan bing chen wei shi shui, bing fu wei feng shui, bing xu wei si, bing xiao xian yu jing." Xin Zheng Jiao notes: "Examining the text from 'Ren Gan bing chen' to 'beng xiao xian yu jing', Quan Yuanqi's edition places it in *Jue Lun*, Wang Bing moved it here." This book references Volume 26 *Jing Mai Jue*, confirming consistency with Quan Yuanqi's edition.) A Bo pulse that is slippery and rapid at the Heart forms Xin Shan. ("Chuai" means pulsating. Slippery indicates flourishing Yang Qi with slight heat. Rapid indicates excess Cold. Cold Heart Qi with flourishing Cold and slight heat condenses into Xin Shan. Ping An: *Su Wen* writes "chuai" as "bo", same below.) A Deep and pulsating pulse at the Lung forms Fei Shan. (Lung pulse should be empty and floating; now being deep indicates excess Cold, forming Fei Shan. Ping An: *Su Wen* adds twenty-one characters after "Fei Shan": "San Yang ji wei jia, San Yin ji wei shan, Er Yin ji wei xian jue, Er Yang ji wei jing." Xin Zheng Jiao notes: "Examining 'San Yang ji wei jia' to 'wei jing', Quan Yuanqi's edition is in *Jue Lun*, Wang Bing moved it here." This book references Volume 26 *Han Re Xiang Yi*.) An External-Beating and Deep pulse at the Spleen forms Chang Pi, resolving spontaneously after a long time; (External beating yet deep indicates Cold causing diarrhea; strong Stomach Qi allows spontaneous resolution after time. Ping An: *Su Wen* and *Jia Yi Jing* write "pi" as " ", same below.) A Small and Slow pulse at the Liver forms Chang Pi, easy to treat; (Although Liver Qi and Blood are scant, strong Stomach Qi makes treatment easy. Ping An: ) A Small, Pulsating, and Deep pulse at the Kidney forms Chang Pi; if accompanied by bloody stool and warm body heat, death ensues. (Scant Qi and Blood in Kidney pulse with cold diarrhea and bloody stool indicate deficient Cold Stomach Qi, leading to death. Bloody stool and warm heat signify dispersal of Stomach Qi. Ping An: *Su Wen* repeats "xue". *Jia Yi Jing* writes "wen" as "shi"; note says *Su Wen* uses "wen".) Chang Pi involving Heart and Liver also presents with bloody stool; simultaneous disease of these two organs is treatable, but if body heat appears, death occurs within seven days. (Simultaneous Heart and Liver Qi causing Chang Pi with bloody stool implies mutual support between mother and child organs, making it treatable. Body heat indicates dispersal of Stomach Qi; death occurs up to seven days later. Ping An: *Su Wen* and *Jia Yi Jing* add "qi mai xiao chen se wei chang" after "ke zhi". *Jia Yi Jing* writes "re jian" as "re shen"; note says *Su Wen* uses "re jian".) A Deep, Beating, and Choppy pulse at the Stomach, an externally beating Large pulse, and a Small, Firm, and Rapid pulse at the Heart all lead to Ge Pian Ju. Men develop it on the left, women on the right. If not aphonic and tongue can move, it is treatable, recovery in thirty days; if aphonic but tongue moves (favorable), recovery in three years; if under twenty years old, death in three years. (Stomach pulse belongs to Foot Yangming, Yang. Pulse reversely becoming deep and fine, beating choppy indicates Cold. External beating indicates Qi injury. Diagnosing Foot Yangming as deep, beating, and cold, with external beating and excess Qi, plus Heart pulse with scant Qi/Blood, firm and cold, indicates concurrent disease of Stomach and Heart, named Ge Pian Ju. Men affect left flank, women right flank. Aphonia and immobile tongue indicate poor prognosis. Ability to speak and move tongue allows recovery in thirty days. Aphonia with movable tongue is favorable, recovery in three years. Under twenty years old leads to death in three years. Ping An: *Jia Yi Jing* adds "zhe" after "zhuan". Favorable, *Su Wen* and *Jia Yi Jing* write "cong".) A pulsating pulse with nasal bleeding and body heat indicates death. (Pulsating pulse with Yang deficiency and nasal bleeding should present with cold body; bleeding with heat is adverse for deficiency, indicating death. Ping An: *Jia Yi Jing* writes "xue nu" as "nu xue". *Su Wen* lacks "you" before "re".) A Hanging Hook pulse that is Floating is called Mai Gu. (Summer and Autumn pulses arriving together are called Mai Gu. Ping An: *Su Wen* writes "fu wei mai gu" as "fu wei chang mai"; *Jia Yi Jing* writes "fu zhe wei re".) A pulse like panting is named Qi Ni; the patient cannot converse with others. (Qi Jue leads to inability to speak. Ping An: *Su Wen* and *Jia Yi Jing* write "qi jue zhe" as "bao jue, bao jue zhe".) A pulse like rapid number causes sudden fright, resolving spontaneously in three to four days. (Sudden fright resolves spontaneously in three to four days without treatment. Ping An: *Jia Yi Jing* writes "ru shu" as "er shu".) A Floating-Harmonious pulse, harmonious like rapid, exceeding ten beats per breath, indicates insufficiency given to Jing Qi; slight appearance leads to death in ninety days. (Floating-Harmonious pulse with insufficient Jing Qi, slightly appearing, leads to death in ninety days. Ping An: *Su Wen* and *Jia Yi Jing* lack "yu" after "shi" and add "ye" after "zu".) A pulse like newly ignited fire indicates Heart Essence being deprived; death occurs when grass dries. (Heart pulse like hook, now like new fire, indicates rapid Heart pulse, depriving Fire Essence; death occurs when Grass Dries—Water season—when overcome. Ping An: *Su Wen* writes "xin ran" as "xin ran"; *Jia Yi Jing* as "xin ran". *Su Wen* and *Jia Yi Jing* add "er" before "si".) A pulse like scattered colors indicates Liver Qi deficiency; death occurs when tree leaves fall. (Liver pulse like string, now scattered like five colors, variable, indicates Liver Wood Qi deficiency; death occurs when Tree Leaves Fall—Metal season—when overcome. Some versions read "ji, san ye". Ping An: *Su Wen* writes "san cai" as "san ye"; *Jia Yi Jing* as "ji".) A pulse like Sheng Rong indicates pulse cold like beating drum; this is Kidney Qi insufficiency; death occurs when Jujube flowers fade. (Kidney pulse like stone, now like Sheng Rong, cold and beating, indicates injury to Kidney Water Qi; death occurs when Jujube Flowers—Earth season—when overcome. Ping An: *Su Wen* and *Jia Yi Jing* write "sheng rong" as "ru sheng ke". Pulse cold, *Su Wen* writes "mai sai".) A pulse like pill mud indicates Stomach Essence insufficiency; death occurs when Elm pods fall. ("Jia" sounds like jian die fan, like bean pods/grass fruits. Stomach pulse weak, now like pill mud, dry hard pill, indicates Stomach Earth Qi damage; death occurs when Elm Pods—Wood season.) A pulse like horizontal grid indicates Gallbladder Qi insufficiency; death occurs when grain ripens. (Gallbladder pulse like string, now like horizontal grid wood, indicates Wood Gallbladder Qi damage; death occurs when Grain Ripens—Autumn Metal season—when overcome.) A pulse like string threads indicates Bao Jing insufficiency; if patient speaks well, death occurs at frost; if silent, treatable. (Pericardium pulse like hook, now like string threads, scattered not gathered, indicates Pericardium Fire Palace damage; death occurs at Frost/Snow—Water season—when overcome. Not speaking well indicates Heart Qi not exhausted, thus treatable.) A pulse like crossing pods; Crossing Pod refers to left-right lateral arrival; slight appearance leads to death in thirty days. ("Jia" sounds like jian die fan, like bean pods. Pulse like crossing, left-right lateral arrival is next turn, so slight appearance leads to death in thirty days. Ping An: *Su Wen* writes "jia" as "qi"; *Jia Yi Jing* as "ji". Note doubts "ci zhuan" two characters.) A pulse like spring floating-beating in Bao Zhong indicates Taiyang Qi insufficiency; little smell/energy, death occurs when leek flowers bloom. (Foot Taiyang is Kidney palace pulse; now like spring floating-beating indicates Bladder Bao Qi/Water insufficiency; death occurs when Leek Flower—Earth season—when overcome. One says Leek Ying. Ping An: *Su Wen* adds "yong" before "quan"; *Jia Yi Jing* has "yong". Bao Zhong, *Su Wen* and *Jia Yi Jing* write "ji zhong". Jiu Hua Si, *Su Wen* writes "jiu ying er si"; *Jia Yi Jing* writes "jiu hua sheng er si".) A pulse like piled earth, unpressable, indicates Ji Qi insufficiency; if Five Colors appear first as black and white alternating, death ensues. (Spleen pulse Dai, like chicken foot treading ground, intermediate Dai interruption. Now pressing like piled earth, lacking Spleen/Stomach weak Qi, plus alternating black/white colors, indicates Lung/Kidney overcoming, leading to death. Ping An: *Su Wen* writes "wei tu" as "tui tu". *Jia Yi Jing* writes "bu de" as "bu zu". *Su Wen* writes "lei fa" as "lei fa".) A pulse like Xuan Li; Xuan Li means floating, pulsating, cutting increases size; this is Twelve Shu insufficiency; death occurs rapidly when water freezes. (Floating solid cutting increasing size is Xuan Li state. Xuan Li pulse indicates insufficiency of Five Zang Six Fu and Twelve Meridian Shu. Twelve Meridian Shu belong to Taiyang; death occurs when Water Freezes—Winter season. Ji means urgent. Disease dies urgently at water freezing. Ju li fan. Ping An: *Su Wen* writes "xuan li" as "xuan yong"; *Jia Yi Jing* as "xuan yong". *Su Wen* Xin Zheng Jiao notes: "According to Quan Yuanqi, xuan yong is xuan li; Yuanqi note: Xuan Li means pulse and flesh do not match." Water freeze, *Jia Yi Jing* writes "shui dong". *Su Wen* lacks "ji"; *Jia Yi Jing* same.) A pulse like inverted knife; Inverted Knife means floating small rapid, pressing firm rapid large; Five Zang stagnant ripe cold-heat, uniquely combining with Kidney; such person cannot sit, dies at Start of Spring. (Floating small rapid, pressing firm rapid large is Inverted Knife state. Floating small indicates scant Qi/Blood; pressing firm rapid large indicates excess Qi/scant Blood; knowing Five Zang stagnant cold-heat combines only with Kidney; at Spring, Excess Evil overcomes leading to death. Ping An: *Su Wen* adds "zhi" after "fu"; "ji da" as "da ji"; "wan shu" as "wan shu"; *Jia Yi Jing* as "han re"; note says *Su Wen* "wan shu".) A pulse like pill, slippery not straight, hand pressing unobtainable, indicates Gallbladder Qi insufficiency; death occurs when date leaves grow. ("Zhi" means appropriate. Pulse like pellet, unobtainable under finger, is slippery not straight, Gallbladder disease pulse state. At Early Summer when date leaves grow, Excess Evil overcomes leading to death. Ping An: Original copy writes "dan" as "zhan", note same, suspect error for "dan". *Su Wen* and *Jia Yi Jing* write "Da Chang". Check Da Chang is Lung palace, Metal; Dan is Liver palace, Wood. Note says: "At Early Summer date leaves grow, Excess Evil overcomes." According to *Fifty Nan*: "Evil coming from front is Excess Evil." Shi Shi Ben Yi: "What I generate is Xiang, Qi is just solid, residing before me coming as evil, thus Excess Evil." Early Summer Fire prosperous, generated by Wood, is Wood Excess Evil, should follow Dan. Again, previous note "combines with Kidney, at Spring Excess Evil overcomes". Kidney is Water organ, Water generates Wood, is Kidney Excess Evil, meaning consistent.) A pulse like flower causes fear, unwillingness to sit/lie, standing/walking often listening, indicates Small Intestine insufficiency; death occurs in Late Autumn. (Pulse floating scattered like flower. Heart palace Small Intestine deficient/small, thus much fear, restless sitting/lying. Heart deficiency ear has object sound, thus constant listening. At Late Autumn, Lung Qi overcomes, leading to death. Ping An: Like flower, *Jia Yi Jing* writes "ru chong".)