下有赤字。）已食如饥者，胃疸也。（胃中热消食，故已食如饥，胃疸病。）面肿曰风。（风，
阳也。诸阳在面，故风病面先肿也。）女子手少阴脉动甚者，任子也。（手少阴脉，心经脉也。
心脉主血，女子怀子，则月血外闭不通，故手少阴脉内盛，所以动也。平按∶《素问》任作妊。
注月血袁刻作经血。）脉有逆顺，四时未有脏形。（寸口人迎，且逆且顺，即四时未有真脏脉形
也。）春夏而脉瘦者，秋冬浮大。（春夏人迎微大为顺，今反瘦小为逆；秋冬人迎微小为顺，今
反浮大为逆也。平按∶浮大下《素问》有命曰逆四时也六字。）风逆而脉盛，（脉盛者，风热之
病也。平按∶盛《素问》作静。）泄而脱血。（风热之病虚，故多脱泄血脱也。）脉实者病在中，
（是阳虚阴实，故病在五脏。平按∶《素问》脉实二字属上文，实下无者字。）脉虚者病在外。
（阴虚阳实，故病在六腑也。平按∶《素问》脉虚二字属上文，虚下无者字。）脉涩坚皆难治，
命曰反四时者也。（脉涩及坚二者，但阴无阳，故皆难疗，名曰反四时之脉也。平按∶《素问》
新校正云∶“自前未有脏形春夏至此五十三字，与后《玉机真藏论》文相重。”本书见十四卷
《四时诊脉》篇。）人以水谷为本，故人绝水谷则死；（反四时之脉，无水谷之气者，致死。）
脉无胃气亦死。所谓无胃气者，但得真脏脉，不得胃气也，所谓肝不弦，肾不石也。（虽有水谷
之气，以脏有病无胃气者，肝虽有弦，以无胃气不名乎弦也，肾虽有石，以无胃气不名乎石，故
不免死也。平按∶肝不弦上《素问》有脉不得胃气者六字。）太阳脉至，鸿大以长；（以手按人
迎脉鸿大以长者，是太阳也，即手足太阳小肠膀胱脉之状也。平按∶鸿《素问》、《甲乙》作洪。
注人迎脉别本作尺脉。）少阳脉至，乍疏乍数，乍短乍长；（按之乍疏乍数、乍短乍长者，少阳脉
也，即手足少阳三焦及胆脉之状。平按∶乍疏乍数
《素问》、《甲乙》作乍数乍疏。）阳明脉至，浮大而短，是谓三阳脉也。（按之浮大而短者，
阳明脉也，即手足阳明胃及大肠之候也。是谓三阳脉之形。平按∶《素问》、《甲乙》无是谓三
阳脉也六字。《素问》新校正云∶“详无三阴脉，应古文阙也。按《难经》云∶太阴之至，紧大
而长；少阴之至，紧细而微；厥阴之至，沉短以敦。”）
（原文此处有红色字迹标注。）进食后仍感觉饥饿的，是胃疸病。（因为胃中有热而消化食物过快，所以吃完饭后就像饿了一样，这是胃疸病的表现。）面部浮肿称为风病。（风属于阳邪。人体的诸阳经都上行于面部，所以风邪致病时，面部会首先出现浮肿。）女子手少阴心经脉搏动明显的，是怀孕的表现。（手少阴脉即心经的脉象。心主血脉，女子怀孕后，月经停止不通，导致手少阴脉内气血旺盛，所以脉搏跳动明显。按：《素问》中“任”字作“妊”。注：月血在袁刻本中作“经血”。）脉象有顺逆之分，四季之中没有固定的真脏脉形态。（寸口和人迎脉，既有顺也有逆，这意味着在四季变化中没有出现代表脏器败露的真脏脉形态。）春夏季节脉象瘦小，秋冬季节脉象浮大。（春夏季节人迎脉微大为顺，现在反而瘦小为逆；秋冬季节人迎脉微小为顺，现在反而浮大为逆。按：《素问》在“浮大”下有“命曰逆四时也”六个字。）风邪侵袭且脉象盛大，（脉象盛大，是风热病的表现。按：《素问》中“盛”字作“静”。）泄泻并伴有失血。（风热病导致正气虚弱，所以容易出现脱泄和血脱的情况。）脉实表示病位在体内，（这是阳气虚而阴气实的表现，所以病在五脏。按：《素问》中“脉实”二字属于上一句，“实”字下没有“者”字。）脉虚表示病位在体表。（这是阴气虚而阳气实的表现，所以病在六腑。按：《素问》中“脉虚”二字属于上一句，“虚”字下没有“者”字。）脉象涩滞且坚硬的都难以治疗，这叫做违背四时规律。（脉象涩滞和坚硬这两种情况，都是只有阴气而没有阳气，所以都难治愈，称为违背四时的脉象。按：《素问》新校正说：“从‘前未有脏形’到‘春夏至此五十三字，与后面的《玉机真藏论》文字重复。”本书见于第十四卷《四时诊脉》篇。）人以水谷作为根本，所以人断绝了水谷就会死亡；（违背四时的脉象，是因为没有水谷之气，这会导致死亡。）脉象如果没有胃气也会死亡。所谓没有胃气，就是只能见到真脏脉，而见不到胃气，所谓的肝脉不弦、肾脉不石。（虽然还有水谷之气，但如果脏器有病且没有胃气，肝脉即使有弦象，因为没有胃气也不能称之为真正的弦脉；肾脉即使有石象，因为没有胃气也不能称之为真正的石脉，所以不免于死。按：《素问》在“肝不弦”上有“脉不得胃气者”六个字。）太阳脉到来时，洪大且长；（用手按压人迎脉，如果洪大且长，这就是太阳脉，也就是手足太阳小肠经和膀胱脉的状态。按：《素问》、《甲乙经》中“鸿”字作“洪”。注：人迎脉在其他版本中作尺脉。）少阳脉到来时，忽快忽慢，忽短忽长；（按压时忽快忽慢、忽短忽长的，是少阳脉，也就是手足少阳三焦经及胆脉的状态。按：《素问》、《甲乙经》中“乍疏乍数”作“乍数乍疏”。）阳明脉到来时，浮大而短，这被称为三阳脉。（按压时浮大而短的，是阳明脉，也就是手足阳明胃经及大肠经的征候。这被称为三阳脉的形态。按：《素问》、《甲乙经》中没有“是谓三阳脉也”这六个字。《素问》新校正说：“详细考察没有三阴脉的描述，应该是古文缺失。按《难经》说：太阴脉至，紧大而长；少阴脉至，紧细而微；厥阴脉至，沉短而敦。”）
(Red characters are noted in the original text.) Feeling hungry shortly after eating indicates Stomach Jaundice (Wei Dan). This is because heat in the Stomach accelerates digestion, causing a sensation of hunger even after meals. Facial edema is termed Wind disease. Wind belongs to Yang. Since all Yang meridians ascend to the face, facial swelling occurs first when afflicted by Wind. In women, a pronounced pulsation at the Hand Shaoyin pulse position indicates pregnancy. The Hand Shaoyin pulse corresponds to the Heart meridian. The Heart governs blood; during pregnancy, menstruation ceases, leading to an abundance of Qi and blood within the Hand Shaoyin meridian, resulting in a distinct pulse. Note: *Suwen* uses "Ren" (conception) instead of "Ren" (bear). Annotation: "Yue xue" (monthly blood) is written as "Jing xue" (menstrual blood) in Yuan's edition.
Pulses have categories of compliance (Shun) and non-compliance (Ni); there is no fixed Zang-organ shape in the four seasons. Both the Cunkou and Renying pulses exhibit compliance and non-compliance, meaning that true Zang-organ pulses (Zhen Zang Mai), which indicate organ failure, do not appear according to seasonal norms. If the pulse is thin and small in Spring and Summer, but floating and large in Autumn and Winter, this is non-compliant. In Spring and Summer, a slightly large Renying pulse is compliant; a thin/small one is non-compliant. In Autumn and Winter, a slightly small Renying pulse is compliant; a floating/large one is non-compliant. Note: *Suwen* adds "termed non-compliant with the four seasons" after "floating and large."
Wind invasion with a full pulse indicates Wind-Heat disease. Note: *Suwen* writes "Sheng" (full) as "Jing" (quiet). Diarrhea accompanied by blood loss often results from deficiency due to Wind-Heat, leading to depletion of fluids and blood. A full pulse indicates the disease is internal (Yang deficiency and Yin excess, thus affecting the Five Zang organs). Note: In *Suwen*, "Mai Shi" (pulse full) belongs to the previous sentence, and there is no "zhe" character after "Shi". A deficient pulse indicates the disease is external (Yin deficiency and Yang excess, thus affecting the Six Fu organs). Note: In *Suwen*, "Mai Xu" (pulse deficient) belongs to the previous sentence, and there is no "zhe" character after "Xu". Pulses that are choppy (Se) and firm are difficult to treat, termed as contrary to the four seasons. Choppy and firm pulses indicate Yin without Yang, making them hard to cure. Note: *Suwen* Xinzhengjiao states that the fifty-three characters from "previously no Zang shape" to "Spring and Summer here" duplicate the text in *Yuji Zhen Zang Lun*. This appears in Volume 14, "Four Seasons Pulse Diagnosis."
Humans rely on water and grain as their foundation; thus, humans die when deprived of water and grain. Non-compliant pulses lack the Qi of water and grain, leading to death. A pulse without Stomach Qi also leads to death. "Without Stomach Qi" means only the True Zang-organ pulse is present, lacking the harmonious Stomach Qi. For example, the Liver pulse should be wiry (Xian), and the Kidney pulse should be stone-like (Shi). Even if Water and Grain Qi exists, if the Zang organs are diseased and lack Stomach Qi, the Liver pulse may show a wiry quality but cannot be truly called wiry without Stomach Qi; similarly, the Kidney pulse may show a stone-like quality but cannot be truly called stone-like without Stomach Qi. Thus, death is inevitable. Note: *Suwen* adds "those whose pulse lacks Stomach Qi" before "Liver not wiry."
The Taiyang pulse arrives, being surging (Hong), large, and long. Pressing the Renying pulse, if it is surging, large, and long, it indicates Taiyang, corresponding to the Foot and Hand Taiyang Bladder and Small Intestine meridians. Note: *Suwen* and *Jiayi Jing* write "Hong" instead of "Hong". Annotation: Other versions read "Chic mai" (wrist pulse) instead of "Renying mai".
The Shaoyang pulse arrives, alternating between sparse and rapid, short and long. Pressing the pulse, if it alternates in frequency and length, it indicates Shaoyang, corresponding to the Foot and Hand Shaoyang Sanjiao and Gallbladder meridians. Note: *Suwen* and *Jiayi Jing* write "Zha Shu Zha Su" instead of "Zha Su Zha Shu".
The Yangming pulse arrives, being floating, large, and short; this is referred to as the Three-Yang pulse. Pressing the pulse, if it is floating, large, and short, it indicates Yangming, corresponding to the Foot and Hand Yangming Stomach and Large Intestine meridians. This describes the form of the Three-Yang pulses. Note: *Suwen* and *Jiayi Jing* omit "this is referred to as the Three-Yang pulse." *Suwen* Xinzhengjiao states: "Upon detailed examination, the description for the Three-Yin pulses is missing, likely due to textual lacuna. According to *Nanjing*: Taicin arrives tight, large, and long; Shaoyin arrives tight, fine, and minute; Jueyin arrives deep, short, and solid."