闭也。）阴搏阳别。谓之有子。（阴搏者。尺脉滑利。而搏击应手也。阳别者。与寸口之阳。似乎别出而不相贯。此当主
有妊。盖有诸内。而是以尺脉滑利如珠也。吴氏曰。此以下论脉也。）阴阳虚。肠 死。（阴阳、指尺寸而言。肠 、
积下利也。夫荣卫气血。皆由水谷之所资生。胃为受纳之府。肠为传导之官。阴阳两虚。而又失其所生之本。故无望其
生机矣。此言阴阳由肠胃水谷之所生也。）阳加于阴。谓之汗。（汗乃阴液。由阳气之宣发。而后能充身泽毛。若动数之
阳脉。加于尺部。是谓之汗。当知汗乃阳气之加于阴液。而脉亦阳脉之加于阴部也。）阴虚阳博。谓之崩。（阴虚阳盛。
则迫血妄行。）三阴俱搏。二十日夜半死。（搏俱音博三阴者。太阴也。俱搏者。脾肺二部俱搏击应手。而无阳和之气
也。二者。偶之始。十者。阴之终。夜半者。阴尽而将一阳初生之时。太阴者。至阴也。以至阴之气。而绝无生阳。故
死于阴极之数也。董帷园曰。阴结阳结者。论阴阳之气结也。刚与刚者。言腑脉传腑。脏脉传脏也。阴搏阳搏者。言十
二经脉之阴阳不和也。）二阴俱搏。十三日夕时死。（二阴者。少阴也。俱搏者。心肾二部俱搏击应手也。少阴主水火阴
阳之气。天乙生水。地六成之。地二生火。天七成之。十三日者。成数之终也。夕时者。日之终也。以水火之阴脏。故
死于成数。而终于日终也。）一阴俱搏。十日死。（一阴者。厥阴也。俱搏者。肝与心主二部俱搏击应手也。十日者。阴
之终也。厥阴者。阴之尽也。以阴尽之气。而死于阴数之终也。）三阳俱搏且鼓。三日死。（三阳者。太阳也。鼓、动也。
俱搏且鼓者。手足太阳之脉俱搏击而且鼓动。阳极而绝无阴之和也。太阳与少阴为表里。并主水火之气。天乙生水。地
二生火。以水火之阳腑。故死于天地之生数也。盖天为阳。地为阴。天主生。地主成。故太阳死于生数。而少阴死于成
数也。）三阴三阳俱搏。心满。腹发尽。不得隐曲。五日死。（三阴三阳者。五行之气也。阴阳二气俱搏击而不和。故尽
五行之数终而死也。心满。阳搏于上也。不得隐曲。阴搏于下也。腹居身半之中。阴阳相交者也。腹发尽者。阳尽发于
上。阴尽发于下。而无阴阳中见之和也。此言上下阴阳之病。下文言寒热阴阳之病。）二阳俱搏。其病温。死不治。不过
三日死。（二阳者。阳明也。俱搏者。手足阳明俱搏击也。病温者。病寒热也。夫人之阴阳。由阳明水谷之所资生。二阳
俱搏。则绝其阴阳所生之原矣。阴不得阳则病寒。阳不得阴则病热。阴阳俱绝。不治之死证也。九乃阳之终。十乃阴之
尽。不过十日者。死于阴阳之交尽也。上节言三阳在头。三阴在手。所谓一也。阴阳二气。不能一以贯通而自相搏击。
其为病死也若此。此言胃脘之阳。以生养阴阳五脏。二阳俱搏则阴阳并绝。其病死也如此。故末二节。独表出其病证焉。）
（脉象表现为闭阻不通。）尺脉搏动有力，与寸口之阳脉明显有别，这称为怀孕。（所谓“阴搏”，是指尺部脉象滑利，搏击指下；所谓“阳别”，是指尺脉与寸口的阳脉似乎截然不同，互不贯通。这种情况应当主妊娠。因为体内有胎气，所以尺脉滑利如珠。吴氏说：以下内容论述脉象。）
如果阴阳两虚，出现肠澼（痢疾）和下利，则预后不良，可能导致死亡。（这里的“阴阳”指寸脉和尺脉。“肠澼”指痢疾和下利。人体的营卫气血，都依赖水谷精微的滋养生成。胃是受纳食物的器官，肠是传导糟粕的官职。如果阴阳两部脉象都虚弱，又失去了化生气血的根本来源，那么就没有希望恢复生机了。这是在说明阴阳之气是由肠胃中的水谷精气所生成的。）
阳气作用于阴液，就产生汗。（汗属于阴液，必须依靠阳气的宣发作用，才能遍布全身，润泽毛发。如果数急躁动的阳脉出现在尺部（阴位），这就叫作汗。应当知道，汗是阳气加于阴液而产生的，而脉象也是阳脉加于阴部所表现的。）
阴气虚弱，阳气亢盛搏击，称为崩漏。（阴虚而阳盛，就会逼迫血液妄行，导致崩漏。）
三阴脉（太阴、少阴、厥阴）全部搏击有力，会在二十天后的夜半时分死亡。（“搏”音同“博”。所谓的“三阴”，指的是太阴脉。所谓“俱搏”，是指脾、肺两部脉象都搏击应手，而没有阳和之气。二，是偶数的开始；十，是阴数的终结。夜半，是阴气耗尽而一阳初生的时候。太阴属于至阴之脏。以至阴之气，却完全没有生发的阳气，所以死于阴极之数。董帷园说：“阴结”、“阳结”，论述的是阴阳之气的郁结；“刚与刚”，说的是腑脉传腑、脏脉传脏；“阴搏阳搏”，说的是十二经脉的阴阳不和。）
二阴脉（少阴）全部搏击有力，会在十三天的傍晚时分死亡。（所谓的“二阴”，指的是少阴脉。所谓“俱搏”，是指心、肾两部脉象都搏击应手。少阴主管水火阴阳之气。天一生水，地六成之；地二生火，天七成之。十三天，是成数的终结。傍晚，是一天的终结。因为是水火之阴脏，所以死于成数，并终结于一天的末尾。）
一阴脉（厥阴）全部搏击有力，会在十天后死亡。（所谓的“一阴”，指的是厥阴脉。所谓“俱搏”，是指肝与心包络两部脉象都搏击应手。十天，是阴数的终结。厥阴是阴气尽头的脏腑。以阴尽之气，所以死于阴数的终结之时。）
三阳脉（太阳）全部搏击且鼓动有力，会在三天后死亡。（所谓的“三阳”，指的是太阳脉。“鼓”即动。所谓“俱搏且鼓”，是指手太阳和足太阳的脉象都搏击而且鼓动。这是阳极而完全没有阴气的调和。太阳与少阴互为表里，共同主管水火之气。天一生水，地二生火。因为是水火之阳腑，所以死于天地之生数。大概天为阳，地为阴；天主生，地主成。所以太阳死于生数，而少阴死于成数。）
三阴和三阳脉全部搏击，伴有心胸满闷，腹部皮肤绷紧光亮如鼓，大小便不通，会在五天后死亡。（三阴三阳，对应五行之气。阴阳二气全部搏击而不和谐，所以经历完五行之数后就死亡了。“心胸满闷”，是阳邪搏击于上；“不得隐曲”（大小便不利），是阴邪搏击于下。腹部位于身体中部，是阴阳相交的地方。“腹发尽”（腹部皮肤绷紧光亮），是阳气完全发散于上，阴气完全发散于下，而没有阴阳在中见调和的表现。这是在说明上下阴阳的病变，下文将论述寒热阴阳的病变。）
二阳脉（阳明）全部搏击，病为温病，死亡无法治疗，不超过三天就会死亡。（所谓的“二阳”，指的是阳明脉。所谓“俱搏”，是指手阳明和足阳明脉象都搏击有力。所谓“病温”，就是患寒热往来的温病。人的阴阳之气，由阳明胃中水谷精微所滋养生成。如果二阳脉全部搏击，就断绝了阴阳生成的源头。阴得不到阳的温煦就会生病寒，阳得不到阴的制约就会生病热。阴阳俱绝，是不治的死证。九是阳数的终结，十是阴数的尽头。不超过十天（注：此处原文前文说三日，后文解释提到十日，依原文逻辑整理），是因为死于阴阳之交尽。上一节说三阳在头，三阴在手，说的就是一个道理。阴阳二气不能贯通而自相搏击，其导致病死就是这样。这是在说明胃脘的阳气用来生养阴阳五脏，如果二阳脉全部搏击，则阴阳并绝，其导致病死就是这样。所以最后两节，特别指出了病证表现。）
(The pulse presents as obstructed.) When the Yin pulse (Radial artery at the cun position) beats forcefully and is distinctly different from the Yang pulse (Cun position), it is called pregnancy. "Yin beating" refers to the chi position pulse being slippery and forceful against the fingers. "Yang differentiation" means the chi pulse seems distinct from the yang pulse at the cun position, without interpenetration. This indicates pregnancy. Because there is a fetus inside, the chi pulse becomes slippery like pearls. Wu stated: The following sections discuss pulses.)
If both Yin and Yang are deficient, leading to changpi (dysentery with bloody stool) and diarrhea, death ensues. Here, "Yin and Yang" refer to the chi and cun positions respectively. "Changpi" refers to dysentery and diarrhea. Ying (Defensive) and Wei (Nutritive) Qi, along with Blood and Qi, are all generated from water and grain. The Stomach is the organ of reception, and the Intestines are the officials of transmission. If both Yin and Yang pulses are deficient, and the root of their generation is lost, there is no hope for vitality. This explains that Yin and Yang Qi are generated from water and grain in the stomach and intestines.)
When Yang acts upon Yin, sweat is produced. Sweat belongs to Yin fluids but requires the dispersing action of Yang Qi to fill the body and moisten hair. If a rapid and numerous Yang pulse appears at the chi position (Yin region), this is termed sweat. It should be understood that sweat is Yang acting upon Yin fluids, and the pulse reflects a Yang pulse acting upon the Yin region.)
When Yin is deficient and Yang surges violently, it is called Bing (metrorrhagia or uterine bleeding). Yin deficiency with Yang excess forces blood to move recklessly.)
If the three Yin pulses (Taiyin, Shaoyin, Jueyin) all beat forcefully, death occurs at midnight on the twentieth day. "Bo" sounds like "Bo". "Three Yin" refers to the Taiyin pulse. "All beating" means the Spleen and Lung pulses both beat forcefully against the fingers without any harmonious Yang Qi. Two is the beginning of even numbers; Ten is the end of Yin numbers. Midnight is when Yin is exhausted and one Yang begins to arise. Taiyin is the Zhiyin (Extreme Yin) organ. With Extreme Yin Qi and absolutely no generating Yang, death occurs at the number of extreme Yin. Dong Weiyuan said: "Yin knot" and "Yang knot" discuss the knotting of Yin and Yang Qi. "Gang with Gang" refers to Fu meridions transmitting to Fu organs and Zang meridians transmitting to Zang organs. "Yin bo Yang bo" refers to the disharmony of Yin and Yang in the twelve meridians.)
If the two Yin pulses (Shaoyin) all beat forcefully, death occurs at dusk on the thirteenth day. "Two Yin" refers to the Shaoyin pulse. "All beating" means the Heart and Kidney pulses both beat forcefully. Shaoyin governs Water and Fire, Yin and Yang Qi. Tian Yi generates Water, Di Cheng transforms it; Di Er generates Fire, Tian Cheng transforms it. Thirteen days is the completion of the Cheng (completion) numbers. Dusk is the end of the day. Because these are Yin organs of Water and Fire, death occurs at the Cheng numbers and ends at the end of the day.)
If the one Yin pulse (Jueyin) all beats forcefully, death occurs after ten days. "One Yin" refers to the Jueyin pulse. "All beating" means the Liver and Pericardium pulses both beat forcefully. Ten days is the end of Yin numbers. Jueyin is the end of Yin. With Yin-ending Qi, death occurs at the end of Yin numbers.)
If the three Yang pulses (Taiyang) all beat forcefully and are distended/pulsating, death occurs after three days. "Three Yang" refers to the Taiyang pulse. "Gu" means movement/distension. "All beating and distending" means the Hand-Taiyang and Foot-Taiyang meridians both beat forcefully and distend. This is Yang at its extreme with absolutely no Yin harmony. Taiyang and Shaoyin are exterior-interior pairs, jointly governing Water and Fire. Tian Yi generates Water, Di Er generates Fire. Because these are Yang Fu organs of Water and Fire, death occurs at the Sheng (generation) numbers of Heaven and Earth. Generally, Heaven is Yang, Earth is Yin; Heaven governs generation, Earth governs completion. Thus, Taiyang dies at generation numbers, and Shaoyin dies at completion numbers.)
If the three Yin and three Yang pulses all beat forcefully, accompanied by chest fullness, abdominal skin becoming taut and shiny, and inability to pass urine or feces, death occurs after five days. Three Yin and Three Yang correspond to the Five Elements. When Yin and Yang Qi all beat forcefully without harmony, death occurs after completing the cycle of Five Elements. "Chest fullness" is Yang beating upwards. "Inability to perform hidden functions" (urinary/fecal retention) is Yin beating downwards. The abdomen is in the middle of the body, where Yin and Yang intersect. "Abdominal skin taut" means Yang fully disperses upwards and Yin fully disperses downwards, without the harmonious manifestation of Yin and Yang in the middle. This discusses pathological conditions of upper and lower Yin and Yang; the following text discusses cold-heat Yin-Yang pathology.)
If the two Yang pulses (Yangming) all beat forcefully, the disease is Wen (warm disease). Death is incurable and occurs within three days. "Two Yang" refers to the Yangming pulse. "All beating" means the Hand-Yangming and Foot-Yangming pulses both beat forcefully. "Wen disease" refers to cold-heat alternating warm diseases. Human Yin and Yang Qi are nourished by water and grain from Yangming. If the two Yang pulses all beat forcefully, the source of Yin and Yang generation is cut off. Without Yang, Yin causes cold disease; without Yin, Yang causes heat disease. Simultaneous exhaustion of Yin and Yang is an incurable death syndrome. Nine is the end of Yang numbers; Ten is the limit of Yin. Not exceeding ten days implies death at the intersection of Yin and Yang exhaustion. The previous section stated that Three Yang are at the head and Three Yin are at the hand, indicating unity. If Yin and Yang Qi cannot penetrate each other and instead beat against themselves, death results thus. This explains that the Yang Qi of the stomach cavity nourishes the Yin and Yang of the five Zang organs. If the two Yang pulses all beat, Yin and Yang are simultaneously exhausted, leading to death thus. Therefore, the last two sections specifically highlight the clinical manifestations.)