肝满肾满肺满皆实，即为肿。肺之雍，喘而两 满。肝雍，两 满，卧则惊，不得小便。肾雍，脚下至少
腹满，胫有大小，髀 大跛，易偏枯。心脉满大，痫螈筋挛。肝脉小急，痫螈筋挛。肝脉骛
暴，有所惊骇，脉不至若喑，不治自已。肾脉小急，肝脉小急，心脉小急，不鼓皆为瘕。肾肝并沉为石水，
并浮为风水，并虚为死，并小弦欲惊。肾脉大急沉，肝脉大急沉，皆为疝。心脉搏滑急为心疝，肺脉沉搏为
肺疝。三阳急为瘕，三阴急为疝，二阴急为痫厥，二阳急为惊。脾脉外鼓，沉为肠 ，久自已。肝脉小缓为
肠，易治。肾脉小搏沉，为肠
下血，血温身热者死。心肝 亦下血，二脏同病者可治，其脉小沉涩为肠 ，其身热者死，热见七日死。
胃脉沉鼓涩，胃外鼓大，心脉小坚急，皆膈偏枯，男子发左，女子发右，不喑舌转，可治，三十日起，其从
者喑，三岁起，年不满二十者，三岁死。脉至而搏，血衄身热者死，脉来悬钩浮为常脉。脉至如喘，名曰暴
厥，暴厥者不知与人言。脉至如
数，使人暴惊，三四日自已。脉至浮合，浮合如数，一息十至以上，是经气予不足也。微见九十日死。
脉至如火薪然，是心精之予夺也，草干而死。脉至如散叶，是肝气予虚也，木叶落而死。脉至如省客，省客者脉
塞而鼓，是肾气予不足也，悬去枣华而死。脉至如丸泥，是胃精予不足也，榆荚落而死。脉至如横格，是胆
气予不足也，禾熟而死。脉至如弦缕，是胞精予不足也，病善言，下霜而死，不言，可治。脉至如交漆，交漆
者左右旁至也，微见三十日死。脉至如涌泉，浮鼓肌中，太阳气予不足也，少气味，韭英而
死。脉至如颓土之状，按之不得，是肌气予不足也，五色先见黑白，垒发死。脉至如悬雍，悬雍者浮揣切之
益大，是十二俞之予不足也，水凝而死。脉至如偃刀，偃刀者浮之小急，按之坚大急，五脏菀熟，寒热独并
于肾也，如此其人不得坐，立春而死。脉至如丸滑不直手，不直手者按之不可得也，是大肠气予不足也，枣叶
生而死。脉至如华者，令人善恐，不欲坐卧，行立常听，是小肠气予不足也，季秋而死。
肝脏、肾脏、肺部出现“满”（邪气壅盛）且脉象坚实，就会发生肿胀。肺气壅滞，表现为喘息且两侧胁肋部胀满。肝气壅滞，两侧胁肋部胀满，睡眠时易受惊骇，小便不通利。肾气壅滞，从脚底至少腹部胀满，小腿粗细不一，大腿肿大且行走跛行，容易发生半身不遂。心脉满大，会导致癫痫抽搐和筋脉拘挛。肝脉细小而紧急，也会导致癫痫抽搐和筋脉拘挛。肝脉疾速暴急，是因为受到惊恐惊吓，脉搏微弱甚至声音嘶哑，若不加治疗也能自行痊愈。肾脉细小紧急，肝脉细小紧急，心脉细小紧急，按之搏动无力（不鼓指）的，均为瘕病（腹中结块）。肾脉与肝脉均沉，为石水病；均浮，为风水病；均虚弱，为死证；均细小兼弦，主易受惊。肾脉大而紧急且沉，肝脉大而紧急且沉，均为疝病。心脉搏动滑利而紧急，为心疝；肺脉沉取有力如搏击手指，为肺疝。三阳经脉紧急，形成瘕病；三阴经脉紧急，形成疝病；二阴经脉紧急，导致癫痫厥逆；二阳经脉紧急，导致惊悸。脾脉在外部鼓动，沉取时感觉肠中有积滞（肠澼），病程长久可自行痊愈。肝脉细小而缓和，也是肠澼，容易治疗。肾脉细小搏击且沉，导致便下血，如果血色温热且身体发热，则为死证。心脉与肝脉也见下血，若心和肝两脏同病尚可治疗，若脉象细小沉涩且伴有肠澼，身体发热的，为死证，发热持续七天即死。胃脉沉取鼓指且涩，胃脉外部鼓动且大，心脉细小坚硬紧急，均为膈塞和偏枯（半身不遂），男子发病多在左侧，女子发病多在右侧，若不失音且舌体转动灵活，可以治疗，三十天可起效；若属于伴随失音者，三年才能起效；年龄不满二十岁的，三年内死亡。脉搏来势搏击有力，伴有鼻出血且身体发热的，为死证；脉来悬钩状且浮，属于常脉。脉搏来去急促如喘息，称为暴厥，暴厥患者神志昏迷，不能与人交谈。脉搏来去急促如数脉，使人突然受惊，三四天后自行痊愈。脉搏来势如浮合（众多脉象汇聚），浮合脉象如同数脉，一呼一吸之间十次以上，这是经气极度不足的表现。轻微见到这种脉象，九十天后死亡。脉搏来势如火薪燃烧般猛烈，这是心精被剥夺的表现，草木干枯时死亡。脉搏来势如散落的树叶，这是肝气虚弱的表现，树木落叶时死亡。脉搏来势如省客（访客稀少，脉道阻塞而偶尔鼓动），这是肾气不足的表现，枣花凋谢时死亡。脉搏来势如丸泥（圆滑短促），这是胃精不足的表现，榆荚落下时死亡。脉搏来势如横格（如棍棒横挡），这是胆气不足的表现，谷物成熟时死亡。脉搏来势如弦缕（细直如线），这是胞宫精气不足的表现，若病人善于言语，下霜时死亡；若不善于言语，还可以治疗。脉搏来势如交漆（左右旁至，杂乱无章），这是气血紊乱的表现，轻微见到这种脉象，三十天后死亡。脉搏来势如涌泉（浮取鼓动于肌肉之中），这是太阳经气不足的表现，气息微弱，韭菜开花时死亡。脉搏来势如颓土（松软塌陷），重按不得，这是肌气不足的表现，面色先出现黑白相间，垒墙式发作时死亡。脉搏来势如悬雍（喉头悬物），浮取切按时反而更大，这是十二俞穴之气不足的表现，水凝冰冻时死亡。脉搏来势如偃刀（仰卧之刀），浮取细小紧急，重按坚硬紧急，五脏郁热，寒热邪气独并于肾，这样的人不能端坐，立春时死亡。脉搏来势如丸滑但不直手（按之不可得），这是大肠气不足的表现，枣叶生出时死亡。脉搏来势如花（轻浮无根），使人容易恐惧，不想坐卧，站立行走时常侧耳倾听，这是小肠气不足的表现，季秋时节死亡。
When the Liver, Kidney, and Lung are "full" (excess of pathogenic qi) and the pulse is solid, edema (swelling) will occur. When Lung qi is congested, there is panting and fullness in both hypochondriac regions. When Liver qi is congested, there is fullness in both hypochondriac regions, fright during sleep, and inability to urinate. When Kidney qi is congested, there is fullness from the soles of the feet to the lower abdomen, unequal size of the calves, enlarged thighs with limping gait, and a tendency toward hemiplegia (partial paralysis). If the Heart pulse is full and large, it leads to epilepsy with convulsions and tendon cramps. If the Liver pulse is small and tense, it also leads to epilepsy with convulsions and tendon cramps. If the Liver pulse is rapid and violent due to fright or shock, the pulse may become imperceptible or the patient may lose their voice; even without treatment, this condition will resolve spontaneously. If the Kidney, Liver, and Heart pulses are all small and tense, and do not rebound strongly upon pressure (non-bouncing), they indicate Jia masses (abdominal lumps). If both the Kidney and Liver pulses are deep, it indicates Shui Water disease (stone water); if both are floating, it indicates Feng Water disease (wind water); if both are deficient, it is a death sign; if both are small and wiry, it indicates susceptibility to fright. If the Kidney pulse is large, tense, and deep, and the Liver pulse is large, tense, and deep, both indicate Shan disease (hernia). If the Heart pulse is slippery, rapid, and tense, it indicates Xin Shan (Heart Hernia); if the Lung pulse is deep and forceful like striking, it indicates Fei Shan (Lung Hernia). If the Three Yang meridians have tense pulses, it forms Jia masses; if the Three Yin meridians have tense pulses, it forms Shan disease; if the Two Yin meridians have tense pulses, it leads to epilepsy and cold limbs; if the Two Yang meridians have tense pulses, it leads to fright. If the Spleen pulse beats externally and feels obstructive when pressed deeply, it indicates Chang Pi (intestinal dysentery/stasis), which will resolve on its own after a long duration. If the Liver pulse is small and slow, it also indicates Chang Pi, which is easy to treat. If the Kidney pulse is small, forceful, and deep, it causes bloody stools; if the blood is warm and the body is hot, it is a death sign. If the Heart and Liver pulses also show bloody stools, and both Zang organs are diseased simultaneously, it is treatable; however, if the pulse is small, deep, and choppy with intestinal stasis and body heat, it is a death sign, and death occurs within seven days of fever appearance. If the Stomach pulse is deep, beating, and choppy, or beats externally and is large, and the Heart pulse is small, hard, and tense, these indicate Ge obstruction (diaphragmatic blockage) and Pian Ku (hemiplegia). In men, onset is often on the left; in women, on the right. If there is no aphasia and the tongue moves freely, it is treatable, with recovery starting in thirty days; if accompanied by aphasia, recovery takes three years; for those under twenty years old, death occurs within three years. If the pulse is forceful and pounding, accompanied by nasal bleeding and body heat, it is a death sign; a pulse that is suspended, hooked, and floating is considered normal. A pulse that comes rapidly like panting is called Bao Jue (sudden syncope); patients with sudden syncope are unconscious and cannot speak. A pulse that is rapid can cause sudden fright, resolving spontaneously in three to four days. A "Fu He" (floating convergence) pulse, resembling a rapid pulse with more than ten beats per breath cycle, indicates severe deficiency of Jing Qi (meridian qi). Death occurs within ninety days if this pulse appears slightly. A pulse burning like firewood indicates the depletion of Heart Jing Essence; death occurs when grass dries up. A pulse scattered like falling leaves indicates Liver Qi deficiency; death occurs when tree leaves fall. A pulse resembling a rare visitor (blocked yet occasionally beating) indicates Kidney Qi deficiency; death occurs when jujube flowers fade. A pulse like a mud pellet indicates Stomach Jing Essence deficiency; death occurs when elm seeds fall. A pulse like a horizontal bar indicates Gallbladder Qi deficiency; death occurs when grain ripens. A pulse like a silk thread indicates Cong Jing Essence (Uterus/Essence) deficiency; if the patient talks excessively, death occurs at frost; if silent, it is treatable. A pulse like mixed paint (coming from both sides chaotically) indicates chaotic Qi and Blood; death occurs within thirty days if this pulse appears slightly. A pulse like a spring bubbling up, beating superficially in the muscles, indicates Tai Yang Qi deficiency; death occurs when leek flowers bloom, especially if breath is faint. A pulse like crumbling earth, unobtainable upon pressing, indicates Muscle Qi deficiency; death occurs when black and white colors appear on the face and symptoms pile up. A pulse like a uvula, which becomes larger upon light palpation, indicates deficiency of the Twelve Shu points' Qi; death occurs when water freezes. A pulse like an inverted knife, small and tense on light palpation but firm, large, and tense on heavy palpation, indicates stagnation and heat in the Five Zang organs with cold-heat pathogens concentrating in the Kidney; such patients cannot sit upright, and death occurs at Lichun (Start of Spring). A pulse like a smooth pellet but ungraspable (cannot be felt firmly) indicates Large Intestine Qi deficiency; death occurs when jujube leaves sprout. A pulse like a flower, causing fearfulness, restlessness, and constant listening while standing or walking, indicates Small Intestine Qi deficiency; death occurs in late autumn.