黄帝问曰∶诊法何如?岐伯对曰∶诊法常以平旦,阴气未动,阳气未散,饮食未进,经脉未盛,络脉调
匀,气血未乱,故乃可诊有过之脉。切脉动静而视精明,察五色,观五脏有余不足,六腑强弱,形之盛衰,
以此参伍,决死生之分。夫脉者,血之府也,长则气治,短则气病,数则烦心,大则病进,上盛则气
高,下盛则气胀,代则气衰,细则气少,涩则心
痛,浑浑革至如涌泉,病进而色弊,绵绵其去如弦绝,死。夫精明五色者,气之华也,赤欲如白裹朱,不欲如
赭;白欲如鹅羽,不欲如盐;青欲如苍璧之泽,不欲如蓝;黄欲如罗裹雄黄,不欲如黄土;黑欲如重漆色,
不欲如地苍。五色精微象见矣,其寿不久也。夫精明者,所以视万物,别白黑,审短长。以长为短,以白为黑,
如是则精衰矣。五脏者,中之守也,中盛脏满,气胜伤恐者,声如从室中言,是中气
之湿也。言而微,终日乃复言者,此夺气也。衣被不敛,言语善恶,不避亲疏者,此神明之乱也。仓廪不藏
者,是门户不要也。水泉不止者,是膀胱不藏也。得守者生,失守者死。夫五脏者,身之强也,头者精明之
府,头倾视深,精神将夺矣。背者胸中之府,背曲肩随,府将坏矣。腰者肾之府,转摇不能,肾将惫矣。膝
者筋之府,屈伸不能,行则偻附,筋将惫矣。骨者髓之府,不能久立,行则振掉,骨将惫矣。得强则生,失
强则死。岐伯曰∶反四时者,有余为精,不足为消。应太过,不足为精;应不足,有余为消。
阴阳不相应,病名曰关格。
帝曰∶脉其四时动奈何?知病之所在奈何?知病之所变奈何?知病乍在内奈何?知病乍在外奈何?请
问此五者,可得闻乎?岐伯曰∶请言其与天运转大也。万物之外,六合之内,天地之变,阴阳之应,彼春
之暖,为夏之暑,彼秋之忿,为冬之怒,四变之动,脉与之上下,以春应中规,夏应中矩,秋应中衡,冬
应中权。是故冬至四十五日,阳气微上,阴气微下;夏至四十五日,阴气微上,阳气微下。阴阳有时,与脉
为期,期而相失,知脉所分,分之有期,故知死时。
微妙在脉,不可不察,察之有纪,从阴阳始,始之有经,从五行生,生之有度,四时为宜,补泻勿失,与天
地如一,得一之情,以知死生。是故声合五音,色合五行,脉合阴阳。是知阴盛则梦涉大水恐惧,阳盛则
梦大火燔灼,阴阳俱盛则梦相杀毁伤;上盛则梦飞,下盛则梦堕;甚饱则梦予,甚饥则梦取;肝气盛则梦怒,
肺气盛则梦哭;短虫多则梦聚众,
长虫多则梦相击毁伤。是故持脉有道,虚静为保。春日浮,如鱼之游在波,夏日在肤,泛泛乎万物有余;
秋日下肤,蛰虫将去;冬日在骨,蛰虫周密,君子居室。故曰∶知内者按而纪之,知外者终而始之。此六者,
持脉之大法。心脉搏坚而长,当病舌卷不能言;其 而散者,当消环自已。肺脉搏坚而长,当病唾血;其
而散者,当病灌汗,至令不复散
发也。肝脉搏坚而长,色不青,当病坠若搏,因血在胁下,令人喘逆;其 而散色泽者,当病溢饮,溢饮
者渴暴多饮,而易入肌皮肠胃之外也。胃脉搏坚而长,其色赤,当病折髀;其 而散者,当病食痹。脾脉搏坚
而长,其色黄,当病少气;其 而散色不泽者,当病足 肿,若水状也。肾脉搏坚而长,其色黄而赤者,
当病折腰;其 而散者,当病少血,至令不
复也。帝曰∶诊得心脉而急,此为何病?病形何如?岐伯曰∶病名心疝,少腹当有形也。帝曰∶何以言之?
岐伯曰∶心为牡脏,小肠为之使,故曰少腹当有形也。帝曰∶诊得胃脉,病形何如?岐伯曰∶胃脉实则胀,虚
则泄。帝曰∶病成而变何谓?岐伯曰∶风成为寒热,瘅成为消中,厥成为巅疾,久风为飧泄,脉风成为疠,
病之变化,不可胜数。帝曰∶诸痈肿筋挛骨痛,此皆安生?岐伯曰∶此寒
气之肿,八风之变也。帝曰∶治之奈何?岐伯曰∶此四时之病,以其胜治之愈也。
帝曰∶有故病五脏发动,因伤脉色,各何以知其久暴至之病乎?岐伯曰∶悉乎哉问也!征其脉小色不夺者,
新病也;征其脉不夺其色夺者,此久病也;征其脉与五色俱夺者,此久病也;征其脉与五色俱不夺者,新病
也。肝与肾脉并至,其色苍赤,当病毁伤不见血,已见血,湿若中水也。尺内两旁,则季胁也,尺外以候肾,
尺里以候腹中。
附上,左外以候肝,内以候膈;右外以候胃,内以候脾。上附上,右外以候肺,内以候胸中;左外以候心,
内以候膻中。前以候前,后以候后。上竟上者,胸喉中事也;下竟下者,少腹腰股膝胫足中事也。粗大者,阴
不足阳有余,为热中也。来疾去徐,上实下虚,为厥巅疾;来徐去疾,上虚下实,为恶风也。故中恶风者,
阳气受也。有脉俱沉细数者,少阴厥也;沉细数散者,寒热也;浮而散者为 仆。诸浮不躁者皆在阳,则为热;
其有躁者在手。诸细而沉者
皆在阴,则为骨痛;其有静者在足。数动一代者,病在阳之脉也,泄及便脓血。诸过者切之,涩者阳气有
余也,滑者阴气有余也。阳气有余为身热无汗,阴气有余为多汗身寒,阴阳有余则无汗而寒。推而外之,内而
不外,有心腹积也。推而内之,外而不内,身有热也。推而上之,上而不下,腰足清也。推而下之,下
而不上,头项痛也。按之至骨,脉气少者,腰脊痛而身有痹也。
黄帝问道:诊脉的方法是怎样的?岐伯回答说:诊脉通常在清晨进行,此时阴气尚未躁动,阳气尚未耗散,饮食尚未摄入,经脉之气尚未充盛,络脉之气调和均匀,气血运行未受干扰而混乱,因此可以诊断出异常的脉象。通过切按脉搏的动静,观察眼睛的神采,审视面部的五色,考察五脏的有余与不足、六腑的强与弱、形体的盛与衰,将这些方面综合参互比较,从而判断死生的界限。
脉,是血液汇聚的地方(血之府)。脉长说明气机调畅;脉短说明气机有病;脉数说明心中烦闷;脉大说明病势进展;寸部脉盛说明气逆于上;尺部脉盛说明气胀于下;脉代(间歇)说明气机衰弱;脉细说明气少;脉涩说明心痛。如果脉来浑浊急疾如涌泉般汹涌,病情加重且面色败坏;如果脉去缓慢微弱如弦断绝,则是死证。
眼睛的神采和面部的五色,是脏腑精气的外在表现。面色红欲像白布包裹着朱砂那样红润含蓄,而不像赭石那样暗红无光;面色白欲像鹅毛那样洁白润泽,而不像盐粒那样枯白刺眼;面色青欲像青玉那样温润有光泽,而不像蓝草那样暗沉;面色黄欲像丝罗包裹着雄黄那样明润含蓄,而不像黄土那样枯槁;面色黑欲像重漆那样黑亮,而不像地苍(泥土)那样晦暗。如果五色中显露出精微败坏之象,寿命就不会长久。
眼睛的神采,是用来观看万物、辨别黑白、审察长短的。如果把长的看成短的,把白的看成黑的,这说明精气已经衰竭了。
五脏是人体的内在守持者。如果中焦邪气盛实导致脏满,气机亢盛伤及肾志而致恐惧,说话声音好像从密室中发出,这是中焦湿气阻滞的表现。说话声音低微,整天说不了几句话,这是夺气的表现。衣衫不整,言语不分善恶,不顾亲疏关系,这是神明错乱的表现。仓廪(脾胃)不能固藏,是因为幽门、阑门等门户约束无力。小便失禁不止,是膀胱不能固藏的表现。能够守住五脏精气就能生存,失去守持就会死亡。
五脏又是人体强健的基础。头是精明之府,如果头低垂不振、目光深陷,说明精神即将耗竭。背是胸中(心肺)之府,如果背部弯曲、双肩下垂,说明胸中之府将要败坏。腰是肾之府,如果腰部转动摇动困难,说明肾气将衰竭。膝是筋之府,如果屈伸不利,行走时弯腰驼背依附他物,说明筋将衰竭。骨是髓之府,如果不能久立,行走时身体震颤摇晃,说明骨将衰竭。保持强健就能生存,失去强健就会死亡。
岐伯说:违背四时气候变化的规律,脉象有余表现为“精”(此处指脉气过盛而反常),不足表现为“消”(脉气消减)。应当脉气太过却反而不足,是为“精”(反常之盛);应当脉气不足却反而有余,是为“消”(反常之衰)。阴阳之气不相协调,这种病名叫作关格。
黄帝问:脉象随四季变化如何变动?如何知道疾病所在的部位?如何知道疾病的演变?如何知道疾病突然发生在体内?如何知道疾病突然发生在体表?请问这五点,可以讲给我听吗?岐伯说:请允许我谈谈它与天体运转的大道理。在万物之外,六合之内,天地变化,阴阳相应,那里的春暖化为夏暑,那里的秋肃化为冬寒,四季的变化运动,脉象也随之上下起伏。春脉应合乎规(圆曲),夏脉应合乎矩(方正),秋脉应合乎衡(平衡),冬脉应合乎权(沉重)。所以冬至后四十五日,阳气微微上升,阴气微微下降;夏至后四十五日,阴气微微上升,阳气微微下降。阴阳各有其时,与脉象的周期相应,如果到了期限而脉象失常,就能知道脉象所分的部位,既然分位有定期,所以能预知死亡的时间。
脉象的精妙之处,不可不仔细考察。考察它有纲纪,从阴阳开始;起始它有常规,从五行产生;产生它有法度,以四时为适宜。补泻不要失误,要与天地自然保持一致,掌握了这一情状,就能知晓死生。所以声音符合五音,面色符合五行,脉象符合阴阳。由此可知,阴气盛则梦见渡大水而感到恐惧,阳气盛则梦见大火焚烧灼热,阴阳俱盛则梦见互相杀戮毁伤;上部气盛则梦见飞翔,下部气盛则梦见坠落;吃得太饱则梦见给予,饥饿太甚则梦见索取;肝气盛则梦见发怒,肺气盛则梦见哭泣;体内小虫多则梦见聚集众人,长虫多则梦见互相击打毁伤。因此,持脉有一定的法则,虚静是最可靠的保证。春季脉象浮在皮肤表面,像鱼游动在水波之上;夏季脉象在皮肤表层,泛泛然像万物生长茂盛;秋季脉象下沉至皮肤之下,像冬眠的昆虫准备离去;冬季脉象沉在骨髓之中,像冬眠的昆虫严密潜伏,君子也深居室内。所以说:了解体内病变的,按脉并记录其变化;了解体表病变的,从头到尾考察其始终。这六点,是持脉的大法。
心脉搏动坚实而长,应当病舌卷缩不能言语;如果脉软而散,应当是环跳穴附近的病症会自行消退。肺脉搏动坚实而长,应当病唾血;如果脉软而散,应当病大汗淋漓,至今不再散发。肝脉搏动坚实而长,面色不发青,应当病跌坠或搏击所致,因瘀血在胁下,使人喘息气逆;如果脉软而散且色泽润泽,应当病溢饮,溢饮患者口渴暴饮,水液容易进入肌肉皮肤肠胃之外。胃脉搏动坚实而长,面色赤红,应当病髋关节骨折(折髀);如果脉软而散,应当病食痹。脾脉搏动坚实而长,面色黄,应当病气少;如果脉软而散且色泽不润,应当病足胫浮肿,像水病的样子。肾脉搏动坚实而长,面色黄而赤,应当病腰痛(折腰);如果脉软而散,应当病血少,至今不能恢复。
黄帝问:诊得心脉紧急,这是什么病?病症表现如何?岐伯说:病名叫做心疝,小腹部应当有成形之物。黄帝问:为什么这样说?岐伯说:心为牡脏,小肠为之使役(配合),所以说小腹部应当有成形之物。黄帝问:诊得胃脉,病症表现如何?岐伯说:胃脉实则腹胀,虚则泄泻。黄帝问:疾病形成后的变化叫什么?岐伯说:风邪久留成为寒热,热邪久留成为消中,厥逆成为巅顶之疾,久风成为飧泄,脉风成为疠病,疾病的变化,数不胜数。黄帝问:各种痈肿、筋挛、骨痛,这些都是怎么产生的?岐伯说:这是寒气引起的肿胀,是八风邪气变化所致。黄帝问:治疗它怎么办?岐伯说:这是四时的疾病,用相克的方法治疗就能痊愈。
黄帝问:如果有旧病,五脏发动,因而损伤了脉色,各用什么方法来判断是新病还是久病?岐伯说:问得好啊!征验其脉小但神色不衰的,是新病;征验其脉象不衰但神色已变的,是久病;征验其脉象与五色都已衰败的,是久病;征验其脉象与五色都未衰败的,是新病。肝脉与肾脉并至,面色青赤,应当病外伤而无出血,或者已经出血,或者湿邪侵袭如同中水毒。尺部内侧两旁,候季胁;尺部外侧候肾,尺部内侧候腹中。附上(尺肤之上),左手外侧候肝,内侧候膈;右手外侧候胃,内侧候脾。上附上(寸口之上),右手外侧候肺,内侧候胸中;左手外侧候心,内侧候膻中。前部候身前,后部候身后。寸部尽处向上,候胸喉中的事;尺部尽处向下,候少腹、腰、股、膝、胫、足中的事。脉粗大,是阴不足阳有余,为热中。脉来急去缓,是上实下虚,为厥逆巅疾;脉来缓去急,是上虚下实,为恶风。所以患恶风的,是阳气受邪。有脉象俱沉细数的,是少阴厥逆;沉细数而散的,是寒热病;浮而散的,是仆倒。所有浮脉但不躁动的,病都在阳,则为热;其中伴有躁动的,在手经。所有细脉且沉的,病都在阴,则为骨痛;其中伴有静象的,在足经。脉数动而有间歇的,病在阳之脉,主泄泻及便脓血。对于有过错的脉象进行切按,涩脉说明阳气有余,滑脉说明阴气有余。阳气有余表现为身热无汗,阴气有余表现为多汗身寒,阴阳俱有余则无汗且寒。推脉向外,若脉气内而不外,是有心腹积块。推脉向内,若脉气外而不内,是身有热。推脉向上,若脉气上而不下,是腰足清冷。推脉向下,若脉气下而不上,是头项痛。按脉至骨,脉气少的,是腰脊痛且身体有痹症。
Huangdi asked, "How should pulse diagnosis be conducted?" Qibo replied, "Pulse diagnosis is usually performed at dawn. At this time, Yin Qi has not yet stirred, Yang Qi has not yet dispersed, food and drink have not been ingested, the Jingmai (Primary Meridians) are not yet full, the Luomai (Collaterals) are harmonious and even, and Qi and Blood are not yet chaotic. Therefore, it is possible to diagnose abnormal pulses. By palpating the movement and stillness of the pulse, observing the clarity of the eyes (Jingming), examining the five colors of the face, and assessing the excess or deficiency of the Zang organs, the strength or weakness of the Fu organs, and the flourishing or declining state of the body, these aspects are compared and integrated to determine the boundary between life and death.
The pulse is the residence of Blood (Xue zhi fu). A long pulse indicates regulated Qi; a short pulse indicates diseased Qi; a rapid pulse indicates mental restlessness; a large pulse indicates advancing disease; excess in the upper part indicates Qi rebellion upward; excess in the lower part indicates Qi distension; an intermittent pulse (Dai Mai) indicates Qi decline; a thin pulse indicates Qi deficiency; a choppy pulse indicates heart pain. If the pulse comes turbid and rapid like surging springs, with worsening disease and deteriorated complexion, it is serious. If the pulse goes slowly and weakly like a broken string, it indicates death.
The clarity of the eyes and the five colors of the face are the splendor of Qi. Red should resemble white silk wrapping cinnabar (ru bai guo zhu), not like jasper (zhe); white should resemble goose feathers (e yu), not like salt (yan); green should resemble the luster of dark jade (cang bi), not like indigo (lan); yellow should resemble silk wrapping realgar (luo guo xiong huang), not like yellow earth (huang tu); black should resemble heavy lacquer (zhong qi se), not like dark earth (di cang). If the subtle essence of the five colors appears openly, the lifespan will not be long.
The clarity of the eyes allows one to see all things, distinguish black from white, and judge length and shortness. If one perceives long as short and white as black, it indicates that Essence (Jing) has declined.
The Zang organs are the guardians within. If there is excess in the middle leading to organ fullness, and Qi excess injures the Will (Zhi) causing fear, speech may sound as if coming from a room, indicating dampness in Middle Qi. If speech is faint and only repeated after a whole day, this is Qi depletion. If clothing is disheveled, speech is inappropriate regardless of good or bad, and kinship or distance is ignored, this is confusion of the Spirit (Shen Ming). If the Granary (Spleen/Stomach) cannot store, it is because the gates (Yuanmen/Lanmen) do not secure. If urine flows incessantly, it is because the Bladder cannot store. Retaining the guardians leads to life; losing them leads to death.
The Zang organs are also the strength of the body. The head is the residence of Jingming; if the head droops and eyes are deep-set, Spirit is about to be depleted. The back is the residence of the Chest (Heart and Lungs); if the back is curved and shoulders sag, the residence is about to fail. The waist is the residence of the Kidney; if turning and shaking are difficult, the Kidney is about to be exhausted. The knees are the residence of the Sinews (Jin); if flexion and extension are impossible, and walking requires stooping and leaning, the Sinews are about to be exhausted. The bones are the residence of Marrow (Sui); if standing for long periods is impossible, and walking causes trembling, the Bones are about to be exhausted. Maintaining strength leads to life; losing strength leads to death.
Qibo said: Those who go against the Four Seasons, where excess manifests as 'Jing' (abnormal fullness) and deficiency manifests as 'Xiao' (consumption), correspond to excessive conditions showing deficiency as 'Jing', and deficient conditions showing excess as 'Xiao'. When Yin and Yang do not correspond, the disease is named Guan Ge (Interception and Constraint).
Huangdi asked, "How does the pulse move with the four seasons? How can we know the location of the disease? How can we know the transformation of the disease? How can we know when the disease suddenly arises internally? How can we know when the disease suddenly arises externally? Please explain these five points." Qibo replied, "Let me speak of its correspondence with the great rotation of Heaven. Outside all things and within the Six Directions, changes in Heaven and Earth respond to Yin and Yang. The warmth of spring becomes the heat of summer; the severity of autumn becomes the anger of winter. The movements of the four transformations cause the pulse to rise and fall accordingly. Spring corresponds to the Circle (Gui), Summer to the Square (Ju), Autumn to the Balance (Heng), and Winter to the Weight (Quan). Thus, forty-five days after the Winter Solstice, Yang Qi rises slightly and Yin Qi descends slightly; forty-five days after the Summer Solstice, Yin Qi rises slightly and Yang Qi descends slightly. Yin and Yang have their times, corresponding to the pulse cycle. If the period passes and the pulse deviates, knowing the division of the pulse and its timing allows one to know the time of death.
The subtlety lies in the pulse, which must not be neglected. Examination has a discipline, starting from Yin and Yang; initiation has classics, arising from the Five Elements; generation has measure, suitable for the four seasons. Do not miss tonification or sedation, align with Heaven and Earth, grasp this principle, and you will know life and death. Thus, sound matches the Five Tones, color matches the Five Elements, and pulse matches Yin and Yang. It is known that excess Yin dreams of crossing large waters in fear; excess Yang dreams of fire burning; excess Yin and Yang dream of killing and injury; excess above dreams of flying; excess below dreams of falling; being very full dreams of giving; being very hungry dreams of taking; Liver Qi excess dreams of anger; Lung Qi excess dreams of crying; many small parasites dream of gathering crowds; many long parasites dream of fighting and injury. Therefore, holding the pulse has a way, and emptiness and stillness are the guarantee. In spring, the pulse floats like fish swimming in waves; in summer, it is on the skin, abundant like all things; in autumn, it descends to the skin, like insects preparing to hibernate; in winter, it is in the bone, like insects tightly hidden, and gentlemen stay indoors. Thus, those who understand the interior record by pressing; those who understand the exterior conclude and begin. These six points are the great methods of pulse diagnosis.
If the Heart pulse is firm and long, one should expect tongue curling and inability to speak; if soft and scattered, the disease around Huantiao will resolve itself. If the Lung pulse is firm and long, one should expect spitting blood; if soft and scattered, one should expect profuse sweating that does not stop. If the Liver pulse is firm and long but the complexion is not green, one should expect trauma from falling or beating, with blood stasis under the ribs causing wheezing and rebellious Qi; if soft and scattered with lustrous color, one should expect Yi Yin (Overflowing Drink), characterized by sudden thirst and excessive drinking, with water entering muscles, skin, and outside the intestines and stomach. If the Stomach pulse is firm and long and the complexion is red, one should expect hip fracture (Zhe Bi); if soft and scattered, one should expect Shi Bi (Food Obstruction). If the Spleen pulse is firm and long and the complexion is yellow, one should expect shortness of Qi; if soft and scattered with dull color, one should expect edema of the legs, resembling water disease. If the Kidney pulse is firm and long and the complexion is yellow and red, one should expect lower back pain (Zhe Yao); if soft and scattered, one should expect blood deficiency that does not recover.
Huangdi asked, "If the Heart pulse is urgent, what is the disease? What are the symptoms?" Qibo replied, "The disease name is Xin Shan (Heart Hernia), and there should be a mass in the lower abdomen." Huangdi asked, "Why do you say so?" Qibo replied, "The Heart is a Yang Zang, and the Small Intestine serves it; therefore, there should be a mass in the lower abdomen." Huangdi asked, "If the Stomach pulse is diagnosed, what are the symptoms?" Qibo replied, "Excess in the Stomach pulse causes distension; deficiency causes diarrhea." Huangdi asked, "What is meant by the transformation of formed diseases?" Qibo replied, "Wind becoming cold and heat; Dan becoming Xiao Zhong (Middle Consumption); Jue becoming Dian Ji (Dian Disease of the vertex); long-term wind becoming Sun Xie (undigested stool in diarrhea); Mai Feng becoming Li (Leprosy). The transformations of diseases are countless." Huangdi asked, "Where do various abscesses, sinew spasms, and bone pain arise?" Qibo replied, "These are swellings caused by Cold Qi and changes from the Eight Winds." Huangdi asked, "How to treat them?" Qibo replied, "These are diseases of the four seasons; treating them with the overcoming method leads to recovery.
Huangdi asked, "If there is an old disease, and the Zang organs activate, injuring the pulse and color, how can each be distinguished as new or sudden versus long-standing?" Qibo replied, "Excellent question! If the pulse is small but the color is undisturbed, it is a new disease; if the pulse is undisturbed but the color is disturbed, it is a long-standing disease; if both pulse and five colors are disturbed, it is a long-standing disease; if both pulse and five colors are undisturbed, it is a new disease. If the Liver and Kidney pulses arrive together and the color is cyan and red, one should expect trauma without visible bleeding, or already bleeding, or dampness akin to water poisoning. The inner side of the Chi position flanks the hypochondrium; the outer Chi probes the Kidney, and the inner Chi probes the abdominal cavity. Above the Chi (Fu Shang), the left outer probes the Liver, and the inner probes the Diaphragm; the right outer probes the Stomach, and the inner probes the Spleen. Above that (Shang Fu Shang), the right outer probes the Lung, and the inner probes the Chest Center; the left outer probes the Heart, and the inner probes the Tan Zhong. The front probes the anterior, and the rear probes the posterior. The end of Cun upwards probes the chest and throat; the end of Chi downwards probes the lower abdomen, waist, thighs, knees, shins, and feet. Coarse and large indicates Yin deficiency and Yang excess, leading to Heat in the Middle. Rapid arrival and slow departure indicate Upper Excess and Lower Deficiency, leading to Jue and Dian Ji; slow arrival and rapid departure indicate Upper Deficiency and Lower Excess, leading to aversion to wind. Thus, suffering from evil wind means Yang Qi is affected. Pulses that are all deep, fine, and rapid indicate Shaoyin Jue; deep, fine, rapid, and scattered indicate cold-heat disorders; floating and scattered indicate collapse. All floating but not restless indicate Yang, thus heat; if restless, it is in the Hand meridians. All fine and deep indicate Yin, thus bone pain; if quiet, it is in the Foot meridians. Rapid, moving, and intermittent indicate disease in Yang pulses, involving diarrhea and pus-blood in stool. For erroneous pulses, choppy indicates Yang Qi excess; slippery indicates Yin Qi excess. Yang excess presents as body heat and no sweat; Yin excess presents as excessive sweat and cold body; Yin and Yang excess present as no sweat and cold. Pushing outward, if internal but not external, there is accumulation in the Heart and Abdomen. Pushing inward, if external but not internal, there is heat in the body. Pushing upward, if upward but not downward, the waist and feet are cold. Pushing downward, if downward but not upward, there is headache and neck pain. Pressing to the bone, if pulse Qi is scarce, there is lower back and spine pain with body Bi syndrome."