1
肝滿、腎滿、肺滿，皆實，即爲腫。
肝满、肾满、肺满，皆实，即为肿。
Gān mǎn, shèn mǎn, fèi mǎn, jiē shí, jí wéi zhǒng.
肝脉满、肾脉满、肺脉满，三部俱见邪气壅实，就要发为浮肿。
When the liver, kidney and lung vessels are all full and the fullness is repletion, the result is swelling.
2
肺之雍，喘而兩胠滿。肝雍，兩胠滿，卧則驚，不得小便。腎雍，脚下至少腹滿。
肺之雍，喘而两胠满。肝雍，两胠满，卧则惊，不得小便。肾雍，脚下至少腹满。
Fèi zhī yōng, chuǎn ér liǎng qū mǎn. Gān yōng, liǎng qū mǎn, wò zé jīng, bù dé xiǎo biàn. Shèn yōng, jiǎo xià zhì shào fù mǎn.
肺气壅滞，气喘而两胠胀满。肝气壅滞，两胠胀满，睡卧时易惊，小便不通。肾气壅滞，从脚下向上直到少腹胀满。
Congestion of the lung gives panting and fullness in both flanks. Congestion of the liver fills both flanks, startles the person on lying down, and stops the urine. Congestion of the kidney fills everything from the foot up to the lower abdomen.
3
脛有大小，髀䯒大，跛易偏枯。
胫有大小，髀䯒大，跛易偏枯。
Jìng yǒu dà xiǎo, bì héng dà, bǒ yì piān kū.
两腿胫部粗细不一，大腿与小腿肿大，行走跛斜而变易常态，就会成为半身不遂的偏枯。
When the shanks differ in size and the thigh and shank are enlarged, the gait is altered and the person limps; this readily becomes one-sided withering.
Xīn mài mǎn dà, xián chì jīn luán. Gān mài xiǎo jí, xián chì jīn luán.
心脉满大，会发生癫痫、抽搐、筋脉拘挛。肝脉小而急，也会发生癫痫、抽搐、筋脉拘挛。
A full and large heart vessel gives fits, spasm and contracting sinews. A small and hurried liver vessel gives the same.
5
肝脉騖暴，有所驚駭，脉不至若瘖，不治自已。
肝脉骛暴，有所惊骇，脉不至若瘖，不治自已。
Gān mài wù bào, yǒu suǒ jīng hài, mài bù zhì ruò yīn, bù zhì zì yǐ.
肝脉来势驰骤躁暴，是曾经受了惊骇。若脉气一时不至、像是失音不语的，不必治疗，会自行恢复。
A liver vessel that races and is violent comes of having been terrified. If the pulse fails to arrive and the person is as one who has lost his voice, it is not treated; it resolves of itself.
6
腎脉小急，肝脉小急，心脉小急，不鼓，皆爲瘕。
肾脉小急，肝脉小急，心脉小急，不鼓，皆为瘕。
Shèn mài xiǎo jí, gān mài xiǎo jí, xīn mài xiǎo jí, bù gǔ, jiē wéi jiǎ.
肾脉小而急，肝脉小而急，心脉小而急，按之不能鼓指，都是瘕病。
A small and hurried kidney, liver or heart vessel, one that does not beat up under the finger, all signify masses.
7
腎肝并沈，爲石水。并浮，爲風水。并虚，爲死。并小絃，欲驚。
肾肝并沉，为石水。并浮，为风水。并虚，为死。并小弦，欲惊。
Shèn gān bìng chén, wéi shí shuǐ. Bìng fú, wéi fēng shuǐ. Bìng xū, wéi sǐ. Bìng xiǎo xián, yù jīng.
肾脉肝脉俱沉，是石水；俱浮，是风水；俱虚，是死证；俱小而弦，将要发惊。
When the kidney and liver vessels are both sunken it is stone water. Both floating, wind water. Both empty, it is death. Both small and string-like, the person is about to startle.
8
腎脉大急沈，肝脉大急沈，皆爲疝。心脉搏滑急，爲心疝；肺脉沈搏，爲肺疝。
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。
Shèn mài dà jí chén, gān mài dà jí chén, jiē wéi shàn. Xīn mài bó huá jí, wéi xīn shàn; fèi mài chén bó, wéi fèi shàn.
肾脉大而急且沉，肝脉大而急且沉，都是疝病。心脉搏指滑利而急，是心疝；肺脉沉而搏指，是肺疝。
A large, hurried and sunken kidney or liver vessel is mounting illness. A heart vessel that beats up, slippery and hurried, is heart mounting; a lung vessel sunken and beating up is lung mounting.
9
三陽急，爲瘕；三陰急，爲疝。二陰急，爲癇厥；二陽急，爲驚。
三阳急，为瘕；三阴急，为疝。二阴急，为痫厥；二阳急，为惊。
Sān yáng jí, wéi jiǎ; sān yīn jí, wéi shàn. Èr yīn jí, wéi xián jué; èr yáng jí, wéi jīng.
三阳脉急，是瘕病；三阴脉急，是疝病。二阴脉急，是癫痫而厥逆；二阳脉急，是惊骇。
Hurry in the three yang is masses; hurry in the three yin is mounting illness. Hurry in the second yin is fits and inversion; hurry in the second yang is fright.
10
脾脉外鼓，沈爲腸澼，久自已。肝脉小緩爲腸澼，易治。
脾脉外鼓，沉为肠澼，久自已。肝脉小缓为肠澼，易治。
Pí mài wài gǔ, chén wéi cháng pì, jiǔ zì yǐ. Gān mài xiǎo huǎn wéi cháng pì, yì zhì.
脾脉浮鼓于外而沉取不足，是肠澼，日久可以自愈。肝脉小而缓的也是肠澼，容易治疗。
When the spleen vessel beats up on the outside and is sunken within, it is intestinal flux, and in time it resolves of itself. A small and relaxed liver vessel is intestinal flux too, and is easily treated.
11
腎脉小搏沈，爲腸澼下血。血温身熱者死。
肾脉小搏沉，为肠澼下血。血温身热者死。
Shèn mài xiǎo bó chén, wéi cháng pì xià xuè. Xuè wēn shēn rè zhě sǐ.
肾脉小而搏指且沉，是肠澼下血。若下血温而身体发热的，是死证。
A small vessel that beats up and is sunken is intestinal flux with blood in the stool. If the blood is warm and the body feverish, the person dies.
12
心肝澼亦下血，二藏同病者可治。其脉小沈濇爲腸澼，其身熱者死，熱見七日死。
心肝澼亦下血，二脏同病者可治。其脉小沉涩为肠澼，其身热者死，热见七日死。
Xīn gān pì yì xià xuè, èr zàng tóng bìng zhě kě zhì. Qí mài xiǎo chén sè wéi cháng pì, qí shēn rè zhě sǐ, rè xiàn qī rì sǐ.
心与肝之澼也会下血，两脏同病的还可以治疗。脉小而沉涩的也是肠澼，若身体发热的会死，热象显现后七天死。
Flux of the heart and liver likewise passes blood; when the two stores are affected together it can still be treated. A vessel that is small, sunken and rough is intestinal flux; if the body is feverish the person dies, and once the heat shows, death comes in seven days.
13
胃脉沈鼓濇，胃外鼓大，心脉小堅急，皆鬲偏枯。男子發左，女子發右，不瘖舌轉，可治，三十日起。
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，不瘖舌转，可治，三十日起。
Wèi mài chén gǔ sè, wèi wài gǔ dà, xīn mài xiǎo jiān jí, jiē gé piān kū. Nán zǐ fā zuǒ, nǚ zǐ fā yòu, bù yīn shé zhuǎn, kě zhì, sān shí rì qǐ.
胃脉沉而搏指且涩，或浮鼓于外而大，心脉小而坚急，都成为膈气阻隔的偏枯。男子偏枯发在左侧，女子发在右侧；若能言语、舌头还能转动的，可以治疗，三十天可以起立。
A stomach vessel sunken, beating up and rough, or beating up large on the outside, and a heart vessel small, hard and hurried, all give one-sided withering with blockage at the diaphragm. In men it appears on the left, in women on the right. If the person is not voiceless and the tongue still turns, it can be treated and he rises in thirty days.
14
其從者瘖，三歲起；年不滿二十者，三歲死。
其从者瘖，三岁起；年不满二十者，三岁死。
Qí cóng zhě yīn, sān suì qǐ; nián bù mǎn èr shí zhě, sān suì sǐ.
若病顺而失音的，三年才能起立；年龄不满二十岁的，三年就会死亡。
If, in the compliant case, the person is voiceless, he rises only after three years; one who is not yet twenty dies within three years.
15
脉至，而搏血衄，身熱者死。脉來懸鈎浮爲常脉。
脉至，而搏血衄，身热者死。脉来悬钩浮为常脉。
Mài zhì, ér bó xuè nǜ, shēn rè zhě sǐ. Mài lái xuán gōu fú wéi cháng mài.
脉来搏指而见血衄的，若身体发热会死。脉来悬垂而钩、轻浮有神的，是常脉。
A pulse that arrives beating up, with bleeding from the nose, means death if the body is feverish. A pulse that comes hanging, hooked and floating is the ordinary pulse.
Mài zhì rú chuǎn, míng yuē bào jué. Bào jué zhě, bù zhī yǔ rén yán.
脉来急促如人之喘息，名叫暴厥。暴厥的人，不能与人言语。
A pulse arriving like panting is called sudden inversion. In sudden inversion a person does not know how to speak with others.
17
脉至如數，使人暴驚，三四日自已。
脉至如数，使人暴惊，三四日自已。
Mài zhì rú shuò, shǐ rén bào jīng, sān sì rì zì yǐ.
脉来如数急之象，使人突然受惊，三四天会自行恢复。
A pulse arriving as if rapid makes a person suddenly terrified; in three or four days it resolves of itself.
18
脉至浮合，浮合如數，一息十至以上，是經氣予不足也，微見，九十日死。
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。
Mài zhì fú hé, fú hé rú shuò, yī xī shí zhì yǐ shàng, shì jīng qì yǔ bù zú yě, wēi xiàn, jiǔ shí rì sǐ.
脉来浮而相合，浮合之中又如数急，一呼一吸之间脉动十次以上，这是经气已不足的表现；若稍稍显现，九十天死。
A pulse arriving floating and merging, and in that merging as if rapid, more than ten beats to one breath, means the conduit qi is spent. Seen but slightly, death comes in ninety days.
19
脉至如火薪然，是心精之予奪也，草乾而死。
脉至如火薪然，是心精之予夺也，草干而死。
Mài zhì rú huǒ xīn rán, shì xīn jīng zhī yǔ duó yě, cǎo gān ér sǐ.
脉来像燃烧的柴火一样盛大，这是心脏的精气已被夺失，到野草干枯的时候就会死亡。
A pulse arriving like kindled fire means the essence of the heart is being taken away; the person dies when the grass dries.
20
脉至如散葉，是肝氣予虚也，木葉落而死。
脉至如散叶，是肝气予虚也，木叶落而死。
Mài zhì rú sàn yè, shì gān qì yǔ xū yě, mù yè luò ér sǐ.
脉来像散落的树叶，浮泛无根，这是肝气已经空虚，到树木落叶的时候就会死亡。
A pulse arriving like scattered leaves means the qi of the liver is spent; the person dies when the leaves fall.
21
脉至如省客，省客者，脉塞而鼓，是腎氣予不足也，懸去棗華而死。
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。
Mài zhì rú xǐng kè, xǐng kè zhě, mài sè ér gǔ, shì shèn qì yǔ bù zú yě, xuán qù zǎo huā ér sǐ.
脉来如省客，所谓省客，是脉气闭塞而又搏指，这是肾气已不足，到枣花悬而落去的时候就会死亡。
A pulse arriving like a visiting guest — blocked, yet beating up — means the qi of the kidney is spent; the person dies when the jujube blossom hangs and falls.
22
脉至如丸泥，是胃精予不足也，榆莢落而死。
脉至如丸泥，是胃精予不足也，榆荚落而死。
Mài zhì rú wán ní, shì wèi jīng yǔ bù zú yě, yú jiá luò ér sǐ.
脉来像泥丸一样坚强短涩，这是胃的精气已不足，到榆荚飘落的时候就会死亡。
A pulse arriving like a pellet of clay means the essence of the stomach is spent; the person dies when the elm pods fall.
23
脉至如橫格，是膽氣予不足也，禾熟而死。
脉至如横格，是胆气予不足也，禾熟而死。
Mài zhì rú héng gé, shì dǎn qì yǔ bù zú yě, hé shú ér sǐ.
脉来如有横木格于指下，长而坚硬，这是胆气已不足，到禾谷成熟的时候就会死亡。
A pulse arriving like a bar laid across the finger means the qi of the gallbladder is spent; the person dies when the grain ripens.
24
脉至如弦縷，是胞精予不足也，病善言，下霜而死。不言，可治。
脉至如弦缕，是胞精予不足也，病善言，下霜而死。不言，可治。
Mài zhì rú xián lǚ, shì bāo jīng yǔ bù zú yě, bìng shàn yán, xià shuāng ér sǐ. Bù yán, kě zhì.
脉来紧急如弓弦、细小如丝缕，这是胞的精气已不足；病人反而多言的，到下霜的时候就会死亡；若静而不言，还可以治疗。
A pulse arriving like a bowstring or a thread means the essence of the womb is spent. If the sick person talks freely, he dies when the frost falls; if he does not speak, he can be treated.
25
脉至如交漆，交漆者，左右傍至也，微見，三十日死。
脉至如交漆，交漆者，左右傍至也，微见，三十日死。
Mài zhì rú jiāo qī, jiāo qī zhě, zuǒ yòu bàng zhì yě, wēi xiàn, sān shí rì sǐ.
脉来如交漆，所谓交漆，是脉气从左右两旁而至，稍稍显现，三十天死。
A pulse arriving like lacquer crossing itself — arriving from the left and right sides — means death in thirty days once it is seen at all.
26
脉至如涌泉，浮鼓肌中，太陽氣予不足也，少氣味，韭英而死。
脉至如涌泉，浮鼓肌中，太阳气予不足也，少气味，韭英而死。
Mài zhì rú yǒng quán, fú gǔ jī zhōng, tài yáng qì yǔ bù zú yě, shǎo qì wèi, jiǔ yīng ér sǐ.
脉来像涌出的泉水，浮而搏指于肌肉之中，这是太阳经气已不足，病人气少而不知五味，到韭菜开花的时候就会死亡。
A pulse arriving like a gushing spring, floating and beating up within the flesh, means the qi of the greater yang is spent; there is scant qi and loss of taste, and the person dies when the chives flower.
27
脉至如頺土之狀，按之不得，是肌氣予不足也，五色先見，黑白壘發，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。
Mài zhì rú tuí tǔ zhī zhuàng, àn zhī bù dé, shì jī qì yǔ bù zú yě, wǔ sè xiān xiàn, hēi bái lěi fā, sǐ.
脉来像颓败的松土，按之空虚不可得，这是肌肉之气已不足，五色先显现于外，黑白之色累累而发，主死。
A pulse arriving like crumbling earth, which cannot be found under pressure, means the qi of the flesh is spent. The five colours show first, black and white break out in turn, and the person dies.
28
脉至如懸雍，懸雍者，浮揣切之益大，是十二俞之予不足也，水凝而死。
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。
Mài zhì rú xuán yōng, xuán yōng zhě, fú chuǎi qiè zhī yì dà, shì shí èr shù zhī yǔ bù zú yě, shuǐ níng ér sǐ.
脉来如悬雍垂，所谓悬雍，是浮取揣摩、切按之下反而愈觉其大，这是十二俞的精气已不足，到水结冰的时候就会死亡。
A pulse arriving like the hanging uvula — felt larger the more one presses and probes — means the qi of the twelve transport points is spent; the person dies when the water freezes.
29
脉至如偃刀，偃刀者，浮之小急，按之堅大急，五藏菀熟，寒熱獨并於腎也，如此其人不得坐，立春而死。
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。
Mài zhì rú yǎn dāo, yǎn dāo zhě, fú zhī xiǎo jí, àn zhī jiān dà jí, wǔ zàng yù rè, hán rè dú bìng yú shèn yě, rú cǐ qí rén bù dé zuò, lì chūn ér sǐ.
脉来像仰起的刀口，所谓偃刀，是浮取小而急，按之坚硬大而急，这是五脏郁热，寒热之邪独聚于肾。这样的人不能安坐，到立春的时候就会死亡。
A pulse arriving like an upturned blade — small and hurried on the surface, hard, large and hurried when pressed — means smouldering heat in the five stores, with cold and heat gathered in the kidney alone. Such a person cannot sit, and dies at the beginning of spring.
30
脉至如丸，滑不直手，不直手者，按之不可得也，是大腸氣予不足也，棗葉生而死。
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。
Mài zhì rú wán, huá bù zhí shǒu, bù zhí shǒu zhě, àn zhī bù kě dé yě, shì dà cháng qì yǔ bù zú yě, zǎo yè shēng ér sǐ.
脉来像弹丸，滑而按之不应手，所谓不应手，是按之不可得，这是大肠之气已不足，到枣树生叶的时候就会死亡。
A pulse arriving like a pellet, slippery and not meeting the finger — that is, not to be found under pressure — means the qi of the large intestine is spent; the person dies when the jujube puts out leaves.
31
脉至如華者，令人善恐，不欲坐卧，行立常聽，是小腸氣予不足也，季秋而死。
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。
Mài zhì rú huā zhě, lìng rén shàn kǒng, bù yù zuò wò, xíng lì cháng tīng, shì xiǎo cháng qì yǔ bù zú yě, jì qiū ér sǐ.
脉来虚浮如花，使人容易恐惧，不愿安坐安卧，行走站立时常像在聆听什么，这是小肠之气已不足，到秋末的时候就会死亡。
A pulse arriving like a blossom makes a person fearful, unwilling to sit or lie, always listening as he walks or stands. This is the qi of the small intestine spent; the person dies in the last month of autumn.