huáng dì wèn yuē: píng rén hé rú?
黄帝问道：平常无病之人是怎样的呢？
The Yellow Emperor asks: What is a balanced person like?
2
歧伯對曰：人一呼脉再動，一吸脉亦再動，呼吸定息，脉五動，閏以太息，命曰平人。平人者，不病也。
岐伯对曰：人一呼脉再动，一吸脉亦再动，呼吸定息，脉五动，闰以太息，命曰平人。平人者，不病也。
qí bó duì yuē: rén yī hū mài zài dòng, yī xī mài yì zài dòng, hū xī dìng xī, mài wǔ dòng, rùn yǐ tài xī, mìng yuē píng rén. píng rén zhě, bù bìng yě.
岐伯回答说：人一呼气，脉搏跳动两次；一吸气，脉搏也跳动两次；一呼一吸之间脉又跳一次，所以一息共跳五次；若逢太息，脉又稍有余数，这就叫做平人。平人，就是没有病的人。
Qibo replies: When a person exhales once the pulse moves twice, and when he inhales once it moves twice again; as the breath settles between them it moves once more, so that in one breath the pulse moves five times, with the deep long breath counted in besides — this is named a balanced person. A balanced person is one who is not ill.
3
常以不病調病人醫不病，故爲病人平息以調之爲法。
常以不病调病人医不病，故为病人平息以调之为法。
cháng yǐ bù bìng tiáo bìng rén, yī bù bìng, gù wéi bìng rén píng xī yǐ tiáo zhī wéi fǎ.
通常以无病之人的呼吸去衡量病人的脉象；医生自己无病，呼吸均匀，所以医生调匀自己的呼吸再去诊察病人之脉，这就是诊脉的法则。
One regularly uses the breathing of one who is not ill to gauge the person who is ill; the physician is not ill, and so he calms his breathing on the patient’s account and uses it as the measure — this is the method.
4
人一呼脉一動，一吸脉一動，曰少氣。
人一呼脉一动，一吸脉一动，曰少气。
rén yī hū mài yī dòng, yī xī mài yī dòng, yuē shǎo qì.
若人一呼气脉搏只跳一次，一吸气也只跳一次，这叫做少气——气衰故脉至数少。
If on one exhalation the pulse moves once and on one inhalation once, this is called scant qi.
5
人一呼脉三動，一吸脉三動而躁，尺熱曰病温，尺不熱脉滑曰病風，脉濇曰痺。
人一呼脉三动，一吸脉三动而躁，尺热曰病温，尺不热脉滑曰病风，脉涩曰痹。
rén yī hū mài sān dòng, yī xī mài sān dòng ér zào, chǐ rè yuē bìng wēn, chǐ bù rè mài huá yuē bìng fēng, mài sè yuē bì.
若一呼脉跳三次、一吸也跳三次，而且躁急不静，则：尺肤发热的，是温病；尺肤不热而脉滑利的，是风病；脉涩滞的，是痹病。
If on one exhalation the pulse moves three times and on one inhalation three times again, and it is agitated, then a hot cubit skin is called warmth disease; a cubit skin that is not hot with a slippery pulse is called wind disease; a rough pulse is called impediment.
6
人一呼脉四動以上曰死，脉絶不至曰死，乍疏乍數曰死。
人一呼脉四动以上曰死，脉绝不至曰死，乍疏乍数曰死。
rén yī hū mài sì dòng yǐ shàng yuē sǐ, mài jué bù zhì yuē sǐ, zhà shū zhà shuò yuē sǐ.
若一呼脉搏跳四次以上，是死候；脉搏断绝不至，是死候；忽而稀疏忽而急数，也是死候。
If on one exhalation the pulse moves four times or more, it is called death; if the pulse ceases and does not arrive, it is called death; if it is now sparse and now rapid, it is called death.
píng rén zhī cháng qì bǐng yú wèi, wèi zhě, píng rén zhī cháng qì yě. rén wú wèi qì yuē nì, nì zhě sǐ.
平人的正常之气禀受于胃，胃就是平人正常之气的来源。人若没有胃气，叫做逆，逆是死候。
The regular qi of a balanced person is received from the stomach; the stomach is the regular qi of the balanced person. A person without stomach qi is said to be in reversal, and one in reversal dies.
8
春胃微弦曰平，弦多胃少曰肝病，但弦无胃曰死，胃而有毛曰秋病，毛甚曰今病。藏真散於肝，肝藏筋膜之氣也。
春胃微弦曰平，弦多胃少曰肝病，但弦无胃曰死，胃而有毛曰秋病，毛甚曰今病。脏真散于肝，肝藏筋膜之气也。
chūn wèi wēi xián yuē píng, xián duō wèi shǎo yuē gān bìng, dàn xián wú wèi yuē sǐ, wèi ér yǒu máo yuē qiū bìng, máo shèn yuē jīn bìng. zàng zhēn sàn yú gān, gān cáng jīn mó zhī qì yě.
春脉有胃气而微带弦象，叫做平脉；弦象多而胃气少的，是肝病；只见弦象而全无胃气的，是死候；有胃气而兼见毛象的，是说秋天会发病；毛象明显的，现在就会发病。五脏的真气散布于肝，肝藏蓄筋膜之气。
In spring, a pulse with stomach qi and a slight string quality is called balanced; if the string is much and the stomach qi little, it is liver disease; if there is nothing but string and no stomach qi, it is death; if there is stomach qi with hair in it, disease is foretold for autumn; if the hair is pronounced, the disease is present now. The true qi of the depots spreads to the liver; the liver stores the qi of the sinews and membranes.
9
夏胃微鈎曰平，鈎多胃少曰心病，但鈎无胃曰死，胃而有石曰冬病，石甚曰今病。藏真通於心，心藏血脉之氣也。
夏胃微钩曰平，钩多胃少曰心病，但钩无胃曰死，胃而有石曰冬病，石甚曰今病。脏真通于心，心藏血脉之气也。
xià wèi wēi gōu yuē píng, gōu duō wèi shǎo yuē xīn bìng, dàn gōu wú wèi yuē sǐ, wèi ér yǒu shí yuē dōng bìng, shí shèn yuē jīn bìng. zàng zhēn tōng yú xīn, xīn cáng xuè mài zhī qì yě.
夏脉有胃气而微带钩象，叫做平脉；钩象多而胃气少的，是心病；只见钩象而无胃气的，是死候；有胃气而兼见石象的，冬天会发病；石象明显的，现在就发病。五脏真气通于心，心藏蓄血脉之气。
In summer, a pulse with stomach qi and a slight hook quality is called balanced; if the hook is much and the stomach qi little, it is heart disease; if there is nothing but hook and no stomach qi, it is death; if there is stomach qi with stone in it, disease is foretold for winter; if the stone is pronounced, the disease is present now. The true qi of the depots communicates with the heart; the heart stores the qi of the blood and vessels.
10
長夏胃微耎弱曰平，弱多胃少曰脾病，但代无胃曰死，耎弱有石曰冬病，弱甚曰今病。藏真濡於脾，脾藏肌肉之氣也。
长夏胃微软弱曰平，弱多胃少曰脾病，但代无胃曰死，软弱有石曰冬病，弱甚曰今病。脏真濡于脾，脾藏肌肉之气也。
cháng xià wèi wēi ruǎn ruò yuē píng, ruò duō wèi shǎo yuē pí bìng, dàn dài wú wèi yuē sǐ, ruǎn ruò yǒu shí yuē dōng bìng, ruò shèn yuē jīn bìng. zàng zhēn rú yú pí, pí cáng jī ròu zhī qì yě.
长夏脉有胃气而微微软弱，叫做平脉；弱象多而胃气少的，是脾病；只见代脉而无胃气的，是死候；微微软弱而兼见石象的，冬天会发病；弱象明显的，现在就发病。五脏真气濡养于脾，脾藏蓄肌肉之气。
In late summer, a pulse with stomach qi and a slight soft weakness is called balanced; if the weakness is much and the stomach qi little, it is spleen disease; if there is only the intermittent pulse and no stomach qi, it is death; if the soft weakness carries stone in it, disease is foretold for winter; if the weakness is pronounced, the disease is present now. The true qi of the depots moistens the spleen; the spleen stores the qi of the flesh.
11
秋胃微毛，曰平；毛多胃少，曰肺病；但毛无胃，曰死，毛而有弦，曰春病，弦甚曰今病。藏真高於肺，以行榮衛陰陽也。
秋胃微毛，曰平；毛多胃少，曰肺病；但毛无胃，曰死，毛而有弦，曰春病，弦甚曰今病。脏真高于肺，以行荣卫阴阳也。
qiū wèi wēi máo, yuē píng; máo duō wèi shǎo, yuē fèi bìng; dàn máo wú wèi, yuē sǐ, máo ér yǒu xián, yuē chūn bìng, xián shèn yuē jīn bìng. zàng zhēn gāo yú fèi, yǐ xíng róng wèi yīn yáng yě.
秋脉有胃气而微带毛象，叫做平脉；毛多胃少的，是肺病；只见毛象而无胃气的，是死候；毛象中兼见弦象的，春天会发病；弦象明显的，现在就发病。五脏真气上高于肺，肺以此来运行营卫与阴阳。
In autumn, a pulse with stomach qi and slight hair is called balanced; if the hair is much and the stomach qi little, it is lung disease; if there is nothing but hair and no stomach qi, it is death; if the hair carries string in it, disease is foretold for spring; if the string is pronounced, the disease is present now. The true qi of the depots is high in the lung, and by it the lung moves the construction and defence and the yin and yang.
12
冬胃微石，曰平；石多胃少，曰腎病；但石无胃，曰死，石而有鈎，曰夏病，鈎甚曰今病。藏真下於腎，腎藏骨髓之氣也。
冬胃微石，曰平；石多胃少，曰肾病；但石无胃，曰死，石而有钩，曰夏病，钩甚曰今病。脏真下于肾，肾藏骨髓之气也。
dōng wèi wēi shí, yuē píng; shí duō wèi shǎo, yuē shèn bìng; dàn shí wú wèi, yuē sǐ, shí ér yǒu gōu, yuē xià bìng, gōu shèn yuē jīn bìng. zàng zhēn xià yú shèn, shèn cáng gǔ suǐ zhī qì yě.
冬脉有胃气而微带石象，叫做平脉；石多胃少的，是肾病；只见石象而无胃气的，是死候；石象中兼见钩象的，夏天会发病；钩象明显的，现在就发病。五脏真气下藏于肾，肾藏蓄骨髓之气。
In winter, a pulse with stomach qi and slight stone is called balanced; if the stone is much and the stomach qi little, it is kidney disease; if there is nothing but stone and no stomach qi, it is death; if the stone carries hook in it, disease is foretold for summer; if the hook is pronounced, the disease is present now. The true qi of the depots descends into the kidney; the kidney stores the qi of the bone and marrow.
13
胃之大絡，名曰虚里，貫鬲絡肺，出於左乳下，其動應衣，脉宗氣也。
胃之大络，名曰虚里，贯鬲络肺，出于左乳下，其动应衣，脉宗气也。
wèi zhī dà luò, míng yuē xū lǐ, guàn gé luò fèi, chū yú zuǒ rǔ xià, qí dòng yìng yī, mài zōng qì yě.
胃的大络，名叫虚里；它上贯膈膜、下络于肺，出于左乳之下，其搏动甚至能振动衣服，这里是脉之宗气所在。
The great network vessel of the stomach is named the empty village; it pierces the diaphragm and networks the lung, and emerges below the left breast; its movement responds against the clothing — this is the ancestral qi of the pulse.
14
盛喘數絶者，則病在中。結而横，有積矣，絶不至，曰死。乳之下，其動應衣，宗氣泄也。
盛喘数绝者，则病在中。结而横，有积矣，绝不至，曰死。乳之下，其动应衣，宗气泄也。
shèng chuǎn shuò jué zhě, zé bìng zài zhōng. jié ér héng, yǒu jī yǐ, jué bù zhì, yuē sǐ. rǔ zhī xià, qí dòng yìng yī, zōng qì xiè yě.
虚里处搏动盛大急促而时有断绝的，是病在中；脉来结滞而横挺于指下的，是有积聚；搏动断绝不至的，是死候。
If it is full, panting, rapid and interrupted, then the disease is in the centre. If it is knotted and transverse, there is an accumulation; if it ceases and does not arrive, it is death. Below the breast, when its movement responds against the clothing, the ancestral qi is leaking out.
15
欲知寸口太過與不及，寸口之脉中手短者，曰頭痛。
欲知寸口太过与不及，寸口之脉中手短者，曰头痛。
yù zhī cùn kǒu tài guò yǔ bù jí, cùn kǒu zhī mài zhòng shǒu duǎn zhě, yuē tóu tòng.
要知道寸口脉的太过与不及：寸口之脉应指而短的，主头痛。
If you wish to know excess and deficiency at the inch opening: a pulse at the inch opening that is short under the fingers indicates headache.
16
寸口脉中手長者，曰足脛痛。寸口脉中手促上擊者，曰肩背痛。
寸口脉中手长者，曰足胫痛。寸口脉中手促上击者，曰肩背痛。
cùn kǒu mài zhòng shǒu cháng zhě, yuē zú jìng tòng. cùn kǒu mài zhòng shǒu cù shàng jī zhě, yuē jiān bèi tòng.
寸口之脉应指而长的，主足胫痛；脉来急促而向上搏击指下的，主肩背痛。
A pulse at the inch opening that is long under the fingers indicates pain in the foot and shin. A pulse at the inch opening that is hurried and strikes upward under the fingers indicates pain in the shoulder and back.
17
寸口脉沈而堅者，曰病在中。寸口脉浮而盛者，曰病在外。
寸口脉沉而坚者，曰病在中。寸口脉浮而盛者，曰病在外。
cùn kǒu mài chén ér jiān zhě, yuē bìng zài zhōng. cùn kǒu mài fú ér shèng zhě, yuē bìng zài wài.
寸口之脉沉而坚实的，病在中；脉浮而盛大的，病在外。
A pulse at the inch opening that is sunken and hard indicates disease in the interior. A pulse at the inch opening that is floating and full indicates disease in the exterior.
18
寸口脉沈而弱，曰寒熱及疝瘕、少腹痛。
寸口脉沉而弱，曰寒热及疝瘕、少腹痛。
cùn kǒu mài chén ér ruò, yuē hán rè jí shàn jiǎ, shào fù tòng.
寸口之脉沉而弱的，主寒热往来，以及疝瘕、少腹疼痛。
A pulse at the inch opening that is sunken and weak indicates cold and heat, as well as shan and jia and pain in the lower abdomen.
19
寸口脉沈而横，曰脅下有積，腹中有横積痛。寸口脉沈而喘，曰寒熱。
寸口脉沉而横，曰胁下有积，腹中有横积痛。寸口脉沉而喘，曰寒热。
cùn kǒu mài chén ér héng, yuē xié xià yǒu jī, fù zhōng yǒu héng jī tòng. cùn kǒu mài chén ér chuǎn, yuē hán rè.
寸口之脉沉而横挺于指下的，是胁下有积，腹中有横积而作痛；寸口之脉沉而喘的，主寒热。
A pulse at the inch opening that is sunken and transverse indicates an accumulation below the flank, with pain from a transverse accumulation in the abdomen. A pulse at the inch opening that is sunken and panting indicates cold and heat.
20
脉盛滑堅者，曰病在外。脉小實而堅者，病在内。
脉盛滑坚者，曰病在外。脉小实而坚者，病在内。
mài shèng huá jiān zhě, yuē bìng zài wài. mài xiǎo shí ér jiān zhě, bìng zài nèi.
脉来盛大、滑利而坚实的，病在外；脉来细小、实而坚的，病在内。
A pulse that is full, slippery and hard indicates disease in the exterior. A pulse that is small, replete and hard indicates disease in the interior.
21
脉小弱以濇，謂之久病。脉滑浮而疾者，謂之新病。
脉小弱以涩，谓之久病。脉滑浮而疾者，谓之新病。
mài xiǎo ruò yǐ sè, wèi zhī jiǔ bìng. mài huá fú ér jí zhě, wèi zhī xīn bìng.
脉细小软弱而又涩滞的，叫做久病；脉滑利、浮而疾数的，叫做新病。
A pulse that is small, weak and rough is called long-standing disease. A pulse that is slippery, floating and swift is called recent disease.
22
脉急者，曰疝瘕少腹痛。脉滑曰風，脉濇曰痺。緩而滑曰熱中，盛而緊曰脹。
脉急者，曰疝瘕少腹痛。脉滑曰风，脉涩曰痹。缓而滑曰热中，盛而紧曰胀。
mài jí zhě, yuē shàn jiǎ shào fù tòng. mài huá yuē fēng, mài sè yuē bì. huǎn ér huá yuē rè zhōng, shèng ér jǐn yuē zhàng.
脉来紧急的，主疝瘕、少腹疼痛；脉滑利的主风病；脉涩滞的主痹病；脉来缓而滑的，主热中；脉来盛大而紧的，主胀。
A pulse that is tense indicates shan and jia with pain in the lower abdomen. A slippery pulse indicates wind; a rough pulse indicates impediment. A pulse that is moderate and slippery indicates heat in the centre; one that is full and tight indicates distension.
23
脉從陰陽，病易已；脉逆陰陽，病難已。
脉从阴阳，病易已；脉逆阴阳，病难已。
mài cóng yīn yáng, bìng yì yǐ; mài nì yīn yáng, bìng nán yǐ.
脉象与阴阳相从的，病容易痊愈；脉象与阴阳相逆的，病难以痊愈。
When the pulse follows yin and yang, the illness is easily ended; when the pulse goes against yin and yang, the illness is hard to end.
24
脉得四時之順，曰病无他；脉反四時及不閒藏，曰難已。
脉得四时之顺，曰病无他；脉反四时及不间藏，曰难已。
mài dé sì shí zhī shùn, yuē bìng wú tā; mài fǎn sì shí jí bù jiàn zàng, yuē nán yǐ.
脉象与四时相应而得其顺的，虽病也不生他变；脉象与四时相反、又不按间脏相传之序的，就难以痊愈。
When the pulse obtains the accord of the four seasons, the illness is said to have nothing further; when the pulse opposes the four seasons and does not pass between the depots, it is hard to end.
25
臂多青脉，曰脱血。尺脉緩濇，謂之解㑊。
臂多青脉，曰脱血。尺脉缓涩，谓之解㑊。
bì duō qīng mài, yuē tuō xuè. chǐ mài huǎn sè, wèi zhī xiè yì.
手臂上多见青筋暴露的，是脱血之象；尺脉缓而涩的，叫做解㑊。
Many blue vessels on the arm indicate loss of blood. A cubit pulse that is moderate and rough is called xie-yi, loosening and lassitude.
26
安卧脉盛，謂之脱血。尺濇脉滑，謂之多汗。
安卧脉盛，谓之脱血。尺涩脉滑，谓之多汗。
ān wò mài shèng, wèi zhī tuō xuè. chǐ sè mài huá, wèi zhī duō hàn.
能安然卧睡而脉反盛大的，也是脱血之象；尺肤涩滞而脉滑利的，是多汗之象。
Resting quietly and yet having a full pulse indicates loss of blood. A rough cubit skin with a slippery pulse indicates much sweating.
27
尺寒脉細，謂之後泄。脉尺麤常熱者，謂之熱中。
尺寒脉细，谓之后泄。脉尺粗常热者，谓之热中。
chǐ hán mài xì, wèi zhī hòu xiè. mài chǐ cū cháng rè zhě, wèi zhī rè zhōng.
尺肤寒冷而脉细的，主后泄；尺肤粗而常发热的，主热中。
A cold cubit skin with a fine pulse indicates discharge behind, diarrhoea. A cubit skin that is coarse and constantly hot indicates heat in the centre.
28
肝見庚辛死。心見壬癸死。脾見甲乙死。肺見丙丁死。腎見戊己死。是謂真藏，見皆死。
肝见庚辛死。心见壬癸死。脾见甲乙死。肺见丙丁死。肾见戊己死。是谓真脏，见皆死。
gān jiàn gēng xīn sǐ. xīn jiàn rén guǐ sǐ. pǐ jiàn jiǎ yǐ sǐ. fèi jiàn bǐng dīng sǐ. shèn jiàn wù jǐ sǐ. shì wèi zhēn zàng, jiàn jiē sǐ.
肝病见到庚辛日死；心病见壬癸日死；脾病见甲乙日死；肺病见丙丁日死；肾病见戊己日死。这就是「真脏」之脉——五脏真气败露、全无胃气之脉，一见皆是死候。
The liver, meeting geng and xin, dies. The heart, meeting ren and gui, dies. The spleen, meeting jia and yi, dies. The lung, meeting bing and ding, dies. The kidney, meeting wu and ji, dies. This is called the true depot; when it appears, all die.
29
頸脉動喘疾欬，曰水。目裏微腫，如卧蠶起之狀，曰水。
颈脉动喘疾咳，曰水。目里微肿，如卧蚕起之状，曰水。
jǐng mài dòng chuǎn jí kài, yuē shuǐ. mù lǐ wēi zhǒng, rú wò cán qǐ zhī zhuàng, yuē shuǐ.
颈部之脉搏动明显、气喘急促而咳嗽的，是水病；眼睑之内微微肿起，像蚕伏卧那样形状的，也是水病。
A neck pulse that is mobile, with panting, hasty breathing and coughing, indicates water. A slight swelling within the eyelids, shaped like a sleeping silkworm rising, indicates water.
30
溺黄赤安卧者，黄疽。已食如飢者，胃疸。
溺黄赤安卧者，黄疽。已食如饥者，胃疸。
niào huáng chì ān wò zhě, huáng jū. yǐ shí rú jī zhě, wèi dǎn.
小便黄赤而能安然卧睡的，是黄疽；已经进食却仍觉饥饿的，是胃疸。
Urine that is yellow and red, with the person lying at rest, indicates jaundice. Having eaten and yet being hungry indicates stomach jaundice.
31
面腫曰風。足脛腫曰水。目黄者曰黄疸。
面肿曰风。足胫肿曰水。目黄者曰黄疸。
miàn zhǒng yuē fēng. zú jìng zhǒng yuē shuǐ. mù huáng zhě yuē huáng dǎn.
面部浮肿的，是风病；足胫浮肿的，是水病；眼目发黄的，是黄疸。
Swelling of the face indicates wind. Swelling of the foot and shin indicates water. Yellowing of the eyes indicates jaundice.
32
婦人手少陰脉動甚者，妊子也。
妇人手少阴脉动甚者，妊子也。
fù rén shǒu shào yīn mài dòng shèn zhě, rèn zǐ yě.
妇人手少阴脉搏动特别明显的，是有孕之象。
In a woman, a hand lesser yin pulse that moves markedly indicates that she is carrying a child.
33
脉有逆從四時，未有藏形，春夏而脉瘦，秋冬而脉浮大，命曰逆四時也。
脉有逆从四时，未有藏形，春夏而脉瘦，秋冬而脉浮大，命曰逆四时也。
mài yǒu nì cóng sì shí, wèi yǒu zàng xíng, chūn xià ér mài shòu, qiū dōng ér mài fú dà, mìng yuē nì sì shí yě.
脉有逆四时、从四时之别。若不见本脏应时之脉形，春夏脉反瘦小，秋冬脉反浮大，这就叫做逆四时。
Pulses may oppose or follow the four seasons. When the seasonal form of the depot has not appeared — the pulse thin in spring and summer, floating and large in autumn and winter — this is named opposing the four seasons.
34
風熱而脉靜，泄而脱血，脉實，病在中；脉虚，病在外，脉濇堅者，皆難治，命曰反四時也。
风热而脉静，泄而脱血，脉实，病在中；脉虚，病在外，脉涩坚者，皆难治，命曰反四时也。
fēng rè ér mài jìng, xiè ér tuō xuè, mài shí, bìng zài zhōng; mài xū, bìng zài wài, mài sè jiān zhě, jiē nán zhì, mìng yuē fǎn sì shí yě.
风热之病脉反安静；泄泻、脱血脉反实大；病在中脉反虚；病在外脉反涩坚——这些都难以治疗，叫做反四时。
Wind-heat with a quiet pulse; discharge and loss of blood with a replete pulse; disease in the interior with a vacuous pulse; disease in the exterior with a rough, hard pulse — all are hard to treat; this is named reversing the four seasons.
35
人以水榖爲本，故人絶水榖則死，脉無胃氣亦死。
人以水谷为本，故人绝水谷则死，脉无胃气亦死。
rén yǐ shuǐ gǔ wéi běn, gù rén jué shuǐ gǔ zé sǐ, mài wú wèi qì yì sǐ.
人以水谷为根本，所以人断绝水谷就会死，脉没有胃气也会死。
A person has water and grain as his root; therefore if a person is cut off from water and grain he dies, and if the pulse has no stomach qi he dies too.
suǒ wèi wú wèi qì zhě, dàn dé zhēn zàng mài, bù dé wèi qì yě. suǒ wèi mài bù dé wèi qì zhě, gān bù xián, shèn bù shí yě.
所谓无胃气，就是只见真脏脉而见不到胃气。
What is called having no stomach qi is that one obtains only the true depot pulse and obtains no stomach qi. What is called the pulse not obtaining stomach qi is that the liver is not string-like and the kidney is not stone-like.
37
太陽脉至，洪大以長；少陽脉至，乍數乍疏，乍短乍長；陽明脉至，浮大而短。
太阳脉至，洪大以长；少阳脉至，乍数乍疏，乍短乍长；阳明脉至，浮大而短。
tài yáng mài zhì, hóng dà yǐ cháng; shào yáng mài zhì, zhà shuò zhà shū, zhà duǎn zhà cháng; yáng míng mài zhì, fú dà ér duǎn.
太阳之脉至，洪大而长；少阳之脉至，忽而急数忽而稀疏，忽而短忽而长；阳明之脉至，浮大而短。
When the greater yang pulse arrives, it is flooding, large and long; when the lesser yang pulse arrives, it is now rapid, now sparse, now short, now long; when the yang brilliance pulse arrives, it is floating, large and short.
38
夫平心脉來，累累如連珠，如循琅玕，曰心平。夏以胃氣爲本。病心脉來，喘喘連屬，其中微曲，曰心病。死心脉來，前曲後居，如操帶鈎，曰心死。
夫平心脉来，累累如连珠，如循琅玕，曰心平。夏以胃气为本。病心脉来，喘喘连属，其中微曲，曰心病。死心脉来，前曲后居，如操带钩，曰心死。
fú píng xīn mài lái, lěi lěi rú lián zhū, rú xún láng gān, yuē xīn píng. xià yǐ wèi qì wéi běn. bìng xīn mài lái, chuǎn chuǎn lián zhǔ, qí zhōng wēi qū, yuē xīn bìng. sǐ xīn mài lái, qián qū hòu jū, rú cāo dài gōu, yuē xīn sǐ.
正常的心脉来时，一颗颗连贯如串珠，又像抚摩琅玕那样圆润流利，叫做心平——夏季以胃气为本。有病的心脉来时，急促而连续，其中微带屈曲，叫做心病。将死的心脉来时，前屈而后踞，像手握带钩那样坚劲不柔，叫做心死。
Now, when the balanced heart pulse comes, it is bead on bead like a string of pearls, like drawing the hand over lang-gan jade — this is called heart balanced, and in summer it takes stomach qi as its root. When the diseased heart pulse comes, it is panting and continuous, with a slight bend within it — this is called heart disease. When the dying heart pulse comes, it bends in front and squats behind, like holding a belt hook — this is called heart death.
39
平肺脉來，厭厭聶聶，如落榆莢，曰肺平。秋以胃氣爲本。病肺脉來，不上不下，如循雞羽，曰肺病。死肺脉來，如物之浮，如風吹毛，曰肺死。
平肺脉来，厌厌聂聂，如落榆荚，曰肺平。秋以胃气为本。病肺脉来，不上不下，如循鸡羽，曰肺病。死肺脉来，如物之浮，如风吹毛，曰肺死。
píng fèi mài lái, yān yān niè niè, rú luò yú jiá, yuē fèi píng. qiū yǐ wèi qì wéi běn. bìng fèi mài lái, bù shàng bù xià, rú xún jī yǔ, yuē fèi bìng. sǐ fèi mài lái, rú wù zhī fú, rú fēng chuī máo, yuē fèi sǐ.
正常的肺脉来时，轻静和缓、轻小不扬，像榆荚飘落那样轻虚，叫做肺平——秋季以胃气为本。有病的肺脉来时，不上不下，像抚摩鸡羽那样中央坚而两旁虚，叫做肺病。将死的肺脉来时，像物件浮在水上那样无根，像风吹羽毛那样散乱无绪，叫做肺死。
When the balanced lung pulse comes, it is quiet and faint, like elm pods falling — this is called lung balanced, and in autumn it takes stomach qi as its root. When the diseased lung pulse comes, it neither rises nor falls, like drawing the hand over a chicken’s feather — this is called lung disease. When the dying lung pulse comes, it is like a thing afloat, like hair blown by the wind — this is called lung death.
40
平肝脉來，耎弱招招，如揭長竿末梢，曰肝平。春以胃氣爲本。病肝脉來，盈實而滑，如循長竿，曰肝病。死肝脉來，急益勁，如新張弓弦，曰肝死。
平肝脉来，软弱招招，如揭长竿末梢，曰肝平。春以胃气为本。病肝脉来，盈实而滑，如循长竿，曰肝病。死肝脉来，急益劲，如新张弓弦，曰肝死。
píng gān mài lái, ruǎn ruò zhāo zhāo, rú jiē cháng gān mò shāo, yuē gān píng. chūn yǐ wèi qì wéi běn. bìng gān mài lái, yíng shí ér huá, rú xún cháng gān, yuē gān bìng. sǐ gān mài lái, jí yì jìng, rú xīn zhāng gōng xián, yuē gān sǐ.
正常的肝脉来时，软弱而招招然，像举起长竹竿的末梢那样柔软而长，叫做肝平——春季以胃气为本。有病的肝脉来时，盈满实大而滑利，像抚摩长竹竿那样，叫做肝病。将死的肝脉来时，急而更加劲强，像新张开的弓弦那样劲急而不柔，叫做肝死。
When the balanced liver pulse comes, it is soft, weak and swaying, like lifting the tip of a long bamboo pole — this is called liver balanced, and in spring it takes stomach qi as its root. When the diseased liver pulse comes, it is full, replete and slippery, like drawing the hand along a long pole — this is called liver disease. When the dying liver pulse comes, it is tense and ever stiffer, like a newly drawn bowstring — this is called liver death.
41
平脾脉來，和柔相離，如雞踐地，曰脾平。長夏以胃氣爲本。病脾脉來，實而盈數，如雞舉足，曰脾病。死脾脉來，鋭堅如烏之啄，如鳥之距，如屋之漏，如水之流，曰脾死。
平脾脉来，和柔相离，如鸡践地，曰脾平。长夏以胃气为本。病脾脉来，实而盈数，如鸡举足，曰脾病。死脾脉来，锐坚如乌之啄，如鸟之距，如屋之漏，如水之流，曰脾死。
píng pí mài lái, hé róu xiāng lí, rú jī jiàn dì, yuē pí píng. cháng xià yǐ wèi qì wéi běn. bìng pí mài lái, shí ér yíng shuò, rú jī jǔ zú, yuē pí bìng. sǐ pí mài lái, ruì jiān rú wū zhī zhuó, rú niǎo zhī jù, rú wū zhī lòu, rú shuǐ zhī liú, yuē pí sǐ.
正常的脾脉来时，和柔而节律分明，像鸡踏地那样从容轻缓，叫做脾平——长夏以胃气为本。有病的脾脉来时，实而盈满急数，像鸡举足那样急起而不从容，叫做脾病。将死的脾脉来时，锐利坚硬，像乌鸦之喙那样尖锐，像鸟之距那样坚硬，又像屋漏滴水那样疏数不匀、像流水那样去而不返，叫做脾死。
When the balanced spleen pulse comes, it is harmonious, soft and well separated, like a hen treading the ground — this is called spleen balanced, and in late summer it takes stomach qi as its root. When the diseased spleen pulse comes, it is replete, full and rapid, like a hen lifting her foot — this is called spleen disease. When the dying spleen pulse comes, it is sharp and hard, like the pecking of a crow, like the spur of a bird, like water leaking through a roof, like a stream running away — this is called spleen death.
42
平腎脉來，喘喘累累如鈎，按之而堅，曰腎平。冬以胃氣爲本。病腎脉來，如引葛，按之益堅，曰腎病。死腎脉來，發如奪索，辟辟如彈石，曰腎死。
平肾脉来，喘喘累累如钩，按之而坚，曰肾平。冬以胃气为本。病肾脉来，如引葛，按之益坚，曰肾病。死肾脉来，发如夺索，辟辟如弹石，曰肾死。
píng shèn mài lái, chuǎn chuǎn lěi lěi rú gōu, àn zhī ér jiān, yuē shèn píng. dōng yǐ wèi qì wéi běn. bìng shèn mài lái, rú yǐn gé, àn zhī yì jiān, yuē shèn bìng. sǐ shèn mài lái, fā rú duó suǒ, bì bì rú dàn shí, yuē shèn sǐ.
正常的肾脉来时，喘喘累累而带钩象，按之坚实有根，叫做肾平——冬季以胃气为本。有病的肾脉来时，像牵引葛藤那样坚牵不柔，按之更加坚硬，叫做肾病。将死的肾脉来时，发作时像被人夺去的绳索那样，又辟辟然像弹击石头那样，叫做肾死。
When the balanced kidney pulse comes, it is panting, heaped and hooked, and hard when pressed — this is called kidney balanced, and in winter it takes stomach qi as its root. When the diseased kidney pulse comes, it is like pulling on a vine, and harder still when pressed — this is called kidney disease. When the dying kidney pulse comes, it springs like a rope being snatched away, and beats like stones flicked from the finger — this is called kidney death.