1
問曰：脉有陰陽者，何謂也？答曰：凡脉大、浮、數、動、滑，此名陽也；脉沉、濇、弱、弦、微，此名陰也。凡陰病見陽脉者生，陽病見陰脉者死。
问曰：脉有阴阳者，何谓也？答曰：凡脉大、浮、数、动、滑，此名阳也；脉沉、涩、弱、弦、微，此名阴也。凡阴病见阳脉者生，阳病见阴脉者死。 wèn yuē mài yǒu yīn yáng zhě hé wèi yě dá yuē fán mài dà fú shuò dòng huá cǐ míng yáng yě mài chén sè ruò xián wēi cǐ míng yīn yě fán yīn bìng jiàn yáng mài zhě shēng yáng bìng jiàn yīn mài zhě sǐ
問：脉分陰陽，是怎麼說的？答：凡脉象大、浮、數、動、滑的，叫作陽；脉象沉、濇、弱、弦、微的，叫作陰。陰病而見陽脉的生，陽病而見陰脉的死。
The Master asked: “The pulse has yin and yang — what does that mean?” The answer: “When the pulse is large, floating, rapid, moving or slippery, it is named yang; when it is deep, astringent, weak, wiry or faint, it is named yin. In yin disease, seeing a yang pulse, the patient lives; in yang disease, seeing a yin pulse, the patient dies.”
2
問曰：脉有陽結陰結者，何以别之？答曰：其脉浮而數，能食，不大便者，此爲實，名曰陽結也，期十七日當劇。其脉沉而遲，不能食，身體重，大便反鞕，名曰陰結也，期十四日當劇。
问曰：脉有阳结阴结者，何以别之？答曰：其脉浮而数，能食，不大便者，此为实，名曰阳结也，期十七日当剧。其脉沉而迟，不能食，身体重，大便反鞕，名曰阴结也，期十四日当剧。 wèn yuē mài yǒu yáng jié yīn jié zhě hé yǐ bié zhī dá yuē qí mài fú ér shuò néng shí bù dà biàn zhě cǐ wéi shí míng yuē yáng jié yě qī shí qī rì dāng jù qí mài chén ér chí bù néng shí shēn tǐ zhòng dà biàn fǎn yìng míng yuē yīn jié yě qī shí sì rì dāng jù
問：脉有陽結、陰結，怎麼分辨？答：脉浮而數，能吃，不大便，這是實，名叫陽結，預計十七日會加重。脉沉而遲，不能吃，身體沉重，大便反而堅硬，名叫陰結，預計十四日會加重。
Asked: “When the pulse has yang binding and yin binding, how are they told apart?” The answer: “If the pulse is floating and rapid, with ability to eat but no stool, this is excess: it is called yang binding, and it is expected to worsen on the seventeenth day. If the pulse is deep and slow, with no appetite, heaviness of body and a hard stool instead, it is called yin binding, and it is expected to worsen on the fourteenth day.”
3
問曰：病有灑淅惡寒，而復發熱者何？答曰：陰脉不足，陽徃從之；陽脉不足，陰徃乘之。曰：何謂陽不足？答曰：假令寸口脉微，名曰陽不足，陰氣上入陽中，則灑淅惡寒也。曰：何謂陰不足？答曰：假令尺脉弱，名曰陰不足，陽氣下陷入陰中，則發熱也。
问曰：病有洒淅恶寒，而复发热者何？答曰：阴脉不足，阳往从之；阳脉不足，阴往乘之。曰：何谓阳不足？答曰：假令寸口脉微，名曰阳不足，阴气上入阳中，则洒淅恶寒也。曰：何谓阴不足？答曰：假令尺脉弱，名曰阴不足，阳气下陷入阴中，则发热也。 wèn yuē bìng yǒu sǎ xī wù hán ér fù fā rè zhě hé dá yuē yīn mài bù zú yáng wǎng cóng zhī yáng mài bù zú yīn wǎng chéng zhī yuē hé wèi yáng bù zú dá yuē jiǎ lìng cùn kǒu mài wēi míng yuē yáng bù zú yīn qì shàng rù yáng zhōng zé sǎ xī wù hán yě yuē hé wèi yīn bù zú dá yuē jiǎ lìng chǐ mài ruò míng yuē yīn bù zú yáng qì xià xiàn rù yīn zhōng zé fā rè yě
問：病有灑淅惡寒而又發熱的，為什麼？答：陰脉不足，陽就前往跟從它；陽脉不足，陰就前往侵乘它。問：什麼叫陽不足？答：假如寸口脉微，名叫陽不足，陰氣上入陽中，就灑淅惡寒。問：什麼叫陰不足？答：假如尺脉弱，名叫陰不足，陽氣下陷入陰中，就發熱。
Asked: “Some patients have sprinkling shivering with aversion to cold and then fever — why?” The answer: “When the yin pulse is insufficient, the yang goes along with it; when the yang pulse is insufficient, the yin rides over it.” Asked: “What is yang insufficiency?” The answer: “If the cunkou pulse is faint, it is called yang insufficiency; yin qi rises into the yang, and there is sprinkling shivering with aversion to cold.” Asked: “What is yin insufficiency?” The answer: “If the chi pulse is weak, it is called yin insufficiency; yang qi sinks into the yin, and there is fever.”
4
陽脉浮，陰脉弱者，則血虚，血虚則筋急也。
阳脉浮，阴脉弱者，则血虚，血虚则筋急也。 yáng mài fú yīn mài ruò zhě zé xuè xū xuè xū zé jīn jí yě
陽脉浮、陰脉弱的，就是血虚，血虚就筋脉拘急。
When the yang pulse is floating and the yin pulse weak, the blood is deficient; when the blood is deficient, the sinews become tense.
qí mài chén zhě róng qì wēi yě
脉沉的，是榮氣微弱。
When the pulse is deep, the ying qi is faint.
qí mài fú ér hàn chū rú liú zhū zhě wèi qì shuāi yě
脉浮而汗出如流珠的，是衛氣衰。
When the pulse is floating and sweat comes out like flowing pearls, the wei qi is decaying.
7
榮氣微者，加燒針，則血流不行，更發熱而躁煩也。
荣气微者，加烧针，则血流不行，更发热而躁烦也。 róng qì wēi zhě jiā shāo zhēn zé xuè liú bù xíng gèng fā rè ér zào fán yě
榮氣微弱的人，再加燒針，就會血行不暢，更加發熱而躁煩。
When the ying qi is faint, the addition of cautery needling leaves the blood unable to move, and there is further fever with restlessness and agitation.
8
脉藹藹，如車蓋者，名曰陽結也。
脉蔼蔼，如车盖者，名曰阳结也。 mài ǎi ǎi rú chē gài zhě míng yuē yáng jié yě
脉象藹藹如車蓋的，名叫陽結。
A pulse lush and soft like a chariot canopy is called yang binding.
9
脉纍纍，如循長竿者，名曰陰結也。
脉累累，如循长竿者，名曰阴结也。 mài léi léi rú xún cháng gān zhě míng yuē yīn jié yě
脉象纍纍如循長竿的，名叫陰結。
A pulse heaped like running the hand along a long pole is called yin binding.
10
脉瞥瞥如羹上肥者，陽氣微也。
脉瞥瞥如羹上肥者，阳气微也。 mài piē piē rú gēng shàng féi zhě yáng qì wēi yě
脉象瞥瞥如羹上浮油的，是陽氣微弱。
A pulse glancing like fat floating on broth means the yang qi is faint.
11
脉縈縈，如蜘蛛絲者，陽氣衰也。
脉萦萦，如蜘蛛丝者，阳气衰也。 mài yíng yíng rú zhī zhū sī zhě yáng qì shuāi yě
脉象縈縈如蜘蛛絲的，是陽氣衰。
A pulse winding like a spider’s thread means the yang qi is decaying.
12
脉綿綿，如瀉漆之絶者，亡其血也。
脉绵绵，如泻漆之绝者，亡其血也。 mài mián mián rú xiè qī zhī jué zhě wáng qí xuè yě
脉象綿綿如瀉漆中斷的，是血液亡失。
A pulse soft and continuous like lacquer poured out and cut off means the blood is lost.
13
脉來緩，時一止復來者，名曰結。脉來數，時一止復來者，名曰促。脉陽盛則促，陰盛則結，此皆病脉。
脉来缓，时一止复来者，名曰结。脉来数，时一止复来者，名曰促。脉阳盛则促，阴盛则结，此皆病脉。 mài lái huǎn shí yī zhǐ fù lái zhě míng yuē jié mài lái shuò shí yī zhǐ fù lái zhě míng yuē cù mài yáng shèng zé cù yīn shèng zé jié cǐ jiē bìng mài
脉來緩，時而一止又復來的，名叫結；脉來數，時而一止又復來的，名叫促。陽盛就促，陰盛就結，這都是病脉。
A pulse that comes relaxed and now and then stops before returning is called knotted; a pulse that comes rapid and now and then stops before returning is called hurried. Yang excess gives the hurried, yin excess the knotted; both are diseased pulses.
14
陰陽相搏，名曰動。陽動則汗出，陰動則發熱，形冷惡寒者，此三焦傷也。
阴阳相搏，名曰动。阳动则汗出，阴动则发热，形冷恶寒者，此三焦伤也。 yīn yáng xiāng bó míng yuē dòng yáng dòng zé hàn chū yīn dòng zé fā rè xíng lěng wù hán zhě cǐ sān jiāo shāng yě
陰陽相互搏擊，名叫動。陽動就汗出，陰動就發熱；身體發冷怕寒的，這是三焦受傷。
When yin and yang strike against each other it is called a moving pulse. Yang moving gives sweating, yin moving gives fever; if the body is cold and averse to cold, the triple burner is injured.
15
若數脉見于關上，上下無頭尾，如豆大，厥厥動揺者，名曰動也。
若数脉见于关上，上下无头尾，如豆大，厥厥动摇者，名曰动也。 ruò shuò mài jiàn yú guān shàng shàng xià wú tóu wěi rú dòu dà jué jué dòng yáo zhě míng yuē dòng yě
若數脉見于關上，上下没有頭尾，像豆子大，厥厥動摇的，名叫動。
If a rapid pulse appears at the bar, with no head or tail above or below, the size of a bean, stirring and shaking, it is called a moving pulse.
16
若數脉見於關上，上下無頭尾，如豆大，厥厥動揺者，是陰陽之氣相搏也，故名曰動。陽脉浮大而濡，陰脉浮大而濡，陰脉與陽脉同等者，名曰緩也。
若数脉见于关上，上下无头尾，如豆大，厥厥动摇者，是阴阳之气相搏也，故名曰动。阳脉浮大而濡，阴脉浮大而濡，阴脉与阳脉同等者，名曰缓也。 ruò shuò mài jiàn yú guān shàng shàng xià wú tóu wěi rú dòu dà jué jué dòng yáo zhě shì yīn yáng zhī qì xiāng bó yě gù míng yuē dòng yáng mài fú dà ér rú yīn mài fú dà ér rú yīn mài yǔ yáng mài tóng děng zhě míng yuē huǎn yě
若數脉見於關上，上下没有頭尾，像豆子大，厥厥動摇的，是陰陽之氣相搏，所以名叫動。陽脉浮大而濡，陰脉浮大而濡，陰脉與陽脉同等的，名叫緩。
If a rapid pulse appears at the bar, with no head or tail above or below, the size of a bean, stirring and shaking, it is the qi of yin and yang striking each other, and is therefore called moving. When the yang pulse is floating, large and soft, and the yin pulse is floating, large and soft, the yin and yang pulses being equal, it is called relaxed.
17
脉浮而緊者，名曰弦也。弦者，狀如弓弦，按之不移也。脉緊者，如轉索無常也。
脉浮而紧者，名曰弦也。弦者，状如弓弦，按之不移也。脉紧者，如转索无常也。 mài fú ér jǐn zhě míng yuē xián yě xián zhě zhuàng rú gōng xián àn zhī bù yí yě mài jǐn zhě rú zhuǎn suǒ wú cháng yě
脉浮而緊的，名叫弦。弦的樣子像弓弦，按它不移。脉緊的，像轉索那樣没有常定。
A floating, tight pulse is called wiry; the wiry is like a bowstring, unyielding under pressure. A tight pulse is like a twisted rope, without fixed form.
18
脉弦而大，弦則爲減，大則爲芤，減則爲寒，芤則爲虚，寒虚相摶，此名爲革。婦人則半産漏下，男子則亡血失精。
脉弦而大，弦则为减，大则为芤，减则为寒，芤则为虚，寒虚相抟，此名为革。妇人则半产漏下，男子则亡血失精。 mài xián ér dà xián zé wéi jiǎn dà zé wéi kōu jiǎn zé wéi hán kōu zé wéi xū hán xū xiāng tuán cǐ míng wéi gé fù rén zé bàn chǎn lòu xià nán zǐ zé wáng xuè shī jīng
脉弦而大，弦就是減，大就是芤，減就是寒，芤就是虚，寒虚相摶，這名叫革。婦人就會半産漏下，男子就會亡血失精。
A pulse wiry and large: wiry means diminished, large means hollow, diminished means cold, hollow means vacuous; cold and vacuity striking together is called the leather pulse. In women it brings miscarriage and dripping menses, in men the loss of blood and semen.
19
問曰：病有戰而汗出，因得解者，何也？答曰：脉浮而緊，按之反芤，此爲本虚，故當戰而汗出也。其人本虚，是以發戰，以脉浮，故當汗出而解也。
问曰：病有战而汗出，因得解者，何也？答曰：脉浮而紧，按之反芤，此为本虚，故当战而汗出也。其人本虚，是以发战，以脉浮，故当汗出而解也。 wèn yuē bìng yǒu zhàn ér hàn chū yīn dé jiě zhě hé yě dá yuē mài fú ér jǐn àn zhī fǎn kōu cǐ wéi běn xū gù dāng zhàn ér hàn chū yě qí rén běn xū shì yǐ fā zhàn yǐ mài fú gù dāng hàn chū ér jiě yě
問：病有先戰抖而後汗出，因而痊愈的，為什麼？答：脉浮而緊，按下去反而芤，這是本虚，所以會戰抖而汗出。其人本來就虚，因此發戰；因為脉浮，所以會汗出而解。
Asked: “Some patients shiver and then sweat, and thereby recover — why?” The answer: “The pulse is floating and tight, yet hollow on pressure: this is root vacuity, so there is shivering and then sweating. The person was vacuous to begin with, hence the shivering; because the pulse is floating, sweating brings resolution.”
20
若脉浮而數，按之不芤，此人本不虚，若欲自解，但汗出耳，不發戰也。
若脉浮而数，按之不芤，此人本不虚，若欲自解，但汗出耳，不发战也。 ruò mài fú ér shuò àn zhī bù kōu cǐ rén běn bù xū ruò yù zì jiě dàn hàn chū ěr bù fā zhàn yě
若脉浮而數，按下去不芤，這人本來不虚，若要自愈，只是汗出而已，不會發戰。
If the pulse is floating and rapid but not hollow on pressure, the person is not vacuous; if recovery comes of itself, there is only sweating, without shivering.
21
問曰：病有不戰而汗出解者，何也？答曰：脉大而浮數，故知不戰汗出而解也。
问曰：病有不战而汗出解者，何也？答曰：脉大而浮数，故知不战汗出而解也。 wèn yuē bìng yǒu bù zhàn ér hàn chū jiě zhě hé yě dá yuē mài dà ér fú shuò gù zhī bù zhàn hàn chū ér jiě yě
問：病有不戰抖而汗出就解的，為什麼？答：脉大而浮數，所以知道不戰而汗出就解。
Asked: “Some recover by sweating without shivering — why?” The answer: “The pulse is large, floating and rapid; hence one knows there will be no shivering, only sweating, and recovery.”
22
問曰：病有不戰、不汗出而解者，何也？答曰：其脉自微，此以曽經發汗，若吐、若下、若亡血，以内無津液，此陰陽自和，必自愈，故不戰、不汗出而解也。
问曰：病有不战、不汗出而解者，何也？答曰：其脉自微，此以曽经发汗，若吐、若下、若亡血，以内无津液，此阴阳自和，必自愈，故不战、不汗出而解也。 wèn yuē bìng yǒu bù zhàn bù hàn chū ér jiě zhě hé yě dá yuē qí mài zì wēi cǐ yǐ céng jīng fā hàn ruò tù ruò xià ruò wáng xuè yǐ nèi wú jīn yè cǐ yīn yáng zì hé bì zì yù gù bù zhàn bù hàn chū ér jiě yě
問：病有不戰抖、不汗出而自解的，為什麼？答：其脉自然微弱，這是因為曾經發汗，或吐、或下、或亡血，體內没有津液，陰陽自然調和，必定自愈，所以不戰、不汗出而解。
Asked: “Some recover without shivering and without sweating — why?” The answer: “The pulse is of itself faint, because the patient has already been made to sweat, or has vomited, been purged, or lost blood, so that no fluid is left within. Yin and yang then harmonise of themselves and recovery must follow; hence no shivering and no sweating.”
23
問曰：傷寒三日，脉浮數而微，病人身凉和者，何也？答曰：此爲欲解也，解以夜半。脉浮而解者，濈然汗出也；脉數而解者，必能食也；脉微而解者，必大汗出也。
问曰：伤寒三日，脉浮数而微，病人身凉和者，何也？答曰：此为欲解也，解以夜半。脉浮而解者，濈然汗出也；脉数而解者，必能食也；脉微而解者，必大汗出也。 wèn yuē shāng hán sān rì mài fú shuò ér wēi bìng rén shēn liáng hé zhě hé yě dá yuē cǐ wéi yù jiě yě jiě yǐ yè bàn mài fú ér jiě zhě jí rán hàn chū yě mài shuò ér jiě zhě bì néng shí yě mài wēi ér jiě zhě bì dà hàn chū yě
問：傷寒三日，脉浮數而微，病人身體凉而和，為什麼？答：這是要解了，解在夜半。脉浮而解的，會濈然汗出；脉數而解的，一定能食；脉微而解的，一定大汗出。
Asked: “On the third day of cold damage the pulse is floating, rapid and faint, and the patient’s body is cool and settled — why?” The answer: “This is about to resolve, and it will resolve at midnight. Resolving with a floating pulse means a sudden sweat; resolving with a rapid pulse means the appetite will return; resolving with a faint pulse means a great sweat.”
24
問曰：脉病欲知愈未愈者，何以别之？答曰：寸口、關上、尺中三處，大小、浮沉、遲數同等，雖有寒熱不解者，此脉陰陽爲和平，雖劇當愈。
问曰：脉病欲知愈未愈者，何以别之？答曰：寸口、关上、尺中三处，大小、浮沉、迟数同等，虽有寒热不解者，此脉阴阳为和平，虽剧当愈。 wèn yuē mài bìng yù zhī yù wèi yù zhě hé yǐ bié zhī dá yuē cùn kǒu guān shàng chǐ zhōng sān chù dà xiǎo fú chén chí shuò tóng děng suī yǒu hán rè bù jiě zhě cǐ mài yīn yáng wéi hé píng suī jù dāng yù
問：脉病要知道好没好，怎麼分辨？答：寸口、關上、尺中三處，大小、浮沉、遲數都相同，即使還有寒熱未解，這脉的陰陽已和平，病雖重也會好。
Asked: “In pulse illness, how does one tell whether recovery has come?” The answer: “When at cunkou, the bar and the cubit the three positions are equal in large and small, floating and deep, slow and rapid, then even if cold and fever are not yet resolved, the yin and yang of the pulse are at peace, and however severe the illness, it will recover.”
25
立夏得洪大脉，是其本位，其人病身體苦疼重者，須發其汗；若明日身不疼不重者，不須發汗；若汗濈濈自出者，明日便解矣。何以言之？立夏得洪大脉，是其時脉，故使然也。四時倣此。
立夏得洪大脉，是其本位，其人病身体苦疼重者，须发其汗；若明日身不疼不重者，不须发汗；若汗濈濈自出者，明日便解矣。何以言之？立夏得洪大脉，是其时脉，故使然也。四时仿此。 lì xià dé hóng dà mài shì qí běn wèi qí rén bìng shēn tǐ kǔ téng zhòng zhě xū fā qí hàn ruò míng rì shēn bù téng bù zhòng zhě bù xū fā hàn ruò hàn jí jí zì chū zhě míng rì biàn jiě yǐ hé yǐ yán zhī lì xià dé hóng dà mài shì qí shí mài gù shǐ rán yě sì shí fǎng cǐ
立夏得洪大脉，這是它的本位。其人患病，身體苦於疼重的，須要發汗；若次日身不疼不重，就不須發汗；若汗濈濈自出，次日就會解。怎麼說？立夏得洪大脉，是時令之脉，所以如此。四時都照此類推。
At the beginning of summer a flooding, large pulse is proper to the season. If the patient suffers bodily pain and heaviness, sweating must be induced; if the next day there is no pain or heaviness, no sweating is needed; if sweat comes of itself, dribbling, recovery follows the next day. Why so? At the beginning of summer a flooding, large pulse is the pulse of the season, and so it comes about. The four seasons are judged by the same rule.
26
日中得病者，陽受之；夜半得病者，陰受之。陽不和，得陰則和，是解以夜半；陰不和，得陽則和，是解以日中。經曰：用陽和陰，用陰和陽。
日中得病者，阳受之；夜半得病者，阴受之。阳不和，得阴则和，是解以夜半；阴不和，得阳则和，是解以日中。经曰：用阳和阴，用阴和阳。
rì zhōng dé bìng zhě yáng shòu zhī yè bàn dé bìng zhě yīn shòu zhī yáng bù hé dé yīn zé hé shì jiě yǐ yè bàn yīn bù hé dé yáng zé hé shì jiě yǐ rì zhōng jīng yuē yòng yáng hé yīn yòng yīn hé yáng
日中得病的，是陽受邪；夜半得病的，是陰受邪。陽不和，得陰就和，所以在夜半解；陰不和，得陽就和，所以在日中解。經說：用陽和陰，用陰和陽。
Falling ill at midday, one is attacked in the yang; falling ill at midnight, one is attacked in the yin. When yang is disharmonious it is harmonised by yin, so resolution comes at midnight; when yin is disharmonious it is harmonised by yang, so resolution comes at midday. The classic says: “Use yang to harmonise yin, use yin to harmonise yang.”
27
經曰：諸陽浮數爲乘府，諸陰遲濇爲乘藏。
经曰：诸阳浮数为乘府，诸阴迟涩为乘藏。 jīng yuē zhū yáng fú shuò wéi chéng fǔ zhū yīn chí sè wéi chéng zàng
經說：凡是陽脉浮數的，是邪乘於府；凡是陰脉遲濇的，是邪乘於藏。
The classic says: “All yang pulses that are floating and rapid indicate attack on the fu; all yin pulses that are slow and astringent indicate attack on the zang.”
28
寸口脉浮而緊，浮則爲風，緊則爲寒，風則傷衛，寒則傷榮，榮衛俱病，骨節煩疼，當發其汗也。
寸口脉浮而紧，浮则为风，紧则为寒，风则伤卫，寒则伤荣，荣卫俱病，骨节烦疼，当发其汗也。 cùn kǒu mài fú ér jǐn fú zé wéi fēng jǐn zé wéi hán fēng zé shāng wèi hán zé shāng róng róng wèi jù bìng gǔ jié fán téng dāng fā qí hàn yě
寸口脉浮而緊，浮就是風，緊就是寒，風傷衛，寒傷榮，榮衛都病，骨節煩疼，應當發汗。
When the cunkou pulse is floating and tight, floating means wind and tight means cold; wind injures the wei, cold injures the ying; when both are diseased the bones and joints ache restlessly, and sweating should be induced.
29
趺陽脉遲而緩，胃氣如經也。趺陽脉浮而數，浮則傷胃，數則動脾，此非本病，醫特下之所爲也。榮衛内陷，其數先微，脉反但浮，其人必大便鞕，氣噫而除。何以言之？本以數脉動脾，其數先微，故知脾氣不治，大便鞕，氣噫而除。今脉反浮，其數改微，邪氣獨留，心中則飢，邪熱不殺榖，潮熱發渴。數脉當遲緩，脉因前後度數如法，病者則飢，數脉不時，則生惡瘡也。
趺阳脉迟而缓，胃气如经也。趺阳脉浮而数，浮则伤胃，数则动脾，此非本病，医特下之所为也。荣卫内陷，其数先微，脉反但浮，其人必大便鞕，气噫而除。何以言之？本以数脉动脾，其数先微，故知脾气不治，大便鞕，气噫而除。今脉反浮，其数改微，邪气独留，心中则饥，邪热不杀谷，潮热发渴。数脉当迟缓，脉因前后度数如法，病者则饥，数脉不时，则生恶疮也。 fū yáng mài chí ér huǎn wèi qì rú jīng yě fū yáng mài fú ér shuò fú zé shāng wèi shuò zé dòng pí cǐ fēi běn bìng yī tè xià zhī suǒ wéi yě róng wèi nèi xiàn qí shuò xiān wēi mài fǎn dàn fú qí rén bì dà biàn yìng qì yī ér chú hé yǐ yán zhī běn yǐ shuò mài dòng pí qí shuò xiān wēi gù zhī pí qì bù zhì dà biàn yìng qì yī ér chú jīn mài fǎn fú qí shuò gǎi wēi xié qì dú liú xīn zhōng zé jī xié rè bù shā gǔ cháo rè fā kě shuò mài dāng chí huǎn mài yīn qián hòu dù shuò rú fǎ bìng zhě zé jī shuò mài bù shí zé shēng è chuāng yě
趺陽脉遲而緩，是胃氣如常。趺陽脉浮而數，浮就傷胃，數就動脾，這不是本病，是醫生誤下造成的。榮衛内陷，其數先微，脉反而只浮，其人一定大便鞕，噯氣而後舒。怎麼說？本來是數脉動脾，其數先微，所以知道脾氣不治，大便鞕，噯氣而後舒。現在脉反浮，其數改微，邪氣獨留，心中就飢，邪熱不能消化穀物，潮熱發渴。數脉應當轉為遲緩，脉前後度數如法，病人就會飢；數脉不按時而退，就會生惡瘡。
When the fuyang pulse is slow and relaxed, the stomach qi is as usual. When it is floating and rapid, floating injures the stomach and rapid stirs the spleen; this is not the original disease but the work of a physician who purged wrongly. Ying and wei sink inward, the rapid quality fades first, the pulse becomes merely floating, and the patient must have a hard stool and belching that relieves him. Why? Originally the rapid pulse stirred the spleen; the rapid fades first, so one knows the spleen qi is unregulated, the stool hard, and belching relieves. Now the pulse is floating instead and the rapid has changed to faint; the evil qi remains alone, there is hunger in the chest, the evil heat fails to digest grain, and there is tidal fever with thirst. The rapid pulse should turn slow and relaxed; if the pulse’s measures before and after follow the rule, the patient will be hungry; if the rapid pulse does not keep time, evil sores will form.
30
師曰：病人脉微而濇者，此爲醫所病也。大發其汗，又數大下之，其人亡血。病當惡寒，後乃發熱，無休止時。夏月盛熱，欲著複衣，冬月盛寒，欲裸其身。所以然者，陽微則惡寒，陰弱則發熱。此醫發其汗，令陽氣微，又大下之，令陰氣弱。五月之時，陽氣在表，胃中虚冷，以陽氣内微，不能勝冷，故欲著複衣。十一月之時，陽氣在裏，胃中煩熱，以陰氣内弱，不能勝熱，故欲祼其身。又陰脉遲濇，故知血亡也。
师曰：病人脉微而涩者，此为医所病也。大发其汗，又数大下之，其人亡血。病当恶寒，后乃发热，无休止时。夏月盛热，欲著复衣，冬月盛寒，欲裸其身。所以然者，阳微则恶寒，阴弱则发热。此医发其汗，令阳气微，又大下之，令阴气弱。五月之时，阳气在表，胃中虚冷，以阳气内微，不能胜冷，故欲著复衣。十一月之时，阳气在里，胃中烦热，以阴气内弱，不能胜热，故欲祼其身。又阴脉迟涩，故知血亡也。 shī yuē bìng rén mài wēi ér sè zhě cǐ wéi yī suǒ bìng yě dà fā qí hàn yòu shuò dà xià zhī qí rén wáng xuè bìng dāng wù hán hòu nǎi fā rè wú xiū zhǐ shí xià yuè shèng rè yù zhuó fù yī dōng yuè shèng hán yù luǒ qí shēn suǒ yǐ rán zhě yáng wēi zé wù hán yīn ruò zé fā rè cǐ yī fā qí hàn lìng yáng qì wēi yòu dà xià zhī lìng yīn qì ruò wǔ yuè zhī shí yáng qì zài biǎo wèi zhōng xū lěng yǐ yáng qì nèi wēi bù néng shèng lěng gù yù zhuó fù yī shí yī yuè zhī shí yáng qì zài lǐ wèi zhōng fán rè yǐ yīn qì nèi ruò bù néng shèng rè gù yù luǒ qí shēn yòu yīn mài chí sè gù zhī xuè wáng yě
師說：病人脉微而濇，這是被醫生治壞的。大發其汗，又屢次大下，其人亡血。病當怕冷，後來發熱，没有休止。夏天大熱，想穿厚衣；冬天大寒，想裸身體。所以這樣，是陽微就怕冷，陰弱就發熱。這是醫生發其汗，使陽氣微；又大下，使陰氣弱。五月之時，陽氣在表，胃中虚冷，因陽氣内微，不能勝冷，所以想穿厚衣。十一月之時，陽氣在裏，胃中煩熱，因陰氣内弱，不能勝熱，所以想裸身體。又陰脉遲濇，所以知道血已亡失。
The master said: “When a patient’s pulse is faint and astringent, he has been harmed by the physician. Sweating him greatly and purging him repeatedly, the man loses blood. The illness should bring aversion to cold and afterwards fever, without cease.” In summer’s great heat he wants thick garments; in winter’s great cold he wants to go bare. The reason is that faint yang means aversion to cold and weak yin means fever. The physician sweated him and made the yang qi faint, then purged him greatly and made the yin qi weak. In the fifth month the yang qi is in the exterior and the stomach is cold within; because the yang qi is faint inside it cannot master the cold, so he wants thick garments. In the eleventh month the yang qi is in the interior and the stomach is hot and restless; because the yin qi is weak inside it cannot master the heat, so he wants to go bare. Moreover the yin pulse is slow and astringent, so one knows the blood is lost.
31
脉浮而大，心下反鞕，有熱屬藏者，攻之，不令發汗。
脉浮而大，心下反鞕，有热属藏者，攻之，不令发汗。 mài fú ér dà xīn xià fǎn yìng yǒu rè shǔ zàng zhě gōng zhī bù lìng fā hàn
脉浮而大，心下反而鞕，有熱屬於藏的就攻下，不要發汗。
When the pulse is floating and large yet the epigastrium is hard, and there is heat belonging to the zang, attack it downward and do not induce sweating.
32
屬府者，不令溲數，溲數則大便鞕，汗多則熱愈，汗少則便難。脉遲尚未可攻。
属府者，不令溲数，溲数则大便鞕，汗多则热愈，汗少则便难。脉迟尚未可攻。 shǔ fǔ zhě bù lìng sōu shuò sōu shuò zé dà biàn yìng hàn duō zé rè yù hàn shǎo zé biàn nán mài chí shàng wèi kě gōng
屬於府的，不要使小便頻數，小便頻數大便就鞕；汗多熱就退，汗少大便就難。脉遲的還不可以攻。
If it belongs to the fu, do not make the urine frequent, for frequent urine hardens the stool; much sweat resolves the fever, little sweat makes the stool difficult. If the pulse is slow, it may not yet be attacked.
33
脉浮而洪，身汗如油，喘而不休，水漿不下，體形不仁，乍靜乍亂，此爲命絶也。
脉浮而洪，身汗如油，喘而不休，水浆不下，体形不仁，乍静乍乱，此为命绝也。 mài fú ér hóng shēn hàn rú yóu chuǎn ér bù xiū shuǐ jiāng bù xià tǐ xíng bù rén zhà jìng zhà luàn cǐ wéi mìng jué yě
脉浮而洪，身上汗出如油，喘息不止，水漿不下，形體不知痛癢，時而安靜時而煩亂，這是命絕。
A floating, flooding pulse, sweat like oil on the body, unceasing panting, inability to take water or gruel, the body without feeling, now quiet and now disordered — this is the extinction of life.
34
又未知何藏先受其災，若汗出髮潤，喘不休者，此爲肺先絶也。
又未知何藏先受其灾，若汗出发润，喘不休者，此为肺先绝也。 yòu wèi zhī hé zàng xiān shòu qí zāi ruò hàn chū fà rùn chuǎn bù xiū zhě cǐ wéi fèi xiān jué yě
又不知哪一藏先受災：若汗出而頭髮濕潤，喘息不止的，這是肺先絕。
One does not yet know which zang suffers first: if sweat comes out and the hair is moist, with unceasing panting, the lung is the first to fail.
35
陽反獨留，形體如煙熏，直視揺頭，此心絶也。
阳反独留，形体如烟熏，直视摇头，此心绝也。
yáng fǎn dú liú xíng tǐ rú yān xūn zhí shì yáo tóu cǐ xīn jué yě
陽氣反而獨留，形體像煙熏過一樣，兩眼直視，頭摇動，這是心絕。
The yang alone remains, the body looks smoke-blackened, the eyes stare straight and the head shakes — this is the failure of the heart.
36
脣吻反青，四肢漐習者，此爲肝絶也。
唇吻反青，四肢漐习者，此为肝绝也。
chún wěn fǎn qīng sì zhī zhí xí zhě cǐ wéi gān jué yě
口唇反而發青，四肢漐習抽動的，這是肝絕。
When the lips turn blue-green and the limbs twitch, this is the failure of the liver.
37
環口黧黑，柔汗發黄者，此爲脾絶也。
环口黧黑，柔汗发黄者，此为脾绝也。
huán kǒu lí hēi róu hàn fā huáng zhě cǐ wéi pí jué yě
環口黧黑，冷汗而發黄的，這是脾絕。
When the mouth’s surround is dark and dry-looking, and soft sweat stains yellow, this is the failure of the spleen.
38
溲便遺失，狂言，目反直視者，此爲腎絶也。
溲便遗失，狂言，目反直视者，此为肾绝也。
sōu biàn yí shī kuáng yán mù fǎn zhí shì zhě cǐ wéi shèn jué yě
大小便失禁，狂言，兩眼反視直視的，這是腎絕。
When urine and stool pass involuntarily, with wild speech and eyes turned up and staring, this is the failure of the kidney.
39
又未知何藏陰陽前絶。若陽氣前絶，陰氣後竭者，其人死，身色必青；陰氣前絶，陽氣後竭者，其人死，身色必赤，腋下温，心下熱也。
又未知何藏阴阳前绝。若阳气前绝，阴气后竭者，其人死，身色必青；阴气前绝，阳气后竭者，其人死，身色必赤，腋下温，心下热也。
yòu wèi zhī hé zàng yīn yáng qián jué ruò yáng qì qián jué yīn qì hòu jié zhě qí rén sǐ shēn sè bì qīng yīn qì qián jué yáng qì hòu jié zhě qí rén sǐ shēn sè bì chì yè xià wēn xīn xià rè yě
又不知哪一藏陰陽先絕：若陽氣先絕、陰氣後竭，其人死後身色必青；若陰氣先絕、陽氣後竭，其人死後身色必赤，腋下温，心下熱。
One does not yet know whether yin or yang fails first. If the yang qi fails first and the yin qi drains after, the body after death must be blue-green; if the yin qi fails first and the yang qi drains after, the body after death must be red, the armpits warm and the epigastrium hot.
40
寸口脉浮大，而醫反下之，此爲大逆。浮則無血，大則爲寒，寒氣相摶，則爲腸鳴。醫乃不知，而反飲冷水，令汗大出，水得寒氣，冷必相搏，其人即䭇。
寸口脉浮大，而医反下之，此为大逆。浮则无血，大则为寒，寒气相抟，则为肠鸣。医乃不知，而反饮冷水，令汗大出，水得寒气，冷必相搏，其人即䭇。 cùn kǒu mài fú dà ér yī fǎn xià zhī cǐ wéi dà nì fú zé wú xuè dà zé wéi hán hán qì xiāng tuán zé wéi cháng míng yī nǎi bù zhī ér fǎn yìn lěng shuǐ lìng hàn dà chū shuǐ dé hán qì lěng bì xiāng bó qí rén jí yē
寸口脉浮大，醫生反而下之，這是大逆。浮就是無血，大就是寒，寒氣相摶，就會腸鳴。醫生不知，反而給飲冷水，使汗大出，水遇寒氣，冷必相搏，其人就會䭇。
When the cunkou pulse is floating and large and the physician nonetheless purges, this is a gross error. Floating means no blood, large means cold; cold qi striking together gives borborygmus. The physician, not knowing, gives cold water to drink and makes him sweat greatly; water meets the cold qi, the colds must strike together, and the man is seized with choking.
41
趺陽脉浮，浮則爲虚，浮虚相搏，故令氣䭇，言胃氣虚竭也。脉滑則爲噦，此爲醫咎，責虚取實，守空迫血。脉浮，鼻中燥者，必衄也。
趺阳脉浮，浮则为虚，浮虚相搏，故令气䭇，言胃气虚竭也。脉滑则为哕，此为医咎，责虚取实，守空迫血。脉浮，鼻中燥者，必衄也。 fū yáng mài fú fú zé wéi xū fú xū xiāng bó gù lìng qì yē yán wèi qì xū jié yě mài huá zé wéi yuě cǐ wéi yī jiù zé xū qǔ shí shǒu kōng pò xuè mài fú bí zhōng zào zhě bì nǜ yě
趺陽脉浮，浮就是虚，浮虚相搏，所以使氣䭇，是說胃氣虚竭。脉滑就會噦，這是醫生的過錯，責虚取實，守着空而迫血。脉浮而鼻中乾燥的，一定衄血。
When the fuyang pulse is floating, floating means vacuity; floating and vacuity striking together produce choking of qi, which is to say the stomach qi is vacuous and exhausted. A slippery pulse means hiccough; this is the physician’s fault, exacting from vacuity and taking from excess, guarding emptiness and driving the blood. If the pulse is floating and the nose dry, there will certainly be nosebleed.
42
諸脉浮數，當發熱而灑淅惡寒，若有痛處，飲食如常者，畜積有膿也。
诸脉浮数，当发热而洒淅恶寒，若有痛处，饮食如常者，畜积有脓也。 zhū mài fú shuò dāng fā rè ér sǎ xī wù hán ruò yǒu tòng chù yǐn shí rú cháng zhě xù jī yǒu nóng yě
凡是脉浮數，應當發熱而灑淅惡寒；若有痛處，而飲食如常的，是畜積有膿。
Whenever the pulse is floating and rapid there should be fever with sprinkling shivering aversion to cold; if there is a painful spot while eating and drinking remain normal, pus has accumulated.
43
脉浮而遲，面熱赤而戰愓者，六七日當汗出而解，反發熱者差遲，遲爲無陽，不能作汗，其身必痒也。
脉浮而迟，面热赤而战愓者，六七日当汗出而解，反发热者差迟，迟为无阳，不能作汗，其身必痒也。 mài fú ér chí miàn rè chì ér zhàn tì zhě liù qī rì dāng hàn chū ér jiě fǎn fā rè zhě chài chí chí wéi wú yáng bù néng zuò hàn qí shēn bì yǎng yě
脉浮而遲，面熱赤而戰愓的，六七日應當汗出而解；反而發熱的，痊愈會遲，因為脉遲是無陽，不能作汗，其身必痒。
With a floating, slow pulse, a flushed hot face and shivering, sweating and resolution should come on the sixth or seventh day; if fever instead persists, recovery is delayed, for slowness means no yang and no sweat can form, and the body will itch.
44
寸口脉陰陽俱緊者，法當清邪中於上焦，濁邪中於下焦。清邪中上，名曰㓗也；濁邪中下，名曰渾也。陰中於邪，必内慄也。表氣微虚，裏氣不守，故使邪中於陰也。陽中於邪，必發熱，頭痛，項強，頸攣，腰痛，脛酸，所爲陽中霧露之氣，故曰清邪中上，濁邪中下。陰氣爲慄，足膝逆冷，便溺妄出，表氣微虚，裏氣微急，三焦相溷，内外不通，上焦怫鬱，藏氣相熏，口爛食齗也。中焦不治，胃氣上衝，脾氣不轉，胃中爲濁，榮衛不通，血凝不流。若衛氣前通者，小便赤黄，與熱相搏，因熱作使，遊於經絡，出入藏府，熱氣所過，則爲癰膿。若陰氣前通者，陽氣厥微，陰無所使，客氣内入，嚏而出之，聲嗢咽塞，寒厥相逐，爲熱所擁，血凝自下，狀如豚肝，陰陽俱厥，脾氣孤弱，五液注下，下焦不闔，清便下重，令便數難，臍築湫痛，命將難全。
寸口脉阴阳俱紧者，法当清邪中于上焦，浊邪中于下焦。清邪中上，名曰洁也；浊邪中下，名曰浑也。阴中于邪，必内栗也。表气微虚，里气不守，故使邪中于阴也。阳中于邪，必发热，头痛，项强，颈挛，腰痛，胫酸，所为阳中雾露之气，故曰清邪中上，浊邪中下。阴气为栗，足膝逆冷，便溺妄出，表气微虚，里气微急，三焦相溷，内外不通，上焦怫郁，藏气相熏，口烂食龂也。中焦不治，胃气上冲，脾气不转，胃中为浊，荣卫不通，血凝不流。若卫气前通者，小便赤黄，与热相搏，因热作使，游于经络，出入藏府，热气所过，则为痈脓。若阴气前通者，阳气厥微，阴无所使，客气内入，嚏而出之，声嗢咽塞，寒厥相逐，为热所拥，血凝自下，状如豚肝，阴阳俱厥，脾气孤弱，五液注下，下焦不阖，清便下重，令便数难，脐筑湫痛，命将难全。 cùn kǒu mài yīn yáng jù jǐn zhě fǎ dāng qīng xié zhòng yú shàng jiāo zhuó xié zhòng yú xià jiāo qīng xié zhòng shàng míng yuē jié yě zhuó xié zhòng xià míng yuē hún yě yīn zhòng yú xié bì nèi lì yě biǎo qì wēi xū lǐ qì bù shǒu gù shǐ xié zhòng yú yīn yě yáng zhòng yú xié bì fā rè tóu tòng xiàng qiáng jǐng luán yāo tòng jìng suān suǒ wéi yáng zhòng wù lù zhī qì gù yuē qīng xié zhòng shàng zhuó xié zhòng xià yīn qì wéi lì zú xī nì lěng biàn niào wàng chū biǎo qì wēi xū lǐ qì wēi jí sān jiāo xiāng hùn nèi wài bù tōng shàng jiāo fú yù zàng qì xiāng xūn kǒu làn shí yín yě zhōng jiāo bù zhì wèi qì shàng chōng pí qì bù zhuǎn wèi zhōng wéi zhuó róng wèi bù tōng xuè níng bù liú ruò wèi qì qián tōng zhě xiǎo biàn chì huáng yǔ rè xiāng bó yīn rè zuò shǐ yóu yú jīng luò chū rù zàng fǔ rè qì suǒ guò zé wéi yōng nóng ruò yīn qì qián tōng zhě yáng qì jué wēi yīn wú suǒ shǐ kè qì nèi rù tì ér chū zhī shēng wà yān sè hán jué xiāng zhú wéi rè suǒ yōng xuè níng zì xià zhuàng rú tún gān yīn yáng jù jué pí qì gū ruò wǔ yè zhù xià xià jiāo bù hé qīng biàn xià zhòng lìng biàn shuò nán qí zhù jiǎo tòng mìng jiāng nán quán
寸口脉陰陽俱緊，按理是清邪中於上焦，濁邪中於下焦。清邪中上，名叫㓗；濁邪中下，名叫渾。陰分受邪，一定内慄；表氣微虚，裏氣不守，所以使邪中於陰。陽分受邪，一定發熱、頭痛、項強、頸攣、腰痛、脛酸，這是陽分中了霧露之氣，所以說清邪中上、濁邪中下。陰氣為慄，足膝逆冷，大小便妄出；表氣微虚，裏氣微急，三焦相溷，内外不通，上焦怫鬱，藏氣相熏，口爛而齦傷。中焦不治，胃氣上衝，脾氣不轉，胃中為濁，榮衛不通，血凝不流。若衛氣先通的，小便赤黄，與熱相搏，因熱作使，遊於經絡，出入藏府，熱氣所過，就成為癰膿。若陰氣先通的，陽氣厥微，陰無所使，客氣内入，打嚏而出，聲音嗢塞，咽中不利；寒厥相逐，為熱所擁，血凝而自下，狀如豚肝；陰陽俱厥，脾氣孤弱，五液注下，下焦不闔，清便下重，使人便數而難，臍周築痛，命將難全。
When the cunkou pulse is tight in both yin and yang, the rule is that clear evils strike the upper burner and turbid evils the lower burner. Clear evils striking above are called purity; turbid evils striking below are called turbidity. When yin is struck by evil there must be inner trembling; the exterior qi is slightly vacuous and the interior qi does not guard, so the evil is let into the yin. When yang is struck by evil there must be fever, headache, stiff neck, cramped nape, low back pain and sore shins; this is yang struck by mist and dew, hence the saying that clear evils strike above and turbid evils below. Yin qi makes one tremble; the feet and knees are cold against the flow, urine and stool pass at random; the exterior qi is slightly vacuous, the interior qi slightly tense, the three burners are muddled, inside and outside do not communicate, the upper burner is blocked, the zang qi is smoked, the mouth rots and the gums are eaten. When the middle burner is ungoverned, stomach qi rushes up, spleen qi does not turn, the stomach becomes turbid, ying and wei do not communicate, and blood congeals and does not flow. If the wei qi is the first to pass through, the urine is red-yellow; striking with heat and employed by heat, it roams the channels and network, entering and leaving the zang and fu, and wherever the heat qi passes, abscesses and pus form. If the yin qi is the first to pass through, the yang qi is reversely faint and yin has nothing to employ; guest qi enters within, sneezing expels it, the voice is choked and the throat blocked; cold and reversal pursue each other and are embraced by heat, blood congeals and descends of itself like pig’s liver; yin and yang both reverse, spleen qi is orphaned and weak, the five fluids pour down, the lower burner does not close, the clear stool drops heavily, making the stool frequent and difficult, and pressing pain knots about the navel — life will be hard to keep whole.
45
脉陰陽俱緊者，口中氣出，脣口乾燥，踡卧足冷，鼻中涕出，舌上胎滑，勿妄治也。到七日已來，其人微發熱，手足温者，此爲欲解。或到八日已上，反大發熱者，此爲難治。設使惡寒者，必欲嘔也。腹内痛者，必欲利也。
脉阴阳俱紧者，口中气出，唇口干燥，踡卧足冷，鼻中涕出，舌上胎滑，勿妄治也。到七日已来，其人微发热，手足温者，此为欲解。或到八日已上，反大发热者，此为难治。设使恶寒者，必欲呕也。腹内痛者，必欲利也。 mài yīn yáng jù jǐn zhě kǒu zhōng qì chū chún kǒu gān zào quán wò zú lěng bí zhōng tì chū shé shàng tāi huá wù wàng zhì yě dào qī rì yǐ lái qí rén wēi fā rè shǒu zú wēn zhě cǐ wéi yù jiě huò dào bā rì yǐ shàng fǎn dà fā rè zhě cǐ wéi nán zhì shè shǐ wù hán zhě bì yù ǒu yě fù nèi tòng zhě bì yù lì yě
脉陰陽俱緊，口中氣出，唇口乾燥，踡卧足冷，鼻中流涕，舌上苔滑，不要妄治。到七日左右，其人微發熱、手足温的，這是要解。或到八日以上，反而大發熱的，這就難治。假如怕冷的，一定想嘔；腹内痛的，一定想瀉。
When both yin and yang pulses are tight, with breath issuing from the mouth, dry lips, curled-up lying with cold feet, a dripping nose and a slippery coating on the tongue, do not treat rashly. By about the seventh day, if there is slight fever and the hands and feet are warm, it is about to resolve. If by the eighth day or later there is instead great fever, it is hard to treat. If there is aversion to cold, there will be vomiting; if there is abdominal pain, there will be diarrhoea.
46
脉陰陽俱緊，至於吐利，其脉獨不解，緊去入安，此爲欲解。若脉遲至六七日，不欲食，此爲晚發，水停故也，爲未解。食自可者，爲欲解。
脉阴阳俱紧，至于吐利，其脉独不解，紧去入安，此为欲解。若脉迟至六七日，不欲食，此为晚发，水停故也，为未解。食自可者，为欲解。 mài yīn yáng jù jǐn zhì yú tù lì qí mài dú bù jiě jǐn qù rù ān cǐ wéi yù jiě ruò mài chí zhì liù qī rì bù yù shí cǐ wéi wǎn fā shuǐ tíng gù yě wéi wèi jiě shí zì kě zhě wéi yù jiě
脉陰陽俱緊，到了吐利之後，其脉獨不解，緊去就安，這是要解。若脉遲到六七日，不想吃，這是晚發，因為水停，還没有解。飲食自能如常的，是要解。
When both pulses are tight and, after vomiting and diarrhoea, the pulse alone does not resolve, the departure of tightness brings ease: this is about to resolve. If the pulse is slow up to the sixth or seventh day with no appetite, this is a late onset caused by water retained, and it is not yet resolved. When eating returns of itself, it is about to resolve.
47
病六七日，手足三部脉皆至，大煩而口噤不能言，其人躁擾者，必欲解也。
病六七日，手足三部脉皆至，大烦而口噤不能言，其人躁扰者，必欲解也。 bìng liù qī rì shǒu zú sān bù mài jiē zhì dà fán ér kǒu jìn bù néng yán qí rén zào rǎo zhě bì yù jiě yě
病六七日，手足三部脉都至，大煩而口噤不能言，其人躁擾的，一定是要解。
On the sixth or seventh day of illness, when the pulses of the three positions in hand and foot all arrive, with great restlessness, locked jaw and inability to speak, and the patient is agitated, resolution must be at hand.
48
若脉和，其人大煩，目重，臉内際黃者，此爲欲解也。
若脉和，其人大烦，目重，脸内际黄者，此为欲解也。 ruò mài hé qí rén dà fán mù zhòng liǎn nèi jì huáng zhě cǐ wéi yù jiě yě
若脉和，其人雖大煩，眼胞重，臉内際發黄的，這是要解。
If the pulse is harmonious, then even with great restlessness, heaviness of the eyelids and yellow at the inner margin of the face, it is about to resolve.
49
脉浮而數，浮爲風，數爲虚，風爲熱，虚爲寒，風虚相搏，則灑淅惡寒也。
脉浮而数，浮为风，数为虚，风为热，虚为寒，风虚相搏，则洒淅恶寒也。 mài fú ér shuò fú wéi fēng shuò wéi xū fēng wéi rè xū wéi hán fēng xū xiāng bó zé sǎ xī wù hán yě
脉浮而數，浮就是風，數就是虚，風就是熱，虚就是寒，風虚相搏，就會灑淅惡寒。
A floating, rapid pulse: floating means wind, rapid means vacuity; wind means heat, vacuity means cold; wind and vacuity striking together produce sprinkling shivering aversion to cold.
mài fú ér huá fú wéi yáng huá wéi shí yáng shí xiāng bó qí mài shuò jí wèi qì shī dù fú huá zhī mài shuò jí fā rè hàn chū zhě cǐ wéi bù zhì
脉浮而滑，浮是陽，滑是實，陽實相搏，其脉數而疾，衛氣失去常度。浮滑之脉數疾，發熱汗出的，這是不治。
A floating, slippery pulse: floating is yang, slippery is excess; yang and excess striking together make the pulse rapid and swift, and the wei qi loses its measure. A floating, slippery pulse that is rapid and swift, with fever and sweating, is untreatable.
51
傷寒欬逆上氣，其脉散者死，謂其形損故也。
伤寒欬逆上气，其脉散者死，谓其形损故也。 shāng hán ké nì shàng qì qí mài sàn zhě sǐ wèi qí xíng sǔn gù yě
傷寒欬逆上氣，其脉散的會死，是說形體已損。
In cold damage with coughing, counterflow and rising qi, a scattering pulse means death, for the form is damaged.