1
問曰：脉有三部，陰陽相乘，榮衛血氣，在人體躬，呼吸出入，上下於中，因息遊布，津液流通，隨時動作，效象形容。春弦秋浮，冬沉夏洪。察色觀脉，大小不同。一時之間，變無經常。尺寸參差，或短或長。上下乖錯，或存或亡。病輒改易，進退低昂。心迷意惑，動失紀綱。願爲具陳，令得分明。師曰：子之所問，道之根源。脉有三部，尺寸及關。寸爲上部，關爲中部，尺爲下部。榮衛流行，不失衡銓。
问曰：脉有三部，阴阳相乘，荣卫血气，在人体躬，呼吸出入，上下于中，因息游布，津液流通，随时动作，效象形容。春弦秋浮，冬沉夏洪。察色观脉，大小不同。一时之间，变无经常。尺寸参差，或短或长。上下乖错，或存或亡。病辄改易，进退低昂。心迷意惑，动失纪纲。愿为具陈，令得分明。师曰：子之所问，道之根源。脉有三部，尺寸及关。寸为上部，关为中部，尺为下部。荣卫流行，不失衡铨。 wèn yuē mài yǒu sān bù yīn yáng xiāng chéng róng wèi xuè qì zài rén tǐ gōng hū xī chū rù shàng xià yú zhōng yīn xī yóu bù jīn yè liú tōng suí shí dòng zuò xiào xiàng xíng róng chūn xián qiū fú dōng chén xià hóng chá sè guān mài dà xiǎo bù tóng yī shí zhī jiān biàn wú jīng cháng chǐ cùn cēn cī huò duǎn huò cháng shàng xià guāi cuò huò cún huò wáng bìng zhé gǎi yì jìn tuì dī áng xīn mí yì huò dòng shī jì gāng yuàn wéi jù chén lìng dé fēn míng shī yuē zǐ zhī suǒ wèn dào zhī gēn yuán mài yǒu sān bù chǐ cùn jí guān cùn wéi shàng bù guān wéi zhōng bù chǐ wéi xià bù róng wèi liú xíng bù shī héng quán
問：脉有三部，陰陽相互乘襲，營衛血氣在人身之中，呼吸出入，上下往來，隨呼吸而布散，津液因而流通，随四時而動作，皆以脉象摹狀其形。所以春脉弦、秋脉浮、冬脉沉、夏脉洪。看氣色、診脉象，大小各有不同。一息之間，變化已無常度；尺寸參差不齊，或短或長；上下乖違錯亂，有時出現、有時隱沒。病隨脉而改易，脉之進退高低不定。我心中迷惑，動輒失其綱紀，願您詳盡陳説，使我聽得明白。師説：你所問的，正是醫道的根源。脉有三部，就是尺、寸與關：寸是上部，關是中部，尺是下部。營衛流行其間，不失衡量之準。
Asked: “The pulse has three parts; yin and yang encroach on one another; the ying and wei, the blood and the qi, are within the body. Breath goes out and in, rises and descends within it; by the breath they are spread abroad and the fluids flow freely. They move with the seasons, and their form is imaged in the pulse: in spring it is wiry, in autumn floating, in winter deep, in summer flooding. Looking at the complexion and feeling the pulse, the sizes differ. Within a single breath the changes have no constant measure; the inch and the cubit are uneven, now short, now long; above and below go contrary, now present, now gone. The illness shifts with them, and the pulse rises and falls. My mind is confused and I lose the guiding rules — I beg you to set it all out plainly.” The Master said: “What you ask is the very root of the healing art. The pulse has three parts: the cubit, the inch and the gate. The inch is the upper part, the gate the middle, the cubit the lower. The ying and wei move through them without losing their balance.”
2
腎沉心洪，肺浮肝弦。此自經常，不失銖分。
肾沉心洪，肺浮肝弦。此自经常，不失铢分。 shèn chén xīn hóng fèi fú gān xián cǐ zì jīng cháng bù shī zhū fēn
腎脉沉，心脉洪，肺脉浮，肝脉弦。這是四藏各自的常度，不差一銖一分。
The kidney pulse is deep, the heart pulse flooding, the lung pulse floating, the liver pulse wiry. These are their own constant measures, not off by a grain’s weight.
3
出入升降，漏刻周旋。水下二刻，一周循環。
出入升降，漏刻周旋。水下二刻，一周循环。
chū rù shēng jiàng lòu kè zhōu xuán shuǐ xià èr kè yī zhōu xún huán
脉氣一出一入、一升一降，像漏刻的水一樣旋轉不停。水下二刻，脉行一周，循環不已。
The qi of the pulse goes out and in, rises and descends, turning like the water of the clepsydra. When the clepsydra has run two marks, the pulse has made one circuit, and so it goes round without end.
4
當復寸口，虚實見焉。
当复寸口，虚实见焉。
dāng fù cùn kǒu xū shí xiàn yān
脉行一周，仍當回復到寸口，虚實便在這裏顯現。
When the circuit comes round again to the inch mouth, vacuity and repletion appear there.
5
變化相乘，陰陽相干。風則浮虚，寒則牢堅，沉潜水畜，支飲急弦，動則爲痛，數則熱煩。
变化相乘，阴阳相干。风则浮虚，寒则牢坚，沉潜水畜，支饮急弦，动则为痛，数则热烦。 biàn huà xiāng chéng yīn yáng xiāng gān fēng zé fú xū hán zé láo jiān chén qián shuǐ xù zhī yǐn jí xián dòng zé wéi tòng shuò zé rè fán
脉象變化而相互乘襲，是陰陽彼此干犯。傷風則脉浮虚，傷寒則脉牢堅；水氣蓄積於内的，脉沉潜；支飲散於胸膈的，脉急弦；脉動則作痛，脉數則發熱煩躁。
When the pulse changes and one phase encroaches on another, yin and yang offend each other. With wind the pulse is floating and vacuous; with cold it is firm and hard. Where water is stored within, the pulse is deep and hidden; where there is propulsive rheum, it is tense and wiry. A moving pulse gives pain; a rapid pulse gives fever and restlessness.
6
設有不應，知變所緣。三部不同，病各異端。
设有不应，知变所缘。三部不同，病各异端。
shè yǒu bù yìng zhī biàn suǒ yuán sān bù bù tóng bìng gè yì duān
脉與病不相應的，要知這是傳變所致。三部各有所主，病也就各見一端。
When the pulse does not answer the illness, know that transmission has brought it about. The three parts each have their own domain, and so each illness shows a different face.
7
太過可怪，不及亦然。邪不空見，中必有奸。審察表裏，三焦别焉。知其所舍，消息診㸔，料度府藏，獨見若神，爲子條記，傳與賢人。
太过可怪，不及亦然。邪不空见，中必有奸。审察表里，三焦别焉。知其所舍，消息诊㸔，料度府藏，独见若神，为子条记，传与贤人。
tài guò kě guài bù jí yì rán xié bù kōng jiàn zhōng bì yǒu jiān shěn chá biǎo lǐ sān jiāo bié yān zhī qí suǒ shè xiāo xī zhěn kàn liào duó fǔ zàng dú jiàn ruò shén wèi zǐ tiáo jì chuán yǔ xián rén
脉太過的可怪，不及的也一樣。邪氣不會空自出現，其中必有奸由。審察在表在裏，三焦便可分别；知道邪氣所留之處，再斟酌診視，揣度府藏，所見便能如神。我爲你逐條記下，傳給賢明的人。
Excess is strange, and so is deficiency. Evil never appears for nothing; there must be some mischief within. Examine whether it is in the exterior or the interior, and the three burners are told apart; know where it has settled, then weigh and observe, measure the organs, and your seeing will be as of a spirit. I record it for you in order, to pass on to worthy men.
8
師曰：呼吸者，脉之頭也。
师曰：呼吸者，脉之头也。 shī yuē hū xī zhě mài zhī tóu yě
師説：呼吸，是脉的頭緒。
The Master said: “Breath is the beginning of the pulse.”
9
初持脉，來疾去遲，此出疾入遲，名曰内虚外實也。初持脉，來遲去疾，此出遲入疾，名曰内實外虚也。
初持脉，来疾去迟，此出疾入迟，名曰内虚外实也。初持脉，来迟去疾，此出迟入疾，名曰内实外虚也。 chū chí mài lái jí qù chí cǐ chū jí rù chí míng yuē nèi xū wài shí yě chū chí mài lái chí qù jí cǐ chū chí rù jí míng yuē nèi shí wài xū yě
初按脉時，來得快、去得慢，這是出疾入遲，名叫内虚外實。初按脉時，來得慢、去得快，這是出遲入疾，名叫内實外虚。
When first feeling the pulse, if it comes quickly and leaves slowly, this is quick coming out and slow going in, named inner vacuity and outer repletion. If it comes slowly and leaves quickly, this is slow coming out and quick going in, named inner repletion and outer vacuity.
10
問曰：上工望而知之，中工問而知之，下工脉而知之，願聞其説。師曰：病家人請云，病人若發熱，身體疼，病人自卧。師到，診其脉沉而遲者，知其差也。何以知之？表有病者，脉當浮大，今脉反沉遲，故知愈也。
问曰：上工望而知之，中工问而知之，下工脉而知之，愿闻其说。师曰：病家人请云，病人若发热，身体疼，病人自卧。师到，诊其脉沉而迟者，知其差也。何以知之？表有病者，脉当浮大，今脉反沉迟，故知愈也。 wèn yuē shàng gōng wàng ér zhī zhī zhōng gōng wèn ér zhī zhī xià gōng mài ér zhī zhī yuàn wén qí shuō shī yuē bìng jiā rén qǐng yún bìng rén ruò fā rè shēn tǐ téng bìng rén zì wò shī dào zhěn qí mài chén ér chí zhě zhī qí chài yě hé yǐ zhī zhī biǎo yǒu bìng zhě mài dāng fú dà jīn mài fǎn chén chí gù zhī yù yě
問：上工望色便知，中工問病便知，下工切脉才知，願聽其中的道理。師説：病家來請，説病人發熱、身體疼痛，可是病人自己安卧。醫者到了，診得脉沉而遲，就知道病將愈。怎麽知道？表有病，脉應當浮大，如今脉反沉遲，所以知道將愈。
Asked: “The best physician knows by looking, the middling by asking, the lesser by feeling the pulse; I would hear the reason.” The Master said: “When the family calls and says the patient has fever and bodily pain, yet the patient lies still at ease — the physician arrives, feels a deep and slow pulse, and knows the illness is passing. How does he know? When the exterior is diseased the pulse should be floating and large; now it is deep and slow instead, and so he knows it will heal.”
11
假令病人云：腹内卒痛。病人自坐，師到，脉之浮而大者，知其差也。何以知之？若裏有病者，脉當沉而細，今脉浮大，故知愈也。
假令病人云：腹内卒痛。病人自坐，师到，脉之浮而大者，知其差也。何以知之？若里有病者，脉当沉而细，今脉浮大，故知愈也。 jiǎ lìng bìng rén yún fù nèi cù tòng bìng rén zì zuò shī dào mài zhī fú ér dà zhě zhī qí chài yě hé yǐ zhī zhī ruò lǐ yǒu bìng zhě mài dāng chén ér xì jīn mài fú dà gù zhī yù yě
假如病人自訴腹内忽然作痛，卻能安然坐着；醫者到了，切其脉浮而大，就知道病將愈。怎麽知道？若裏有病，脉應當沉而細，如今脉浮大，所以知道將愈。
Suppose the patient says there is sudden pain in the belly, yet sits at ease; the physician arrives and finds the pulse floating and large — he knows the illness is passing. How does he know? If the interior were diseased the pulse should be deep and fine; now it is floating and large, and so he knows it will heal.
12
師曰：病家人來請云：病人發熱煩極。明日師到，病人向壁卧，此熱已去也。設令脉不和，處言已愈。
师曰：病家人来请云：病人发热烦极。明日师到，病人向壁卧，此热已去也。设令脉不和，处言已愈。 shī yuē bìng jiā rén lái qǐng yún bìng rén fā rè fán jí míng rì shī dào bìng rén xiàng bì wò cǐ rè yǐ qù yě shè lìng mài bù hé chǔ yán yǐ yù
師説：病家來請，説病人發熱煩躁到極點。第二天醫者到了，病人卻面朝牆壁躺着，這是熱已退了。即使脉尚未和，也可以斷言病已愈。
The Master said: “The family comes and says the patient’s fever and restlessness are extreme. The next day the physician arrives and finds the patient lying facing the wall — the heat has gone. Even if the pulse is not yet harmonious, one may pronounce the illness healed.”
13
設令向壁卧，聞師到，不驚起而盻視，若三言三止，脉之嚥唾者，此詐病也。設令脉自和，處言：汝病大重，當須服吐下藥，鍼灸數十百處乃愈。
设令向壁卧，闻师到，不惊起而盻视，若三言三止，脉之咽唾者，此诈病也。设令脉自和，处言：汝病大重，当须服吐下药，针灸数十百处乃愈。 shè lìng xiàng bì wò wén shī dào bù jīng qǐ ér xì shì ruò sān yán sān zhǐ mài zhī yàn tuò zhě cǐ zhà bìng yě shè lìng mài zì hé chǔ yán rǔ bìng dà zhòng dāng xū fú tù xià yào zhēn jiǔ shù shí bǎi chù nǎi yù
倘若面朝牆壁躺着，聽説醫者到了，並不驚起相看，問他話又再三吞吐，切脉時只顧咽唾，這是裝病。倘若脉本來就和，也可對病人説：你的病很重，必須服催吐、瀉下的藥，鍼灸數十百處才能好。
But if, lying facing the wall, he does not start up to look when he hears the physician come, answers in halting words, and swallows his spittle while the pulse is felt — this is feigned illness. Even if the pulse is of itself harmonious, one may still say: ‘Your illness is grave; you must take emetics and purgatives, and be needled and moxaed at scores of places before you recover.’
14
師持脉，病人欠者，無病也。
师持脉，病人欠者，无病也。 shī chí mài bìng rén qiàn zhě wú bìng yě
師切脉時，病人打呵欠的，是没有病。
When the Master feels the pulse and the patient yawns, there is no illness.
mài zhī shēn zhě bìng yě
切脉時病人呻吟的，是有病。
When the patient groans while the pulse is felt, there is illness.
16
言遲者，風也。
言迟者，风也。
yán chí zhě fēng yě
説話遲鈍的，是風邪。
When speech is slow, it is wind.
17
揺頭言者，裏痛也。
摇头言者，里痛也。
yáo tóu yán zhě lǐ tòng yě
説話時頭摇動的，是裏面作痛。
When the head shakes while speaking, there is pain within.
18
行遲者，表強也。
行迟者，表强也。
xíng chí zhě biǎo qiáng yě
走路遲緩的，是表分強急。
When walking is slow, the exterior is rigid.
19
坐而伏者，短氣也。
坐而伏者，短气也。
zuò ér fú zhě duǎn qì yě
坐着而伏身的，是短氣。
When he sits and stoops forward, it is shortness of breath.
20
坐而下一脚者，腰痛也。
坐而下一脚者，腰痛也。
zuò ér xià yī jiǎo zhě yāo tòng yě
坐着而把一隻脚垂下來的，是腰痛。
When he sits and lets one foot hang down, it is pain in the lower back.
21
裏實護腹，如懷卵物者，心痛也。
里实护腹，如怀卵物者，心痛也。
lǐ shí hù fù rú huái luǎn wù zhě xīn tòng yě
裏氣實而兩手護着腹部，像懷抱着蛋一樣的，是心痛。
When the interior is replete and he guards his belly with both hands as if holding an egg, it is pain in the heart.
22
師曰：伏氣之病，以意候之。今月之内，欲有伏氣。假令舊有伏氣，當須脉之。若脉微弱者，當喉中痛似傷，非喉痺也。病人云：實咽中痛，雖爾，今復欲下利。
师曰：伏气之病，以意候之。今月之内，欲有伏气。假令旧有伏气，当须脉之。若脉微弱者，当喉中痛似伤，非喉痹也。病人云：实咽中痛，虽尔，今复欲下利。 shī yuē fú qì zhī bìng yǐ yì hòu zhī jīn yuè zhī nèi yù yǒu fú qì jiǎ lìng jiù yǒu fú qì dāng xū mài zhī ruò mài wēi ruò zhě dāng hóu zhōng tòng sì shāng fēi hóu bì yě bìng rén yún shí yān zhōng tòng suī ěr jīn fù yù xià lì
師説：伏氣之病，要以意揣度而候察。本月之内，將有伏氣發作。假使從前已有伏氣，就須用脉來審定。若脉微弱，當是喉中作痛，像受了傷一樣，並不是喉痺。病人會説：實在咽中疼痛，雖然如此，如今又將要下利。
The Master said: “The illness of latent qi is to be awaited with attentive intent. Within this month latent qi is about to stir. If there has been latent qi before, one must examine the pulse. If the pulse is faint and weak, there will be pain in the throat as if from injury — it is not throat blockage. The patient will say: ‘Indeed my throat pains me; and for all that, now I am about to have diarrhoea.’”
23
問曰：人病恐怖者，其脉何狀？師曰：脉形如循絲纍纍然，其面白脱色也。
问曰：人病恐怖者，其脉何状？师曰：脉形如循丝累累然，其面白脱色也。 wèn yuē rén bìng kǒng bù zhě qí mài hé zhuàng shī yuē mài xíng rú xún sī léi léi rán qí miàn bái tuō sè yě
問：人病恐怖，脉是甚麽樣子？師説：脉形像摸着絲線，纍纍相連，面色發白而脱去血色。
Asked: “When a person is seized with terror, what is the pulse like?” The Master said: “The pulse is like handling a thread, strung and continuous, and the face is white, drained of colour.”
24
問曰：人不飲，其脉何類？師曰：其脉自濇，脣口乾燥也。
问曰：人不饮，其脉何类？师曰：其脉自涩，唇口干燥也。 wèn yuē rén bù yǐn qí mài hé lèi shī yuē qí mài zì sè chún kǒu gān zào yě
問：人不喝水，脉是哪一類？師説：其脉自然濇滯，口唇乾燥。
Asked: “When a person does not drink, what is the pulse like?” The Master said: “The pulse is of itself astringent, and the lips and mouth are dry.”
25
問曰：人愧者，其脉何類？師曰：脉浮而面色乍白乍赤。
问曰：人愧者，其脉何类？师曰：脉浮而面色乍白乍赤。 wèn yuē rén kuì zhě qí mài hé lèi shī yuē mài fú ér miàn sè zhà bái zhà chì
問：人羞愧時，脉是哪一類？師説：脉浮，面色忽白忽赤。
Asked: “When a person is ashamed, what is the pulse like?” The Master said: “The pulse is floating, and the face turns now white, now red.”
26
問曰：經説脉有三菽、六菽重者，何謂也？師曰：脉者，人以指按之，如三菽之重者，肺氣也；如六菽之重者，心氣也；如九菽之重者，脾氣也；如十二菽之重者，肝氣也；按之至骨者，腎氣也。
问曰：经说脉有三菽、六菽重者，何谓也？师曰：脉者，人以指按之，如三菽之重者，肺气也；如六菽之重者，心气也；如九菽之重者，脾气也；如十二菽之重者，肝气也；按之至骨者，肾气也。 wèn yuē jīng shuō mài yǒu sān shū liù shū zhòng zhě hé wèi yě shī yuē mài zhě rén yǐ zhǐ àn zhī rú sān shū zhī zhòng zhě fèi qì yě rú liù shū zhī zhòng zhě xīn qì yě rú jiǔ shū zhī zhòng zhě pí qì yě rú shí èr shū zhī zhòng zhě gān qì yě àn zhī zhì gǔ zhě shèn qì yě
問：經上説脉有三菽重、六菽重的，是甚麽意思？師説：切脉，是人用手指按它。如三粒豆子的重量按下去所得的，是肺氣；如六粒豆子的重量，是心氣；如九粒豆子的重量，是脾氣；如十二粒豆子的重量，是肝氣；按到骨上的，是腎氣。
Asked: “The classic speaks of a pulse of three beans’ weight and of six beans’ weight — what does that mean?” The Master said: “In feeling the pulse one presses it with the finger. What is reached with the weight of three beans is the qi of the lung; with six beans, the qi of the heart; with nine beans, the qi of the spleen; with twelve beans, the qi of the liver; what is pressed down to the bone is the qi of the kidney.”
27
假令下利，寸口、關上、尺中悉不見脉，然尺中時一小見，脉再舉頭者，腎氣也。若見損脉來至，爲難治。
假令下利，寸口、关上、尺中悉不见脉，然尺中时一小见，脉再举头者，肾气也。若见损脉来至，为难治。 jiǎ lìng xià lì cùn kǒu guān shàng chǐ zhōng xī bù xiàn mài rán chǐ zhōng shí yī xiǎo xiàn mài zài jǔ tóu zhě shèn qì yě ruò jiàn sǔn mài lái zhì wéi nán zhì
假使下利，寸口、關上、尺中全不見脉，但尺中偶爾微見，脉再舉頭而來的，是腎氣。若見損脉到來，就難治了。
Suppose there is diarrhoea: at the inch mouth, the gate and the cubit no pulse is seen at all, yet in the cubit a faint one appears from time to time, and the pulse lifts its head again — this is the kidney qi. If a diminishing pulse arrives, it is hard to treat.
28
問曰：脉有相乘，有縱有橫，有逆有順，何也？師曰：水行乘火，金行乘木，名曰縱；火行乘水，木行乘金，名曰橫；水行乘金，火行乘木，名曰逆；金行乘水，木行乘火，名曰順也。
问曰：脉有相乘，有纵有横，有逆有顺，何也？师曰：水行乘火，金行乘木，名曰纵；火行乘水，木行乘金，名曰横；水行乘金，火行乘木，名曰逆；金行乘水，木行乘火，名曰顺也。 wèn yuē mài yǒu xiāng chéng yǒu zòng yǒu héng yǒu nì yǒu shùn hé yě shī yuē shuǐ xíng chéng huǒ jīn xíng chéng mù míng yuē zòng huǒ xíng chéng shuǐ mù xíng chéng jīn míng yuē héng shuǐ xíng chéng jīn huǒ xíng chéng mù míng yuē nì jīn xíng chéng shuǐ mù xíng chéng huǒ míng yuē shùn yě
問：脉有相乘，有縱有橫，有逆有順，是怎麽説？師説：水行乘火、金行乘木，名叫縱；火行乘水、木行乘金，名叫橫；水行乘金、火行乘木，名叫逆；金行乘水、木行乘火，名叫順。
Asked: “In the pulse there is encroachment, with the lengthwise and the crosswise, the contrary and the compliant — what does that mean?” The Master said: “Water encroaching on fire, metal on wood, is called lengthwise; fire encroaching on water, wood on metal, is called crosswise; water encroaching on metal, fire on wood, is called contrary; metal encroaching on water, wood on fire, is called compliant.”
29
問曰：脉有殘賊，何謂也？師曰：脉有弦、緊、浮、滑、沉、濇，此六者，名曰殘賊，能爲諸脉作病也。
问曰：脉有残贼，何谓也？师曰：脉有弦、紧、浮、滑、沉、涩，此六者，名曰残贼，能为诸脉作病也。 wèn yuē mài yǒu cán zéi hé wèi yě shī yuē mài yǒu xián jǐn fú huá chén sè cǐ liù zhě míng yuē cán zéi néng wéi zhū mài zuò bìng yě
問：脉有殘賊，是甚麽意思？師説：脉有弦、緊、浮、滑、沉、濇六種，名叫殘賊，能給各脉招來疾病。
Asked: “What is meant by the maiming thieves among pulses?” The Master said: “The pulses that are wiry, tight, floating, slippery, deep and astringent — these six are called the maiming thieves; they can bring illness upon all the other pulses.”
30
問曰：脉有災怪，何謂也？師曰：假令人病，脉得太陽，與形證相應，因爲作湯，比還送湯，如食頃，病人乃大吐，若下利，腹中痛。師曰：我前來不見此證，今乃變異，是名災怪。又問曰：何緣作此吐利？答曰：或有舊時服藥，今乃發作，故名災怪耳。
问曰：脉有灾怪，何谓也？师曰：假令人病，脉得太阳，与形证相应，因为作汤，比还送汤，如食顷，病人乃大吐，若下利，腹中痛。师曰：我前来不见此证，今乃变异，是名灾怪。又问曰：何缘作此吐利？答曰：或有旧时服药，今乃发作，故名灾怪耳。 wèn yuē mài yǒu zāi guài hé wèi yě shī yuē jiǎ lìng rén bìng mài dé tài yáng yǔ xíng zhèng xiāng yìng yīn wèi zuò tāng bǐ huán sòng tāng rú shí qǐng bìng rén nǎi dà tù ruò xià lì fù zhōng tòng shī yuē wǒ qián lái bù jiàn cǐ zhèng jīn nǎi biàn yì shì míng zāi guài yòu wèn yuē hé yuán zuò cǐ tù lì dá yuē huò yǒu jiù shí fú yào jīn nǎi fā zuò gù míng zāi guài ěr
問：脉有災怪，是甚麽意思？師説：假使有人生病，脉見太陽，與形證相應，因而給他作湯。等到送湯回來，約一頓飯的工夫，病人卻大吐，或下利，腹中作痛。師説：我先前來時不見這個證候，如今忽然變異，這就叫災怪。又問：爲甚麽會作這樣的吐利？答：或者是從前服過的藥，如今才發作出來，所以叫災怪。
Asked: “What is meant by a calamitous strangeness in the pulse?” The Master said: “Suppose a person is ill, the pulse shows greater yang and answers the signs, and so a decoction is made for him. By the time it is carried back, about the space of a meal, the patient vomits greatly, or has diarrhoea with pain in the belly. The Master says: ‘When I came before I did not see these signs; now they have changed strangely — this is called calamitous strangeness.’ Again he is asked: ‘By what cause does this vomiting and diarrhoea arise?’ The answer: ‘Perhaps medicine taken at an earlier time is only now breaking out; that is why it is called calamitous strangeness.’”
31
問曰：東方肝脉，其形何似？師曰：肝者，木也，名厥陰。其脉微弦，濡弱而長，是肝脉也。肝病自得濡弱者，愈也。
问曰：东方肝脉，其形何似？师曰：肝者，木也，名厥阴。其脉微弦，濡弱而长，是肝脉也。肝病自得濡弱者，愈也。 wèn yuē dōng fāng gān mài qí xíng hé sì shī yuē gān zhě mù yě míng jué yīn qí mài wēi xián rú ruò ér cháng shì gān mài yě gān bìng zì dé rú ruò zhě yù yě
問：東方肝脉，它的形状像甚麽？師説：肝屬木，名叫厥陰。其脉微弦，濡弱而長，這就是肝脉。肝病自然得到濡弱的，是將愈。
Asked: “The liver pulse of the east — what is its form?” The Master said: “The liver is wood, named reverting yin. Its pulse is slightly wiry, soft and weak yet long — this is the liver pulse. When liver disease of itself gets the soft and weak, it will heal.”
32
假令得純弦脉者死，何以知之？以其脉如弦直，是肝藏傷，故知死也。
假令得纯弦脉者死，何以知之？以其脉如弦直，是肝藏伤，故知死也。 jiǎ lìng dé chún xián mài zhě sǐ hé yǐ zhī zhī yǐ qí mài rú xián zhí shì gān zàng shāng gù zhī sǐ yě
假使診得純弦的脉，就要死。怎麽知道？因爲其脉像弓弦一樣直，這是肝藏受傷，所以知道會死。
Suppose one finds a purely wiry pulse — death. How is it known? Because the pulse is straight as a bowstring: the liver store is injured, and so death is known.
33
南方心脉，其形何似？師曰：心者，火也，名少陰，其脉洪大而長，是心脉也。心病自得洪大者，愈也。
南方心脉，其形何似？师曰：心者，火也，名少阴，其脉洪大而长，是心脉也。心病自得洪大者，愈也。 nán fāng xīn mài qí xíng hé sì shī yuē xīn zhě huǒ yě míng shào yīn qí mài hóng dà ér cháng shì xīn mài yě xīn bìng zì dé hóng dà zhě yù yě
南方心脉，它的形状像甚麽？師説：心屬火，名叫少陰，其脉洪大而長，這就是心脉。心病自然得到洪大的，是將愈。
The heart pulse of the south — what is its form? The Master said: “The heart is fire, named lesser yin; its pulse is flooding, large and long — this is the heart pulse. When heart disease of itself gets the flooding and large, it will heal.”
34
假令脉來微去大，故名反，病在裏也。脉來頭小本大者，故名覆，病在表也。上微頭小者，則汗出；下微本大者，則爲關格不通，不得尿。頭無汗者可治，有汗者死。
假令脉来微去大，故名反，病在里也。脉来头小本大者，故名覆，病在表也。上微头小者，则汗出；下微本大者，则为关格不通，不得尿。头无汗者可治，有汗者死。 jiǎ lìng mài lái wēi qù dà gù míng fǎn bìng zài lǐ yě mài lái tóu xiǎo běn dà zhě gù míng fù bìng zài biǎo yě shàng wēi tóu xiǎo zhě zé hàn chū xià wēi běn dà zhě zé wéi guān gé bù tōng bù dé niào tóu wú hàn zhě kě zhì yǒu hàn zhě sǐ
假使脉來時微、去時大，這叫反，病在裏。脉來時頭小、本大，這叫覆，病在表。上部微而頭小的，就會汗出；下部微而本大的，就成關格不通，小便不出。頭上無汗的可治，有汗的會死。
Suppose the pulse comes faint and leaves large: this is called the reversed, and the disease is within. Suppose it comes with a small head and a large root: this is called the overturned, and the disease is in the exterior. When the upper is faint and the head small, there will be sweating; when the lower is faint and the root large, there is gate-and-barrier blockage, and no urine passes. If the head has no sweat, it can be treated; if it sweats, death.
35
西方肺脉，其形何似？師曰：肺者，金也，名大陰，其脉毛浮也。肺病自得此脉，若得緩遲者，皆愈；若得數者，則劇。何以知之？數者，南方火，火剋西方金，法當癰腫，爲難治也。
西方肺脉，其形何似？师曰：肺者，金也，名大阴，其脉毛浮也。肺病自得此脉，若得缓迟者，皆愈；若得数者，则剧。何以知之？数者，南方火，火克西方金，法当痈肿，为难治也。 xī fāng fèi mài qí xíng hé sì shī yuē fèi zhě jīn yě míng tài yīn qí mài máo fú yě fèi bìng zì dé cǐ mài ruò dé huǎn chí zhě jiē yù ruò dé shuò zhě zé jù hé yǐ zhī zhī shuò zhě nán fāng huǒ huǒ kè xī fāng jīn fǎ dāng yōng zhǒng wéi nán zhì yě
西方肺脉，它的形状像甚麽？師説：肺屬金，名叫大陰，其脉如毛而浮。肺病自然得到這個脉，或得到緩遲的，都會痊愈；若得到數的，就加重。怎麽知道？數是南方火，火剋西方金，按法當發癰腫，所以難治。
The lung pulse of the west — what is its form? The Master said: “The lung is metal, named great yin; its pulse is like a hair, floating. When lung disease of itself gets this pulse, or gets the relaxed and slow, it will heal in either case; if it gets the rapid, it worsens. How is that known? The rapid is the fire of the south, and fire overcomes the metal of the west; by rule there should be swelling and abscess, which is hard to treat.”
36
問曰：二月得毛浮脉，何以處言至秋當死？師曰：二月之時，脉當濡弱，反得毛浮者，故知至秋死。二月肝用事，肝脉屬木，應濡弱，反得毛浮者，是肺脉也。肺屬金，金來剋木，故知至秋死。他皆倣此。
问曰：二月得毛浮脉，何以处言至秋当死？师曰：二月之时，脉当濡弱，反得毛浮者，故知至秋死。二月肝用事，肝脉属木，应濡弱，反得毛浮者，是肺脉也。肺属金，金来克木，故知至秋死。他皆仿此。 wèn yuē èr yuè dé máo fú mài hé yǐ chǔ yán zhì qiū dāng sǐ shī yuē èr yuè zhī shí mài dāng rú ruò fǎn dé máo fú zhě gù zhī zhì qiū sǐ èr yuè gān yòng shì gān mài shǔ mù yīng rú ruò fǎn dé máo fú zhě shì fèi mài yě fèi shǔ jīn jīn lái kè mù gù zhī zhì qiū sǐ tā jiē fǎng cǐ
問：二月裏診得毛浮的脉，爲甚麽斷言到秋天會死？師説：二月之時，脉應當濡弱，反而得毛浮的，所以知道到秋天會死。二月是肝當令，肝脉屬木，應是濡弱，反而得毛浮，這是肺脉。肺屬金，金來剋木，所以知道到秋天會死。别的都可依此類推。
Asked: “Getting a hairy, floating pulse in the second month, why pronounce that death will come in autumn?” The Master said: “In the second month the pulse should be soft and weak; getting the hairy and floating instead, one knows death will come in autumn. In the second month the liver has charge; the liver pulse belongs to wood and should be soft and weak. Getting the hairy and floating instead, this is the lung pulse. The lung belongs to metal, and metal comes to overcome wood; so death in autumn is known. All other cases follow this pattern.”
37
師曰：脉肥人責浮，瘦人責沉，肥人當沉，今反浮；瘦人當浮，今反沉，故責之。
师曰：脉肥人责浮，瘦人责沉，肥人当沉，今反浮；瘦人当浮，今反沉，故责之。 shī yuē mài féi rén zé fú shòu rén zé chén féi rén dāng chén jīn fǎn fú shòu rén dāng fú jīn fǎn chén gù zé zhī
師説：切脉，肥人要責求他爲何浮，瘦人要責求他爲何沉。肥人本當沉，如今反而浮；瘦人本當浮，如今反而沉，所以要追責。
The Master said: “In feeling the pulse, with a fat man ask why it is floating, with a thin man ask why it is deep. A fat man should be deep, yet now he is floating; a thin man should be floating, yet now he is deep — therefore one holds it to account.”
38
師曰：寸脉下不至關，爲陽絶；尺脉上不至關，爲陰絶。此皆不治，决死也。若計其餘命死生之期，期以月節剋之也。
师曰：寸脉下不至关，为阳绝；尺脉上不至关，为阴绝。此皆不治，决死也。若计其余命死生之期，期以月节克之也。 shī yuē cùn mài xià bù zhì guān wéi yáng jué chǐ mài shàng bù zhì guān wéi yīn jué cǐ jiē bù zhì jué sǐ yě ruò jì qí yú mìng sǐ shēng zhī qī qī yǐ yuè jié kè zhī yě
師説：寸脉下不到關，是陽絶；尺脉上不到關，是陰絶。這兩種都不治，可以决斷其死。若要推算餘命的死生之期，就以月節相剋的時日爲期。
The Master said: “When the inch pulse does not descend to the gate, yang is cut off; when the cubit pulse does not ascend to the gate, yin is cut off. Neither can be treated; death is certain. If one would reckon the term of the remaining life, let it be fixed by the monthly node that overcomes it.”
39
師曰：脉病人不病，名曰行尸，以無王氣，卒眩仆不識人者，短命則死。人病脉不病，名曰内虚，以無穀神，雖困無苦。
师曰：脉病人不病，名曰行尸，以无王气，卒眩仆不识人者，短命则死。人病脉不病，名曰内虚，以无谷神，虽困无苦。 shī yuē mài bìng rén bù bìng míng yuē xíng shī yǐ wú wàng qì cù xuàn pū bù shí rén zhě duǎn mìng zé sǐ rén bìng mài bù bìng míng yuē nèi xū yǐ wú gǔ shén suī kùn wú kǔ
師説：脉有病而人没有病容，名叫行尸，因爲没有旺氣，一旦忽然眩暈僕倒、不識人事，就短命而死。人有病而脉没有病，名叫内虚，因爲没有穀神，雖然困頓，卻没有苦楚。
The Master said: “When the pulse is diseased but the person is not, it is called a walking corpse, for there is no flourishing qi; when sudden dizziness and falling senseless come, life is short and ends. When the person is diseased but the pulse is not, it is called inner vacuity, for there is no grain spirit; though he is distressed, he suffers no harm.”
40
問曰：翕奄沉，名曰滑，何謂也？沉爲純陰，翕爲正陽，陰陽和合，故令脉滑，關尺自平。陽明脉微沉，食飲自可。少陰脉微滑，滑者，緊之浮名也，此爲陰實，其人必股内汗出，陰下濕也。
问曰：翕奄沉，名曰滑，何谓也？沉为纯阴，翕为正阳，阴阳和合，故令脉滑，关尺自平。阳明脉微沉，食饮自可。少阴脉微滑，滑者，紧之浮名也，此为阴实，其人必股内汗出，阴下湿也。 wèn yuē xī yǎn chén míng yuē huá hé wèi yě chén wéi chún yīn xī wéi zhèng yáng yīn yáng hé hé gù lìng mài huá guān chǐ zì píng yáng míng mài wēi chén shí yǐn zì kě shào yīn mài wēi huá huá zhě jǐn zhī fú míng yě cǐ wéi yīn shí qí rén bì gǔ nèi hàn chū yīn xià shī yě
問：翕然沉下，名叫滑，是甚麽意思？沉是純陰，翕是正陽，陰陽和合，所以使脉滑，關與尺自然平調。陽明脉微沉，飲食自然如常。少陰脉微滑，滑是緊脉的浮名，這是陰實，其人必股内出汗，陰下潮濕。
Asked: “Closing down and sinking is named slippery — what does that mean? The sinking is pure yin, the closing is true yang; yin and yang are in harmony, and so the pulse is slippery, and the gate and cubit are of themselves level. When the yang brightness pulse is slightly deep, eating and drinking go on as usual. When the lesser yin pulse is slightly slippery — the slippery being the floating name of the tight — this is yin repletion; the person will surely sweat on the inner thighs and be damp below the genitals.”
41
問曰：曽爲人所難，緊脉從何而來？師曰：假令亡汗若吐，以肺裏寒，故令脉緊也。假令欬者，坐飲冷水，故令脉緊也。假令下利，以胃中虚冷，故令脉緊也。
问曰：曽为人所难，紧脉从何而来？师曰：假令亡汗若吐，以肺里寒，故令脉紧也。假令咳者，坐饮冷水，故令脉紧也。假令下利，以胃中虚冷，故令脉紧也。 wèn yuē céng wéi rén suǒ nàn jǐn mài cóng hé ér lái shī yuē jiǎ lìng wáng hàn ruò tù yǐ fèi lǐ hán gù lìng mài jǐn yě jiǎ lìng kài zhě zuò yǐn lěng shuǐ gù lìng mài jǐn yě jiǎ lìng xià lì yǐ wèi zhōng xū lěng gù lìng mài jǐn yě
問：我曾被人詰難，緊脉是從哪裏來的？師説：假使汗出過多或曾吐，因爲肺裏寒冷，所以使脉緊。假使咳嗽，是因爲飲了冷水，所以使脉緊。假使下利，是因爲胃中虚冷，所以使脉緊。
Asked: “I have been pressed hard by others: where does the tight pulse come from?” The Master said: “If one has lost sweat or has vomited, the lung is cold within, and so the pulse is tight. If one coughs, it is from drinking cold water, and so the pulse is tight. If one has diarrhoea, the stomach is vacuous and cold within, and so the pulse is tight.”
42
寸口衛氣盛，名曰高。
寸口卫气盛，名曰高。
cùn kǒu wèi qì shèng míng yuē gāo
寸口的衛氣盛，名叫高。
When the wei qi at the inch mouth is abundant, it is named high.
43
榮氣盛，名曰章。
荣气盛，名曰章。
róng qì shèng míng yuē zhāng
營氣盛，名叫章。
When the ying qi is abundant, it is named bright.
44
高章相搏，名曰綱。
高章相搏，名曰纲。
gāo zhāng xiāng bó míng yuē gāng
高與章相搏，名叫綱。
When high and bright strike together, it is named the cord.
45
衛氣弱，名曰惵。
卫气弱，名曰惵。
wèi qì ruò míng yuē dié
衛氣弱，名叫惵。
When the wei qi is weak, it is named trembling.
46
榮氣弱，名曰卑。
荣气弱，名曰卑。
róng qì ruò míng yuē bēi
營氣弱，名叫卑。
When the ying qi is weak, it is named lowly.
47
惵卑相搏，名曰損。
惵卑相搏，名曰损。
dié bēi xiāng bó míng yuē sǔn
惵與卑相搏，名叫損。
When trembling and lowly strike together, it is named damage.
48
衛氣和，名曰緩。
卫气和，名曰缓。
wèi qì hé míng yuē huǎn
衛氣獨和，名叫緩。
When the wei qi alone is harmonious, it is named slack.
49
榮氣和，名曰遲。
荣气和，名曰迟。
róng qì hé míng yuē chí
營氣獨和，名叫遲。
When the ying qi alone is harmonious, it is named slow.
50
遲緩相搏，名曰沉。
迟缓相搏，名曰沉。
chí huǎn xiāng bó míng yuē chén
遲與緩相搏，名叫沉。
When slow and slack strike together, it is named sunken.
51
寸口脉緩而遲，緩則陽氣長，其色鮮，其顔光，其聲啇，毛髮長；遲則陰氣盛，骨髓生，血滿，肌肉緊薄鮮鞕。陰陽相抱，榮衛俱行，剛柔相搏，名曰強也。
寸口脉缓而迟，缓则阳气长，其色鲜，其颜光，其声商，毛发长；迟则阴气盛，骨髓生，血满，肌肉紧薄鲜硬。阴阳相抱，荣卫俱行，刚柔相搏，名曰强也。 cùn kǒu mài huǎn ér chí huǎn zé yáng qì zhǎng qí sè xiān qí yán guāng qí shēng shāng máo fà zhǎng chí zé yīn qì shèng gǔ suǐ shēng xuè mǎn jī ròu jǐn báo xiān yìng yīn yáng xiāng bào róng wèi jù xíng gāng róu xiāng bó míng yuē qiáng yě
寸口脉緩而遲：緩是陽氣生長，所以顏色鮮明，面容光潤，聲音清商，毛髮生長；遲是陰氣旺盛，所以骨髓生成，血氣充滿，肌肉緊薄而鮮明堅實。陰陽相互抱合，營衛一同流行，剛柔相搏，這就名叫強。
When the inch mouth pulse is slack and slow: the slack means the yang qi grows, so the colour is fresh, the face lustrous, the voice a clear shang, and the hair grows long; the slow means the yin qi flourishes, so the marrow is generated, the blood full, and the flesh tight, thin, fresh and firm. Yin and yang embrace each other, ying and wei move together, hard and soft strike together — this is named strong.
52
趺陽脉滑而緊，滑者胃氣實，緊者脾氣強，持實擊強，痛還自傷，以手把刃，坐作瘡也。
趺阳脉滑而紧，滑者胃气实，紧者脾气强，持实击强，痛还自伤，以手把刃，坐作疮也。 fū yáng mài huá ér jǐn huá zhě wèi qì shí jǐn zhě pí qì qiáng chí shí jī qiáng tòng huán zì shāng yǐ shǒu bǎ rèn zuò zuò chuāng yě
趺陽脉滑而緊：滑是胃氣實，緊是脾氣強。以實擊強，痛反過來傷了自己，好比手握着刀刃，因而自招瘡傷。
When the instep yang pulse is slippery and tight: the slippery means the stomach qi is replete, the tight means the spleen qi is strong. Pitting the replete against the strong, the pain turns back and injures oneself — like taking a blade in the hand and so bringing a wound upon oneself.
53
寸口脉浮而大，浮爲虚，大爲實，在尺爲關，在寸爲格，關則不得小便，格則吐逆。
寸口脉浮而大，浮为虚，大为实，在尺为关，在寸为格，关则不得小便，格则吐逆。 cùn kǒu mài fú ér dà fú wéi xū dà wéi shí zài chǐ wéi guān zài cùn wéi gé guān zé bù dé xiǎo biàn gé zé tù nì
寸口脉浮而大：浮是虚，大是實。這在尺部就成關，在寸部就成格。關則小便不通，格則嘔吐上逆。
When the inch mouth pulse is floating and large: the floating is vacuity, the large is repletion. At the cubit it makes a closing, at the inch a barrier. Closing, no urine passes; barring, there is vomiting.
54
趺陽脉伏而濇，伏則吐逆，水榖不化，濇則食不得入，名曰關格。
趺阳脉伏而涩，伏则吐逆，水谷不化，涩则食不得入，名曰关格。 fū yáng mài fú ér sè fú zé tù nì shuǐ gǔ bù huà sè zé shí bù dé rù míng yuē guān gé
趺陽脉伏而濇：伏就嘔吐上逆，水穀不能消化；濇就飲食不得下入，名叫關格。
When the instep yang pulse is hidden and astringent: the hidden gives vomiting, with food and drink undigested; the astringent, so that food cannot enter — it is named closing and barring.
55
脉浮而大，浮爲風虚，大爲氣強，風氣相搏，必成癮疹，身體爲痒，痒者名泄風，久久爲痂癩。
脉浮而大，浮为风虚，大为气强，风气相搏，必成瘾疹，身体为痒，痒者名泄风，久久为痂癞。 mài fú ér dà fú wéi fēng xū dà wéi qì qiáng fēng qì xiāng bó bì chéng yǐn zhěn shēn tǐ wéi yǎng yǎng zhě míng xiè fēng jiǔ jiǔ wéi jiā lài
脉浮而大：浮是風虚，大是氣強。風與氣相搏，必成癮疹，身體發痒，痒的名叫泄風，日子久了就成痂癩。
When the pulse is floating and large: the floating is wind vacuity, the large is qi strength. Wind and qi striking together will surely produce hidden rash; the body itches, and the itching is named leaking wind; in long course it becomes scab and leprosy.
56
寸口脉弱而遲，弱者衛氣微，遲者榮中寒。榮爲血，血寒則發熱。衛爲氣，氣微者，心内飢，飢而虚滿，不能食也。
寸口脉弱而迟，弱者卫气微，迟者荣中寒。荣为血，血寒则发热。卫为气，气微者，心内饥，饥而虚满，不能食也。 cùn kǒu mài ruò ér chí ruò zhě wèi qì wēi chí zhě róng zhòng hán róng wéi xuè xuè hán zé fā rè wèi wéi qì qì wēi zhě xīn nèi jī jī ér xū mǎn bù néng shí yě
寸口脉弱而遲：弱是衛氣微弱，遲是營中受寒。營主血，血寒就發熱。衛主氣，氣微的，心中像飢，雖飢卻虚滿，不能進食。
When the inch mouth pulse is weak and slow: the weak means the wei qi is faint, the slow means cold has entered the ying. The ying governs the blood; when the blood is cold there is fever. The wei governs the qi; when the qi is faint there is hunger within, yet with hunger a vacuous fullness, so that one cannot eat.
57
趺陽脉大而緊者，當即下利，爲難治。
趺阳脉大而紧者，当即下利，为难治。 fū yáng mài dà ér jǐn zhě dāng jí xià lì wéi nán zhì
趺陽脉大而緊的，應當隨即下利，這就難治。
When the instep yang pulse is large and tight, diarrhoea should follow at once; this is hard to treat.
58
寸口脉弱而緩，弱者陽氣不足，緩者胃氣有餘，噫而吞酸，食卒不下，氣填於膈上也。
寸口脉弱而缓，弱者阳气不足，缓者胃气有余，噫而吞酸，食卒不下，气填于膈上也。 cùn kǒu mài ruò ér huǎn ruò zhě yáng qì bù zú huǎn zhě wèi qì yǒu yú ài ér tūn suān shí cù bù xià qì tián yú gé shàng yě
寸口脉弱而緩：弱是陽氣不足，緩是胃氣有餘，所以噯氣吞酸，飲食猝然不下，氣填塞在膈上。
When the inch mouth pulse is weak and slack: the weak means the yang qi is insufficient, the slack means the stomach qi has surplus; hence belching with sour swallowing, food suddenly unable to go down, and qi filling up above the diaphragm.
59
趺陽脉緊而浮，浮爲氣，緊爲寒，浮爲腹滿，緊爲絞痛，浮緊相搏，腸鳴而轉，轉即氣動，膈氣乃下。少陰脉不出，其陰腫大而虚也。
趺阳脉紧而浮，浮为气，紧为寒，浮为腹满，紧为绞痛，浮紧相搏，肠鸣而转，转即气动，膈气乃下。少阴脉不出，其阴肿大而虚也。 fū yáng mài jǐn ér fú fú wéi qì jǐn wéi hán fú wéi fù mǎn jǐn wéi jiǎo tòng fú jǐn xiāng bó cháng míng ér zhuǎn zhuǎn jí qì dòng gé qì nǎi xià shào yīn mài bù chū qí yīn zhǒng dà ér xū yě
趺陽脉緊而浮：浮是氣，緊是寒；浮是腹滿，緊是絞痛。浮緊相搏，腸中鳴響而轉動，一轉就氣動，膈氣於是下行。若少陰脉不出，其陰器就腫大而虚軟。
When the instep yang pulse is tight and floating: the floating is qi, the tight is cold; the floating is fullness of the belly, the tight is gripping pain. Floating and tight striking together, the guts rumble and turn; the turning stirs the qi, and the qi of the diaphragm descends. If the lesser yin pulse does not come forth, the genitals swell large and soft.
60
寸口脉微而濇，微者衛氣不行，濇者榮氣不足。榮衛不能相將，三焦無所仰，身體痺不仁。榮氣不足，則煩疼，口難言。衛氣虚，則惡寒數欠，三焦不歸其部。上焦不歸者，噫而酢吞；中焦不歸者，不能消榖引食；下焦不歸者，則遺溲。
寸口脉微而涩，微者卫气不行，涩者荣气不足。荣卫不能相将，三焦无所仰，身体痹不仁。荣气不足，则烦疼，口难言。卫气虚，则恶寒数欠，三焦不归其部。上焦不归者，噫而酢吞；中焦不归者，不能消谷引食；下焦不归者，则遗溲。 cùn kǒu mài wēi ér sè wēi zhě wèi qì bù xíng sè zhě róng qì bù zú róng wèi bù néng xiāng jiāng sān jiāo wú suǒ yǎng shēn tǐ bì bù rén róng qì bù zú zé fán téng kǒu nán yán wèi qì xū zé wù hán shuò qiàn sān jiāo bù guī qí bù shàng jiāo bù guī zhě ài ér cù tūn zhōng jiāo bù guī zhě bù néng xiāo gǔ yǐn shí xià jiāo bù guī zhě zé yí sōu
寸口脉微而濇：微是衛氣不能運行，濇是營氣不足。營衛不能相將而行，三焦便無所依仰，身體麻痺不仁。營氣不足，就煩疼而口難言語；衛氣虚，就惡寒而頻頻呵欠，三焦之氣不能歸於其部。上焦不歸的，噯氣而酸水吞下；中焦不歸的，不能消化穀食、引食入胃；下焦不歸的，就遺尿。
When the inch mouth pulse is faint and astringent: the faint means the wei qi does not move, the astringent means the ying qi is insufficient. Ying and wei cannot move in company, so the three burners have nothing to lean on, and the body is numb and unfeeling. When the ying qi is insufficient there is restless pain and difficulty in speaking; when the wei qi is vacuous there is aversion to cold and frequent yawning, and the qi of the three burners does not return to its parts. When the upper burner does not return, there is belching with sour swallowing; when the middle does not return, it cannot digest grain or draw food in; when the lower does not return, there is involuntary urine.
61
趺陽脉沉而數，沉爲實，數消榖，緊者，病難治。
趺阳脉沉而数，沉为实，数消谷，紧者，病难治。 fū yáng mài chén ér shuò chén wéi shí shuò xiāo gǔ jǐn zhě bìng nán zhì
趺陽脉沉而數：沉是實，數是能消穀；若兼緊的，病就難治。
When the instep yang pulse is deep and rapid: the deep is repletion, the rapid means grain is consumed; if it is also tight, the illness is hard to treat.
62
寸口脉微而濇，微者衛氣衰，濇者榮氣不足。衛氣衰，面色黃；榮氣不足，面色青。榮爲根，衛爲葉，榮衛俱微，則根葉枯槁，而寒慄、欬逆、唾腥、吐涎沫也。
寸口脉微而涩，微者卫气衰，涩者荣气不足。卫气衰，面色黄；荣气不足，面色青。荣为根，卫为叶，荣卫俱微，则根叶枯槁，而寒栗、咳逆、唾腥、吐涎沫也。 cùn kǒu mài wēi ér sè wēi zhě wèi qì shuāi sè zhě róng qì bù zú wèi qì shuāi miàn sè huáng róng qì bù zú miàn sè qīng róng wéi gēn wèi wéi yè róng wèi jù wēi zé gēn yè kū gǎo ér hán lì kài nì tuò xīng tù xián mò yě
寸口脉微而濇：微是衛氣衰，濇是營氣不足。衛氣衰，面色就黃；營氣不足，面色就青。營是根，衛是葉，營衛都微，根葉就枯槁，於是寒戰、咳嗽氣逆、唾出腥味、吐出涎沫。
When the inch mouth pulse is faint and astringent: the faint means the wei qi declines, the astringent means the ying qi is insufficient. When the wei qi declines the face is yellow; when the ying qi is insufficient the face is green. The ying is the root, the wei the leaf; when both are faint the root and leaf wither, and there is shivering with cold, coughing with rising qi, spitting of a rank taste, and vomiting of thin fluid.
63
趺陽脉浮而芤，浮者衛氣衰，芤者榮氣傷，其身體痩，肌肉甲錯，浮芤相搏，宗氣衰微，四屬斷絶。
趺阳脉浮而芤，浮者卫气衰，芤者荣气伤，其身体瘦，肌肉甲错，浮芤相搏，宗气衰微，四属断绝。 fū yáng mài fú ér kōu fú zhě wèi qì shuāi kōu zhě róng qì shāng qí shēn tǐ shòu jī ròu jiǎ cuò fú kōu xiāng bó zōng qì shuāi wēi sì shǔ duàn jué
趺陽脉浮而芤：浮是衛氣衰，芤是榮氣傷，其身體瘦削，肌肉如鱗甲交錯。浮芤相搏，宗氣衰微，皮肉脂髓四屬都斷絶滋養。
When the instep yang pulse is floating and hollow: the floating means the wei qi declines, the hollow means the ying qi is injured; the body grows thin and the flesh is scaled like armour. Floating and hollow striking together, the ancestral qi wanes, and the four dependencies of skin, flesh, fat and marrow are cut off from nourishment.
64
寸口脉微而緩，微者，衛氣疏，疏則其膚空；緩者，胃氣實，實則榖消而水化也。榖入於胃，脉道乃行，而入於經，其血乃成，榮盛則其膚必疏，三焦絶經，名曰血崩。
寸口脉微而缓，微者，卫气疏，疏则其肤空；缓者，胃气实，实则谷消而水化也。谷入于胃，脉道乃行，而入于经，其血乃成，荣盛则其肤必疏，三焦绝经，名曰血崩。 cùn kǒu mài wēi ér huǎn wēi zhě wèi qì shū shū zé qí fū kōng huǎn zhě wèi qì shí shí zé gǔ xiāo ér shuǐ huà yě gǔ rù yú wèi mài dào nǎi xíng ér rù yú jīng qí xuè nǎi chéng róng shèng zé qí fū bì shū sān jiāo jué jīng míng yuē xuè bēng
寸口脉微而緩：微是衛氣疏泄，疏泄則皮膚空虚；緩是胃氣實，實則穀食消化而水化爲血。穀入於胃，脉道才行；水入於經，其血才成。營氣盛則皮膚必疏，三焦失其常經，名叫血崩。
When the inch mouth pulse is faint and slack: the faint means the wei qi leaks, and leaking leaves the skin empty; the slack means the stomach qi is replete, and repletion digests grain and transforms water. When grain enters the stomach the pulse tract then moves; when it enters the channels the blood is then formed. If the ying is abundant the skin must leak, the three burners lose their constant course, and it is named blood collapse.
65
趺陽脉微而緊，緊爲寒，微則爲虚，微緊相搏，則爲短氣。
趺阳脉微而紧，紧为寒，微则为虚，微紧相搏，则为短气。 fū yáng mài wēi ér jǐn jǐn wéi hán wēi zé wéi xū wēi jǐn xiāng bó zé wéi duǎn qì
趺陽脉微而緊：緊是寒，微是虚，微緊相搏，就成短氣。
When the instep yang pulse is faint and tight: the tight is cold, the faint is vacuity; faint and tight striking together gives shortness of breath.
66
少陰脉弱而濇，弱者微煩，濇者厥逆。
少阴脉弱而涩，弱者微烦，涩者厥逆。 shào yīn mài ruò ér sè ruò zhě wēi fán sè zhě jué nì
少陰脉弱而濇：弱是微煩，濇是厥逆。
When the lesser yin pulse is weak and astringent: the weak gives slight restlessness, the astringent gives reversal of the limbs.
67
趺陽脉不出，脾不上下，身冷膚鞕。
趺阳脉不出，脾不上下，身冷肤硬。 fū yáng mài bù chū pí bù shàng xià shēn lěng fū yìng
趺陽脉不出，脾氣不能上下運行，身體寒冷，皮膚堅硬。
When the instep yang pulse does not come forth, the spleen cannot move up and down; the body is cold and the skin hard.
68
少陰脉不至，腎氣微，少精血，奔氣促迫，上入胸膈，宗氣反聚，血結心下，陽氣退下，熱歸陰股，與陰相動，令身不仁，此爲尸厥，當刺期門、巨闕。
少阴脉不至，肾气微，少精血，奔气促迫，上入胸膈，宗气反聚，血结心下，阳气退下，热归阴股，与阴相动，令身不仁，此为尸厥，当刺期门、巨阙。 shào yīn mài bù zhì shèn qì wēi shǎo jīng xuè bēn qì cù pò shàng rù xiōng gé zōng qì fǎn jù xuè jié xīn xià yáng qì tuì xià rè guī yīn gǔ yǔ yīn xiāng dòng lìng shēn bù rén cǐ wéi shī jué dāng cì qī mén jù què
少陰脉不至，腎氣微弱，精血稀少，奔突之氣急促逼迫，上入胸膈，宗氣反而聚結，血結於心下，陽氣退下，熱歸於陰股，與陰氣相動，使身體不仁，這是尸厥，當刺期門、巨闕。
When the lesser yin pulse does not arrive, the kidney qi is faint, essence and blood are scanty, and rushing qi presses urgently upward into the chest and diaphragm; the ancestral qi gathers instead, blood knots below the heart, the yang qi retreats downward, heat returns to the inner thighs and stirs with the yin, so that the body is without feeling. This is corpse-like reversal; one should needle qimen and juque.
69
寸口脉微，尺脉緊，其人虚損多汗，知陰常在，絶不見陽也。
寸口脉微，尺脉紧，其人虚损多汗，知阴常在，绝不见阳也。 cùn kǒu mài wēi chǐ mài jǐn qí rén xū sǔn duō hàn zhī yīn cháng zài jué bù jiàn yáng yě
寸口脉微，尺脉緊，其人是虚損而多汗，可知陰氣常在，陽氣却絶對不見。
When the inch mouth pulse is faint and the cubit pulse tight, the person is depleted and sweats much; one knows the yin is always present and the yang is utterly unseen.
70
寸口諸微亡陽，諸濡亡血，諸弱發熱，諸緊爲寒，諸乘寒者則爲厥，鬱冒不仁，以胃無榖氣，脾濇不通，口急不能言，戰而慄也。
寸口诸微亡阳，诸濡亡血，诸弱发热，诸紧为寒，诸乘寒者则为厥，郁冒不仁，以胃无谷气，脾涩不通，口急不能言，战而栗也。
cùn kǒu zhū wēi wáng yáng zhū rú wáng xuè zhū ruò fā rè zhū jǐn wéi hán zhū chéng hán zhě zé wéi jué yù mào bù rén yǐ wèi wú gǔ qì pí sè bù tōng kǒu jí bù néng yán zhàn ér lì yě
寸口脉諸微的是亡陽，諸濡的是亡血，諸弱的是發熱，諸緊的是寒。凡寒邪乘虚而入的，就成厥，鬱冒不仁，因爲胃中沒有穀氣，脾氣濇滯不通，所以口急不能言語，戰抖而寒慄。
At the inch mouth, all faint pulses mean yang loss, all soft pulses mean blood loss, all weak pulses mean fever, all tight pulses mean cold. Whenever cold rides in on vacuity there is reversal, with clouded dizziness and no feeling, because the stomach has no grain qi and the spleen is astringent and blocked; so the mouth is stiff and speech fails, and there is shivering and cold trembling.
71
問曰：濡弱何以反適十一頭？師曰：五臟六腑相乘，故令十一。
问曰：濡弱何以反适十一头？师曰：五脏六腑相乘，故令十一。
wèn yuē rú ruò hé yǐ fǎn shì shí yī tóu shī yuē wǔ zàng liù fǔ xiāng chéng gù lìng shí yī
問：濡弱的脉，爲甚麽反而適值十一這個數？師説：五臟六腑相互乘襲，所以使它成十一。
Asked: “Why does the soft and weak pulse come to eleven heads?” The Master said: “The five stores and six palaces encroach on one another, and so it makes eleven.”
72
問曰：何以知乘腑？何以知乘臟？師曰：諸陽浮數爲乘腑，諸陰遲濇爲乘臟也。
问曰：何以知乘腑？何以知乘脏？师曰：诸阳浮数为乘腑，诸阴迟涩为乘脏也。
wèn yuē hé yǐ zhī chéng fǔ hé yǐ zhī chéng zàng shī yuē zhū yáng fú shuò wéi chéng fǔ zhū yīn chí sè wéi chéng zàng yě
問：怎麽知道是乘腑？怎麽知道是乘臟？師説：諸陽脉浮數的是乘腑，諸陰脉遲濇的是乘臟。
Asked: “How does one know it encroaches on a palace, and how that it encroaches on a store?” The Master said: “All yang pulses that are floating and rapid encroach on the palaces; all yin pulses that are slow and astringent encroach on the stores.”