脉微細 简体 脉微细

mài wēi xì

Faint fine pulse · mai wei xi

Also rendered: Faint fine pulse (This site) · Subtle and thin pulse (Literal) · Weak thready pulse (Clinical, standard in modern texts)

Reviewed · 2026-10-31

At a glance

Pinyin
mài wēi xì
Simplified
脉微细
Literal
脉 mài is the pulse; 微 wēi is faint, barely there, soft and thin in force; 細 xì is fine, a thread-like line. The two are not the same failing: 微 speaks of force — the beat can hardly be felt; 細 speaks of width — the vessel is narrow. Together they describe a pulse that is both weak and thin, the signature of yang that cannot fill the vessels.
Shuowen
**《說文》:「脉,血理分袤行體者。」「微,隱行也。」「細,微也。」** 微者力薄而按之欲無,細者形小如線;二者兼見,為陽衰血少。**凡三見**:第六篇一(汗下後内外俱虚)、第十一篇二(行2提綱、行30危候)。**與「脉微」之别**:脉微言力,脉細言形,單見者有之,兼見者陽氣與血脉俱不足。

In brief

A pulse faint in force and fine in width at once. In this chapter it opens the disease: with a wish only to sleep it defines lesser yin, because the yang is too weak to fill the vessels and the spirit too dim to stay awake. It returns near the end in a heavier form — faint, fine and deep, with the patient lying down, sweating without vexation, wanting to vomit, and later diarrhoea and restlessness — where the chapter reads it as a fatal sign. Elsewhere it appears after purging and sweating, with shivering, as the mark of both inner and outer depletion. The quality is thus never incidental: it measures how much yang remains, and whether it can still be warmed back.

Senses in the classical corpus

1
少陰提綱脉微細 脉微細,但欲寐
陽氣虚微,脉道不充,故微細;與但欲寐並見,為少陰病之提綱
The yang is faint and the vessels are not filled, so the pulse is both weak and thin. With a wish only to sleep it forms the opening definition of lesser yin.
少陰之爲病,脉微細,但欲寐也。 — 辨少陰病脉證并治第十一
2
陰盛陽絶之脉微細 脉微細沉,但欲卧
微細而沉,陰寒內盛、陽氣將絶;兼汗出不煩、自利煩躁,故主死
Faint, fine and deep: yin cold fills the interior and the yang is nearly gone. With spontaneous sweat, absence of vexation, diarrhoea and later restlessness, the chapter calls it death.
少陰病,脉微細沉,但欲卧,汗出不煩,自欲吐,至五六日,自利,復煩躁,不得卧寐者,死。 — 辨少陰病脉證并治第十一
3
汗下後内外俱虚 必振寒,脉微細
下之後復發汗,陰陽兩傷,故振寒而脉微細;内外俱虚,非一法可補
Purging followed by sweating injures both yin and yang, so there is shivering and a faint fine pulse. Inner and outer are both depleted, and no single method will restore them.
下之後,復發汗,必振寒,脉微細,所以然者,以内外俱虚故也。 — 辨太陽病脉證并治中第六

Occurrences in the classics

Passages where the term does real work, with the original, pinyin and English on the same line.

Display
3 passages
辨少陰病脉證并治第十一·辨少陰病脉證并治第十一 Read in context →
少陰之爲病,脉微細,但欲寐也。 少阴之为病,脉微细,但欲寐也。
shào yīn zhī wéi bìng mài wēi xì dàn yù mèi yě
When shaoyin is diseased, the pulse is faint and fine, and the patient only wants to sleep.
提綱以脉與神並舉,微細屬陽衰,但欲寐屬神倦,二者相得,少陰乃成。
辨少陰病脉證并治第十一·辨少陰病脉證并治第十一 Read in context →
少陰病,脉微細沉,但欲卧,汗出不煩,自欲吐,至五六日,自利,復煩躁,不得卧寐者,死。 少阴病,脉微细沉,但欲卧,汗出不烦,自欲吐,至五六日,自利,复烦躁,不得卧寐者,死。
shào yīn bìng mài wēi xì chén dàn yù wò hàn chū bù fán zì yù tǔ zhì wǔ liù rì zì lì fù fán zào bù dé wò mèi zhě sǐ
In shaoyin disease with a faint, fine, deep pulse, a wish only to lie down, sweat without restlessness, and a spontaneous urge to vomit, if by the fifth or sixth day diarrhoea comes, restlessness returns, and sleep is impossible, it is fatal.
同一微細,加一「沉」字,便從提綱轉為死候,脉位之重如此。
辨太陽病脉證并治中第六·辨太陽病脉證并治中第六 Read in context →
下之後,復發汗,必振寒,脉微細,所以然者,以内外俱虚故也。 下之后,复发汗,必振寒,脉微细,所以然者,以内外俱虚故也。
xià zhī hòu fù fā hàn bì zhèn hán mài wēi xì suǒ yǐ rán zhě yǐ nèi wài jù xū gù yě
After purgation, sweating is induced again, and there is sure to be shivering with a faint, fine pulse. The reason is that both inside and outside are empty.
汗下倒施,内外俱虚,振寒與微細並見,是陽無以温、脉無以充。

Compounds built on this term

脉微
mài wēi
faint pulse
辨少陰病脉證并治第十一
脉沉
mài chén
deep pulse
辨少陰病脉證并治第十一
脉微欲絶
mài wēi yù jué
faint pulse on the point of vanishing
辨少陰病脉證并治第十一

How it has been translated

Every rendering below is a decision about which reader is being addressed. There is no neutral option.

This sitefaint fine pulsekeeps force and width apart
Literalsubtle and thin pulseexact, less clinical
Clinicalweak thready pulsefamiliar to modern readers

Entry status

Review pending — who reviews this?

2026-10-31

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Reading path

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