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
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.”
**「洪」五篇共10見**(經文,不含成注),本文引第2篇第01段、第2篇第02段、第2篇第33段、第5篇第28段、第1篇第33段、第3篇第37段。
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
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.
洪之兩面:夏月立夏得之為時脉,大汗後得之猶可再與桂枝;若浮洪而汗如油,則為命絶。
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
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.”
洪之兩面:夏月立夏得之為時脉,大汗後得之猶可再與桂枝;若浮洪而汗如油,則為命絶。
服桂枝湯,大汗出,脉洪大者,與桂枝湯如前法。若形如瘧,日再發者,汗出必解,宜桂枝二麻黃一湯。
服桂枝汤,大汗出,脉洪大者,与桂枝汤如前法。若形如疟,日再发者,汗出必解,宜桂枝二麻黄一汤。
fú guì zhī tāng dà hàn chū mài hóng dà zhě yǔ guì zhī tāng rú qián fǎ ruò xíng rú nüè rì zài fā zhě hàn chū bì jiě yí guì zhī èr má huáng yī tāng
After Cinnamon Twig Decoction, with heavy sweating and a surging, large pulse, give Cinnamon Twig again as before. If the pattern is malaria-like with two attacks a day, sweat will surely resolve it: Cinnamon Twig Two and Ephedra One Decoction is fitting.
洪之兩面:夏月立夏得之為時脉,大汗後得之猶可再與桂枝;若浮洪而汗如油,則為命絶。
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
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.
洪之兩面:夏月立夏得之為時脉,大汗後得之猶可再與桂枝;若浮洪而汗如油,則為命絶。
陽脉洪數,陰脉實大者,遇温熱,變爲温毒。温毒爲病最重也。
阳脉洪数,阴脉实大者,遇温热,变为温毒。温毒为病最重也。
yáng mài hóng shuò yīn mài shí dà zhě yù wēn rè biàn wéi wēn dú wēn dú wéi bìng zuì zhòng yě
When the yang pulse is flooding and rapid and the yin pulse replete and large, warm heat is met and it turns to warm poison. Of all illnesses warm poison is the heaviest.
洪之兩面:夏月立夏得之為時脉,大汗後得之猶可再與桂枝;若浮洪而汗如油,則為命絶。