素问·大奇论 Treatise on Great Anomalies
肝满肾满肺满皆实，即为肿。肺之雍喘而两胠满，肝雍两胠满，卧则惊，不得小便；肾雍脚下至少腹满，胫有大小，髀䯒大跛，易偏枯。
心脉满大，痫瘛筋挛。肝脉小急，痫瘛筋挛。肝脉骛暴，有所惊骇，脉不至若喑，不治自已。肾脉小急，肝脉小急，心脉小急，不鼓皆为瘕。肾肝并沈为石水，并浮为风水，并虚为死，并小弦欲惊。
肾脉大急沈，肝脉大急沈，皆为疝，心脉搏滑急为心疝。肺脉沈搏为肺疝。三阳急为瘕，三阴急为疝，二阴急为痫厥，二阳急为惊。
脾脉外鼓，沈为肠澼，久自已，肝脉小缓为肠澼易治。肾脉小搏，沈为肠澼，下血血温身热者死。心肝澼亦下血，二藏同病者可治。其脉小沈涩为肠澼，其身热者死，热见七日死。
胃脉沈鼓涩胃外鼓大，心脉小坚急，皆鬲偏枯。男子发左，女子发右，不喑舌转，可治，三十日起。其从者喑，三岁起。年不满二十者，三岁死。
脉至而搏，血衂身热者死，脉来悬钩浮为常脉。脉至如喘名曰暴厥，暴厥者，不知与人言。脉至如数，使人暴惊，三四日自已.
脉至浮合，浮合如数，一息十至以上，是经气予不足也，微见九十日死，脉至如火薪然，是心精之予夺也，草乾而死；脉至如散叶，是肝气予虚也，木叶落而死；脉至如省客，省客者，脉塞而鼓，是肾气予不足也，悬去枣华而死；脉至如丸泥是胃精予不足也，榆荚落而死；脉至如横格，是胆气予不足也，禾熟而死；脉至如弦缕，是胞精予不足也，病善言，下霜而死，不言可治；脉至如交漆，交漆者，左右傍至也，微见三十日死；脉至如涌泉浮鼓，肌中太阳气予不足也，少气味，韭英而死。脉至如颓土之状，按之不得，是肌气予不足也，五色先见黑白垒发死；脉至如悬雍，悬雍者浮，揣切之益大，是十二俞之予不足也，水凝而死；脉至如偃刀，偃刀者，浮之小急，按之坚大急，五藏菀熟，寒热独并于肾也，如此其人不得坐，立春而死，脉至如丸滑不直手，不直手者，按之不可得也，是大肠气予不足也，枣叶生而死；脉至如华者，令人善恐，不欲坐卧，行立常听，是小肠气予不足也，季秋而死。
When the liver, kidney, or lung is full, all are cases of excess, and this results in swelling. When the lung is congested, there is panting and fullness on both sides beneath the armpits; when the liver is congested, there is fullness on both sides beneath the armpits, and when lying down the patient startles easily, and urination is obstructed. When the kidney is congested, there is fullness from the feet up to the lower abdomen, the two shins become unequal in size, the thigh and shin become enlarged, the patient limps, and this readily turns into hemiplegia.
When the heart pulse is full and large, there is epilepsy with convulsions and sinew spasms. When the liver pulse is small and tight, there is likewise epilepsy with convulsions and sinew spasms. When the liver pulse gallops and races wildly, it indicates the patient has suffered a fright; if the pulse suddenly fails to arrive, or the patient becomes mute, it will resolve of itself without treatment. When the kidney pulse, the liver pulse, or the heart pulse is small and tight, and does not beat vigorously, all these indicate an abdominal mass. When the kidney and liver pulses are both deep, this is 'stone water'; when both are floating, this is 'wind water'; when both are deficient, it is fatal; when both are small and wiry, the patient is about to be startled.
When the kidney pulse is large, tight, and deep, or the liver pulse is large, tight, and deep, in both cases this is a hernia-like disorder. When the heart pulse beats forcefully, is slippery, and tight, this is 'heart hernia.' When the lung pulse is deep and beats forcefully, this is 'lung hernia.' When the three yang pulses are tight, this indicates an abdominal mass; when the three yin pulses are tight, this indicates a hernia-like disorder; when the two yin pulses are tight, this indicates epilepsy with reversal; when the two yang pulses are tight, this indicates fright.
When the spleen pulse bulges outward yet is deep, this is intestinal flux; in time it resolves of itself. When the liver pulse is small and moderate, this is intestinal flux that is easy to treat. When the kidney pulse is small and forceful, yet deep, this is intestinal flux with blood in the stool; if the blood is warm and the body is hot, the patient dies. When both the heart and liver are afflicted with flux, there is also blood in the stool; when the two viscera are diseased together, it can be treated. If the pulse is small, deep, and rough, this is intestinal flux; if the body is hot, the patient dies — and if the heat persists for seven days, death occurs on the seventh day.
When the stomach pulse is deep, bulging, and rough, or bulges outward and is large, or when the heart pulse is small, hard, and tight — in all these cases it results in hemiplegia. In men it tends to appear on the left side, in women on the right; if the patient is not mute and the tongue still moves freely, it can be treated, and the patient will recover in thirty days. If the condition follows its natural course and the patient becomes mute, recovery takes three years. If the patient is not yet twenty years of age, death occurs within three years.
When the pulse arrives beating forcefully, and there is nosebleed with fever, the patient dies. A pulse that comes suspended like a hook, floating, is a normal pulse. When the pulse arrives as though panting, this is called 'sudden reversal'; in sudden reversal, the patient loses the ability to speak with others. When the pulse arrives rapid as in a racing count, it causes the patient to suddenly startle; this resolves of itself in three or four days.
When the pulse arrives floating and merging, floating and merging as though rapid, with ten or more beats to a single breath, this indicates that the channel qi is about to become insufficient; if this is seen only faintly, death occurs within ninety days. When the pulse arrives like a flame from burning firewood, this indicates that the essence of the heart is about to be lost; the patient dies when the grass withers. When the pulse arrives like scattering leaves, this indicates that the qi of the liver is about to become deficient; the patient dies when the leaves fall from the trees. When the pulse arrives like a visiting guest being announced — meaning the pulse is blocked yet still beats — this indicates that the qi of the kidney is about to become insufficient; the patient dies when the jujube flowers fall. When the pulse arrives like a pellet of clay, this indicates that the essence of the stomach is about to become insufficient; the patient dies when the elm pods fall. When the pulse arrives like a crosswise bar, this indicates that the qi of the gallbladder is about to become insufficient; the patient dies when the grain ripens. When the pulse arrives like a taut string, this indicates that the essence of the uterus is about to become insufficient; if the patient talks excessively, death occurs when the frost falls; if the patient does not speak, this can be treated. When the pulse arrives like crossing lacquer — meaning it arrives now from the left, now from the right — if this is seen only faintly, death occurs within thirty days. When the pulse arrives like a gushing spring, floating and beating, this indicates that the Taiyang qi within the flesh is about to become insufficient; when the patient's breath and appetite grow scant, death occurs when the leek flowers bloom. When the pulse arrives like crumbling earth, so that pressing upon it yields nothing, this indicates that the qi of the flesh is about to become insufficient; when the five complexions appear, first black then white in succession, death occurs. When the pulse arrives like the uvula, floating, and pressing and palpating it makes it seem to grow even larger, this indicates that the qi of the twelve transport points is about to become insufficient; death occurs when the water freezes. When the pulse arrives like an overturned blade — meaning that on the surface it is small and tight, but pressing down it is hard, large, and tight — this indicates that the five viscera are congested with heat, and cold and heat converge singly in the kidney; such a patient cannot sit up, and death occurs at the Beginning of Spring. When the pulse arrives like a rolling pellet, slippery, and cannot be caught beneath the hand — meaning that pressing upon it yields nothing — this indicates that the qi of the large intestine is about to become insufficient; death occurs when the jujube leaves sprout. When the pulse arrives like a flower, causing the patient to be constantly fearful, unwilling to sit or lie down, walking and standing while constantly listening as if for something, this indicates that the qi of the small intestine is about to become insufficient; death occurs in the last month of autumn.