四十九脉图解[43]
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_8.jpg?sign=1734396785-upxJ9RlrosCWcUW0zDSrINr9QpFfB8jz-0-5f809867e87e3bb53066b1a50d8e7f0c)
流珠形 主夹食膈热,三焦不和,气不顺,饮食欲吐,或泻,肠鸣自利,烦躁啼哭。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_9.jpg?sign=1734396785-sqs5kg3c3UGM4wXPzq46hwSN2t1OfK5n-0-b86e60cd068c2632eb57a8e546771754)
环珠形 主气不和,脾胃虚弱,饮食伤滞,心腹膨胀,烦闷作热。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_10.jpg?sign=1734396785-wg6MYzIqCmBthyFslOn01YAKQf8DROsf-0-e1833dc23314bb07a4634626b2f0ebf8)
长[44]珠形 主夹积食,肚腹疼痛,或发寒热,胁肋膨胀,饮食不化,虫动不安。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_11.jpg?sign=1734396785-5aqDqNpDAkfojc5djhvzYD7ZbAOhn0W7-0-027df80f25da8d8890e02728a2de40ba)
来蛇形 主中脘不和,积气攻敕,饮食不下,疳气欲传,脏腑不宁,膨满干呕。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_12.jpg?sign=1734396785-lYdFh9ymbAx9GmIUXQG3hhZHmOrqO0ht-0-61bbf35c8f93d39c1d26f02fc8c03117)
去蛇形 主脾胃虚弱,食积吐泻,烦躁气粗,渴烦喘息,饮食不化,神困多睡。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_13.jpg?sign=1734396785-ZEAWc9z4FIDhGobfHNlYjifzxMLCttri-0-c45c6ef9f338417a5062a646b4ab6f14)
弓反外形 主痰热,心神不宁,睡卧不稳,身体作热,夹惊夹食,风痫等症。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_14.jpg?sign=1734396785-ygWKMmlpTnSlG5RvmSkxAdJpI1Pp6eO8-0-25e9ec3ee8ec39449947c6a1e6283719)
弓反里形 主感受寒邪,头目昏重,心神惊悸,沉默倦怠,四指稍冷,咳嗽多痰,小便赤色。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_15.jpg?sign=1734396785-DqfyToWdiEb8hm0hz0CBAASHZ3WNSfbx-0-99a2d67015f26a5fae9cca4891a47310)
枪形 主邪热痰盛,精神恍惚,睡不安稳,生风发搐,惊风传受。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_16.jpg?sign=1734396785-VWG8FVNtnhqsItCFJL5iY1pX9ChUX629-0-a490a5cb2b2c6af59bc844850da6fd13)
鱼骨形 主惊风痰热症候,速宜截风化痰,利惊退热。若失于治,必变他症。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_17.jpg?sign=1734396785-0raQKLoZBSSWfXXfkYEi9hca7KbLqqrT-0-358750fcecfdfbb211816e62d4d808d1)
水字形 在风关主惊风入肺,咳嗽面赤。气关主膈有虚涎,虚积停滞。命关主惊风,疳疾,危笃。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_18.jpg?sign=1734396785-LcdFsVuJIyDWKoujhAaCZiaFPMmiAxxH-0-cb9002f18c4c000235dd6d2f904c7f08)
针形 在风关青黑色主水惊。气关赤色主疳积。命关有此五色者,及通度三关,主急慢惊风,难治。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_19.jpg?sign=1734396785-tNT7QXOr5beNIqGtxRWRnND3iewj1MMC-0-6871a277375ff20156bfa50ac05bfebe)
透关射指形 主惊风痰热四症,皆聚胸膈而不散。其候虽重,症顺则可治疗。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_20.jpg?sign=1734396785-gsW3KGfRTrJYn6JTPcWDC83fT0VT4Agz-0-eb66ca104cce34486f96f8a1eb38281d)
透关射甲形 主惊风恶候。传入经络则风热发生;并入八候,虚痰壅塞,危急之症,最难疗治。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_21.jpg?sign=1734396785-ffaQeorLulcILjNQwCzpU3xUg9wJt4jg-0-364f703d64d8ed379b0780fcff89414d)
脉如乱丝 主腹中冷泻,唇色青白,手足似冰,虚生惊跳。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_22.jpg?sign=1734396785-67rgAPnHxOIWSHoYH49QPqphnFWIGgrP-0-4c49d57c978a869c676fad7b550b5fc2)
形如蛇尾 色紫红,主惊食伤脾,又夹风寒[45],头面胸腹,温温作热。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_23.jpg?sign=1734396785-Eyoel7Q2UwNHcAgdq7yJ53XEFjjLfo9I-0-79309e7cb0bb6f8868484d948123617b)
此脉须知是风脉。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_24.jpg?sign=1734396785-Tf0q5glZTYwm3BXzkKYk70SJF1qBoaei-0-75415b03eef1ea7495d65cd0e81662e9)
此脉方知是气脉。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_25.jpg?sign=1734396785-QxEsS5dhNWtWNB6fJI6P0TfJ8XKAPM2i-0-40f4baf9c3bfdd5295aec42c5ccf581a)
此形在风关,主疳积病。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_26.jpg?sign=1734396785-fcRqp50kOn1wKxpGFUEuXTpO6LYT7CnU-0-9abfc76ef4dcc4adffddca5208282806)
主惊风气伤寒[46]。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_27.jpg?sign=1734396785-pv10DFGoje4ruW7MaBAnzEpH9z0J2spt-0-1e7f703ba52041dab806e1dc65a951c8)
此形如环。见风关,主肝脏疳有积聚。气关,主疳入胃,吐逆不治。命关,无药可治。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_28.jpg?sign=1734396785-uSh3M4B245cQyXMYb0tP725CoqgGrX1s-0-b8b0f1cc1782d35ba117aa1bccd37c6c)
此纹若在风气二关易治。命关通度难治。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_29.jpg?sign=1734396785-lCb6sr3gQauuCRoCN2Y2zdmYadzKlioV-0-130035c95867b78adf1ccde0c6e8d2b7)
曲向里者是气疳。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_30.jpg?sign=1734396785-qLC2rG881RhsYIet2OjvHnLETb00uCYE-0-9ed0015783f13902ee08dd54f0a3cb74)
曲向外者是风疳。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_31.jpg?sign=1734396785-1JloDRuJxPoWwEWmLSgN1jJ5rnnDAdc9-0-caebda8eaa47013da69ea225913c4982)
脚斜向右是伤寒,身热,不食,无汗。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_32.jpg?sign=1734396785-7NswlY4wZBwsUtdDxZWX1N1FiJ4kevmC-0-ae1475ae9dd040377cce0f32cf4f15e5)
脚斜向左是伤风,身热,不食,有汗。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_33.jpg?sign=1734396785-ThmO0rs3vZOCoUQ3aR5H1s7QiAXRxw4J-0-d37b73eda63a8c40eb5af7309a74128f)
双钩脉者,即是伤寒。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_34.jpg?sign=1734396785-y4quomWwbxltFwTfBKT4OQGwfJ6vrWRN-0-7a9d3a8ed91493e0dd62c7f61b28acef)
三曲如长虫者,是伤哽物。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_35.jpg?sign=1734396785-QIqCJZinCWeMOj1daXtoK0qNRtUHGp4O-0-39ca5021ddb6a19f58cdf8c39fefb884)
此形如环有脚者,是伤食。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_36.jpg?sign=1734396785-dKZpmNZzA0Q7kqYuqYotsZ7DAmSoeUgv-0-b648bd2eceed734f3326bf5177bf3478)
三枪形,主疳积候。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_37.jpg?sign=1734396785-2yPyM93rkOXhT8swg9FIy3dQ2fA3C9Aq-0-06e7d2b4d81f47ea772dd2642ba9175f)
脉形如鸥飞,主惊风。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_38.jpg?sign=1734396785-8Qq4yfxzuDpe190Ts5A1E2wBAZRiA8ts-0-2787e3dd56d52e36b554537b14dd9274)
此形主中焦热病。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_39.jpg?sign=1734396785-UnaKGQQ2Nk49UWKOBoPaF06ffondQzDu-0-3b8de63c840f1d6e21681d05b2d7191b)
如形两曲交连[47]者,主风候。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_40.jpg?sign=1734396785-TQw6eK8vURP00QkIObfol3rdMBqvHGzX-0-bbe63113c8924ef1843cba50d0ce8ed3)
世人要识伤冷证,三突西兮三凸东[48]。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_41.jpg?sign=1734396785-ZC2M73Ag0WGNFWQUsOutk57TYWxPUj0h-0-463e079f4d7af5ae741f5e71c6edd61f)
此形主耳鼻冷疮疳虫。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_42.jpg?sign=1734396785-FrKZjgy1Z6bzYnX4FtCR6lNvGkqVFrhP-0-f5ad785041cdbad53c4c0c5e0768836c)
两脉皆曲,主蛔虫。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_43.jpg?sign=1734396785-6A4KesnFiWKzaJs1T6TQ859rKOo8hdTY-0-180d45e360f7981e0249e5d381150e57)
中央大两头尖,红色者,主惊风发热。若透三关,主无辜疳疾,必死。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_44.jpg?sign=1734396785-mFssSRcdXCnoHzb2adfAH1TfoG3fAAkr-0-87e211467790c62f10ab75a51f971502)
头小尾大,黄色者,主硬物伤胃,壮热眠闲[49]或惊吊。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_45.jpg?sign=1734396785-ggAIBsyJbrjHFSdAHIQwrP5GFUxWyfpJ-0-2dfcdf21f1a60dc511b1bba2afa415a2)
红色在节中间通直者,主惊风发搐。一头红一头白者,顺。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_46.jpg?sign=1734396785-2gcvOwv7WeJrzQ87ozhN5ltHUlMlvbp7-0-3a31b4b9a617915d60ad7a8a3a5462ce)
紫色至关,乃是疳,必死。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_47.jpg?sign=1734396785-ineVlmDnZjbIoWbc68Rr6LqsQVcd2CVi-0-579d49611820416e3e964d5b3605835f)
上红下白,名为火光,火克金也。过关及抵五行相克者,必死。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_48.jpg?sign=1734396785-dFT6cjJxWDT2kWWZlKiDR2ndtLXwJq93-0-7c9abc44c0ca387d7e2c6dbe5d6748d0)
此形如曲虫。在风关,主[50]疳积聚,胞高肚大。气关,主大肠秽积。命关,主心脏传肝,难治。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_49.jpg?sign=1734396785-IXJCIoqNMiZ3AIOyW9tZxRkw6tAMkPgT-0-3b2c45f52387b177cd85759b061a2a17)
凡脉不见虎口,如云尘色者,是客忤鬼祟之脉,宜求神禳之。脉见大小不均,定主有凶。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_50.jpg?sign=1734396785-GYFnYi3FWm7gOAdpKIhvyfDRa2ACGpPw-0-382f2e7fde79ec40252d4937a59ed026)
三曲透命关,主惊风死。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_51.jpg?sign=1734396785-ojRWYps8Ihxj4g8DIqAZfM2PIgPAtrH5-0-ab0b6ca084122183e6dd4372536c7842)
此形在风关,主肝脏疳积。气关,主脾冷吐逆,不治。命关,必死。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_52.jpg?sign=1734396785-0VNd5hNKsJKvYtJ8RsaspcSYZJ2UbCqO-0-5d88b70b88ff81f39c32264d0b9da747)
此形见关中或手上或面部,皆死候也。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_53.jpg?sign=1734396785-zknNdCm54Qm3TsSruhCynH71uByjWDIN-0-e373bc6f275f40bf12b647890a96a68b)
此形如乱虫,主疳食积,亦有必死之候。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_54.jpg?sign=1734396785-f9iQGuJahpups4EdrXVd893NiZN5kw7r-0-d1b86d130b3a08ed4322bb511777c598)
此形见风关,青色易治,是初惊候,黑色难治。在气关,青色主疳劳身热。命关,青色主虚风和传脾,难治。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_55.jpg?sign=1734396785-ecZ9mSz7CbZJeL7jWM828Dpm8TmJlogq-0-2a16215641903e17e7d70b0c3209d802)
风关如乙字形,主肝脏惊风,易治。气关如乙字形,主惊风。命关如乙字,青黑色难治。
![img](https://epubservercos.yuewen.com/A107DD/15670415304026406/epubprivate/OEBPS/Images/txt001_56.jpg?sign=1734396785-pEnTrPtw0jM1MHBBMTn8ThYM0Rt3g2Pb-0-5feb6208752e1b22d9274b56a938a0ab)
主惊风,其状或单或双,逆来。