脉诊在中医临床意义重大，通过切脉能了解病性寒热，机体正气盛衰，以及推断病因、病位和预后。正如《灵枢·经脉》所言：“经脉者，所以能决生死处百病，调虚实，不可不通。”

浮脉

轻寻有、按无有，浮脉漂然肉上游，

水中浮木未定向，浮脉中间仔细究，

有力恶风见表实，无神无力指虚浮，

浮脉里有七伴（浮紧、浮缓、浮滑、

浮数、浮迟、浮虚、浮洪），其中理性要经验。

洪脉

洪脉满指波涛似，来时力壮去自然。

脉洪阳盛虽夏旺，非是火盛治灾凡。

实脉

实脉行毕更属长，举按充实力最强，

新病逢时是火盛，久病逢时或气痛。

长脉

长脉直过本位前，迢迢自弱类长杆，

心肾身强气本壮，实脉相联似剑长。

短脉

短脉触之形似龟，藏头露尾脉中筋，

寸尺可凭关不诊，涩微动结似相随，

主病逢之为难治，概似真元气多亏。

芤脉

芤脉边实中间空，形似软而按如葱，

寸阳见芤血上溢，芤现迟脉下流红，

芤形浮细须轻诊，睡眠浮脉像得诊，

气血伤耗精神损，自汗阳虚骨蒸深。

散脉

散脉形浮无沉候，如寻至数拘不定，

满指散乱似扬先，按之分散难归整，

产是生早胎为堕，久病脉散命必丧。

沉脉

沉脉状似重迎指，如石投水往下沉，

按之无力真元弱，有力为痛滞气侵，

中寒其脉均沉类，紧滑弦细数迟微，

数头机关勿误人。

微脉

微脉细小至如弦，沉而极细最不断，

春夏少年均不宜，春冬老弱确为善。

伏脉

沉之深，伏脉游，下指推筋靠骨求，

真气不行症痞结，脉丧泻之不出头。

弱脉

沉细软绵似弱脉，轻寻无得重采知，

元气耗损精血虚，少年可虑白头矣。

虚脉

虚脉举指迟大软，按之无力又空洞，

精神气血都伤损，病因虚法汗多中。

牢脉

牢脉沉而伏力强，牢形实大与弦长，

劳伤微疾真精损，气喘腹疝七情伤。

革脉

革脉肢体自浮急，象诊真似按鼓皮，

女人半产并崩漏，男子血虚或梦遗。

迟脉

迟脉寻按至来三，来往极慢微迟脉，

浮迟表寒是表证，沉迟里冷必定见。

缓结代涩居迟类，不究详细莫轻谈。

缓脉

缓脉四至通不偏，和风杨柳袅自然，

欲从脉中求神气，只在从容和缓间，

缓迟气血皆伤损，和缓从容为气安。

结脉

缓一应指复又来，结脉肢体记在怀，

悲虑积中成郁结，五芤交攻为痞灾。

（五芤：气、血、痰、饮、食）

代脉

缓之不能随手知，良久方来是代脉，

代是气衰凶且甚，妊娠奉同生机存。

涩脉

脉道艰涩难疏通，细迟短散何成形，

来往湿滞似刮竹，病蚕食叶慢又难，

思虚交愁裏积久，不但损血又伤精。

数脉

来往行速数脉形，一息六至仔细凭，

数脉属阳热可知，只把虚实火来医，

实要凉泻虚温补，肺病秋深却畏之。

急紧弦滑动促脉，都从数脉安排定。

疾脉

快过数者脉名疾，载阳又可阳凶升。

紧脉

数又弦疾和成紧，举如转索切绳形。

浮紧表寒身体痛，沉紧逢见腹疼痛。

弦脉

举之迎手按不转，弦长端直若丝弦，

受病轻重如何认，指在弦上软硬看。

滑脉

滑脉如珠滚滚来，往来流利却还前，

停食痰气胸中瘀，妇女滑缓定是胎。

动脉

动脉摇摇数在关，没头没尾豆形圈，

动主惊悸心空虚，汗出发热阴阳参。

促脉

脉来急促有间歇，进必无生退可生，

促脉三焦火焱盛，原因有五细推求。

血气痰食饮停留，洪实细弱滑数兼。

濡脉

濡脉浮取极不力，按之随手又空空，

主病血虚阳虚症，汗多夜间骨热蒸。

细脉

细脉如线应指明，气血两虚此脉行，

诸虚劳损兼病湿，微弱濡脉且变清。

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