數(shù)脈息數(shù)輻輳按舉有力主陽盛燔灼侵剝真陰之實(shí)病．浮為在表沉為在里發(fā)表攻里．脈癥相符．不難治也．而獨(dú)有如數(shù)之脈．疑似真假之間便有生死．霄壤之殊．人多不知也．夫數(shù)按不鼓則為虛寒相搏之．脈數(shù)大而虛則為精血銷竭之脈細(xì)疾．若數(shù)陰燥似陽之候也．沉弦細(xì)數(shù)虛癆垂死之期也．又有快脈即疾脈．快疾即如數(shù)脈．非真數(shù)也．若假熱之�。`服涼劑．脈亦見數(shù)也．每見舉世醫(yī)流．診得息數(shù)急疾．竟不知新病久病有力無力鼓與不bhskgw.cn鼓之異．一概混投苦寒．遽絕胃氣．安得不速人于死乎．徐東皋云∶數(shù)候多兇．勻健略可．惟宜傷寒妊瘧小兒．瀕湖脈學(xué)云∶數(shù)脈為陽熱可知．只將君相火來醫(yī)．實(shí)宜涼瀉虛溫補(bǔ)．肺病秋深卻畏之．據(jù)此亦嘗有溫補(bǔ)之者矣．若僅言只將君相火來醫(yī)．則猶見之．未擴(kuò)也夫獨(dú)不有陽虛陰盛之重恙．反得洪數(shù)有力之實(shí)脈．急溫桂附．旋即痊可者乎．余謹(jǐn)再引內(nèi)經(jīng)色脈篇論．以正其謬．以救其枉．為時(shí)師下一痛針法．經(jīng)言冬脈曰∶其氣來如彈石者．此為太過．病在外．其去如數(shù)者．此為不及．病在中．釋云∶來如彈石者其至堅(jiān)強(qiáng)．營之太過也．去如數(shù)者動(dòng)止疾促．營之不及也．蓋數(shù)本屬熱而此真陰bhskgw.cn虧損之．脈亦必急數(shù)然．愈數(shù)則愈虛．愈虛則愈數(shù)．而非陽強(qiáng)實(shí)熱之．?dāng)?shù)故不曰．?dāng)?shù)而曰如數(shù)則辨柝之．意深矣．此而一瘥．生死反掌．愚以為何獨(dú)數(shù)脈有相似者．即浮沉遲緩滑澀虛實(shí)弦緊諸脈．亦皆有相似也．又非唯脈然也．至癥若如瘧如痰如喘如風(fēng)如淋等病．設(shè)非素嫻審辨．臨事最撼心目．故庸淺者只知現(xiàn)下．精妙者疑似獨(dú)明為醫(yī)之難．政此關(guān)頭矣．
