? The "cut" of seeing a doctor in traditional Chinese medicine to see health from pulse condition
"Pulse-taking" can check all organs of the body.
Pulse diagnosis is a diagnostic method in which the teacher presses the human artery by hand according to the pulse condition to understand the internal changes.
Pulse diagnosis has a long history, which reflects the characteristics and experience of scientific diagnosis.
Pulse condition can be understood as pulse condition. It consists of the location (depth), speed (speed), intensity (strength), rhythm (regularity, endless) and shape of arterial pulsation.
Pulse condition is an important basis of TCM syndrome differentiation, which has important clinical significance in distinguishing the cause, inferring the changes of the disease, distinguishing the true and false feelings and judging the prognosis of the disease.
Because the pulse is the house of blood and runs through the whole body, the pathological changes of the internal organs of the body are often reflected in the pulse, and sometimes the pulse condition has changed before the symptoms are fully manifested.
The generation of pulse condition is directly related to the fluctuation of heart, the rise and fall of heart qi, the smoothness of pulse and the profit and loss of qi and blood.
Therefore, the heart and pulse are the main organs that form pulse conditions. Qi and blood are the material basis of pulse formation.
At the same time, blood circulates throughout the body, except for the leading role of the heart.
There should also be the coordination of various organs: (1) lung qi dispersing, blood dispersing;
Spleen governs blood, which is the source of qi and blood biochemistry. Only by nourishing and controlling spleen can blood run.
Liver stores blood and regulates blood flow; Kidney storing essence can generate blood and transform qi, and kidney qi is the motive force of functional activities of various viscera.
Therefore, the pulse condition can reflect the comprehensive information of viscera, qi and blood, yin and yang. When the viscera and qi and blood are diseased, it will inevitably appear from the pulse condition, which will become an important basis for disease diagnosis. Therefore, pulse-cutting is a correct prediction.
Cunkou pulse is the main part of "cutting"
Clinically, the "inching diagnosis method" is mainly used, that is, the posterior part of the radial artery of the patient is cut.
There are records of "full-time diagnosis" and "three-part diagnosis" in Neijing, which are rarely used in modern clinic, so I won't introduce them here.
Pulse diagnosis has two theoretical bases:
First, the pulse will be too deep. In other words, all the meridians of the human body will gather in the lung, Taiyuan point, and the point where the pulse will meet is the point where the pulse will meet, so there is a saying that the pulse will be too deep.
Second, the spleen and stomach are the source of qi and blood of all zang-fu organs, and the rise and fall of qi and blood of all zang-fu organs is closely related to the strength of spleen and stomach function. From the middle energizer, we can observe the strength of stomach qi.
Therefore, the ups and downs of qi and blood in the viscera, meridians and collaterals of the whole body are all reflected from the cunkou pulse.
What are the common diseases?
A person's pulse should be 4-5 times at a time, and the pulse should be gentle and powerful. Common pulse diseases include floating pulse, sinking pulse, late pulse, multiple pulse, deficiency pulse, solid pulse, slippery pulse, extensive pulse, thin pulse and chord pulse.
1, floating pulse
Tap to get it, and press it again to get it. It is characterized by superficial pulse position. The appearance of floating pulse is mainly due to exogenous pathogenic factors staying on the surface, defending qi from evil and encouraging pulse qi from the outside, so the pulse position is shallow.
Strong floating is the real thing; Floating without strength is superficial. Long-term internal injuries are caused by deficiency of yin and blood, yang deficiency floating outward and weak pulse floating.
2. Sinking pulse
You can't press it lightly, you have to press it again to get it. It is characterized by a deep pulse. Main symptoms: interior syndrome. Strong pulse leads to internal exuberance, while weak pulse leads to internal deficiency.
Pathogenic qi is depressed inside, qi and blood block yang, and the pulse is heavy and powerful. Visceral weakness, yang deficiency and qi stagnation, rapid pulse weak gas, weak pulse.
3. Late pulse
Slow pulse (pulse less than 60 times per minute). Main symptoms: cold syndrome. Strong pulse indicates excess cold, while weak pulse indicates deficiency cold. Cold is depressed, qi and blood move slowly, and the pulse is slow and strong, which is the syndrome of excess cold.
Deficiency-cold syndrome is caused by deficiency of Yang Qi, inability of qi and blood to move, and slow and weak pulse. Workers and heavy physical labor, the pulse is often late, is a physiological state.
4. Pulse counting
Fast pulse (more than 90 beats per minute). It is characterized by a faster pulse rate than normal people. Main disease: fever. Strong pulse leads to excess heat, while weak pulse leads to deficiency heat.
Exogenous fever starts at the beginning, the viscera is full of heat, the pathogenic heat is stimulated, the blood circulation is accelerated, and the pulse is strong for excess heat. Blood deficiency, body fluid and blood deficiency, endogenous deficiency heat, weak pulse.
5. Deficiency pulse
Light pressure and heavy pressure all feel empty, which is the floorboard of all weak veins. The cause of this disease is mostly deficiency of both qi and blood, so it is difficult to stimulate the pulse condition, so it is deficiency.
6. True pulse
All three veins are strong.
Pathogenic qi is abundant and healthy qi is sufficient, positive and evil are fighting each other, qi and blood are full of pulse channels, and the pulse is strong.
7, slippery pulse
It should mean smooth, smooth, as smooth as a ball. Main symptoms: turbid phlegm, indigestion and excess heat. It is more common in young people with abundant qi and blood.
The slippery pulse of pregnant women is a phenomenon of vigorous qi and blood to raise the fetus. They are all physiological phenomena.
8. Flood pulse
The pulse is big and powerful, such as rough waves, one after another. Main symptoms: excess heat.
The internal heat is abundant, the pulse channels are dilated and the pulse shape is wide. Because of the heat, the burning of pathogenic factors and the fullness of qi and blood, the pulse condition exists.
9. Texture
The pulse is as thin as a line, with obvious ups and downs. Main symptoms: deficiency syndrome, more common in yin deficiency and blood deficiency. It also controls wet diseases.
Yin deficiency and blood deficiency can't fill the pulse, or wet evil can't fill the pulse, and the pulse is small.
10, chord pulse
The end is straight and long, pointing downwards quite naturally, such as pressing a string. Treat hepatobiliary diseases, pain and phlegm.
The qi is unfavorable, the liver loses the function of dispersing qi, and the pulse is tense and shows a string pulse. When the patient is sick, qi disorder or phlegm stops, which will lead to poor conduction of qi and string pulse.
1 1, knot pulse
The pulse is slow and irregular. Main diseases: yin deficiency and qi stagnation, cold phlegm and blood stasis.
Analysis: Yin-cold accumulates internally, and pulse and qi are blocked. Cold phlegm and blood stasis, qi stagnation, stagnation of pulse qi, therefore, if the pulse stops late due to qi deficiency and weak blood, it is weak.
12, on behalf of the buyer
The pulse has a rest and a fixed number. Main disease: Decline of dirty qi.
It is the weakness of dirty qi and lack of vitality that makes the pulse qi impassable.
What affects the pulse condition?
There are roughly 28 kinds of pulse conditions in human body, and each pulse condition is a reflection of human function, and it has a corresponding disease range.
Pulse condition is a phenomenon of biological information transmission, which is a signal about circulatory system measured from the outside. Its disadvantages are imprecision and lack of quantification. For example, hypertension can be detected by pulse diagnosis, but blood pressure cannot be measured.
Any organism transmits not only endogenous information, but also exogenous information. The endogenous factors that determine the pulse condition are mainly the blood and pulse mentioned above. The external factors that determine the pulse condition are geography, climate and so on.
When it is cold, the blood vessels contract and become thinner, and the blood flow will slow down; When the weather is hot, the blood vessels dilate and widen, the blood flow accelerates, and the pulse condition will change accordingly.
Even if the external environment is insignificant, the pulse condition may change obviously.
If it is within the physiological adjustment range, it belongs to normal pulse condition; Beyond the physiological range is a pathological pulse condition. In the case of interference, the pulse condition is sometimes inaccurate and reliable.
At this time, experience is particularly important. A Chinese doctor with superb medical skills and rich experience in pulse diagnosis can find lesions more accurately, while an ordinary Chinese doctor may make unclear diagnosis or even make mistakes.
Tips: Chinese medicine is different from western medicine, mainly through these four points to judge whether the human body has a source of disease and whether there are hidden dangers. This is the oldest diagnostic method in China, but it is often the most effective!