Pulse diagnosis is one of the most important diagnostic techniques in the practice of TCM syndrome diagnosis. In particular, the Book of Pulses written by Wang Shuhe during the Western Jin Dynasty in China has systematically summarized and summarized the basic theory and historical literature of TCM pulse diagnosis and became a pulse of TCM. One of the most authoritative classic medical books. However, at the time of the clinical trial, some people did not fully understand the pulse diagnosis, and even entered a misunderstanding.


Single-numbered pulse condition


In clinical practice, such patients are often encountered. After sitting down for a consultation, the arm is placed on the pulse pillow without a word, and the doctor is required to determine whether or not the body has any signs of yin and yang deficiency. There are very few doctors of Chinese medicine either to cater to patients, or to show off their own pulse diagnosis techniques. They don't even ask the patient to be consulted. After the simple pulse diagnosis, they prescribe their medications. As a result, some medications deviate from the condition and cause the patients to treat Chinese medicine. The efficacy has been questioned. It is even more common that the scorpions of the rivers and lakes travelled in the name of “diagnosis of the pulse” and made tricks everywhere, greatly tarnishing the academic nature of the pulse diagnosis of traditional Chinese medicine. It is true that pulse diagnosis is undoubtedly the most important diagnosis and treatment method in the treatment and treatment of traditional Chinese medicine. The doctor of traditional Chinese medicine can diagnose and treat most of the syndromes based on pulse diagnosis alone. However, if we only ignore the other three consultations in the four consultations by clinical diagnosis, this diagnostic diagnosis is not scientific and incomplete. It may even result in incorrect diagnosis.


"If you are familiar with 'Wang Shuhe', it's not as good as clinical syndrome (here 'Wang Shuhe' refers to the book "Medical Classics").On the one hand, studying pulse diagnosis requires more visits, turning "Medical Pulses" into practice guidelines for diagnosis and treatment; On the one hand, pulse diagnosis should also be combined with other three clinics in a clever and flexible manner and cross-referenced with each other so that a more accurate and comprehensive diagnosis can be made, followed by rational prescriptions. However, the pulse diagnosis technology is superb and can not replace hope. Smell and ask three consultations.Mastering the pulse diagnosis technology of traditional Chinese medicine is a process of continuous perceiving from perceptual knowledge to rational knowledge and then from rational knowledge to clinical practice.


Cloth finger technique is not standardized


The author once watched a TV station's Chinese medicine health talk program on a provincial TV station. He clearly saw a close-up zoom lens of the three-fingered index fingertips of a Chinese medical expert at the time of the pulse diagnosis: three inches, one foot, and one foot. When we examined the pulse of one department, the other two fingers lifted up or even left the skin on the part of the mouth. This shot surprised the author. Coincidentally, last year, when the author met a student at the City Hospital, he also saw a doctor's practice of pulse diagnosis and TV programs. This made the author puzzled. Is it my fault diagnosis method and three ninth tricks? Or is it that some of our Chinese medical experts are busy with the daily clinical diagnosis and treatment work and are free to take into account the most basic pulse diagnosis techniques?


The author seriously consulted several old experts, and carefully reviewed the current "Chinese Medicine Diagnostics" textbooks and related literature. When three indictors, one patient, one patient, and one patient were examined, the other two fingers were not used. Force, but with a slight lift, but it must not be raised like a finger of a piano and leave the skin of the pulse. The current "Chinese Medicine Diagnostics" textbook also clearly stipulates that "the remaining two fingers in the three nine-patient consultations should be lifted slightly." The so-called slight lifting is when most of the doctors in the Chinese medicine clinics are in the three-part ninth-patient consultation. Although they can feel the other two fingers have lifted slightly, the spectator seems to have not yet left their fingers. Part of the skin.


Indifferent diagnosis


On September 18 last year, the health magazine "Chinese Medicine Weekly" edition was written: "The pulse of the three parts of the Chinese medical examination will be about the heart, liver, kidney, lungs, spleen, and vital organs. From the perspective of modern medicine, it is incredible that blood flow through the same radial arteries, which can represent the lesions of different organs, from a modern medical point of view. "This misunderstanding of the most basic medical technology in the motherland medicine, It is because we did not use historical materialism to examine the analysis of Chinese medicine. The formation and development of traditional Chinese medicine pulse diagnosis techniques and theories are the same as the natural laws of the ancients such as the observation of the sky, the observation of the cloud, and the summation of the natural conditions of the four seasons. They are also the long-term practice of traditional Chinese medicine in ancient times after thousands of years of historical period. A high-level summary of disease diagnosis methods and laws that summarizes, summarizes, sorts, and continuously sublimates.


According to the Yellow Emperor's Internal Classic, the Chuikou vein is the general body meridian. The source of the pulse starts in the stomach and loses its output in the spleen. After perfusion into the internal organs and functions, it passes through the body's veins and turns to the lungs. During this period, it undergoes the effects of internal organs and lesions. Therefore, it can reflect the viscera lesions on the clavicle veins. . Explained from the perspective of modern medicine, the ancient diagnosis and treatment method of Cunkou pulse diagnosis was considered by the medical community in the 1980s to be in conformity with modern medical bio-holographic theory. Therefore, whether it is a pulse diagnosis or a tongue diagnosis, it is possible to perform syndrome differentiation and treatment on organs and diseases such as organs and yin and yang.


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