The long history of pulse diagnosis, the basis of pulse diagnosis?

Healthy and Elderly Pulse Cutting is a method of diagnosing the pulse by touching the patient's pulse with a finger to experience the change of the pulse. As one of the "four diagnoses" of traditional Chinese medicine, pulse diagnosis has a very ancient origin, according to records, the legendary ancient physicians have discussed pulse diagnosis in the season and the ghost area. Bian Que, a physician in the Spring and Autumn Period and the Warring States Period, was famous for his methods of looking, smelling, asking and cutting, especially for diagnosing diseases with pulse.

At that time, the "Neijing" recorded the "Three Books and Nine Candidates" pulse method, and in the later "Difficult Scripture", it began to "take an inch alone" and wait for the pulse to say that it was sick. By the Han Dynasty, pulse diagnosis was more common. For example, in Zhang Zhongjing's "Treatise on Typhoid Fever and Miscellaneous Diseases", the principle of "flat pulse syndrome differentiation" was established, which shows that pulse diagnosis has been widely used in clinical practice and has been further developed and improved.

In the Jin Dynasty, the physician Wang Shuhe wrote "Pulse Meridian", which collected the culmination of the previous pulse study of the Han Dynasty, described the three parts of the Nine Candidates, the Inch Mouth Pulse Method, and determined the common floating, pour, Hong, slippery, number, promoting, stringing, tight, sinking, volt, leather, solid, micro, astringent, fine, soft, weak, weak, weak, scattered, slow, late, knot, generation, moving, etc. 24 kinds of pulses, and each pulse was explained, and various pulse cutting methods and pulse evidence of a variety of miscellaneous diseases were also described, so that the pulse science became a more practical knowledge. After that, there were elaborations on pulse monographs, such as Zhang Jingyue's "Jingyue Quanshu" in the Ming Dynasty. The Pulse God Chapter", which discusses the Pulse God, the Sixteen Parts of the Positive Pulse, the Constant Change of the Pulse, and the Obscurity of the Pulse.

Li Shizhen extracted the essence of pulse science before the Ming Dynasty and wrote the book "Pulse Science of the Lake", and on the basis of the 24 kinds of pulses in the "Pulse Meridian", he added three kinds of pulses: long, short and wet, so that the number of pulses in traditional Chinese medicine increased to 27. Li Shicai's "Diagnosis of the Family's Right Eye" has added 28 kinds of pulse signs. In addition, in the Qing Dynasty, Li Yangang's "Pulse Recipe Convergence", Huang Gongxiu's "Pulse Truth" and other pulse monographs are quite practical for the analysis of pulse theory and clinical experience, and also reflect the development of ancient pulse science to varying degrees.

Pulse count is when the patient's pulse narrows, narrows, and the rate increases. Other diagnostic terms include floating pulse, sinking pulse, late pulse, virtual pulse, and solid pulse. Here's a closer look at these terms:

1. Floating pulse: floating in **, light press to get, heavy press to weaken, the main evidence, strong for the real, weak for the virtual. The floating tightness is wind cold, the floating number is wind heat, and the floating speed is more empty.

2. Shen Mai: Sink the muscles and bones, press more than enough, and lift it insufficiently, the main evidence. The sinking number is hot, the sinking is cold, the sinking is the void, and the sinking is solid. The formation of the sinking pulse is associated with a decrease in cardiac output, constriction of peripheral blood vessels, and an increase in vascular elastic resistance.

3. Late pulse: The pulse comes slowly, and one breath is less than four solstice. The main cold syndrome or yang deficiency. It can be caused by increased vagus nerve excitability or atrioventricular block.

4. Void pulse: Emptiness under the fingers, weak pulsation. The main deficiency syndrome is weakened and the response to disease is reduced. Because the qi is not enough to push the blood to run, and the blood is not enough to fill the veins, the veins are empty and the veins are weak. It can be divided into qi deficiency, blood deficiency, yin deficiency, and yang deficiency.

5. Astringent pulse: short and thin, such as a knife scraping bamboo, stagnation back and forth. It is mainly seen in low blood, qi stagnation, blood stasis, and lack of sperm, such as long-term illness and frailty, anemia, amenorrhea, liver cirrhosis or visceral blood stasis.

Pulse is an extremely important indicator in TCM diagnosis. Traditional Chinese medicine believes that pulse is a reflection of the functional activities of the five internal organs of the human body, and pulse diagnosis can reflect the condition of the human internal organs, judge the nature and prognosis of the disease, and is one of the important methods of traditional Chinese medicine diagnosis.

The role of TCM pulse diagnosis is very extensive, not only for the diagnosis of diseases, but also for the prevention of diseases. TCM pulse diagnosis can help doctors judge the nature and prognosis of the disease, and provide a basis for doctors to formulate the best plan. In addition, TCM pulse diagnosis can also help doctors determine the balance of yin and yang in the human body, and provide guidance for regulating human health.

The basic principle of pulse diagnosis in TCM is "looking, smelling, asking, and cutting". That is, after observing the patient's complexion, tongue coating, fundus, etc., the doctor further judges the nature and course of the disease by asking the patient's condition, medical history, etc. Finally, the location of the disease and the severity of the disease are determined by judging the rhythm, speed, strength and other indicators of the pulse through pulse resection.

The basic principle of pulse diagnosis in TCM is "looking, smelling, asking, and cutting". That is, after observing the patient's complexion, tongue coating, fundus, etc., the doctor further judges the nature and course of the disease by asking the patient's condition, medical history, etc. Finally, the location of the disease and the severity of the disease are determined by judging the rhythm, speed, strength and other indicators of the pulse through pulse resection.

1 Pinyin 2 Annotations.

Attached: 1 The pulse number in ancient books is urgent.

mài shù jí

Pulse number is a term for pulse urgency. The number of pulses and strings. The sun signs, the number of pulses, irritability, and nausea are the symptoms of illness passing inward.

Treatise on Typhoid Fever: Distinguish the Pulse Syndrome and Treatment of Yang Disease in Taipeng Tomb": "One day of typhoid fever, the sun is ,...... itIf you want to vomit, if you are irritable, and your pulse is urgent, it is also a pass. ”

Revised Zhongjing Quanshu Commentary on Typhoid Fever: [Volume 2] Distinguish the pulse of the sun disease and treat the middle part, the sun receives it, and the pulse is quiet, it is not transmitted; If you want to vomit, if you are irritable, and the pulse is urgent, it is also the source of the chain. Note: On the day of typhoid fever, the sun suffers from it, and the pulse is tight.

Medical Sect Jinjian": [Volume 1 Distinguishing the Pulse of Sun Disease and Treating the Middle Part] Ephedra Soup Formula, the sun receives it, and the pulse is quiet, it is not transmitted; If you want to vomit, if you are irritable, and your pulse is urgent, it is also a pass. Note: On the day of typhoid fever, the sun suffers from it, and the pulse is tight.

Treatise on Typhoid Fever: [Volume I] The sun is compiled on a day when the sun receives it. Those who have a quiet pulse. For not passing. I want to vomit. If you are irritable and have a fast pulse. For the transmission also. Typhoid fever for two or three days. Those who do not see Yang Ming Shaoyang certificate. For no.

Typhoid Fever Tracing Collection": [Volume 2 Sun Novelta] The second ephedra soup for typhoid fever syndrome treatment. But there is nothing else to sweat without sweat. Note: The furniture is because Zhongjing has a pulse, and those who are anxious are eager to pass on the sentence. It is said to take advantage of its desire to disperse and expand it. Wang Ju scattered the number but did not order.

Wu Jutong Medical Case": [Volume 1] Warm Epidemic.