Modern doctors and patients generally believe that pulse diagnosis is the only way to diagnose diseases. Doctors can make three fingers sparse without asking questions, while patients hide their illness to test the doctor's pulse diagnosis. There is no shortage of medical methods. If I can't learn this lesson, my doctor will have no place to stand. What the sages know is the theory of vibration: "The pulse is the end of the four diagnoses, which is called coincidence." If you want to go to work, you must prepare for four consultations. "This is what Li Shizhen said." The ancients looked at the end of the cut and asked questions. At the time of looking at the questions, they had their own diseases. However, if the pulse is diagnosed again, is it necessary to see a doctor ..., which means that it is so expensive to feel the pulse and recognize the disease. "This is what Zhang Jingyue said. Xu Dachun's theory is particularly clear. He said: "There are thousands of names of diseases, but only dozens of pulse conditions, and dozens of pulses of a disease are visible. How do you know what disease it is by feeling the pulse? This is all speculation and deception. " "Historical records? A magpie biography says, "Look at a wall and you can see the crux of the viscera as a whole", but you take the pulse as the name. Bian Que felt the pulse at an inch. He did, but his followers didn't.
Archaeologists feel the pulse, but they are not alone. The twelve meridians, Qi Jing Eight Veins, Yang Qiao, Yang Wei, Chong, Ren, Du and Dai can all be diagnosed. Wang Shuhe's pulse meridian is detailed. Pulse pressure comes from the atrium, so don't compress all the superficial arteries. People welcomed the sun, and the ancients in Curie often diagnosed it, but the radial artery was the shallowest, which made the ears clearer. It was first discussed that pressing the radial artery (that is, the cunkou) was "difficult to pass", and later generations thought it was difficult to diagnose (Historical Records? "Biography of Bian Que" said: "Up to now, Bian Que is the person who knows the pulse best in the world". According to the pulse condition, it is divided into various pulse conditions, and its names are increasing day by day. There are only more than ten kinds of typhoid fever in synopsis of the golden chamber, but it has increased to 24 kinds in later generations, 27 kinds of pulse conditions and 29 kinds in some cases. In addition, for example, it is almost impossible for Keqin to master the Ten Classics, Chen Xiuyuan to master the Eight Classics, and the approachable Hu Tiechai to master the Ten Classics. It would be absurd to measure the disease by pulse and distribute the viscera in the mouth and mouth. Try to Wang Shuhe, Li Shizhen, Zhang Jingyue, Li Zhongzi's distribution view, which is quite different. Compared with this view, the differences are as follows:
Left for the liver and gallbladder, right for the spleen and stomach, all families are the same, left for the heart and liver bag, Zhang, the same, the king for the heart, liver and small intestine, each with its own differences; The right inch treats the lungs and chest, and both Li and Li are the same. Wang is waiting for the lung and large intestine, and Zhang is waiting for the lung and pericardium, which is different. The left foot is the same as the kidney and bladder, but it is different to have more large intestine and more small intestine. The right side governs the kidney and large intestine, and Li Tong said that it is different for the king to wait for the triple energizer and Zhang to wait for the kidney and small intestine. Oh! In three parts, how can we win the trust of future generations? These are all things that have not been tested, and they vary from person to person.
Sometimes, the upper energizer feels the pulse only inches, the middle energizer feels the pulse close, and the lower energizer feels the pulse enough. This is a medical classic: "In fact, what is above is also in the chest and throat;" If you go down, you will lose your lower abdomen, your lower back, your legs will be sore, your knees will be missing, and your legs and feet will be missing. "
Named after the pulse, it can be roughly divided into three categories. Those who get the shape according to the severity of the pulse take the ups and downs as the key link, those who float can get it by pressing it lightly, and those who sink can get it again. The ancients took floating as the skin vein, which means that they can get their image by pressing it under the skin. It is also obvious that sinking into the bone vein is to push the tendons and move the bones as needed. Floating and weak pulse is wet pulse, and floating and strong pulse is skin pulse. Weak pulse is weak pulse, strong pulse is firm pulse, and deep pulse is dormant pulse. The pulse is between leather and prison. All three parts are strong solid pulse, weak weak pulse, weak micro pulse, weak scattered pulse and hollow weak pulse. A total of twelve veins, all of which are unified from top to bottom.
If the pulse reaches several minutes, the latest number is the key link. Between breaths, the third time is late, and the sixth time is pulse. Pulse promotion means counting and stopping the pulse. The four directions are slow pulses, and sometimes the junction pulses are stopped. Seven to seven are the pulse of illness, and sometimes the motionless one is the pulse of generation. A total of seven veins belong to the late number.
From the modeling point of view, fluency is the key link. Smooth communication is slippery, stagnation and difficulties are astringent pulses. String the thin ends of a string directly, and snapping your fingers left and right is a tight pulse. Prosperity and decline are flooding veins, and thickness and width are big veins. It is as thin as silk, like a vein, like a bean moving and swinging like an artery. Long pulses come and go, and short pulses contract. There are eight veins, all of which are based on shape and belong to fluency.
Although there are three methods in traditional Chinese medicine, namely, the method of dividing the mouth, the method of welcoming the mouth, the method of dividing the mouth into nine phases, and the method of distinguishing the light from the heavy, they are not applicable. We have to adopt the old theory. It is said in the scripture that the inch is for the head to the chest, the diaphragm to the navel, and the ruler to the navel to the foot. Jin Jian, MD, said: "The pulse is turbid, not two, not two." It is enough to prove that the coordination between the three parts and the viscera is unreasonable. Li Shizhen said, "When I was seeing a doctor, I pressed the pulse of six parts of my hands over and over again, saying that one zang-fu organ was like this and another zang-fu organ was like that. If I have the guts, I can get them. All kinds of ugly behaviors that deceive others are actually self-deception. "
The husband's pulse condition can not be relied on alone, but should be combined with observation, sniffing and inquiry, which is the common diagnosis, thinking that the doctor's treatment is also.
The true interpretation of pulse diagnosis
Pulse diagnosis is based on the depth of the radial artery and the location of the lesion. Predecessors only rely on clinical experience, and teachers are self-employed. There are various mysterious sayings about this: "The color pulse method is the sage's first, and it has the right to cure diseases" and "the color pulse is heavy, which can connect the gods." Nowadays, western medicine is only used to know the number and wait for the heart. Tell your former friends, don't ask anything. Those who exaggerate the pulse theory of TCM should be abandoned, while those who are meticulous in treatment and diagnosis would rather ignore it. This paper aims to dispel the confusion of bad words and enlighten people's understanding. Take the pulse, not in your heart, and make a subtle diagnosis with an eye to the future. Solve the puzzle first, and then give the real solution.
First, the confusion of pulse diagnosis
The pulse diagnosis method of traditional Chinese medicine began in Su Wen, which is widely used in Yue people, but it is more successful than Shuhe. Since then, there have been celebrities. But make sure that Yin and Yang are under the three fingers, not inside or outside the square inch. Simple as it is, it's hard to understand. The predecessors only relied on clinical experience without scientific explanation, so there were many fallacies. This era is limited. Today, it is hard for people to believe that this is true. Those who confuse future generations by studying pulse science of traditional Chinese medicine almost all have three endings:
A mistake in the position of the pulse: the pulse is divided into three parts, so use three fingers to cut the pulse. Take the pulse with three fingers, so don't take the pulse. The string pulse shape is tight, and the pulse shape is equal to the actual situation. It is unknown unless it is checked with three fingers. If western medicine only counts the pulse, it is enough to take only one finger. The pulse condition is divided into nine stages, so it is easy to diagnose the pulse condition. The pulse condition can be consolidated by floating (floating press), pressing (middle press) and searching (deep press), which is unknown. However, some predecessors used three to allocate triple focus and nine to allocate heaven and earth (see Su Wen's theory of three-thirds and nine-thirds), so the statement of over-reasoning is unreasonable, but it is not bigger than this. Its far-fetched attachment will harm future generations, which is nothing more than saying that the viscera should be matched with three points.
The three parts measured by my husband inch by inch were originally used to take stool and feel the pulse. The predecessors did not seek an accurate understanding of the pulse condition and the influence of the disease, but matched it with the zang-fu organs for no reason, which was helpful to treat silk disputes. Although ancient books such as Gao Suwen, Difficult Classics, and Zhong Zang Jing have been equipped with five internal organs, they are not left or right. Since Wang Shuhe, it has been divided into two parts and has five internal organs. Let's compare the theories of six schools:
Wang Shuhe Gaolihua Shouyu Li Jiayan Zhang Shicai Jingyue
Left inch heart, small intestine heart, small intestine heart, small intestine heart, popliteal center, pericardium
Left liver, gallbladder liver, gallbladder liver, gallbladder liver, gallbladder liver, diaphragm liver, gallbladder
Left ulnar kidney, bladder kidney, bladder kidney, large intestine kidney, small intestine, bladder kidney, bladder, large intestine
Right inch lung, large intestine lung, large intestine lung, large intestine lung, chest lung and middle lung.
Right Guan spleen, stomach spleen, stomach spleen, stomach spleen, stomach spleen, stomach spleen, stomach
Right ulnar kidney, bladder life gate, triple energizer triple energizer, pericardial kidney, triple energizer small intestine kidney, small intestine life gate, triple energizer, small intestine.
The last six doctors are famous in the medical field, and they are so contradictory about the arbitrary collocation of viscera. Is trusting them enough? There is no such thing as Qian Jin Fang and Treatise on Febrile Diseases. Even reading Zi Xu's Four-character Pulse Fang says that "the left is in charge of the official, and the right is in charge of the internal organs", and he refuses to say anything about the six internal organs. Therefore, when Wu learned this, he said, "Doctors are all weighed by inches, and this heart pulse, this lung pulse and this liver pulse are all different. The twelve meridians has six internal organs, his hands are inch thick, and his hands are Taiyin pulse ... It is a collection of six pulses, thus occupying the whole body. " After Li Shizhen knew it, he said: "The six parts of the hands are the meridians of the lungs, especially the qi of the five internal organs, not the residence of the five internal organs." He also said: "Every time I see a doctor, I press it again and again. I said that some zang-fu organs are like this and some zang-fu organs are like that. It seems that the internal organs are between my hands, and I can get them. All kinds of ugly behaviors that deceive others are actually self-deception. " Zhang Shiwan knew it well, but when asked about three confusing parts, he said, "All are true, all are false, all are specious." As the saying goes, "the mountains and rivers can speak, there is nowhere to eat when buried, the viscera can speak, and the doctor is as white as earth." Its viscera should be divided into three parts.
The predecessors did not believe it, and it was worthy of being called three fu organs. Instead, it was based on the theory of difficult classics, and it was difficult to pass the eighteen contradictions: "The law is heaven, and the main chest is sick to the head; The central legal person has diseases from the main diaphragm to the umbilicus; In the lower part of the law, there is a disease from the umbilical cord to the foot. "
According to the theory of difficult classics, which is consistent with "waiting for the upper and the lower" in Neijing, three parts are on the pulse and three parts are above the patient. Xu Chunfu's "Ancient and Modern Medical System" later argued on this basis: "Inch is a disease of chest, heart, lung, pharynx, larynx and head; There are diseases from the chest diaphragm to the lower abdomen; Some diseases of ulna are from abdomen, waist, knees, shin, feet, large intestine and bladder in the lower part. " Wu's pulse language and Dan Bo's explanation of pulse science are both speakers. According to our daily experience, although this statement is not absolutely correct, it is almost reliable.
Secondly, pulse diagnosis is one of the diagnostic methods. The ancients started from the end of four diagnoses and took pulse-taking as the next step. Therefore, the purpose of pulse diagnosis is to examine the deficiency and excess of the sick body, the depth of the disease, the advance and retreat of the disease, the prognosis and the strength of qi and blood. I didn't know it by pulse diagnosis before. He is an absurd man, who believes in the theory of six points of zang-fu organs and insists on the theory that pulse governs disease. When a pulse is seen in a certain part, it belongs to a certain disease, which is called heat. What's particularly ridiculous is that there are people who depend on their pulse to determine the date of death. Pregnant men and women, rich and poor, almost all have three fingers, such as Peng Yong's Time, which is really deadly. I can't help but tell the difference.
The theory that pulse governs disease was founded in Neijing, but it is widely circulated in Wang Shuhe family. For example, it says that "the pulse at the mouth of the inch is heavy and weak, and the hair will degenerate." "Closed pulse is tight and slippery?" "Move" and "The foot pulse is slippery, and the inch is white worm" (all see the Wang pulse meridian), and it is ridiculous to break it with only three fingers. Husband's pulse is the surface of radial artery, which is one of the arteries, so you can wait for the rise and fall of qi and blood and the advance and retreat of diseases, that's all. If the radial artery can be partially broken, then both the temporal artery and the foot artery can pulse, will it also be broken? There are thousands of diseases, but only twenty kinds of pulse conditions. There are more than 20 kinds of pulse conditions, and it is essential to treat thousands of diseases. The condition has changed, and so has the pulse. As follows, it is beneficial to arrange holes, so there are many micropulses of feet. However, at the beginning of the next profit, the ruler is solid, the ruler is flood, and the ruler is string. After the next profit, the ruler squats, the ruler is heavy, the ruler is slippery, and the ruler is absolutely invisible. Too weak to break the interest. Another example is that there are many strings in tired blood. However, in the early stage of fatigue, floating number, floating flood, red string and other pulses are common, and extreme fatigue is that every time you see a big, small and urgent pulse, the number of strings is real, which can not completely break the fatigue, which is unreasonable. Moreover, strangers have different structures and endowments, and it is often different to take the pulse as the standard. People with deep and thin pulse for life, people with extremely slippery pulse, people who have already tied the pulse without endangering their health, and people who are not sharp-tongued but as strong as usual should not break the disease with pulse. In short, the diagnosis of the disease should be based on various witnesses, not just three fingers. "If we can combine color and texture, we can solve everything. "The predecessors made it very clear that we should follow the Dharma.
Third, the pulse classification is chaotic: the previous network theory is chaotic and abnormal, especially chaotic, such as pulse classification. Neijing is the same as the twelve meridians's left and right. The Yang Meridian, Yinqiao, Du Meridian and Ren Meridian together are 28, but actually 24. Levin was born with seven tables, eight Li and nine meridians, and divided into twenty-four veins. Zhu's arm takes seven exterior, eight interior, knot, ascending and twenty-one pulse. Chen Wuxuan is divided into 24 veins (different from the original species of Levin), and Hua Shou is divided into 26 veins. Li Shizhen is divided into 24 veins. Li Zhongzi is divided into 29 veins. Huang Zhang is divided into fifteen veins. Chen Xiuyuan is divided into eight veins. Cochin divides Yin and Yang into ten veins. Zhang Jingyue is divided into sixteen veins. Zhang Shiwan's Lun Heng is divided into 32 veins. Isn't it strange that three fingers press the same point and the pulse shape is so different? Therefore, people did not know the true face of pulse condition before.
Husband's pulse fluctuates, so it shows the level of pulse pressure; The number of pulses is late, so the number of bright pulses is also high; The pulse is tight and soft, so it shows the relaxation of blood vessels. Pulse points are slippery, so pulse wave (blood circulation) is blocked; The pulse is divided into generations, so the lesion of the secret room is also. There are many kinds of pulse, all of which belong to these five categories. According to these five principles, if you belong to them respectively, all puzzles can be clarified.
Therefore, the pulse with high pulse pressure is called floating, flooding, leather, moving, and the difference of four degrees; For people with depressed pulse condition, there are eight different degrees, namely, heavy, light, solid and squatting, all of which are based on ups and downs, and the pulse pressure is also different. Pulse condition There are four pulses, namely, the number of days (six to six), illness (seven to above), less, late (three to three) and late (four to below), all of which are calculated with delay as the key link. Pulse vascular nerve hyperactivity, called tension, pulse vascular nerve recession, called weakness, a total of four veins, are used to analyze the relaxation of vascular nerve. Pulse wave (that is, blood circulation) is smooth, which means smooth and long, while pulse wave is not smooth and short, which means astringency, deficiency and short, with a total of six pulses, all of which are based on smoothness and astringency to distinguish the smoothness and resistance of blood circulation. Atrium weakness or valve insufficiency, blood jet on the radial artery is intermittent, pulse is intermittent, and the heart is on the verge of stopping. There are four veins in total, and they all control the heart. There are 26 pulses above, all of which can be exhausted. There are also strange pulses (also called dead pulses), such as house leakage, bird pecking, rope unwinding, pot boiling and so on. This is the pulsation phenomenon when the heart is about to rest. Yang, Yin, Du Meridian and Ren Meridian are vague, as if they can't be pointed out, but pure fiction is not credible.
Pressing: The pulse starts from the atrium (known as "the pulse is the house of the heart, and the blood is glorious"), and the pulse changes are related to nerves (the ancients were famous for nerves), so all superficial arteries should not be pressed. Every time the ancients pressed the pulse of Ying (temporal artery), Yang (tarsal artery), Juli (apex) and navel (abdominal artery), they felt the pulse of the mouth (radial artery). But the cunkou pulse is the shallowest part of the artery and the clearest ear. It is known that Cunkou pulse is one of arteries, and its change is equal to that of arteries. Not only can we abolish the theory that the zang-fu organs are in harmony with the twelve meridians, but we can also abolish the theory that Zuo Ren welcomes the right air port. Not only the theory that qi and blood are divided from left to right can be abolished, but also the theory that men and women are divided from left to right and the theory of yin division can be abolished. Knowing this is enough to tell the truth.
Those who specialize in the method of Cunkou pulse diagnosis started from Bian Que's difficult menstruation. The whole body diagnosis method in Neijing can also be used. Historical records? "The Biography of Bian Que" said, "So far, the people who speak in the world are all due to Bian Que." Especially obvious. However, although Bian Que invented the method of pulse-cutting with his mouth, he really didn't believe in three fingers. According to historical records, "Seeing the side of the wall means seeing the disease (referring to the pulse), seeing the crux of the viscera, and taking the pulse as the ear." Bian Que is still alive and well, but what's worse? Zhang Jingyue said, "The ancients were sick when they watched and listened to the questions. However, if you check their pulse again, you should or should not see a doctor. ..... feel the pulse and feel the disease, that is to say, I know that the disease is so expensive! " Xu Ling's fetal theory is particularly clear: "There are dozens of pulses in a disease. How can we know what disease it is by pulse diagnosis?" ? This is all speculation, to deceive people. "Later generations, I don't know this meaning, thinking that a pulse is a disease, but I don't know that typhoid fever is the Sect of Chinese medicine. When they treat diseases, they all take pulse as the dialectical reference (Treatise on Febrile Diseases was added by Wang Shuhe and later deleted by later generations), so they tried to treat diseases by pulse! Absurd people, when they have many opportunities to talk, talk eloquently to deceive others. Can this kind of self-deception be true? Therefore, we must know the fallacy of pulse diagnosis and disease control, and then interpret the truth.
Three-finger pulse pressing is the easiest way to fall into subjective prejudice. I can't talk to myself, patients can't know themselves, and every doctor guesses nonsense, but no one proves it. Not only the smooth, tight and firm veins can be named at will according to prejudice, that is, they are thin and subtle, but also the weak ones can be confused according to prejudice. This pulse name is so confusing. This paper does not take all the points of seven tables and eight miles, and the points of opposition between yin and yang. Only pulse pressure, pulse, pulse, pulse wave and heartbeat are described respectively.
Pulse pressure fluctuation is the key link. Where the pulse pressure is high, the pulse will appear floating, flooding, leather and moving; Low pulse leads to deep, slight, firm and prone pulse. If you want to know the level of pulse pressure, you can get its shape according to the severity of the pulse. Light pressure is a floating pulse, while heavy pressure is a sinking pulse. The ancients took floating as the skin pulse, which means that you can get its image by pressing and touching the skin. It is also obvious that sinking into the bone vein is to push the tendons and move the bones as needed. Pulse pressure is high and blood circulation is sufficient. Blood circulation is sufficient, either because the whole body is hot or because of local inflammation and congestion. Fever or congestion, vigorous blood circulation, response to pulse, is a sign of floating, flooding, leather and movement. Pulse depression is due to local congestion of viscera or lower limbs, and blood accumulates in the lower part.
All abdominal pain, constipation, lower limb pain, less abdominal hernia pain, genital pain, etc. It is all due to the congestion of the affected part, and the blood volume in the upper abdomen decreases accordingly, which corresponds to the image that the pulse must be heavy, slight, firm and prone. The ancients called it "sinking into the subject." Also floating four pulses, only indicating the difference between pulse pressure and high tension. Therefore, if the pulse pressure is high and outward, you can get the floating pulse by lightly pressing it. If the pulse pressure is high and the pulse tension is wide, pressing flat can be regarded as extensive pulse. The pulse pressure is high and extends outward, and pressing it lightly and then pressing it weakly is the skin pulse. The ancients said, "Press the drum skin, and the internal deficiency is urgent." . Pulse pressure is high, only one of the three parts is round, and the other two are arteries. Arteries are common after panic, severe pain, obstruction of menstruation and coagulation of qi, blood and phlegm in one place. This is a temporary pulse, not a constant state, and it also belongs to patients with high pulse pressure. If the pulse pressure drops inward, the difference between the four pulses will sink slightly but firmly. When the disease is located in abdominal cavity or lower limbs, the blood volume of upper limbs decreases at any time, so the pulse pressure is low, which is called "the cause of qi stagnation and blood stasis" by predecessors. Under the muscle that must be taken according to the pulse, what you get is the sinking pulse. It needs to be pressed with a heavy finger, and the pulse is the bone. Pressing again is extremely fine, and if there is anything, it is micropulse. If you press the side again, you will get it. If you squat, you will have a strong pulse. This is a depressed pulse.
Take the pulse for a few minutes as the key link: keep the pulse steady, four times in one breath and seventy-five times a minute as the normal state. Although there are also patients with hypertension and neuroticism, the pulse rate is often higher than that of ordinary people, but it is still not harmful to health, but it is also pathological.
The pulse cannot be automatically covered, and the pulse comes from the opening and closing of the atrium. Therefore, there are changes in the atrium, which should be based on pulse and have the difference of late counting. There are relaxable fiber nerves in the blood vessel wall, and their relaxation and rolling are dominated by the nerve center, so the nerves are stimulated, or their own pathological changes are different according to the pulse. The predecessors took three to one breath as the late pulse, so the heart beat was slow. Four or less than four, weak pulse, pulse fiber nerve relaxation, so also. First of all, there are six to several pulses between breaths, so the body temperature rises, the nerves are excited and the heart beats faster. Seven to seven breaths is a pulse, and the nerves are extremely excited, so the heart rate is also very fast. Every patient with a pulse indicates a bad prognosis.
The key is weak vascular relaxation: when the vascular fiber nerve is in a hurry due to the influence of the disease, it is pressed with three fingers, such as a string. When the disease progresses, it is a manifestation of hyperactivity of nerves, so-called "chords governing the liver" (the ancients governing the liver, that is, nerves in the modern sense). When the body is weak, it is a sign of poor prognosis. Don't press the strings to form two strings, this is a double string pulse. Most of them are signs of weakness and deficiency cold, but the reasons are unknown. ) the blood vessels are weak and weak, and those who are not pressed round are weak veins. Acute fever usually manifests as a weak pulse (this is a syndrome). If it is at the time of death, sweating, massive bleeding, heart paralysis (all due to slow blood circulation), when the heat is above 40 degrees, (stroke, meningitis, typhoid fever, weak pulse when the heat is high, it is also because of inflammation of the medulla oblongata and excitement of the vagus nerve. ) where the pulse condition is weak, it is smooth, even and powerful. This pulse condition is a sign before a serious illness, because the nerve has been abnormal. In the early stage of fever, this pulse is ominous because the central nervous system has lost its regulation. Similar to a weak and strong pulse, it is a tight pulse and a cold bundle. This pulse is common when the body is in severe pain, which is the cause of nerve excitement. Similar to weakness, it is a kind of soft pulse (also known as tidal pulse). After ten years of illness, the so-called pulse has no roots.
The key is that the pulse wave is smooth and convergent: the blood vessel wall is elastic and can automatically expand or contract the blood flow in the blood vessel to adjust. Therefore, when the human body is anemic, congested or bleeding, the pulse fluctuation is normal and shows certain signs. That is, vomiting is too heavy. After sweating, body fluid is lost too much, and the water in the blood is taken away, so the blood flow is not smooth, and its pulse wave will be short and astringent. Sweating, urinary retention, ascites edema, excessive water in the body, natural strong blood flow, its pulse wave will be long and stable. This experimental theory is also valid. The predecessors used to press fluently, such as walking the beads for slippery pulse. This is a pulse full of qi and blood, and it is a healthy pulse. The patient has this, which is a sign of a good prognosis. Although the disease is serious, it is harmless. Slip three fingers, straight up and down, like a long pulse. Its pulse is long and large, and it is strong in floating and sinking. Long pulse and firm pulse are all manifestations of strong resistance. Acute fever can be attacked and cured, and visceral diseases can be cured naturally. However, after blood loss and vomiting, the fever subsided, which is a sign of poor prognosis. Covering all kinds of bleeding depends on the spontaneous contraction of blood vessels, so the bleeding will stop. If the pulse is long, the blood pressure is high, the blood circulation is strong, and the blood vessels cannot contract, this is a sign that there is no rest during the period of blood loss, so it is a bad omen. Nausea (regardless of enteritis and dysentery), fever subsides, body fluid is lost, and blood is damaged, so the thin and astringent pulse is auspicious, and the solid pulse is long and fierce. Because of the loss of body fluid, the body needs to be quiet to recover, and the long pulse is actually restlessness in the body. As for swollen jaundice and damp-heat stranguria, the way out lies in the excretion of kidney, especially the health of heart. Pulse length is a sign of heart health, so long, firm and heavy pulse is a good omen for the above diseases.
The astringent pulse is opposite to the slippery pulse, which is thin and late, like rain touching sand, short and difficult. This is an image of poor blood flow in blood vessels. So it is non-uniform pulse regulation. The pulse is uneven and weak, because the atrium is not perfect; Poor blood deficiency surgery; Local obstruction due to blood stasis; It is disturbed by dirty gas. Pulse deficiency refers to the inability to press, not the real pulse. It is a sign of the decline of healthy qi and disease resistance. But after the fever, blood loss and vomiting, it is a good sign. The short pulse is opposite to the long pulse, pointing downward, but there is no one at both ends and one in the middle, which is not as good as the standard, so it is also because of the decrease of ejection force. The above three pulses, which are astringent, weak and short, are also symptoms of qi and blood weakness and insufficient resistance.
If the atrium is weak or dysfunctional and the pulse is intermittent, the knot is the key link: the knot is called three movements and one stop, or seven or eight movements and one stop, or ten movements and one stop. Its arrival is slow, its arrival is slow, and people with pulse are not necessarily evil. Chronic patients, exhausted people, people who died of body fluids and blood, abdominal addiction? There are many people. Those who pass through the pulse penetrate the beads and reach the mouth, sometimes wanting to stop. When it comes in a hurry, its speed is several times, and there is a pulse, or wheezing, that is, the chest is full, often. Therefore, pulse progression is often a necessary symptom of palpitation. Pulse beating is a sign that the heart will stop beating. Three movements and one stop or seven or eight movements and one stop are the same as the knot pulse. However, although the knot pulse is intermittent, the pulse turns faster after it stops, so although it stops, it does not drop the number, which is called going back. After the pulse is generated intermittently, there is no ability to accelerate the pulse, so-called gone and never returned. The patient with this pulse is definitely not physiological. Those who disperse the pulse are full of fingers, scattered but not gathered, the origin is unknown, the pulse and meat are unbounded and rootless. Because of myocardial failure, incomplete contraction, blood can not be shot to the upper limbs, which is a sign that the heart is about to die.
All these 26 pulses contain everything. In the outline, it is enough to take the weak knot of the sliding string instead of the ten veins. Although the above explanation is inevitable, the true meaning of pulse condition has been summarized. Then ask for more happiness and care for those who are eager to learn and ponder.
Second, the relationship between pulse diagnosis
Since the true meaning of pulse condition is clear, the relationship between pulse condition and diagnosis and treatment is almost four aspects:
One day, I learned the pathogenesis: there are thousands of diseases and hundreds of symptoms. If language is important, it is just the words of yin and yang deficiency, cold and heat in the exterior. Distinguishing these eight words can be based on disease, treatment and medication, and doctors must distinguish this if they want to know the pathogenesis. The place with hypermetabolism is Yang, and the place with attenuation is Yin. Nerve excitement is yang, weakness is yin; Those who are physically strong are yang, and those who are insufficient are yin; Hypercirculation of blood is yang, and decreases to yin; Pathological function is positive and negative. Corresponding to the pulse condition, the high Zhang Liwei Yang with floating, flooding, leather, moving and pulse pressure, and the heavy, light, solid, squatting and low pulse pressure are yin; The tension of vessels is yang, and the relaxation of vessels is weak and soft. The pulse number is yang, and the late pulse is yin; The blood circulation is full, smooth, long and solid, and the blood circulation is insufficient, while the astringent and short pulse is yin. Moreover, the symptoms are different. Those who have yang syndrome and present yin pulse will turn evil into a sign of turning danger into safety, while those who have yin syndrome and present yang pulse have a good prognosis and must be distinguished by pulse. Again, cold and heat are not only body temperature, but also synonymous with yin and yang (so-called cold belongs to yin and heat belongs to yang). Those whose body temperature is above 37 degrees are hot, and those whose body temperature is below normal are cold. Heat is caused by excessive discharge (vomiting, diuresis, sweat, urine, phlegm) or even heat that can't be discharged during the progress of the disease, while cold is caused by stagnation and reduced discharge of the disease, or can't stop on its own. Systemic or local congestion is heat, while anemia is cold. However, it is especially necessary to distinguish the pulse condition if there are symptoms of negative pulse condition and symptoms of negative pulse condition. Yin-yang cold and heat, exterior-interior deficiency and excess, all depend on the syndrome differentiation of pulse diagnosis, and this pulse diagnosis is also the main way to understand the pathogenesis.
Second, fixed therapy: the only way to treat diseases is to strengthen the body resistance with virus. When the virus runs rampant, the pathological mechanism is excited, which is called demonstration by predecessors. If the healthy qi is strong, it will resist the virus. Every time the symptoms develop, the predecessors call this yang syndrome. Viruses thrive on healthy qi, while evils kill each other. Every time there is an image of great heat, great pain, great cold and great thirst, which the predecessors called positivism. Time should act on the pulse and have the image of flood, string, slip and number. If the virus has been killed, it will change from pathological mechanism to physiological mechanism, and the pulse will be slow and weak. Weak vital qi is not enough to resist diseases, but now there is a weak yin deficiency syndrome. Responding to the pulse, we can see Microsoft's sluggish pulse. It is not easy to distinguish the interaction between yang syndrome, yin syndrome and yang pulse if the virus is flourishing and the healthy qi is declining, or if the healthy qi is flourishing and the virus has been eliminated. Treatise on Febrile Diseases Taiyang Jueyin is very detailed in terms of whether the pulse conditions correspond. In ancient times, it was said that the reality was tangible, and so was the empty and prosperous. However, the symptoms are real, and active treatment can be adopted; People are all weak, so it is advisable to use strong therapy; People's shortcomings are treated first, and people's shortcomings are not cured. During the treatment, if you don't take part in pulse diagnosis, how can you decide the treatment? Zhang Jingyue said: "There is no way to cure the disease except the pulse." Know what to say!
Three days to judge the prognosis: pulse condition is the most clear to judge the prognosis. Such as stroke, convulsion and other brain diseases, whether it is angular arch inversion, quadriplegia, silence like a corpse, abdominal distension with enuresis, urinary incontinence and other symptoms, the pulse condition is slow, weak and late. At the onset of Geiger's disease, the vagus nerve in the medulla oblongata is excited, which prevents the movement of various parts. It should be a response to the pulse, so it is slow, weak and late. If the vagus nerve is paralyzed and the excitement of the pulse nerve cannot be stopped, then the pulse must be realistic, large and numerous. As for bulbar palsy, the depth of encephalopathy is known. Therefore, the pulse of brain disease is slow, weak and late, which is auspicious, urgent, big and strong. Acute and chronic fever, body temperature is constantly radiating, it is best to pay attention to the health of the heart. Therefore, it is appropriate to be big and count. There is no image of heart failure. Therefore, the pulse tactic says: "typhoid fever is like a pulse floating flood;" A minor illness is fierce. " "The number of fiery diseases is appropriate, and there is no god at all." "The number of gasification heat pulses in bone is weak, and the body will die if it is hot and dry." Life and death depend on the ups and downs of the heart. (See "Golden Mirror of Medical Records" above) Anyone whose body is full of viruses and needs to be discharged urgently has a pulse like a flood, which is auspicious, such as blood stasis due to falling servant, stranguria, urinary retention, jaundice and dampness, swelling and toxic water, sepsis before internal and external carbuncle fester, and accumulation of lump toxin, triple elimination virus and blood stasis. If the pulse is thin and short, the prognosis will be poor, the virus will spread and people will be weak. Moreover, if the body fluid is lost too much (that is, the products of the disease are too much), the healthy qi will be insufficient, the disease will be killed, the pulse will be small and slow, and the hyperactivity of the pathological mechanism (that is, the physiological mechanism) will turn to normal. For example, sweating, vomiting, a lot of pus (or death due to pus for a long time or new blood production), and the pulse is small and slow. If the pulse is large and strong, it is a sign that the disease is still going on. After the husband consumes too much body fluid, his condition is particularly long-lasting. Can his life be maintained? Therefore, it is the opposite. Another example is "nausea and vomiting, smooth pulse" and "upper asthma and cough, smooth pulse". Smooth pulse is a sign of strong digestive function (the ancients used smooth pulse as stomach gas), and these two diseases are chronic, but if they are digested well, they can maintain their physical strength and have the hope of natural recovery.
Fourth, know the location of the disease: knot pulse and pulse replacement are signs of heart disease, but in any case. Those who can detect the location of the disease by pulse condition, such as floating pulse, are signs that the disease is outward from the skin, while sinking pulse is actually a sign that the disease is inward from the viscera, and another example is that the chest, head, heart, lungs and throat are sick; In the process of customs clearance, there are diseases from the chest diaphragm to the lower abdomen; When the foot is waiting, there are diseases such as abdomen, waist, kidney, knee, tibia and foot. The large intestine, small intestine and bladder in the lower part should also depend on the ulna. The so-called "to be superior, to be inferior" in Neijing can be learned through experiments. If there is a local disease in the right half of the human body, it should be in the right vein; If there is a local disease on the left side of the body, it should be in the left vein; This is also uncomfortable. The pulse knows the disease, but so, the internal organs are different.