We can often see the ancient costume TV series inside the doctor to see a person first of all is to take the pulse, the previous time also often learn this pulse posture, but never get the hang of it. Do you know how Chinese medicine in the end is the pulse? Today we will take you to understand:

Chinese medicine pulse taking, 3 knowledge points to get first:

First of all, we should know that Chinese medicine practitioners actually use only three fingers to take a pulse.Some movies and TV shows show the use of two fingers to take the pulse because they didn't do enough homework on this aspect, and it's important to realize that this is clearly wrong. If you make a mistake on this point, then there is no way to continue with the next steps, which means that understanding how many fingers are needed to take a pulse is an essential step.

The next thing we need to do is to find the right inch-off ruler.When it comes to inches, many people may be confused and ask what it is. In fact, in Chinese medicine, the wrist inch mouth is divided into three parts of the inch Guan Ruler, that is, the place where our three fingers are pressed.And know that the inches off the ruler in the left hand represent the heart, liver and kidneys, while the inches off the ruler in the right hand represent the lungs, spleen and kidneys.This is also very important for taking a pulse, if you don't understand it then there is no way to confirm the condition even if you learn to take a pulse, so it is still important to understand it.

Finally, we need to know that both left and right hands should follow the principle of index finger pressing inch, middle finger pressing Guan, and ring finger pressing rulerThis order should never be wrong. At the same time, the pressure should be from light to heavy, and should not be very strong at the beginning, otherwise it is also impossible to check the condition. If you practice this often, you will become skilled in pulse taking.

Many people also have a question: What exactly is the principle of pulse taking in Chinese medicine? Why is it possible to know the basic condition of a patient and the direction of the disease just by taking the pulse?

Let's be clear.The pulse is in fact directly related to the frequency of the heartbeat, the strength or weakness of the heart energy, and the surplus or deficit of qi and blood. The changes in these three aspects directly determine the changes in the pattern of the pulse. So it is possible to deduce whether a person is healthy or not by taking the pulse, and it is also possible to understand the truth or falsity of the condition and the changes of the disease by taking the pulse.

The heart, for example. The heart is a power organ that forms the pulse.When taking the pulse, the heart's rapidity of beating can be used to reflect the heart's lesions, such as coronary heart disease, the heart's blood supply dysfunction and so on.If the pulse becomes very thin, shallow and weak, it is possible to realize that the patient may be suffering from gastrointestinal cold, because this is what happens in gastrointestinal colds, and it is also known as the "Moist Pulse".

With the above general understanding of pulse-taking, we can realize that Chinese medicine is really very profound and complex. But Chinese medicine has been respected since ancient times, there must be a great role. So usually we can learn more knowledge of Chinese medicine, such as pulse taking described above, so that when there are changes in the body can be a basic understanding.

References:

1. Yang Bu Yue, ""Pulse" the confusion of contemporary Chinese medicine", Economic Reference News, 2015-10-30.

2. Jiang Lisheng, "Why can TCM practitioners recognize diseases by taking the pulse? China Traditional Chinese Medicine Modern Distance Education, 2006, 01.

[Chinese medicine pulse to know the problem] Chinese medicine is from here, couples can refer to learn to care from the health benefits of Chinese medicine is our country thousands of years with the treatment of human diseases, summed up a wealth of experience and theoretical knowledge, Chinese medicine is a great treasure trove of scientific research of the Chinese, the following is often used 8 pulse to the big reference.

[Pulse method] the patient's palm up flat on the doctor with the index finger, middle finger and ring finger order on the patient's wrist artery, press the review of the pulse beating situation, the normal person's pulse Bo a breath four times a breath, "about 60 to 80 times per minute" 1 [floating pulse] finger gently press, feel the pulse on the surface of this is [the surface of the evidence of the problem] symptoms of the fear of cold, fever, headache, shoulder soreness of the whole body uncomfortable, nasal congestion, snot, sore joints of the limbs2 Sinking Pulse] It is not obvious when lightly pressed, but is felt only when heavily pressed. This kind of pulse is often associated with [internal symptoms], such as irritability, fever, thirst, chest tightness, vomiting, dystocia, abdominal pain, constipation or diarrhea, and greasy fur on the tongue.

3 [late pulse] slow pulse, a breath a breath between jumping 2 to 3 times, this pulse is mostly seen [cold disease disease] symptom see pale, cold, eat cold food intestinal ringing, epigastric pain and to hot food will be reduced, loose stools, urine clear long cold limbs, tongue white moist.

4 [number of pulse] pulse fast meaning, a call and a breath 6 to 7 times, this pulse is mostly seen [heat evidence of disease] symptoms see dry mouth and thirst, body heat skin or face red five heart irritability, eye red eyelid activity uncomfortable, spit yellow thick phlegm, abdominal cell distension constipation, urination yellow, lips burnt teeth dry, tongue with yellow fur.

5 [String Pulse] light pressure on the pulse Bo hard and strong, like a tightened bowstring, this pulse is mostly seen [liver problems] symptoms (1) liver qi stagnation in the chest tightness, dystocia, belching, stomach and epigastric distension and pain, abdominal pain and diarrhea, (2) liver fire dizziness, dizziness and pain, impatient and irritable quarrelsome, red face, red eyes, bitter mouth and thirst, red tongue with yellow coating.

6 [Slippery Pulse] The pulse is fluent, like beads sliding and rolling past; this pulse is seen in the syndrome [with phlegm problems] and is also common in pregnancy.

7 [Moist pulse] The pulse is buoyant and light soft and light fine, symptoms of this pulse [Dampness trapped in the spleen and stomach ailments] Symptoms of chest tightness and abdominal distension, nausea and vomiting, talk of greasiness or sweetness in the mouth, poor appetite, weakness of the limbs, loose stools, white fur on the tongue.

8 [fine pulse] pulse to fine as a line, this pulse is mostly seen [false evidence of disease] symptoms of fatigue and fatigue words less lazy speech, language low small voice, dizziness, self-sweating, palpitations, false annoyance and insomnia, numbness of the hands and feet, and so on.

After editing, the above in the clinical cut diagnosis is commonly used 8 kinds of pulse Bo can know 90% of the problem, a total of 12 kinds of pulse to be continued, we are from Western medicine into the Chinese medicine from this learning from the Chinese medicine treatment of illnesses that is more stable, the Hakka old Chinese medicine Wu.

First, the most important; Chinese medicine, not yet sick: the body has sprouted disease-causing factors or the body has felt some discomfort, but did not appear obvious symptoms of disease. That is, Western medicine: more than 80% of people in sub-health. Must be through the pulse diagnosis pulse, in order to diagnose, medication, treatment. Second, many diseases, there are a variety of causes. For example: kidney deficiency, upper heat and lower cold, and there is dampness, there are many such cases. Kidney deficiency, heat, cold, dampness in the body's share of the proportion of the single look at the diagnosis, look at the tongue, can not be broken clear to identify. It is necessary to diagnose the pulse through the pulse, in order to formulate the medication and treatment.

Cutting the pulse, is the most mysterious and most mysterious and most mysterious of Chinese medicine, is also the most difficult to learn a diagnostic method, Prof. Wang Mianzhi from the family of Chinese medicine, he once said, Chinese medicine can be learned from the teacher of anything, only the pulse diagnosis can not be, you have to be meticulous personal clinic, serious experience, day by day, in order to realize! It can be said that 'there is a true meaning in this, want to argue has forgotten to say'.

The Yellow Emperor's Classic of Internal Medicine says: 'If the diagnosis of a disease does not ask about the beginning of the disease, or if the disease is caused by a disorder of food and drink, or by excesses of living and living, or by an injury to a poisonous substance, and if it is not said beforehand, and if it is held by the inches of the mouth, then the disease will not be recognized'? From this we can see that only by combining the four diagnostic methods of questioning, hearing and cutting can we more accurately diagnose a disease, and not just by cutting the pulse. ButPulse cutting, as one of the four diagnostics, can indeed be used to get information about a condition and diagnose a disease. This is because.

1. The heart is the master of the blood vessels. Pulse, the house of blood,'' blood flows in the veins, but also relies on the impetus of qi, and qi and blood are the material basis for the formation of the pulse, the strength of the heartbeat, qi and blood can be reacted to on the pulse.

2. The lungs face the 100 veins and help the heart to move blood, while the lung meridian of the Taiyin of the hand starts from the middle jiao. The middle jiao is the spleen and stomach, the lungs and spleen two Taiyin close relationship, the spleen and stomach for each other, is the foundation of the latter day, the source of qi and blood biochemistry, which can also respond to the spleen and stomach of the qi of the fullness of the decline.

3. Lung meridian into the inches of the mouth, Taiyuan is the original point of the lung meridian, the most responsive to the body's vital energy, which is closely related to the kidneys, the kidneys are the foundation of the innate nature, housing the yuan yin and yuan yang, hiding the essence of the medulla oblongata and transforming the blood.

4. The liver stores blood and is the main excretor, regulating the amount of blood.

As mentioned above, Yin and Yang imbalance of the internal organs of the whole body, Qi and blood disharmony and so on can form pulse, so as to diagnose the disease according to the 28 kinds of pulse, to determine the regression of the disease, the prognosis.

Chinese medicine pulse taking is based on the Chinese medicine practitioner's own fingers to sense the strength of the patient's pulse beating, from which he knows the human body's blood qi to judge the various conditions of the human body.

Chinese medicine pulse diagnosis is not a legend, as long as you learn the following pulse skills, the patient's body's approximate problem also know a few points.

The heart pulse is flooded with heat in the heart, the mind is drowsy and the qi and blood are knotted up, the heart of the foot plate seems to be on fire, the mouth is dry and the heart is upset, and there is a lot of water to drink.

The heart veins are thin and few, the heart is weak, the heart palpitates and sweats like beads, the dizziness and blurred eyes have many nightmares, and the dreaming soul often resides at the water's edge.

Flooding of the liver veins without regulating the blood, backache and headache even in the left ribs, sore hands and feet, red eyes, dizziness on the road, like things covered up.

The liver veins are small and the limbs are sore, the gallbladder is cold and the liver is withered, the blood is cold, the mind is drowsy and sleepy, and the chest and back have night sweats that are hard to dry up.

Flooding of the Kidney veins is the main cause of lumbago, headache and backache, pain in the abdomen, bladder heat, astringent urination, dry throat and bitter tongue with no fluid.

Kidney veins are thin and small, and the main cause of sperm injuries; noisy wind and rain sounds in the ears; men have joint diseases; women have cold abdomen and menstrual injuries.

The above is the approximate situation of traditional pulse taking in the left hand heart, liver and kidney, through which you can get an approximate overview of the patient's body. Other than that, we can learn more from the pulse taking experience of clinicians.

Pulse to be accurate, more requirements, first, the doctor's heart to be quiet, the second is the patient's mood whether the tension, the third is whether the patient appears to medicine pulse, etc. ...... will affect the accuracy of the pulse, the latter scholars should pay attention to.

Pulse to break the disease is a study, is one of the four diagnosis of Chinese medicine, the will to do things, only more practice and summarize, the level can be quickly improved.

This article is just a throwback for the scholars who come after us.

Thanks for the invite!

First of all, pulse taking (diagnostic cutting) is the traditional diagnostic technique of traditional Chinese medicine, through the pulse can react to the whole body in many places of disease, different pulse also has different characteristics of the disease, so, what is the principle of pulse formation? So, what is the principle of pulse formation and why can it indicate disease conditions?

1. The pulse is a symptom that develops as a result of the heart beating and pushing the blood to run. Then the subtle changes of the heart beat can be reflected by the pulse. In particular, heart disease is especially prominent in the pulse.

2. Heart in the five organs (liver, heart, spleen, lungs and kidneys) belongs to the dominant organ, other organs have diseases will also be reflected outward through the heart, while the heart pumps out the blood flow in the blood veins, the human body's blood veins through the whole body, connected to the internal organs, outside the surface of the muscle, running the blood and qi, the flow of the week, so the pulse can reflect the whole body's internal organs and the overall condition of the spirit.

3. Chinese medicine believes that the vasculature is the channel through which qi and blood run. The strength of the heart depends on the regulation of qi, the operation of blood depends on the promotion of qi, while blood is the carrier of qi, and the vasculature itself needs the moisturizing of blood to maintain its function. Therefore, the operation of qi and blood in the vasculature is the material basis for the formation of the pulse, and in turn, the pulse can reflect the condition of qi and blood in the body to a certain extent.

Although the pulse can reflect the body of many diseases, but Chinese medicine is definitely not only rely on the pulse to diagnose, but also rely on the four diagnostic combination of observation, smell, questioning, cutting (pulse) to diagnose the disease situation. Especially Chinese medicine everyone, simply will not use modern Western medicine testing technology to assist in diagnosis, rely on the traditional four diagnosis of disease, dialectical accuracy, and technical excellence.

:: Chinese medicine practitioners take the pulse to know a person's disease, and the pulse that is cut is the pulmonary circulation pulse, which is the small circulation pulse. And it is called the sole take inches mouth. That is, the high bone of the wrist is called Guan, Guan before an inch to take nine minutes, Guan after the elbow is a foot, Guan after a foot to take an inch, diagnosis of this inch and nine minutes of the land, the index finger cut inches, the middle finger cut Guan, the ring finger to cut the feet. It is the inch off the ruler, and to three parts of the nine waiting for fifty movements, fifty more than the body without major diseases. The three parts of the finger inches off the ruler, nine waiting is three fingers, floating in the sinking, three three to get nine, the pulse jumped more than fifty times the body without major diseases.

In ancient times, pulse cutting, inch mouth is just liver, spleen and stomach disease, forehead pulse main heart and lungs, head disease, foot and wrist cut large and small intestine and kidney disease. Here can not speak in detail, just roughly, if the disease is serious, inches without pulse, some can cut the head, wrist, foot. Later developed to take the inches of the mouth alone. Learning by heart, you can learn, with reference to looking, smelling, questioning, to determine the condition. Chinese medicine treatment of disease, diagnosis and treatment, why soup dose, served once, according to the medical effect, the next time to change the formula, add a flavor or remove a flavor. Or increase or decrease the portion of medicine.

There are six parts to the veins, the heart on the left, the liver, and the kidneys, and the lungs, the spleen, and the life on the right. There are two, the left for the Kidneys which are water and the right for the Life which is fire. There is a disease called Nameless Fire, which is when there is less water and more fire, and it must be balanced so that people are not sick.

Must know the normal pulse, in order to know the disease pulse, four to five to the number of peace, that is, a breath between the jump four to five times, six to the number of seven to the rapid, eight off nine dead ten difficult to live. There are spring strings, summer hooks, autumn hair winter stone, and after meals pulse flood, long walk pulse disease. The patient is walking, to the health center, a stretch to cut the pulse, this time can not be cut, pulse disease like disease, and so quiet for a while and then diagnosis. Jumping three times for late, late for cold, jumping once or twice for the defeat pulse, there are serious patients two breath one to demise pulse, close to death.

This is roughly speaking, to learn, very carefully, that Chinese medicine can also diagnose and cure diseases, two different scientific lines from Western medicine.

What is the principle that you can diagnose a disease by taking a pulse?

Today I am not going to talk about those arcane meridian theories, but just a little bit of knowledge that we all hear.

What do you feel with your pulse?

Traditional pulse taking generally feels forradial arteryThe main reason for this is that the location of the arteries in this part of the wrist is superficial and very easy to examine. The blood emanates from the heart and reaches the radial artery, the pathway is relatively short and subject to relatively little interference, reflecting the condition of the heart more accurately.

In fact, any place on the body where an arterial beat can be touched is of some significance in diagnosing a disease. It is also not surprising that some doctors will go ahead and feel both radial arteries, carotid arteries, dorsalis pedis arteries, and even some other specific parts of the arteries at the same time.

What information can be gained by taking a pulse?

1 Pulse rate

Pulse rate is also known as the number of pulse beats per minute. In most cases pulse rate and heart rate are the same. TCM practitioners do not auscultate the heart, and counting the heart rhythm through the pulse is the most routine operation.

2 Rhythm

The rhythm of the pulse can reflect the rhythm of the heart. If the patient has an irregular heart rhythm, the pulse rhythm is also irregular. For example, various atrial and ventricular premature beats can be detected directly by taking the pulse.

If the patient has atrial fibrillation, the pulse is strong and weak, the rhythm is completely irregular, and an experienced doctor can make a diagnosis directly by touch.

3 Vascular Tension and Arterial Wall Status

The tension of the pulse is related to the level of blood pressure. By blocking the flow of blood through alternating pressure with two fingers, the level of blood pressure can be roughly estimated. If the arteries that are touched after the blood flow has been blocked are hard and inelastic, and resemble cords, atherosclerosis may be present.

4 Strengths and weaknesses

The strength of the pulse is related to cardiac output, pulse pressure, and peripheral vascular resistance.

For example, in patients with fever and hyperthyroidism, the cardiac output is increased, and the pulse is strengthened and has a large amplitude; in patients with heart failure, aortic stenosis, shock, and other states, the pulse is weakened and has a small amplitude.

When all of this information is combined with the patient's gender, age, past medical history, current morbidity status and other circumstances, a preliminary diagnosis of certain diseases is still possible.

Advantages and Disadvantages of Pulse Screening

The inherent advantages of pulse checking areConvenient, cheap and fast.

Taking our emergency department as an example, an emergency patient brought to us can quickly determine within seconds whether the patient's condition is critical and whether priority treatment is needed by initially observing the patient's demeanor, color, respiration, and feeling for a pulse.

The radial artery is also often examined by general outpatient physicians when they see patients. Tachycardia, bradycardia, and arrhythmias can be quickly recognized. Examination of the dorsal arteries of the feet can detect vascular lesions (atherosclerosis, occlusions, etc.) in the lower extremities.

The downside of pulse checking is equally obvious. That is.It's rough, not precise enough.

We now have more and more advanced diagnostic equipment such as stethoscopes, sphygmomanometers, electrocardiograms, color ultrasound, CT, etc. Unless on special occasions, pulse checking is not so important anymore, and even Chinese medicine hospitals need to rely on advanced equipment.

Pulse checks should remain a basic skill for physicians.

Leaving the advanced diagnostic and treatment equipment, Western doctors are equally good at seeing patients. From the small matter of checking the pulse, we can see that all diagnoses can be supported by the principles of anatomy, physiology and physics.

The textbook "Diagnostics" contains a detailed description of the methods of physical examination of all parts of the human body. The full set of physical examination of the human body is a basic skill that medical students must master, and pulse examination is but one of them.

TCM practitioners may have other explanations for the principles of pulse diagnosis, but from a scientific point of view, they cannot escape from the scope of those mentioned above.

Welcome to Dr. Cheng's 100 High.

Chinese medicine is our national treasure, when I went to college to listen to the teacher's lectures feel its mysterious and mysterious (I Western medicine), borrowed from the teacher, to give you a chat.

I remember what my teacher used to say:The human body has the internal must be done in the external, the doctor outside the Department of internal speculation, see the micro-knowledge, consider the degree of Qiheng. Pulse is the finger feeling pulse beating image, reflecting the function of internal organs, qi and blood, yin and yang state. The generation of pulse, and the heart of the heart due to the beat, the pulse tube stretching and pulse channel fluent, qi and blood surplus and deficit, the coordinated role of the internal organs directly related.

Inch-mouth pulse:Chinese medicine pulse diagnosis is most commonly used is the inches of the mouth pulse, but also belongs to the well-known diagnostic method, refers to a separate cut press the radial artery on the medial side of the radial tuberosity of a section of the radial artery, according to the image of its pulsation, in order to speculate on the human body's physiological and pathological conditions of a diagnostic method, and the other there are all over the diagnostic method, the person meets the inches of the mouth of the diagnostic method, the ZhongJing three-step diagnostic method, and so on. CunKou is also known as QiKou or PulseKou, there are four major characteristics:1. It is the "General Assembly of the pulse"; 2. The pulse is the most obvious; 3. It can reflect the vitality of the vital energy; 4. It is easy to diagnose.

Specific methods:The inches mouth pulse is divided into three parts: inches, guan, and ulna. The center is designated as Guan, usually marked by the posterior high bone of the wrist (radial tuberosity), and the practitioner first presses the middle finger on the medial artery of the posterior high bone of the metacarpal. Then the index finger is pressed in front of the Guan (wrist side) to set the inch, and the ring finger is pressed behind the Guan (elbow side) to set the ruler. On each hand, there are six veins, including the inches, guan, and ulnar. Corresponding internal organs for the left heart small intestine, liver, gallbladder and kidneys, right lung, large intestine, spleen and stomach. Cun Guan feet three parts of each can be implemented floating, medium, sinking press to take, three three and nine, known as the inches of the pulse "three parts of the waiting" method.

Chinese medicine is so profound that it cannot be presumed. My teacher also said, "I specialize in treating diseases that are not cured by Western medicine", so it can be seen that Chinese medicine also has its own unique place, but when you choose a Chinese medicine practitioner, you must choose those reliable Chinese medicine practitioners, especially those in public hospitals, I have seen many patients who have been hospitalized in the ICU many times because of taking traditional Chinese medicines when I was in the internship, so you must believe in science and do not seek medical advice in a hurry.

Chinese medicine has a history of more than 3,000 years, and when there was no modern medicine, it was all based on the Chinese medicine practitioner's observation and examination.

First of all, let's talk about diagnosis, the patient comes to you, the first time you will look at his face, look at the color, for example, the face is slightly yellow eyelids are also yellow, it may be a liver problem.

For example, if a patient comes in with an arched back, then it could be a kidney problem or a bone problem, so the lookout is ranked #1.

And what does smell mean? There are some patients who are sick, who have a particular smell, and this smell may be inside the mouth, emanating from the mouth, or it may be emanating from the body.

I think the most important thing is still to ask. Asking for diagnosis plays an absolute role in Chinese medicine, sometimes we can't quickly determine what kind of disease a patient has by looking and smelling, so we use asking for diagnosis to let the patient himself elaborate what kind of disease he is suffering from, so that the questioning should be very accurate.

The last one is to cut the pulse, cut the pulse for Chinese medicine practitioners, there should be a very deep theoretical basis of Chinese medicine, as well as his pulse touching techniques and judgment of the condition. Cutting the pulse is also the most important and the patient's pulse, pulse beat, and inch off the mouth of the performance of various aspects, in order to determine the condition, so that the Chinese medicine is mainly based on observation, why should cut the pulse in the last row, is that there are some people for Chinese medicine cut the pulse cut is not very accurate.