In later generations, the most common method is the "Cunkou pulse-taking method"-"According to the size, you can know what disease it is" (Su Wen, Yin and Yang should be like a big theory). ) refers to pressing the inch, the clearance and the ruler, trying to take the floating, the middle and the heavy, grasping dozens of pulse conditions such as "floating, heavy, slippery and astringent", and speculating the pathogenesis. In addition, Huangdi Neijing also recorded the methods of "people welcoming the mouth pulse", "three points and nine waiting pulses" and "ruler and skin pulse".
Among them, the disease information described by the magical "ruler-skin-pulse method" is the most intuitive and concrete, but it is not elaborated in detail because of the different views of future generations on finger parts.
This part of the diagnosis method is recorded in Su Wen's Theory of Meridian Pulse: "The sides of the ruler are sometimes threatened, and the kidney is waiting outside the ruler, and the abdomen is waiting inside the ruler. Attached to the left for the liver, the inside for the stomach, and the right for the spleen. Attached to the right outside for the lung, the inside for the chest, the left outside for the heart, and the inside for the lung. Before, after. I went up unexpectedly with something in my chest and throat. Further down, there are fewer abdomen, waist, knees, legs and feet. "
The skin on both sides of the ulna can be used to check the situation of Ji Li; In addition to the skin, you can check the condition of the kidneys; Inside the skin, you can check the situation of the abdomen; In the middle section of ulnar skin, the liver can be observed on the left surface, the stomach can be observed on the left, and the spleen can be observed on the right; In the upper part of the ulnar skin, the lung can be checked on the right lateral side and the chest can be checked on the right medial side; The left table can examine the situation of the heart, and the left can examine the situation in the middle of the abdomen; The position of the arm yin meridian can be used to check the situation of the chest; The position of the arm vulva meridian can be used to check the shoulder and back; The part above the top of ulna skin reflects the situation of chest and throat; The lower part of ulnar skin reflects the lower abdomen, waist and thighs, knees and calves.
According to Yang Shangshan, Bing Wang and other physicians, this diagnosis method is the visceral body surface part of the skin, that is, the literal meaning of scripture, which is suitable for pulse diagnosis, as shown in the figure below:
In addition, Ma and others think that the diagnosis of ulnar skin is equivalent to the three points of inch, clearance and ruler of viscera. Ma Note: "The vein of Wang Shuhe in later generations has similar branches." The third opinion is that the ulnar skin diagnosis method is a whole-body pulse diagnosis method, which is farther away from righteousness. Another interpretation of this passage in ancient times is that this passage expresses the positioning relationship of Cunkou pulse and viscera. Such as sunny? Zhou Xueting, "Three Fingers Zen? The Interpretation of Six-part Pulse clearly points out: "Six-part pulse, waiting for inch, clearance and ruler, comes from the chapter of pulse essence. "Left inch for the heart, left inch for the liver, left foot for the kidney; The right inch is for the lungs, the right for the spleen, and the right foot for the door, so that the six parts of the Ming Dynasty can be returned to their places. "
At this time, in the chapters of Huangdi Neijing, we can find the discussion about the location and methods of diagnosis, such as Su Wen's theory of pulse essence, Su Wen's theory of ordinary people's meteorology, Ling Shu's theory of evil guests, Ling Shu's theory of diagnosis ruler and so on. According to its corresponding relationship with viscera, visceral diseases can be judged by feeling the tactile information of ulnar skin, such as hot and cold, firmness, brittleness, size, smoothness and urgency. However, due to the lack of clear measurement scale and clinical operability, these tactile information can not be applied to practice and gradually fade out of people's sight. We can't appear in the world slowly and sporadically for the clear grasp of later doctors' systems.
In recent years, Mr. Shou Xiaoyun, the founder of Shou's pulse science, wrote "? On the subtle pulse "and" Su Wen? Based on "Nine Stages and Three Treatises", and referring to the difficult classics of Tibetan medicine and four medical codes, the theoretical system of longevity pulse science was established. Accurately determine the pulse diagnosis positions such as upper inch, lower inch, ruler, ruler-1, ruler -2, intuitively diagnose organs such as skin, pulse, flesh, tendons, bones and organs, clearly summarize the pulse information into tactile information that can be expressed by vibration, shape and temperature, and systematically connect the names of diseases in western medicine. The pulse information of motor system, respiratory system, digestive system, cardiovascular and cerebrovascular system, urogenital system, tumor pulse, organ loss, implantation and so on can be obtained comprehensively.
Shou's pulse diagnosis method can quickly identify clinical disease information such as foreboding of cerebral infarction, acute and chronic stroke, hypertension, arteriosclerosis, coronary heart disease, myocardial hypertrophy, valvular lesion, hyperosteogeny, soft tissue injury, hepatobiliary and renal prostate stones, polyps, cysts, tumors and gynecology. Of course, that's not all. For example, the pulse conditions of bacterial infection and viral infection are different.
In addition, Mr. Shou also pioneered the psychological pulse method of Shoumai, which intuitively perceived the psychological state of patients. "Su Wen? In the chapter on Meridians, the Yellow Emperor asked, "Why does the pulse change when you live in a place where the brave are afraid?" Qi Bo said to him, "mortals are afraid of quietness, and (pulse) changes. " ? It can be seen that the seven emotions of traditional Chinese medicine, such as joy, anger, sorrow, thinking, sadness, fear and shock, are closely related to the disease, and can all be expressed in the pulse information. Shou's pulse science can intuitively feel thousands of psychological pulse conditions, such as depression of the liver, joy, anger, depression, inner pain, tension, rebellion, upset, hard life, fright, fear, lack of affection, desolation and sadness, anxiety, depression tendency, depression and so on.
Combining Shou's pulse theory with disease pulse method, psychological pulse method, subconscious pulse method and advanced pulse method, we can widely collect important information such as disease, psychology and pathogenic reasons, and based on this, we can conduct syndrome differentiation and treatment and think about treatment plans, so as to get effective results.