Traditional Culture Encyclopedia - The 24 Solar Terms - What is the principle of treating pregnant women with pulse by doctor too much?
What is the principle of treating pregnant women with pulse by doctor too much?
The ancients didn't have today's ultrasonic diagnosis and treatment methods, so they judged whether they were pregnant by "looking, listening and asking".
"Looking" is very simple, that is, observing the changes of women's posture. If there are no special reasons such as diseases, women will get pregnant after three months of pregnancy, and bloating can be used as one of the basis for diagnosing pregnancy.
"Smell" is not smelling, but listening. In ancient times, there was no stethoscope and other tools, and because of ethical problems, it could not be put on the pregnant woman's stomach to listen, so this method was less.
It's easier to ask. Menstruation stops after pregnancy. According to the law of fertility, asking pregnant women whether they have had sexual intercourse recently or whether their menstruation is regular can also be used to judge whether they are pregnant, and pregnant women will have vomiting and other reactions during pregnancy, which can also be used as one of the basis.
Pulse diagnosis is the so-called "pulse taking", which diagnoses whether a woman is pregnant or not according to the change of her pulse condition.
However, this method may have been exaggerated in history. Seeing, hearing, asking and searching in TCM are integrated, and one pulse can point to many results. The pulse condition of pregnancy is slippery pulse, which is mainly related to phlegm, food retention, excess heat and other syndromes, and also related to pregnancy.
But this diagnosis is mainly based on personal experience and feelings, because the feeling of "slippery" is like a row of bubbles swimming around in the patient's blood vessels, or like a small iron ball rolling on the doctor's finger in turn. There will always be personal differences, and different people's pulse rates are different. Some people have a strong pulse condition, while others have a weak pulse condition, so it is necessary to increase the intensity of pulse condition detection to take the pulse. Usually, when a woman sees a slippery pulse without getting sick, she can judge that she is pregnant, but this is something that no doctor can accurately judge.
In ancient times, the diagnosis of pregnancy even required multiple doctors to visit together, take turns to feel the pulse and ask about women's personal physiological changes, in order to get a more accurate diagnosis of pregnancy. Just taking the pulse without going through several other diagnosis and treatment procedures may make the diagnosis and treatment results very different. In modern times, because some Chinese medicine practitioners are eager to prove the advanced diagnosis and treatment methods of Chinese medicine, they have to compare the accuracy of pregnancy diagnosis with modern medicine, which can directly observe whether they are pregnant through ultrasound.
A few years ago, some modern medical doctors held a competition to test whether the accuracy of pulse diagnosis in traditional Chinese medicine can exceed 80% by random blind method. When Chinese medicine practitioners are pregnant, the curtains are separated, and no relevant information such as the face and body shape of the participants can be seen.
Although the challenge ended in the past, it goes without saying that the accuracy of modern medicine will be higher, because modern medicine can directly see through the human body, not at a glance, but in the early pregnancy, when the fetal heart is still weak, we can observe the gestational sac through hormones and diagnose whether we are pregnant. The traditional way of relying on pulse diagnosis naturally has many shortcomings, and because of personal experience and other differences, it is difficult for different people to reach the same conclusion and compare with modern diagnosis and treatment methods.
When diagnosing other diseases, taking pulse will lead different doctors to draw different conclusions and different treatment methods, which makes the traditional treatment methods lack uniform standards, and outsiders seem to be fooling around, but in fact, even in modern medicine, several treatment methods for a disease are very common.
The modern method of diagnosing diseases only by pulse diagnosis has been basically eliminated. In modern medicine, pulse condition is more a relatively simple problem such as judging the patient's heart rate, rather than being directly used to diagnose diseases. Even many Chinese medicine practitioners sitting in the classroom should combine modern imaging medicine to draw conclusions. Simplify the process and challenge the traditional "one person, one party". For example, thyroid nodules appear at the same time. It is likely that different people have taken the same medicine, but they lack the diagnosis of personal physique, so the medicine may not work. Therefore, there are many defects and obstacles in the development of traditional Chinese medicine to modern times. If we can't break through, it will be repelled by modern medicine sooner or later.
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