Chinese medicine pulse diagnosis song and analysis (with illustrations)

Pulse diagnosis is also known as pulse cutting, that is, the four diagnostic methods of cutting diagnosis. It is a method of diagnosis in which the doctor cuts and presses the patient's pulse with his fingers and, according to the image of the pulse, he can understand the condition and judge the illness. Pulse diagnosis is also known as pulse cutting, that is, the four diagnostic methods of cutting diagnosis. It is a method of diagnosis in which the doctor cuts and presses the patient's pulse with his fingers, and the image of the pulse is based on the movement of the fingers, in order to understand the condition and determine the illness.

I. Principles of pulse formation

(1) The heart beat is the driving force for the formation of pulse, and the heart qi is directly related to the pulse.

(2) The veins are the channels through which qi and blood run, and have the function of restraining and advancing the flow of blood.

2. Qi and blood are the material basis for the formation of the pulse: the filling of qi and blood directly affects the pulse.

(2) Indirect factors in the formation of other organs on the formation of the pulse

1. Lungs: the lungs are the main gas, the Division of respiration, the direction of the hundred veins.

2. Spleen and Stomach: Spleen and Stomach are the source of qi and blood biochemistry, and Spleen regulates blood.

3. Liver: the liver collects blood, regulates blood and regulates qi.

4. Kidneys: Kidneys store essence and are the root of vital energy.

The parts, methods and precautions of pulse diagnosis

(1) the parts of the pulse diagnosis song

The parts of the pulse diagnosis has three methods, diagnosis of the three parts of the inches of the mouth to put.

Anciently, the head, hands and feet were diagnosed all over the place, and the three parts of the body were met by the insteps of the inches.

Today, the pulse is cut at the mouth of the main inches, the left and right inches off the feet of the three parts.

Left heart, small intestine, liver, gallbladder and kidney, right lung, large intestine, spleen and stomach life.

(1) Derived from: "Suwen" three parts and nine conditions method. It is an ancient method of pulse diagnosis.

(2) Division and significance: the head, hands, feet three parts, and each part of the world and the people of the three, combined into nine, so it is called the three parts of the nine waiting all over the diagnosis method.

Throughout the diagnostic method of pulse diagnosis and clinical significance

2. Three diagnostic method

(1) From: Han Dynasty, Zhang Zhongjing, "Treatise on Typhoid Fever.

(2) Division and significance: the three veins of Renying, Cunkou and Tarsus. Among them, the inches of the mouth of the twelve meridians, Renying, instep Yang, waiting for the stomach qi. There are also added foot Shaoyin (Taixi point), after the kidney.

3. Inch mouth diagnosis

Inch mouth, also known as the mouth of the qi or pulse mouth, its location in the back of the wrist where the radial artery is located.

(1) Origin: first appeared in the Nei Jing, detailed in the Nanyang Jing, and popularized in the Pulse Jing.

(2) Theoretical basis: the basis for taking the inches of the mouth alone is based on the following two points.

①The inches of the mouth is the artery of the lung meridian of the hand taiyin, for the qi and blood convergence, and the qi and blood of the five organs and six viscera converge in the lungs, so the lesions of the internal organs can be reacted to in the inches of the mouth.

②The lung meridian in the middle of the jiao, and the spleen belongs to the same yin, the spleen and stomach for the source of qi and blood. The source of the pulse began in the stomach, lost in the spleen, infused in the five viscera and six bowels, after the role of the five viscera and six bowels, all the veins towards the lungs, which is affected by the visceral lesions, can be reacted to the inches of the mouth of the pulse.

(3) Division and significance: inches of the mouth of the inches off the feet of three parts. The high bone (radial tuberosity) as a marker, the medial part of the off, off before (wrist end) for inch, off after (elbow end) for ruler, two hands together as six pulse.

Organs and organs

(2) the method of pulse diagnosis and precautions of the recipe

Early in the morning pulse diagnosis is good, inside and outside of the quiet less interference.

Adjust your breathing and calm your mind, and keep your pulse clear under your fingers.

Begin by cutting the center of the palm toward the upper end, and set the high bones in the back of the palm at the two levels.

The name of the front of the Guanchuan Guanjiu ruler, ruler in the elbow side of the inch wrist to know.

The three fingers are the same name of the total press, single press a finger a broken.

Sinking to take the press floating to take the lift, floating and sinking between the search for the center to take.

1. Time of pulse diagnosis

(1) Early morning is better, other times can also diagnose the pulse, but to have a quiet environment.

(2) A complete breath of the person checking the pulse in a peaceful state should not be less than 1 minute for each pulse checking, i.e., 50 movements according to the ancients.

2. Body position

(1) Sitting upright or lying on the back.

(2) The forearm is stretched out flat, palm up, the arm is nearly at the same level as the heart, and a pulse pillow is placed under the wrist.

(3) Incorrect body position will affect the local qi and blood operation and affect the pulse.

3. Finger method of pulse diagnosis

Finger method

Three, pulse elements and flat pulse characteristics

(1) pulse elements

1. Traditional pulse elements: the literature is often analyzed and summarized in the four aspects of the pulse: thought, number, shape, and potential to the four elements of the pulse.

2. Modern pulse elements: modern research has summarized the pulse elements as the eight aspects of the pulse: part, number, length, width, strength, fluency, and evenness. Different combinations of these features are manifested in various pulse patterns.

Modern Pulse Elements

(2) Characteristics of Flat Pulse

Flat Pulse must have the root of the Stomach Spirit, and the Stomach Qi exists in a calm and regular manner.

Gentle and powerful, the spirit is not lost, sinking the ulnar pulse has a root.

Spring and Autumn are stringy, summer and summer are flooding, winter and winter are sinking, and the pulse is different in all seasons.

There is no pulse outside the arm at the mouth of the inch, and it is normal for it to be oblique and anti-classical.

Females have a number of moistened, fat and sunken pulses, while thin and floating toddlers are quick to drink.

Happy, slow, frightened, angry, anxious, strong, powerful, weak.

Flat pulse is the normal pulse.

1. The form of the flat pulse: the three parts of the pulse, a breath of four, not floating, not sinking, not too big, not small, calm and gentle, soft and powerful, rhythmic, ruler pulse sinking to take a certain power, and with the physiological activities and different climatic environments and the corresponding changes in the normal.

2. The flat pulse is characterized by the stomach, the spirit and the root. Normal pulse

3. Physiological variation of flat pulse: flat pulse has corresponding physiological changes with the influence of internal and external factors of the human body.

(1) the internal factors affecting the flat pulse

①gender: women's pulse is weaker and slightly faster than men's, and after marriage and pregnancy, the pulse is commonly slippery and rushing and.

② Age: the younger the age, the faster the pulse. The pulse is strong in young people; it is weaker in the elderly.

3) Physical: If you are tall, your pulse is longer. The short people, the pulse of the visible part of the shorter. Thin people with thin muscles, the pulse is often floating. Obese people, thick subcutaneous fat, the pulse is often sunken. Athletes have a slow and strong pulse. Where the common six veins are equal in size and thickness, and there is no sign of disease, it is called the Six Yin Veins. Where the six veins are commonly flooded and equal, without disease, it is called the six yang veins.

4 mood: momentary mental stimulation, the pulse also changes. For example, if you are happy, the pulse will be slow, if you are angry, the pulse will be rapid, if you are frightened, the pulse will move, etc. When the mood is calm, the pulse will return to normal.

⑤Labor and leisure: after strenuous exercise and long-distance travel, the pulse is more rapid. After a person goes to sleep, the pulse is more sluggish. The pulse is weaker in people who are engaged in mental labor than in those who are engaged in physical labor.

6) Diet: after meals and wine, the pulse is strong; when hungry, it is a little slow and weak.

7 Anatomy: If the pulse does not appear at the inches of the mouth, but slants from the ulna to the back of the hand, it is called the Slanting Flying Pulse. If the pulse appears on the dorsal side of the inches, it is called the Anti-Guan Pulse.

(2) the external factors affecting the flat pulse

1) the climate of the four seasons: the flat pulse according to the climate of the four seasons, spring string, summer flood, autumn floating, winter sinking changes.

② geographical environment: the south is located in the low, warm climate, moist air, the body's muscle coupling is slow and sparse, so the pulse is more soft or a little number; the north is high, the air is dry, the climate is cold, the body's muscle coupling is tight, so the pulse is more solid performance.

3 time: the daytime pulse is floating and powerful, the nighttime pulse is heavy and slow.

Four, common pulse and its clinical significance

Recently, from 28 kinds of pulse discussion.

(A) floating pulse category

Song

floating pulse but from the flesh upward, such as through the elm pods like hair light;

floating pulse for the yang surface of the disease in the residence, the long term disease of the yang is very weak.

The flood pulse comes with a beat, and goes on like a wave;

The flood pulse is the result of Yang's blood deficiency, and the heat disease is seen to be driven away by the fire.

The moistening of the veins is a sign that the water is floating in the water, and that the water dampness has become more prevalent in the veins, and that there is a deficiency of blood and yin in the veins.

Scattered like poplar blossoms, they fly about in an endless stream;

Birth is a sign of birth, and the fetus a sign of abortion; the vital energy is dissipated and nearly dead.

Stalk is as big and light as a scallion, the sides are solid and the inside is empty;

Blood loss is a large amount of blood and the pulse is stalked, the pulse is not good in a leakage and loss of yin.

The leather pulse is shaped like the skin of a drum, floating and beating outside the fingers;

Women with half-births and leaks, men with weak camps and dreams.

Floating pulse

(2) Sinking pulse

Song

The pulse sinks under the water, and is soft and smooth between the sinews and bones;

Sinking is strong and solid, while weak and sinking is weak.

Volts of the pulse push tendons and bones to find, only between the fingers to move hidden deep;

Evil closed syncope evidence and pain extreme, Taixi instep Yang a line attack.

The long, solid and large pulse is firm and solid, and the firm position is often at the edge of sinking and floating;

This is not recommended for blood loss and yin deficiency, as the pain in the heart and abdomen is caused by yin and cold.

Weakness and weakness, softness and tenderness, but not the sinking and floating;

Deficiency of qi and blood and depletion of yin qi, the old man can still be a young man's sorrow.

Sinking pulse

(3) Late pulse

Songs

Late to one breath to only three, Yang does not prevail over Yin, Qi and blood are cold;

Strong and late is cold and painful, late and weak is weak and cold is fixed.

The slow pulse, the four to the pass, the willow curls the wind;

Wanting to seek God's energy from the pulse, only in the calm and slow.

It is difficult to travel to and from a fine, short and astringent pulse, and it should be scattered and stopped vaguely;

The astringent pulse is caused by a lack of blood or sperm, and blood stasis and stagnation of qi, and phlegm and drink are manifested.

The knotted pulse is slow and sometimes stops, and the yin alone is partial to the yang.

Cold, phlegm, blood and qi stasis are the signs of an abnormal innate endowment.

Late pulse

(4) Counting pulse

Song

A breath of six to counting pulse breaks, yin and yang are in full bloom and see madness and annoyance;

Floating and sinking, surface and inside to distinguish between the real and the imaginary, only the children are the common value.

Sickness of the pulse is seven or eight times a breath, when the yang and yin are exhausted;

Sickness is common with violent exercise, and infants need not be alarmed by it.

Prompting the pulse to count and then stop, this is the extreme yang want to die yin;

Qi, blood, phlegm, diet and stagnation, the essence of the five viscera, yin and blood deficiency.

The arteries are shaken and counted at the gate, without head or tail, in a bean-shaped mass;

The arteries specialize in pain and shock, and the shocked arteries know that they are in turmoil.

Counting of the pulse

(5) The pulse of emptiness

Songs

Lifting the pulse is slow, pressing it is loose, the pulse is endless, like the emptiness of the valley;

The deficiency of qi, blood, yin, and yang are all signs of weakness, and spontaneous sweating and palpitations occur.

The pulse is as thin as silk, and the finger is sinking;

Spring, summer and adolescence are all unfavorable, and all kinds of weaknesses and labor damage are trapped in dampness.

The microvessel is small and weak, and when pressed it seems to be there, it seems to be unavailable;

The pulse is also small when qi and blood are weak, and when yang is in shock, it will lead to death.

Movement and suspension can not be returned, and then move and thus for the generation to see;

Essence is weak and the dirty gas is weak, wind pain and seven feelings of fear and injury.

Deficiency pulse

(6) Solid pulse

Songs

Floating and sinking are all big and long, and should be pointed out that there is no deficiency of melancholy;

Real pulse is different from pain, delirious, hurtful, or crazy.

Slippery pulse is like a pearl, but the flow is fluent;

People with phlegm and food have a lot of problems, but the female pulse is adjusted to have a baby.

Lifting the pulse like a rope and cutting it like a rope, the pulse gets its name from this;

It is always the cold that is at work, and it is the abdominal pain inside and the pain in the body outside.

The Stringy Pulse is long, straight and long, the Liver meridian is full of wood and the earth should be injured;

The Stringy Pulse is associated with the Liver and Gallbladder in spring, and is associated with phlegm, drink, cold, heat and malaria.

The long pulse is long and even in size, perverse as the disease is like a rope;

If it is not a yang-toxic epilepsy, then it is yang-ming heat.

The solid pulse category