How does Chinese medicine feel the pulse?

The doctor and the patient sit sideways, with the left hand holding the patient's right hand and the right hand holding the patient's left hand. When feeling the pulse downward, first press the middle finger on the inner side of the high metacarpal bone to close the pulse, then press the inch pulse with the index finger to close it again, and then press the ruler pulse with the ring finger to close the pulse. Three fingers should be arched and fingers should be flush. Touch the pulse with fingertips, which is more sensitive. The density of finger cloth should be adapted to the patient's body shape. Old people with long arms should have sparse fingers and short arms should be dense. After the positioning is accurate, the three-finger flat cloth presses the pulse forcefully at the same time, which is called total pressing. In order to focus on a pulse condition, you can also press a pulse condition with one finger, for example, when diagnosing an inch pulse, the middle finger and the ring finger are slightly raised; When feeling the pulse, the index finger and ring finger are slightly lifted; When diagnosing ulnar pulse, the index finger and middle finger are slightly raised, and the combination of total press and single press is often used in clinic. time

The best time to feel your pulse is early in the morning. "The Essence of Su Literary Theory" pointed out: "The diagnosis method is often Ping Dan, Yin Qi has not moved, Yang Qi has not dispersed, the diet has not entered, the meridians are not full, the meridians are well adjusted, and the qi and blood are not chaotic, so the pulse that has passed can be diagnosed." Because the patient is not affected by various factors such as diet and morning activities, the internal and external environment is relatively quiet, and the qi and blood meridians are in a state of less interference, so it is easy to identify the pulse. But that doesn't mean you can't feel the pulse at other times. Wang Ji believes: "You can see a doctor at any time if you are sick, and you don't have to take Pingdan as a detention." Generally speaking, pulse diagnosis needs a quiet internal and external environment. Let the patient rest for a while before taking the pulse, so as to make the qi and blood calm, keep the clinic quiet, avoid the influence of the external environment and the fluctuation of the patient's mood, and help the doctor understand the pulse condition. Under special circumstances, patients should be examined anytime and anywhere, and there is no need to stick to these conditions.

attitude

Ask the patient to take a sitting or lying position, with his arms flat, his heart almost at the same level, his wrist straight and his palm up, and put a pillow on the back of his wrist joint for pulse cutting. Incorrect posture will affect local blood circulation and pulse condition.