Chinese medicine "the method and key of pulse-cutting"?

Pulse diagnosis is an art of traditional Chinese medicine. The four skills of listening, listening and asking are very deep.

Pulse diagnosis is composed of the visual position (depth), speed (speed), intensity (strength), rhythm (regularity, endless) and shape of arterial pulse. Pulse condition is an important basis of TCM syndrome differentiation, which has important clinical significance in distinguishing the cause, inferring the change of the disease, distinguishing the true from the false and judging the prognosis of the disease. Because the pulse condition is the house of blood and runs through the whole body, the pathological changes of the body and viscera are often reflected in the pulse condition, and sometimes the pulse condition has changed before the symptoms are fully manifested.

Clinically, the "inching diagnosis method" is mainly used, that is, the posterior part of the radial artery of the patient is cut. There are records of "full-time diagnosis" and "three-part diagnosis" in Neijing, which are rarely used in modern clinic, so they are not introduced. Pulse diagnosis has two theoretical bases: first, the lungs are faced with hundreds of pulses, and the pulses will be too deep. That is to say, all the meridians of the human body will converge in the lung, and the cunkou is the circulation part of the Taiyin hand lung meridian, and the Taiyuan point above is the place where the veins will meet, so there is a saying that the veins will be too deep. Secondly, the spleen and stomach are the sources of qi and blood of all zang-fu organs, and the rise and fall of qi and blood of all zang-fu organs are closely related to the strength of spleen and stomach functions, and the lung meridian of Taiyin hand is also based on the function of middle energizer. Therefore, the ups and downs of qi and blood in the viscera and meridians of the whole body can be reflected from the cunkou pulse.

Pulse cutting should be performed when the patient is quiet. "Su Wen. The theory of pulse essence and stomach emphasizes that patients should take a sitting position or supine position when their pulse is normal, with their forearms and hearts close to the same level, palms up and forearms flat to make blood flow smooth. Cunkou pulse measurement, clearance and ruler. For adult pulse diagnosis, use three designated positions. First, press the middle finger in an arc and press the pulp of the finger to touch the pulse to press the pulse. The density of three fingers should be adjusted according to the patient's height. Children's cunkou pulse is too small to hold three fingers, so the "one finger (thumb) method does not need to subdivide three parts. "Children under the age of three can look at fingerprints instead of pulse. There are three kinds of finger force commonly used in pulse-cutting, first light force, touching the skin as floating, called "lifting"; Then apply moderate strength and touch to the middle of the muscle, which is called "seeking"; Touch and press again until the bones and muscles sink, which is called "pressing". According to clinical needs, you can repeatedly touch and press in the order of lifting, searching, pressing or reversing, and you can also adopt finger pressing experience at different parts. There are three parts: inch, pass and pool, and each part has three stages: floating, middle and sinking, which are called three phases and nine phases.

What is the specific pulse condition, so I won't go into details here.