How to feel the pulse in TCM

How to take pulse _ basic knowledge in traditional Chinese medicine

In our hands, the high bone behind occipital bone is Guanmai, followed by Inch, then Ulmus, then floating, middle and sinking, left hand, Inch pulse dominates heart and small intestine, Guanmai dominates liver and gallbladder, Ulmus pulse dominates bladder, kidney right hand, Inch pulse dominates lung and large intestine, Guanmai dominates spleen and stomach, and Ulmus pulse dominates kidney and life gate.

Inch, off, feet, the upper limit is Yang, feet are Yin, floating is Yang, sinking is Yin. In this way, combined with the counting of ups and downs in the later period, we can roughly distinguish the yin and yang, exterior and interior, cold and heat of the human body. Combining the strong and weak, the strong is real, the weak is virtual, and then look at the length of the pulse shape, which is more than enough. Only in this way can yin and yang be distinguished from cold and heat. Finally, combine the parts and look at the reflected pulse. Any organ in the organ branch can be broken.

Knowing this, we will recombine these pulse conditions, because there will be many pulse conditions in clinic, such as floating late, floating number, floating long, floating thin, and sinking pulse, which requires us to combine them and analyze them carefully.

For example, the left inch is short and weak, and the inch receives the pulse.

First of all, the left inch dominates the heart, and the disease is located in the heart. What diseases can cardiac dysfunction lead to? The function of the heart is that the heart governs blood, and the beating of the heart transports blood to the whole body. His deficiency will first lead to insufficient blood supply to the brain, dizziness, memory loss and forgetfulness. General weakness, lazy every day.

If the pulse in the left ulna is deep and the syndrome of yin-heat in the interior is located in the kidney and bladder meridian, the kidney and bladder meridian will be hot, and symptoms such as yellow urine, fever, fever of hands and feet, soreness of waist and knees, night sweats and so on will appear. For another example, an inch pulse is floating, the foot pulse is thin, the inch pulse dominates Yang, the inch pulse dominates heat, the floating pulse dominates Yang, and the foot pulse is yin deficiency. Together, it means that yin deficiency does not dominate Yang, and Yang floats above. Such patients will inevitably feel dizzy, and drug treatment can also nourish yin and suppress yang.

Another is to practice more. There are many people around us, our friends and relatives, and we can all go to practice. Everyone has this condition, and only more practice can be effective. At first, sometimes I saw dozens of people a day. After reading it, I compared it to see which one was right and which one was wrong. After summing up, I gradually became proficient. When pulse-taking, we must comprehensively analyze the functions of various organs by parts and organs, and what are the problems of cold and heat, exterior and interior, yin and yang, and excess and deficiency. In addition, you must not diagnose a disease with one diagnosis. The four diagnoses of the ancients are very reasonable.

Pulse diagnosis is the simplest, just need to distinguish.

1 strength and weakness-an analysis of Yang Qi's shortcomings

2 pulse size-deficiency of yin and blood.

3 Pulse ups and downs-Identify Yang Qi's exterior and interior.

That's enough for syndrome differentiation.

Pulse floating: Yang attacking evil on exterior (strong), or Yang deficiency (weak), or Yang dominating exterior in summer;

Pulse sinking: attacking evil due to yang (strong), or yang deficiency (weak), or winter yang.

If the pulse is floating and the yang is insufficient (weak), the qi will not converge or diverge; If the pulse condition is heavy and the yang is insufficient (weak), the qi will not disperse and can return to the standard. The key points of syndrome differentiation are: how much energy is 1 (deficiency); 2 direction of energy (up or down).

It is consistent with the essence of the Six Classics in An Introduction to All Diseases.

It is divided into two parts: the left hand holds yin and blood, and the right hand holds yang, or: the left hand stores energy and the right hand holds energy.

The essence of blood stored in the liver enters the kidney yin, the essence of blood stored in the liver enters the kidney yin, the right hand enters the kidney yin, and the essence of kidney yang, lung qi, temper and kidney yang turns into qi, so the right hand pulse is richer than the left hand pulse, and the female yin blood is richer, so the left hand pulse is richer than the right hand pulse-this is a normal pulse for men and women.

What about women whose right pulse is stronger than their left pulse?

Before taking the medicine, the syndrome differentiation should be Yang Can's excessive non-convergence, feet floating, and after taking the medicine, the syndrome differentiation should be Yang Can's help, feet sinking, and at the same time we can see that the hand is the strongest.

Right Guan controls the energy absorption of the spleen and stomach and strengthens the transport and transformation of the spleen.

The left crown mainly stores the energy of the liver pulse and strengthens the liver to store blood.

The premise is very important. Whether to take medicine or not is completely different in the sense of syndrome differentiation.

The key to yang is that the upper yang position can lower the pulse. In short, it is small at both ends and big in the middle. The key of yang is that the pulse condition can be retracted in the position of lower yin. The key of yang lies in the middle and middle transport of pulse energy. In short, it is small at both ends and big in the middle. The best wealth and energy structure in modern society is called olive shape.

Dialectical application ——————

First distinguish whether the energy is insufficient, and then distinguish whether the energy is stored, whether the firepower is in place, whether it is falling or rising or falling.

Whether the energy is strong or not is just the size of blood vessels, which need not be elaborated.

Fire-related people are rooted in the kidney and begin in the liver, so the liver veins of fire-related people must be numerous and strong.

Although the tempering person's liver pulse is string and full of energy, it has a soft rhythm, just like the general's anger and arrogance.

But the harder you push, the stronger the rebound. The Jewish master is soft outside and hard inside. The stronger the enemy, the stronger I am.

What is the difference between using Yang Cun pulse and Yang Cun pulse? Short-term use of yang to talk, exercise, use spirit, etc. The short-term rest of inch pulse can be attributed to convergence. Long-term yang dispersion is similar to short-term inch breath with yang and will not converge.

If the root of fire is in the kidney, the fire will not reach the designated position. If the foot pulse is too much, the kidney water is the mother liver, and the wood is the child. If it is not extravagant enough, it is necessary to call the mother deposit.

If the pulse of the inch is still floating after meditation, it can be inferred that Yangming does not fall and the fire is not in place: insomnia, dreaminess, anxiety, dry eyes, itchy throat and tinnitus-knowing the pulse.

If the inch pulse floats and the ulnar pulse also floats, a diagnosis can be made. There is no doubt that the ruler pulse floating is conclusive evidence of the long-term dissipation of yang.

Menopausal amenorrhea has no left ulnar vein and kidney yin, and mild amenorrhea has less menstrual flow.

Impotence, frigidity, infertility, abortion, dysmenorrhea, cold hands and feet, depression, forgetfulness, myasthenia, frequent urination.

The rest can be inferred from the syndrome of yang deficiency according to the function of viscera, regardless of viscera.

Excerpted from Baidu Library