"Suwen Pulse Essentials Essence Theory" says: 'The diagnosis method is often based on Pingdan, when the Yin Qi has not moved, the Yang Qi has not dispersed, the diet has not been taken, the meridians are not strong, the collaterals are evenly balanced, and the Qi and blood are not disordered, so it is
It can be diagnosed as having a pulse.', why is this?"
After breakfast, Fang Le came to Qi Yuanshan's residence, where Qi Yuanshan was teaching his disciples.
Seeing Fang Le come in, Qi Yuanshan smiled and greeted Fang Le: "Xiao Le is here."
"There are some medicinal materials left. I will send them to you, but they will not be sold."
Fang Le put the bag in his hand in the corner and said to Qi Yuanshan with a smile.
"Okay, I'll weigh you later and I'll give Xiyue girl some credit!"
Qi Yuanshan smiled and nodded, saying: "I have told the little girl many times that you don't need to see anyone from my side, but that girl always keeps the accounts by herself and even sent me money early in the morning. I
She received fifty, but she is an ambitious little girl."
Fifty yuan was the cash loaned by Qi Yuanshan, and the rest was saved by giving Fang Le medical treatment and medicine. In the morning, Zhang Xiyue went to the town to buy groceries and passed by the door of Qi Yuanshan's house. She paid back the money to Qi Yuanshan and left Qi Yuanshan at the same time.
Two eggs.
Qi Yuanshan resisted for a long time, and then he accepted the fifty yuan. Qi Yuanshan firmly refused to take the rest, saying that he would pay it back slowly and not to be in a hurry.
"What I owe you must be repaid."
Fang Le said with a smile: "Yueyue and I are very grateful that you can treat the disease first and collect the money later. We can't let you contribute your efforts and lose money at the same time."
"You brat."
Qi Yuanshan smiled and scolded: "You have been seriously ill, experienced life and death, and achieved great enlightenment. You couldn't say such words before."
Not only Zhang Xiyue saw the change in Fang Le, but even Qi Yuanshan could feel it. Fang Le before was not as good at talking as he is now. He was a complete nerd, not understanding the world at all, and a bit cold-blooded.
"Are you teaching students?"
Fang Le did not continue the topic, but walked closer. When Qi Yuanshan was speaking, he was sitting on a chair. Next to him, a girl in her early twenties, about the same age as Zhang Xiyue, was feeling Qi Yuanshan's pulse.
When Fang Le just walked in, Qi Yuanshan was telling the girl the content of "Suwen·Mai Yao Essence", and Fang Le also heard it.
"The granddaughter of an old friend insists on letting me take care of her."
Qi Yuanshan said with a smile, and then introduced to the girl: "This is Fang Le, a college student from Fangjiaping, a top student from our provincial University of Traditional Chinese Medicine, and his current level is even better than your Grandpa Qi."
"Hello, Brother Fang Le."
The girl smiled and greeted Fang Le: "My name is Zhao Yuan. I have heard Grandpa Qi talk about you, Brother Fang Le, a lot these days."
While speaking, Zhao Yuan looked at Fang Le with a blush.
Fang Le is tall and handsome. Such appearance is popular with girls in any era. However, girls in this era are still relatively conservative and reserved. Zhao Yuan blushed just by staring at Fang Le.
"Don't listen to Grandpa Qi's nonsense."
Fang Le said with a smile: "I also learned it from Grandpa Qi, so I should be your senior brother."
Hearing what Fang Le said, Qi Yuanshan was very happy.
"Xiao Le, why don't you tell Xiaoyuan?"
Qi Yuanshan smiled and said happily: "I just want Xiaoyuan to feel your pulse."
"That's fine!"
Fang Le nodded, Qi Yuanshan stood up, Fang Le sat down on the stool where Qi Yuanshan was sitting, stretched out his arm, and put his wrist on the pulse pillow on the table.
"Actually, the seat is a bit low."
Fang Le stretched out his arms and said: "When a newcomer learns to diagnose the pulse, it is best to sit higher and more comfortable to ensure that his breathing is stable and his mind is calm."
"What Grandpa Qi said just now is that the diagnosis method is often based on Pingdan. In fact, what he said is the best time for pulse diagnosis. In terms of time, pulse diagnosis in the early morning is the most appropriate, because in the early morning, when there is no food and activities, the environment inside and outside the body
It is relatively stable, and the Qi and blood meridians are subject to the least external interference, so the pulse can more accurately reflect the rise and fall of Qi and blood and the operating conditions of the organs, meridians and meridians of the body."
"There is also the posture. When diagnosing the pulse, the best posture is for the patient to sit or lie on his back. The forearms are naturally stretched forward and at the same level as the heart, with the palms facing up. It is also best for the doctor himself to sit upright and in a comfortable posture.
..."
"Wang Hangao, a famous doctor in the Qing Dynasty, said in "Wang's Medical Existence": "If the patient lies on his side, his lower arm will be pressed, and the pulse will not flow. If he covers his hand, the wrist will twist and the pulse will not flow;
If the hand is raised, the blood will pour down and the pulse will be stagnant; if the hand is raised, the qi will flow up and the pulse will relax; if the body is covered, the qi will be pressured and the pulse will be stagnant; if the body moves, the qi will be disturbed and the pulse will be busy. Therefore, for those with mild illness, it is appropriate to
Sit upright, with your wrists straight, and your palms raised; if you are seriously ill, you should lie down, with your wrists straight, and your palms raised, so that you can diagnose your pulse."
Qi Yuanshan next to him nodded repeatedly.
What Fang Le talked about was the most basic things, but these basic things have been systematically compiled by many people and are used as teaching materials. The explanations are more comprehensive and systematic.
With the establishment of some systematic traditional Chinese medicine schools across the country, a new school has gradually emerged in the Xinglin world, which is called the academic school by traditional Chinese medicine practitioners. Most traditional Chinese medicine practitioners look down on the academic level. It is undeniable
Yes, the academic foundation and theoretical knowledge are very solid.
Qi Yuan Shan is considered a traditional Chinese medicine practitioner. Most of his skills come from self-study, and most of what he has read are some previous TCM classics. Therefore, Fang Le's more systematic statement sounds clearer and more concise to Qi Yuan Shan.
"When diagnosing the pulse, you should pay attention to adjusting your breathing. Each exhalation and inhalation is called a breath. When diagnosing the pulse, the doctor must first keep his breathing natural and even, clear his mind and focus, and use his own breathing to calculate the patient's pulse."
"It is said in "The Medical Doctor's Guide": 'In order to diagnose the pulse, you must first level your own breath. For men on the left and women on the right, first use the middle to designate the closed position, then use the two fingers at the front and back to press down.
, press the message one time, and then press the message again, and then search from Cun Guan to Chi, part by part. Between each exhalation and one inhalation, the pulse should be guided by the four to four, and the pulse should be at the five to five. It is flat.
As for the pulse, if it is too low and too low, it is a diseased pulse."
Fang Le continued to talk to Zhao Yuan.
"Brother Fang Le, is it so complicated?"
Zhao Yuan frowned slightly when she heard this: "I think when Grandpa Qi diagnoses the patient's pulse, he can do it at any time, and there's not much emphasis on it."
"Everything must be done step by step. If you don't know how to walk, you just want to run. How can you learn something like this?"
Before Fang Le could say anything, Qi Yuanshan who was standing next to him shouted in a deep voice: "Traditional Chinese medicine not only pays attention to diligence, but also pays attention to talent. At the beginning of learning medicine, be careful not to be impatient, especially when diagnosing the pulse. If you don't know how to do it, you may not know how to understand it.
I will never be able to get started in my life.”
“Only by first learning the essentials and mastering them proficiently can we be flexible and changeable in actual clinical practice, eliminate interference as much as possible, and obtain the patient’s true pulse to the maximum extent.”
"Grandpa Qi is right."
Fang Le smiled and nodded. The threshold for traditional Chinese medicine is quite high. The four diagnostic methods of inspection, smelling, asking, cutting, and ginseng are combined. Each diagnostic method requires talent. In terms of pulse diagnosis, some people really spend their whole life.
It is impossible to get started, and it is the same with physical examination. Without the method and understanding, it is equally difficult to get started.
Requirements are requirements, reality is reality.
In actual clinical practice, all kinds of situations will be encountered, and all kinds of patients will encounter them. Therefore, in actual clinical practice, not every diagnosis and treatment can ensure that patients meet the highest requirements and standards.
Such as time, such as body position, such as emotion, etc.
But at the beginning of learning, follow the standards as much as possible so that you can get started quickly. Only when you are proficient can you adapt.
Only when you can walk steadily can you start running. If you don't know how to walk, just trying to run is naturally unrealistic.
Zhao Yuan blushed and did not dare to speak.
"Concentrate and calm down!"
Fang Le reminded.
Zhao Yuan took a deep breath and placed three fingers on Fang Le's wrist.
Zhao Yuan has obviously been with Qi Yuanshan for a while, but Fang Le didn't see anyone when he came here a few times before. Judging from Zhao Yuan's pulse diagnosis method, at least the three parts of Cun Guan Chi are quite accurate.
"The pulse has three characteristics: floating, medium, and sinking. Therefore, when diagnosing the pulse, the corresponding techniques are lifting, pressing, and searching to identify the depth of the pulse."
When Zhao Yuan felt her pulse, Fang Le continued to say from the side: "To feel with a light hand, to detect the pulse is to lift, to feel with a heavy hand is to press, neither light nor heavy is to find..."
Zhao Yuan didn't say anything, tried to keep herself calm, and then felt Fang Le's pulse.
For beginners, if you want to understand the patient's condition through the pulse, you need at least the pulse beat to be no less than a certain number, generally no less than 50. If it is disturbed, you often need to start over.
, the time for pulse diagnosis will be greatly extended. If you can feel the pulse clearly in ten minutes, it is considered quite good.
After seven or eight minutes, Zhao Yuan let go of Fang Le's wrist and said with some embarrassment: "I can't tell. It seems to be a wet pulse or a slippery pulse..."
"Your touch is pretty good."
Qi Yuanshan said with a smile: "Brother Fang Le, your tuberculosis is not cured yet. Tuberculosis is usually caused by weak righteousness, infection, and erosion of the lungs. Symptoms include coughing, hemoptysis, hot flashes, night sweats, and gradual body weight loss.
Most of the symptoms are deficiency symptoms. During this period of time, your body, Brother Fang Le, has recovered well. Although you have not recovered, your body is no different from ordinary people in all aspects."
Fang Le smiled and stood up: "It's indeed pretty good."
A wet pulse is mostly a symptom of deficiency, while a slippery pulse is associated with symptoms such as phlegm and fluid accumulation, food accumulation, excess heat, etc. At the same time, a woman with a slippery pulse and menstrual interruption is pregnant; a slippery pulse seen during labor is a sign of ligament; a flat pulse is smooth and gentle, which is Ying.
A good sign of abundant health.
The slippery pulse in Chinese medicine does not simply refer to the happy pulse. To be precise, there is no such thing as a happy pulse among the twenty-eight pulse conditions in traditional Chinese medicine. It is just that when a woman of childbearing age has a slippery pulse due to her menstrual period, it usually means she is pregnant.
, called happy pulse.
Zhao Yuan is a beginner, lacks experience, makes inaccurate judgments, and feels slippery, but she is indeed pretty good.?
: Let’s talk about updates. There are two guaranteed updates before they are put on the shelves. Many old book friends know that the book I published before my second child was a month old has a relatively large impact at present. I try to ensure stable updates and look for opportunities to update.
If this is possible, there are still update times. The first update is around two o'clock at noon, and the first update is around five or six o'clock in the afternoon. In this way, it will occasionally be advanced.