Chapter 1423 Differences
Chapter 1423 Differences
Diagnosing the pulse is an original diagnostic method created by ancient Chinese Han medical scientists. In modern times, Western medicine has been accustomed to using a stethoscope to see a doctor. For more than 2000 years, Chinese medicine has been accustomed to pulse diagnosis, that is, pressing the pulse with fingers and diagnosing diseases based on the pulse. unique to the world.
Ancient Chinese physicians paid great attention to the clinical significance of pulse diagnosis, and believed that by feeling the pulse, one could know whether the disease is cold or hot, whether the body's righteousness is flourishing or declining, as well as detect the etiology, location of the disease and judge the prognosis.
Just as the "Nei Jing? Lingshu Jing? Meridians" said: "The meridians can determine life and death, deal with all kinds of diseases, adjust deficiency and excess, and must be unreasonable." That is to say, pulse diagnosis can judge; Regulate the false and the real.
"Internal Classics? Plain Questions? Yin and Yang Yingxiang Dalun" also said: "A person who is good at diagnosis observes the color and pulse,... observes the balance and rules to know the cause of the disease, and observes the floating, sinking, slippery and astringent according to the size to know the origin of the disease and treat it. "
That is to say, from the balance rules of the pulse condition, one can identify the viscera that the disease is dominated by; from the patient's pulse condition to distinguish the ups and downs, the cause of the disease can be known.
This is based on the viewpoint of treating the human body as a whole, and this holistic viewpoint is based on the meridian theory.
[万_书_吧].nsb Traditional Chinese medicine believes that the meridian is the pathway through which Qi and blood run in the human body.The pulse is a part of the whole, so the internal changes can be detected from the changes of the pulse condition.The so-called "everything is inside, there must be everything outside", that is to say, the changes inside the human body will be manifested outside.
Pulse is a comprehensive performance of circulatory function.The condition of the pulse is different due to the change of the condition of the circulatory system.Whether the aortic valve of the heart is sound and whether the heartbeat is in rhythm.And the elasticity of the arteries can be diagnosed through the pulse.
Not only that, because the circulatory system is closely related to various internal organs of the body.Any change in tissue metabolism will have a certain impact on blood circulation, and important disease changes in the body will affect the function of the circulatory system to varying degrees.
Therefore, the pulse condition not only reflects changes in the circulatory system, but also changes in other organs and systems.
For example, many diseases are related to changes in blood composition. When fever or inflammation occurs, the number of white blood cells in the blood increases accordingly; diseases such as liver cancer and diabetes.It can cause changes in the distribution of blood, which will lead to changes in blood flow velocity and other aspects, and cause changes in pulse conditions.
Especially the nervous system and the circulatory system are more closely related.For example.Because the blood vessel wall is controlled by the sympathetic and parasympathetic nerves, when some diseases cause changes in these two nerves, the blood vessels will be affected, thereby causing changes in the pulse condition.It can be seen from this.Ancient Chinese medicine emphasized the clinical significance of pulse diagnosis.There is a basis, but due to the limitations of the conditions, the ancients could not have the same understanding as today.
The so-called pulse condition is the image of the pulse that the doctor feels with his fingers, which includes the depth of the arterial pulse, the speed of the pulse, the intensity, the uniformity of the rhythm, and so on.
A normal pulse is neither floating nor sinking, neither fast nor slow, neutral and forceful, and has an even rhythm. It is called a "ping pulse" (normal pulse).
Different diseases often have different pulse conditions.Ancient Chinese physicians studied the pulse condition very meticulously. "Nei Jing" has recorded more than ten kinds of pulse conditions, and "Mai Jing" has summarized 24 kinds.Later pulse books even described as many as 30 or more.
特别值得一提的是宋代施发的《察病揩南》(公元1241年)一书,载有33幅脉象图。很是生动有趣。近代用科学仪器描绘脉象,是法国生理学家马雷(1830—1904)在公元1860年发明脉搏描记器以后才实现的。
It is rare in the history of pulse science in the world that ancient Chinese physicians could draw so many pulse patterns by feeling and imagining with their fingers hundreds of years ago.
There are about 20 commonly used pulse conditions recorded in ancient literature, such as floating, sinking, late, rapid, slippery, astringent, virtual, solid, Confucianism, sputum, slow, weak, knot, generation, rapid, tight, stringy, flood, thin , micro and so on.
The "floating" and "sinking" in the pulse condition have been recorded in the "Nei Jing", and have also been discussed in "Nan Jing" and "Treatise on Febrile Diseases".They reflect pulse positions.The so-called pulse position refers to the most obvious part of the pulse when you feel the pulse with your fingertips.
"Floating" refers to the pulse that can be felt with a light press of a finger, but weakened by a heavy press. It mainly indicates that the disease is on the "surface". Muscle table.
In terms of physiology and pathology, it is mostly caused by increased cardiac output, accelerated blood circulation, decreased vascular elastic resistance, and increased filling of radial arteries.
On the contrary, "Shen" means that you can't feel it when you press it lightly, but you can see the pulse condition when you press it hard. It mainly indicates that the disease is in the "inside" and the yang energy is weak.
In terms of physiology and pathology, it is mostly caused by decreased cardiac output, decreased blood pressure, decreased peripheral arterial blood, and increased vascular elastic resistance.
The "late" and "number" in the pulse condition have long been recorded in the "Nei Jing" and other classical documents.
These two pulse conditions reflect the rate of the pulse. The "late" pulse refers to a pulse that beats less than four times per breath (less than [-] times per minute), indicating that the disease is of a "cold" nature and the body's Qi and blood are not running normally.
According to modern medical research, it is mostly formed by changes in the heart such as increased vagus nerve excitation and atrial-ventricular conduction block in terms of physiology and pathology. The "counting" pulse is the opposite, it is faster than the normal pulse rate and is more than five times per breath (more than [-] times per minute). It is common in "heat" syndrome and mainly reflects the hyperfunction of the body.
The "dai" pulse in the pulse condition reflects the rhythm of the pulse. "Nei Jing" has been recorded. "Mai Jing" says that it is the pulse condition that beats a few times and stops a few times before jumping again.
This is a slow and intermittent pulse, which is equivalent to the double pulse, triple pulse, and quadruple pulse in modern medicine. It is more common in heart disease patients with metabolic dysfunction, severe heart failure or the body is in critical condition. period patients.
The "Nei Jing" pointed out that this kind of pulse indicates the weakness of visceral qi, which is consistent with the statement of modern medicine.
"Slippery" and "astringent" in the pulse condition mainly show the shape of the pulse wave, which is the abnormal change of the pulse rising and falling speed. "
The "Hua" pulse has been described in the "Nei Jing". The "Mai Jing" describes it as "fluid and smooth". Sun Simiao, a famous doctor in the Tang Dynasty, said that it "moves like a pearl".
This pulse is often seen in symptoms such as phlegm, asthma, cough, blood accumulation, excess heat, etc.In terms of physiology and pathology, it is mostly formed by conditions such as vigorous metabolism, rapid vasomotor and contraction, and smooth blood flow.Common in hyperthyroidism, arteriosclerosis embolism.
After three months of pregnancy, a woman often has a "slippery" pulse due to factors such as increased blood volume and discharge, accelerated blood flow, etc., which is not a diseased pulse.Ancient Chinese medicine knew that pregnancy can be judged by observing the pulse, which is reasonable.
The "astringent" pulse is just the opposite, it is a pulse that comes and goes with difficulty.This kind of pulse "comes and goes stagnantly, and travels with many obstacles." It is said in "Internal Meridian? Vessels Yaoshaolun" that "astringency causes heartache".
This kind of pulse has the distinction between virtual and real.Too much deficiency indicates the loss of Qi and blood, and too much excess indicates that Qi, food, phlegm, etc. block the veins, and the circulation of Qi and blood is not smooth.
In terms of physiology and pathology.This is mainly due to reduced cardiac output, slowed blood flow, etc., and is common in anemia, blood loss, and cardiac insufficiency.
The ancients also concluded that "all diseases should avoid the pulse", such as "poisoning should be grand, avoid subtle; blood accumulation in the abdomen should be stringy and slippery; weak and small; stroke should be late floating. Avoid urgent and large numbers;" and so on.
It is also summarized that there are "common main symptoms of pulse conditions", such as "the sinking pulse is for the interior, the strong is for the solidity of the interior, and the weakness is for the deficiency; deep and tight cold pain: deep and slow cold and damp: deep and late cold disease: deep and frequent internal heat: heavy and slippery phlegm; Deep and depressed; "Wait a minute.
These are valuable for distinguishing the etiology, disease type, disease mechanism and prognosis in diagnosis, etc.
Of course, pulse diagnosis cannot replace all diagnostic methods. "Internal Classics" and "Treatise on Febrile Diseases" have already pointed out that pulse detection must be combined with comprehensive observation, and advocate the "four diagnostics" (look, smell, ask, and feel) together.Carry out syndrome differentiation and treatment, and oppose only relying on pulse diagnosis to determine diseases.
According to historical records.The ancient pulsology of our country has been spread abroad very early.During the Sui and Tang Dynasties, books such as "Nei Jing" and "Mai Jing" had been spread to nearby countries such as Japan, and later spread to A-La-Bo.
According to the research, the pulsology in the great work "Canon of Medicine" written by the famous ancient A-Ra-bo doctor Avicenna (approximately 980-1037) was obviously influenced by the pulsology of our country.In the fourteenth century A.D., Chinese pulse science was spread to Persia. At that time, an encyclopedia of Chinese medicine in Persia included pulse science, and specifically quoted "Mai Jing" and its author Wang - Uncle - He's name.
The Na-Jesus who came to China in the 1612th century would teach-Spo-Lan-Ren-Bu-Mi-Ge (1659-1666) once translated "Mai Jing" into Latin Wen, published in [-] AD, with a copper plate, describes the veins of our country.
It is worth mentioning that the famous British medical scientist Fu Luo Yi Er (1649-173) studied pulse science under the influence of "Mai Jing" in my country, and invented a pulse counting device for doctors. surface.
He also wrote a book called "The Doctor's Pulse Diagnosis Table", which was published in London in 1707 AD. His writings and inventions are considered by the West to be of great historical significance.After the seventeenth century, there were more than ten kinds of ancient Chinese works on pulsology translated by the West.
Therefore, it can be said that our Chinese medicine is definitely not inferior to Western medicine. In some respects, Chinese medicine is better than Western medicine!
Since Chinese medicine is so strong in medical effects and medical methods, it is not inferior to Western medicine at all, so why is the status of Chinese medicine in the world still the Western medicine of the local hospital? Even in our country, the status of Chinese medicine is lower than that of Western medicine?There are actually many reasons for this.
The biggest difference between Chinese medicine and Western medicine is also in the way of thinking.Western medicine simply relies on human medical technology to fight diseases, and puts the body's self-defense and self-repair capabilities in a secondary position, and even ignores its existence.
Western medicine believes in human wisdom. In the process of dealing with diseases, it uses so-called technology to play a leading role, or even sing a one-man show.
Traditional Chinese medicine relies more on strengthening the body's own ability to deal with diseases, and puts more emphasis on "nourishing" in terms of "curing" and "nourishing". .
Traditional Chinese medicine can position itself very well. In dealing with diseases, doctors are willing to play a supporting role, helping the body win the battle against diseases.
Western medicine almost always adopts the method of "drinking dove to quench thirst" when encountering chronic diseases.Drinking doves to quench thirst satirizes the kind of short-sighted behavior that only cares about the present and ignores the future.
For example, the body has many ways to detoxify.Cough, athlete's foot, diarrhea, fever, vomiting, pimples, spots, ringworm, hemorrhoids, sweating, etc. are all self-healing behaviors of body detoxification, but Western medicine does not understand this physiological phenomenon of the human body at all.Instead, interfere with the body in ways that prevent the symptoms.
If you have a cough, you can take cough medicine, and if you have a fever, you can take antipyretic injections. In this way, although the body has no symptoms and no pain of detoxification, the toxins have not come out, and they will cause more harm to the body if they stay in the body.
There is now a kind of "homeopathy" in the West, and the way of thinking is completely opposite.Understand this self-healing behavior of the body and help the body achieve the purpose of detoxification.
Pain is the body's distress signal to the brain, which is transmitted through the nerves.Western medicine treatment is to take related drugs.Most of them are used to anesthetize the nerves and prevent the transmission of this distress signal, which is regarded as treatment.
In fact, this is a way to deceive the brain, and the consequences are quite serious.
I said it earlier.Small body problems.The human body does not turn to the brain for help at all. Only when the body is seriously injured, that is, when the self-healing system of the human body is in a weakened state, does it turn to the brain for help when the problem cannot be solved.
Sleeping pills are a typical drug that interrupts the signal from the body to the brain. Long-term use can cause great damage to the body.
Traditional Chinese medicine is characterized by a holistic view and dialectical therapy, which is characterized by unique treatment for individuals with little side effects.The choice of drugs conforms to the properties of nature, that is, there are few artificially synthesized ingredients.You can worry less about how the medicine will harm other functions in your body.
The disadvantage is that Chinese medicine lacks scientific nature.Some theories cannot be proved by scientific methods, family distinctions, division of regions, non-standard medication specifications, treatment generally takes a long time, and it is combined with diet and emotional mediation, which is troublesome. For some new diseases, In particular, the curative effect of epidemic diseases is basically very small, and the most important thing is that it is difficult to train talents in traditional Chinese medicine.
Western medicine pays attention to universal education, so it spreads widely, and because Western medicine has a set of fast treatment courses, it can often solve problems quickly.
The disadvantage is that the side effects are very large, and some drugs that are often used will soon lose their effect due to drug resistance.
Under the confrontation of Western medicine, the virus has evolved into a super virus, which is likely to become the main cause of human extinction in the future. In addition, Western medicine has a great advantage in surgery.
TCM is a medical system with a strong holistic view. TCM practitioners cannot be quickly trained in a few years of schooling. The tradition of TCM is passed down from master to apprentice, which shows how difficult it is to train.
The medical method of traditional Chinese medicine is a comprehensive treatment method based on specific conditions combined with weather, seasons, other parts of the human body, the patient's personal habits and characteristics, and drug characteristics. It is a medicine that truly treats people as people.
However, due to the complex structure of human beings, the theory of Chinese medicine is also very complicated. It is difficult to train Chinese medicine practitioners, and there are many quack doctors. In addition, the development of Chinese medicine depends on the efforts of individual doctors. If something happens, the responsibility is not easy to transfer. Simply put, it is not A market-oriented medical system.
Western medicine is a standardized treatment. When encountering any situation, how to treat it and what equipment and medicines to use, it is compiled into a book. The treatment methods are taught in schools. Doctors are equivalent to operators. Western medicine relies on laboratory research to obtain technological progress. Clinical doctors are generally Try to make good use of equipment and medicines, and report problems upward.
The advantage of this kind of medicine is that the doctor can quickly complete the treatment, because no matter what the disease is, the doctor only needs to treat it according to the prescribed method. If it is not cured, it is not the doctor's fault. According to the law, the responsibility is attributed to the lack of laboratory or contemporary medical level.
The Western medical system cannot only see those doctors in the hospital. The Western medical system also includes a large number of researchers in laboratories, and even non-medical researchers.
This system is very powerful, can obtain extensive resource support, is very profitable, and can easily shirk and transfer medical responsibility if it is not cured.
For example, a Western medicine practitioner who has studied medicine for four years can treat many diseases, while a Chinese medicine practitioner who is 40 or [-] years old may have just started.People in Chinese medicine must be smart and able to endure hardships, and it is difficult to achieve great success if they do not have a certain number of years and experience.
Chinese medicine is difficult to learn, and there are often unique skills that are not taught lightly, and the elders often despise the younger generations.Traditional Chinese medicine pays attention to prescribing the right medicine to the case. In theory, there is no disease that cannot be cured. Many curative effects are relatively slow, but the side effects are small.
The understanding of Chinese medicine is macroscopic, holistic, perceptual, and abstract. There is no specific and quantitative standard. But it does not mean nothingness. For example, meridians, vitality, and pulse conditions are all feelings and countless facts It proves that this feeling is real and reliable, and can be used as a basis or method for treating pain.
What Western medicine does not understand is that for a disease, such as headache, Chinese medicine is not limited to treating the head, but can also treat the feet or other parts with good results.…
Western medicine is individual, rational, and specific, and has one or more quantitative standards, such as blood pressure, blood protein count, inflammation, etc. Western medicine generally treats diseases based on the disease, inflammation reduces inflammation, and pain relieves pain.
Nowadays, the subjects of western medicine are divided into more and more detailed ones. What is puzzling is that there are many kinds of diseases, and there are more and more diseases that are difficult to treat or doctors can't do anything about. These diseases have a common name, which is called "chronic disease".
Why do people prefer to spend more money to see western medicine than to see traditional Chinese medicine?
This is because Western medicine is specific and quantified, and many things can come up with some standards. It is also because chemical synthetic drugs, such as various antibiotics and hormones, have immediate anti-inflammatory and pain-relieving effects. This is beyond doubt.
And today, highly developed science and technology make many aspects of western medicine far beyond the reach of traditional Chinese medicine, such as surgical resection of severely diseased lesions, transplantation of internal organs, anesthesia, blood transfusion, etc. People's lives play an irreplaceable role, which is totally worth learning from Chinese medicine.
While people are applauding the simple and miraculous curative effects of western medicine, they largely ignore the side effects of antibiotic abuse or chemotherapy—the destructive power of such side effects is terrible.
When the dose is small, it will not have any impact on the human body, because the human body itself is an extremely rigorous, complex, and organic whole with a strong self-repair and adjustment function.
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