Why do you say "knowing what you are doing is smart"? Seek an answer

-Teaching you to feel the pulse (3) (2009-09-27) Taking the pulse is an essential basic skill for Chinese medicine doctors, but in fact this problem has puzzled clinicians for a long time, leading to many misunderstandings and jokes, and even confusing doctors or giving up pulse diagnosis; It also makes many people who don't understand Chinese medicine attack Chinese medicine. The problem here is that we haven't understood the meaning of "knowing what it is". I published the article "Thinking Procedure of Pulse-taking", hoping that people who want to know the facts of pulse-taking in traditional Chinese medicine can take a closer look. This is what I summed up when I taught western Chinese medicine in Australia. You know, those people don't think like us. In order to let them know about the four diagnoses of traditional Chinese medicine, especially the problem of pulse-taking, I tried my best and gained a lot. Finally, I let them know the magic of pulse-taking! In this kind of teaching, I feel that they are very serious and believe that they are all in high spirits after practice! In the teaching of pulse diagnosis, I first explain and analyze every pulse condition, and look at the significance of pulse condition in combination with the problem of syndrome differentiation; Then explain the "inference procedure" of pulse-cutting. It's a bit like explaining the use of computers, programs and cameras, and they immediately understand! Having said that, I think everyone knows what I mean! Why did the ancients say "know it, but cut it"? As we all know, how to detect pulse condition after pulse-cutting location is a high-tech job. In other words, how to identify the pulse results after finding the three parts of inch, gap and ruler? Maybe everyone's thinking process is different, and everyone's fingering is different. This process and fingering are "ingenious"! My clinical experience tells me that it is easy to detect the pulse condition in this complicated problem according to the procedure, and the process of distinguishing thinking and fingering is summarized as follows with a song: "The first part is ups and downs, and the second part is to distinguish between reality and falsehood; Three to long, four to illness late; Five pulse shapes are known. " The above is the thinking discrimination and fingering procedure in routine pulse diagnosis. The so-called "program" is to operate and execute step by step. The process of careful examination of pulse diagnosis shows that this process can also be operated step by step to determine the pulse condition. On the one hand, it is kung fu, on the other hand, it is the operation of thinking discrimination. Only in this way can we not be confused by the complicated pulse conditions. The ancients said: "Knowing its cut is called cleverness". I think this "coincidence" is the step or procedure of pulse diagnosis. Although there is a saying that "practice makes perfect", the ancients did not say where this "skill" is, perhaps because everyone's skills and experience are different and it is difficult to unify. It's not exactly "just touch it more"! Example 1: Step 1: "The first part is floating and sinking": the measured pulse position is "floating and sinking"; The second step is "differentiation between deficiency and excess": the pulse potential is "virtual and soft"; The third step is to "remove the length": measure the pulse position with "inch, off and foot"; The fourth step is "counting the disease late": the measured pulse rhythm and pulse rate are "normal"; Step 5 "pulse shape inspection": measure the pulse shape as silk thread (thin); The sixth step is "Everything is known": there are other information such as "weakness of limbs, pale face, heavy head and drowsiness, tasteless mouth, loose stool, less urine, red tongue, thin and greasy fur"; Conclusion: Two-phase method is used to judge the pulse condition as "floating and thin". Don't! Because the pulse condition can be judged as "pulse" by independent nomenclature (pulse is floating pulse), this is correct. Example 2. The first step is "floating and sinking": the pulse position is "sinking"; The second step is "the distinction between reality and excess": the measured pulse is extremely weak as "virtual"; The third step is to "remove the length": three inches full; The fourth step is "counting the disease late": the measured pulse rhythm and pulse rate are still within the normal range; Step 5 "pulse shape": the measured pulse is as thin as a thin line (fine pulse feature) and soft; The sixth step is to "know everything": the symptoms are mental fatigue, shortness of breath, laziness, dull complexion, less food, cold feet, pale tongue and less fur. Conclusion: Can the pulse condition be judged as "deep weak pulse" by two-phase method? Don't! The pulse should be independently named and judged as "weak" (weak pulse is "extremely soft and extremely heavy"). The above is my personal experience of pulse science, which is very handy in clinical use and sometimes even becomes an excellent way to communicate the confidence of doctors and patients; It has also achieved good results in teaching students. In other words, when you can tell the patient's pain after pulse diagnosis, the patient will trust you very much! At this time, your treatment will have a good foundation! Once again, I have to say that to master this "cleverness", the premise of having this speculative procedure and technology is: 1) doctors really understand the detection fingering of pulse conditions and the concept of each pulse condition; 2) Multi-clinical practice.