The pulse condition to reveal the standardization entirely

Liu Gang The people's hospital of Beijing university

China's traditional Chinese medicine reported

        Traditional Chinese medicine "as" not of the pulse condition "elephant is aeriform" elephant, but as a tangible to follow; So learn TCM pulse is not metaphysics, not from the actual sound more sophisticated or learned than; Only let learners distinguishes clearly say clearly, will become a truly useful knowledge, to change "in the heart, it refers to the next difficult".

        Although the theory of that is the name of the pulse condition about many and their clinical significance, this article has discussed the decision criteria for some detailed, thus become the theory of the basic theory of TCM lay in the weakest link, and also for the later left a lot of disputes subject and development space.

        WangShuHe "the pulse of the summary before learning achievement in the veins, a special pulse theory norms. The pulse of the various properties of 24 discussed later learn major veins become foundation. Based on this and there are 28 or 36 pulse that etc. Later on the subject of pulse condition name call is basically and uncle and in and out is not very big, but the decision criteria, classification principle, especially with the knowledge of the relationship between disease and syndrome is different, so the pulse of a simple judgment gradually the voice of the question. ZhouXueHai qing dynasty first talk "GaiQiuMing MaiLi person, must be a, number and form, potential four word speak truly, facilitate the pulse have no don't Gai, don't have to put the name of the 28 pulse can be also". The so-called bits, number, form, potential, is to constitute the basic nature of the pulse condition elements of the understanding, is anyone any time all the necessary elements of the pulse condition, it can be called it "the pulse element".

        There are several different pulse element is the nature, and the nature of the same in different sizes of volume, that their chakras, quality and quantity is the subject can tell, is a "speak true". To measure the size of the pulse element level, can use "pulse grain value" to said. The understanding of the pulse of grain of traditional Chinese medicine theory to pulse is an important symbol of more mature. In fact, anyone any time pulse condition are made by a, number and form, potential this many variables consisting of a system. Different levels of a, number and form, the potential of the variables permutation and combination can form "the pulse," so is "have no don't Gai". The standardization of pulse activity shall be as to all aspects of the pulse element you are to follow-up, and should not only's pulse (as late) and number than pulse shape (such as size), said only pulse potential (such as the actual) and do not say a pulse (such as ups). Just as a man may not only height, men and women, young and old, no fat thin don't of. Clinical photogenic pulse and very much, the more must be the true nature speaks elements (level clear), can make the various sizes and pulse condition.

        Pulse, clear and accurate pulse condition judgment are closely related, but until now, still no standardized clinical standards and expression. According to the Beijing institute of traditional Chinese medicine and zhejiang university of Chinese medicine journal published in journal publications about the special research of pulse element the opinions of the paper, the composition of each variable, pulse condition pulse at least seven and set to variable X1 to X7, every variables and the doctor according to the resolution and traditional resolutions is to be divided into 3 ~ 4 at least a level pulse grain value: for example set is a pulse of the X1 ups, then at least into v (0.5 X1), heavy (1 X1), (2 X1) float (3 X1) level 4, (0.5, 1, 2, 3 for X1 different levels of pulse grain value, similarly hereinafter); If the number is MaiLv set X2 late, then at least into late (1.5 X2), flat (2 X2), number (2.5 X2), a disease (4 X2) level 4, (pulse of the disease MaiLv is 2 times of MaiLv pulse flat, so their chakras grain value "4" pulse is flat, "2" pulse value of more than 2 times, with many); Set the X3 is the length of the pulse body, is divided into short (1 X3), flat (2 X3), long (3 X3) level 3; Set the size of the picture is X4 pulse, is divided into micro (0.5 X4), fine (1 X4), flat (2 X4), big (3 X4) level 4; A pulse shape of slip X5 is essentital is divided into astringent (1 X5), flat (2 X5), slippery (3 X5) level 3; A pulse force is the strength of the X6, is divided into virtual (1 X6), flat (2 X6), solid (3 X6) level 3; The law is set X7 pulse to stop (ZhouXueHai will pulse of the "to stop" to as "potential"), then at least into the rest not neat (1 X7), the rest are often (2 X7), flush with the pulse law (3 X7) level 3. For this species, the pulse element of classification may have to negotiate cliques, the traditional through repeated practice and full discussion will gradually unified. And for the pulse condition, such a complex veins of multivariable systems, can use mathematics "multivariate sample figure analysis" of "entirely" will the meal constitute the pulse condition pulse such a complex multivariable systems, quickly and comprehensive in a plan on expression comes out, and make "the pulse condition entirely".

        The pulse condition making method entirely as follows: row a circle and the circle by delimit 7 Angle of reciprocal radial lines and circumferential intersect. This article 7 with long straight line is the diameter in the seven variable coordinates. In each of the variables on coordinate mark 3 ~ 4 levels of pulse grain value (central to zero). Clinical physicians can perceive the pulse element pulse condition value, in turn, the corresponding coordinates are sure each on a point. Finally, the seven points connected, become a 7 edge shape, the patient is completed entirely pulse condition. So, no matter how complex pulse condition, such as pre-printed good entirely coordinates, can through comprehensive, rapid pulse condition entirely to express it. This not only look at a glance, and in conducting extensive clinical pulse condition study, compared with single pulse name is written more useful information. Because it can make a clinical physicians from standardization of the first expression of pulse with the comparative method to the unity of the pulse. Only gradually standardized clinical pulse examination method, has it been possible to gradually approaching the pulse condition objective.

        To pulse examination, a lot of people have been shennong the subjective touch with image of graphics expression come out of effort, appeared many hand-painted "pulse condition figure". If song dynasty ShiFa the disease was guidelines contained 35 picture "pulse condition figure". Because consciousness has some abstract, so, these hand-painted "pulse condition figure" the actual elephant, is not recognized as the brain of the physicians recognized. To be "like and don't like", as in the ancient book about the zang-fu organs and meridians connection as still belongs to a kind of image than like. In 1860, the French physiologist invention of pulse wave graph instrument, and was an early in our country of traditional Chinese medical researchers used to be deduced the radial pulse wave cunkou figure, hand-painted "pulse condition chart" to come to an end.

        Pulse wave in many traditional Chinese medicine researchers there have also been called pulse condition figure. Later proved, pulse wave will directly renamed pulse condition figure is not quite right. Because the pulse and although figure pulse condition expression of the involved in part of the objective information related, but can't say so-and-so pulse wave must be corresponding Chinese medicine so-and-so pulse condition. Such as Shanghai, Beijing, guangzhou native Chinese medicine researchers had of the flat, string, smooth, fine, the pulse of the pulse wave of research, the conclusion is different, the pulse chart with one of the pulse condition matching "objective research" became instead the subjectivity of the pulse of the proof. Because of the pulse wave instrument sensor only will outside information fo amplification, record one-way system function, but the person's sense organ is choose a small part of the external information let them stimulate central system, this choice often depends on the central nervous activity patterns (such as academic experience different, etc.). Though external stimulation and judge pulse condition has a certain relationship, but not linear relation, more is not exactly corresponding relation. Pulse figure for may appear a certain feeling the pulse condition offer some objective basis, but can't completely accordingly. The so-called has been realized with instrument of traditional Chinese medicine "suspended silk's pulse" is exaggerated.

        Should explain, our country only a few units of the application of the sensor silicon cup hydraulic softness is simulation finger location better, and most of the unit with solid state sensors the effect not beautiful, in ascular four dimensional space-time sports information must have lost. The other is in some ways the sensitivity of the instrument (such as pulse rate changes, the frequency domain analysis, etc) and may be more than one touch threshold is and differences threshold is, will also reveal the actual and the Chinese medicine have a great distance, and cannot be used to explain the pulse condition.