Acupuncture dialectical meridians 
 
 
Wang Juyi Chinese academy of sciences institute of acupuncture and moxibustion in TCM 
 
 
China's traditional Chinese medicine to 

        Found, determine the change by examine the meridians, acupuncture and moxibustion treatment is important step in the process of differentiation, is the basis of clinical differentiation through, according to the chosen. 
 
        Was found by the meridians, sometimes is a meridians, sometimes more than two meridians, which requires the combination of clinical BingHou appeared successively, the evolution process, to analyze its specimens, the change process. 
 
        Abnormal was found in the meridians, still need to identify the abnormal degree of meridians between virtual property and the actual situation, clarify the actual situation and priorities. 
 
        On the basis of distinguishing the, again according to the theory of channels and collaterals gasification combination of viscera function influence each other, you can choose the most appropriate meridians, treatment, and adjust. 
 
        Acupuncture is a component part of Chinese traditional medicine. Theory of acupuncture and moxibustion treatment in the basic theory, the dialectical principle, there are many similarities with the theory of medical treatment, but highlighted in diagnosis, analysis and treatment on meridian theory itself, thus constituted differentiation characteristics different from that of the internal medicine therapeutics. 
 
        Examine the is important basis for diagnosis and analysis 
 
        Examine the means, based on the analysis of the clinical BingHou to the related meridians (including the classics, table by and approved by, based on the same name, etc.) and meridians to umpire, cut, cycle, press, ammonites inspection, to detect abnormal changes of meridians. 
 
        Changes of meridians "refers to the meridian diagnosis abnormalities found in meridians. Such as courses of abnormal changes (including the meridians of the form), pain, doctors in the diagnosis of path and refers to the feeling, such as excessive pulses too weak, local skin color changes, etc. 
 
        Was to be found that the change of meridians and clinical BingHou, sometimes is consistent, such as cough and gasp the BingHou is hand lunar through changes; Sometimes it is not consistent, such as cough and gasp the BingHou see hand held by the changes, heart palpitations BingHou see feet shaoyin through changes, constipation BingHou see fa jue Yin meridians changes. This inconsistency reflects a about illness change, specimens, meridian theory of TCM of profundity. 
 
        Found, determine the change by examine the meridians, acupuncture and moxibustion treatment is important step in the process of differentiation, is the basis of clinical "bian", "according to choose the". The pivot, the stab section really evil had explicitly put forward: "the needle, must first examine the meridians of the actual situation, cut and follow it, according to the play, it should move, but after down." In neijing "by party a and party b in many of the chapters examine the content were discussed. In summary, the main method has the following several. 
 
        Umpire: including the review and examination of two layers of meaning. 
 
        Review is to observe and compare the body meridian abnormal color and collaterals of floating, subsidence, etc, to determine the channels and collaterals of the actual situation, and fever. 
 
        Who is analysis and comprehensive changes in all of the meridian system, unusual movements to determine which meridians and its connection with clinical BingHou form. All the process of examination should be through the meridians diagnosis. 
 
        Cut: refers to cut hou "pulse" of body surface meridian, understand small artery of filling, virtual, including the people meet, tau kok, buccal car, on the navel, under the navel, foot back fu Yang, the heel is too stream and so on various parts of the pulse, and compared. To measure how the He Lao there were abnormal changes. Pulse sheng person for real, the weak of arteries and veins is virtual, but it is more hot and more cold. 
 
        Follow: refers to the cycle of moab, pushing pressure parts of the body meridian courses, understand the channels and collaterals under article nodules, sample mass, chest part presence of lumps, pain, body parts with and without battery type, tenderness and other changes. 
 
        Press: refers to the local and acupoints on the body surface, especially the meridians of the original, winding, back Shu, raise, qie, five acupoints, etc., to understand the reaction changes, such as xi press, press, press when comfort, pain, numbness, etc. 
 
        Ammonites: in order to put the patient's body surface skin leather palm touch. Compare the different parts of skin temperature have obvious difference, to distinguish the fever in Yang or send to Yin, understand the skin moist, dull. 
 
        Meridian diagnosis still belongs to the scope of the four diagnosis in traditional Chinese medicine, just focus on surface of meridians and acupoints in diagnosis, aims to understand the change of main and collateral channels. 
 
        Examine the is on the body's own find BingHou objective indications, ancient TCM methods of physical examination must be skilled and careful clinical and reliable diagnosis materials can be achieved. 
 
        The core is by syndrome differentiation 
 
        Bian by means of the meridians and identify disease involving the meridians, is on the basis of examine the, combined with clinical symptoms analysis, understanding of the disease process. 
 
        The pivot, the meridians ":" born meridians, so dirty, place all ills, false or true, do not understand." Very clear meridians is the reflection of disease system was put forward, as well as disease treatment system. Distinguishing the meridians is found according to examine the change in the clinical BingHou, to judge the illness of channels and collaterals, (meridians, classics, collaterals) belong to determine the state of the actual situation, fever. Distinguishing the main points are as follows: 
 
        To identify the meridians of the specimens changed 
 
        Was found by the meridians, sometimes is a meridians, sometimes more than two meridians, which requires the combination of clinical BingHou appeared successively, the evolution process, to analyze its specimens, the change process.
 
 
 
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