Watch technicle
Observation of the patient body , complexion, tongue , tongue , according to the form, color changes to determine disease location , disease resistance, called by inspection .
1 watch his physical body , we can see the ups and downs internal organs , Qi Xuan has long been discussed . “Su asked to be refined on the clock ,” says:
” The head is the smart and the government , head tilt , as the deep spirit will carry wins ! Back who ‘s house chest , back shoulder with the song , bad government will carry on ! Waist persons , the House of kidney , transfer can not shake , kidney will be exhausted men ! knee who tendons of the House , not flexion , line press down and tendons will be exhausted now! bone , House marrow , can not long stand , the line is vibrating off the bone will be exhausted men ! ” brain is the House of God, biochemical essence enriched marrow which can SG glow , quick thinking . Bitterness go forward, head eye retraction, inadequate marrow , your spirit will be exhausted phenomenon . Back of the thorax , chest cardiopulmonary living , back curved shoulders with , is already a virtual symbol of heart and lung . Back to the site where the kidneys can not turn shaking , kidney function decline exhausted . Department of the knee joint by the liver fascia connected to sports . Flexion and extension can not , leaned line, liver failure tendons and soft lines . Kidney bone marrow of storage , sound Lai bone marrow charge . Can not long stand , then the vibration off the line , is a loss of bone marrow , bone due to osteoporosis. According to the certificate can determine internal organs like the ups and downs . In addition , the local joint deformation characteristic of rheumatoid ; localized swelling, block ; are sore , carbuncle , treatment, boils, Archives of plot symbol All these are looking to get their body as evidence .
2 its pale complexion look , we can see internal organs ups and downs . “Via” looking into the green , less yellow, red , white and black colored should viscera, blue is the liver , the spleen yellow , red is the heart, the lungs are white , black is a kidney , if the normal color becomes abnormal color, that is sick. “Su asked to be refined on the clock ,” said: Hua “colored person , qi also want such as white wrap Zhu red , do not want , such as ocher ; such as white goose feather want , do not want , such as salt ; such as pale green walls of Chak want , do not want , such as blue ; Wong Lo wrapped as realgar want , do not want , such as loess ; . want such as heavy black paint color , do not want , such as ground Cang ” this statement is the normal color and facial abnormalities in five disease -colored high-level overview . The common feature is normally colored lip color Zeming , unusual dark colored common feature is not fresh . Clinical syndrome should not have to say a colored inner feelings organ , shall pass to blood and body fluids Yingxu lag its basis , in order to reveal the nature of the lesion .
Looking from a different mechanism , as reflected in terms of its human face mostly green meridians twin acute pain syndrome blood unfavorable . Meridians twin acute due in the cold, the actual occurrence of the main cold blue , the main pain. Pale complexion , is dysfunctional spleen and stomach , the source of qi and blood deficiency symbolic ; If you see yellow, subdued color , trace the origin is still not shipped due to licensing wet , wet block dictates . If you see yellow sclera and the whole body is bile from Shaoyang triple burner spillover muscular form , nonaggressive jaundice, who is a bright yellow sun yellow, dark yellow who is yin . Facial redness , congestion and Blood is hot , exogenous cause of injuries have encountered . Heat the camp of febrile disease , blood and more constant contact with heat ; hyperactivity , blood with inverse gas , the charge on the surface , red red eyes were abuzz lot. There were reddish color due to meet Haner , such as Weak , false positive floating, red face can be presented , can not be regarded as heat. Pale complexion , is blood loss phenomenon , Yang Qi is unable to transport blood drum , camp deficiency is not on the wing in the face, pale color to see now! Ruoyin hemorrhagic or hematopoietic dysfunction , blood found on the inside and outside of shape , so the eyelids , tongue , lips , nails bloodless see now! Looking black , its reasoning has two . A condensate surface due Jin Black: Black is aqua and kidney water dirty, damaged deficiency , gasification less, the water pan evil , can be presented Mukuang swarthy lips cyanosis . Or damage due to deficiency , gasification less , pigmentation, also showed as swarthy . Two are black due to blood stasis : visceral or context stasis stasis , visible black. Cover stasis is black , has the form and spirit all while outside it .
3 tongue tongue tongue of the heart of seedlings awakened , heart blood and blood network throughout the body , everywhere there is a camp blood circulation of the road. No tongue wrapped outer skin , the best indicator of empty or full of blood , hear his tongue color deficiency camp discernible lag . Although the tongue is the heart of the seedlings awakened , they have contact with the internal organs . Because Shaoyang triple burner Tonglian internal organs inside and outside the organization , but also everywhere there is the subsidized air circulating . The body’s internal organs and blood fluid required functional activities of each organization needed blood and body fluids are transported from blood and from Shaoyang triple burner . So the five internal organs dysfunction leads to blood and body fluids lesions, can by observing tongue, tongue changes in blood and body fluids of the decision surplus , virtual , pass, stagnation, namely the review of its one that none of the rest . Clinical occasion , by inspection of the four diagnostic ranked first , and tongue diagnosis , he also ranks first sight , there is its reasoning in Yan.
Laonen observed tongue can rise and fall trial righteousness ; tongue color shades , can glimpse the business of blood changes ; tongue , fat, thin , fluid Yingxu observable . Big fat tongue , is fluid stasis phenomenon ; tongue thin , water -chun loss symbolism ; tongue old , is the real evil performance ; tongue tender is proof positive qi like ; tongue color red , the camp is evil heat , blood thermal damage to Yin , the blood thickens the elephant ; pale tongue is bleeding , anemia , lack of camp blood , or yang symbol of loss ; dark purple tongue , compared with stasis phenomenon , in a nutshell , the tongue can insight Yingxu through blood and body fluids of stagnation . In addition, the soft tongue atrophy , fibrillation , a blood deficiency ; tough , skew , spit Lane , shortening, is a symbol of the meridians twin acute ; tongue longitudinal No , it is the meridians relaxation .
Moss tongue , the most subsidized gas to observe the changes . Shaoyang triple burner for subsidized gas to run the pivot and the even internal organs, is the internal organs can be subsidized from the triple burner gas through a dry tongue . Once Six Exogenous phase invasion , change impassioned internal injuries , the five internal organs dysfunction, causing lesions occur Tianjin Gas , whether empty or full pass stagnation, can be reflected in the tongue . Moss color , may reflect disease of heat and cold, as cold white fur , yellow fur is hot , cold and heat have encountered cause of black moss . The reason for the cold white coating is heat of the gas did not like ; reason is bitter yellow fever , is caused by the heat of qi , Zimbabwe bile sandwiched by steaming hot , with the levy on the tongue of Tianjin spillover ; moss black and tongue light who is a cold , dark water color card like to see now! Moss black and red who is hot , hot concentrated solution containing bile see black men ! But it does not do so , if that is the beginning of white fur lack of fluid, fast- thermal phenomena is gas , not because of its white fur on the break for the cold ; tongue pale and yellow and moss , wet yang can not stop with bile Jin downstream Guishen , due to overflow on the tongue and can not be broken because it was hot yellow fur . Presence or absence of pain , you can look into the depths fluid empty or full . Tianjin is true, no less moss moss , Tianjin stagnation, the moss thick or greasy ; Tianjin is true, then a dry tongue lack Tianjin , Tianjin resistance, the slippery moss and more fluid. But it also goes often not only made its variants . Tongue without coating or drying lack Jin, Yin is not all , if big fat tongue without coating, lack of fluid, it is not positive gas, water can not be on Jin Cheng caused no moss, is a deficiency of lack of Tianjin illusion , pale tongue is a true reflection of Yang ‘s . Another example is a fancy no moss and see diarrhea, scrotal wet, women vaginal discharge, this due to wet muddy overflow discharged without the tongue , it can not be broken down for the deficiency and wet stagnation .
Inquiry
Inquiry is to ask patients and their families to understand their history as the existing permit , to provide a method for the differentiation is based.
Doctors believe that Ming Dynasty Jingyue interrogation “is the diagnosis and treatment of the essentials , the first Clinical Services .” Looking at the four clinics certified as , most come by interrogation , that is known and he was right . Wide range of interrogation , and now only the “Jing Yue Quan Shu” Ten Questions to be listed by loss will be discussed , I did not prepare out .
Khan asked a question and cold and heat two , three Four questions will be asked pain , vomiting Five questions to ask palpitate dizzy six seven eight thirsty all bitter when identified , nine group Ten Questions to ask an old disease , pathogenesis from the card like the whole experience. The woman will ask , especially during menstruation , has closed over collapse should be asked , and added the phrase divisions Pediatrics, exogenous food plot is common.
1 chills and fever , chills , fever symptoms patients often are Wei Qi lesions.
Chills : chills mechanism has two , one is cold outside invasion phase , Wei Yang is Yu ; One ‘s own Yang , Wei Yang is not solid . First words outside the cold : cold glance to the body as cold invasion , hair awakened by Haner contraction, Wei Qi is not a table , the depression Cou, chills and become conscious patient ‘s hand touched the hot , chills and fever reflects cold outside and see features . The basic pathology is : exogenous cold shrink → → Hair awakened by Yu Wei Yang → not a table and chills, and fever stagnation in the inside . If Hanxie long drive and people straight in the yin , mostly by then spasm , resulting in pain , shortness of breath , vomiting and diarrhea, urine retention . Times to their yang words : the man usually scared of cold chills , a Methodist outside yang deficiency . Trace the source of the poor , health and foreign yang deficiency is caused by deficiency loss dictates . The basic pathology is : Shao Yang Wei Yang deficiency → → → solid protection no right mood cold chills .
Fever : Fever is Wei Qi all lesions , study its mechanism , there are qi and of the excess heat , no system of yin yang Hot , there Ying and Wei yang sinking, floating yang deficiency , Yin Sheng Geyang the fake hot, clinical must hear his actual situation, discern true and false .
Heat : Wei gas line in the triple burner , which lift people out of the lungs depends declared down , lifting , liver and spleen up hair . If Six Exogenous , evil Fanfei Wei , Wei Qi Xuan sent the machine is blocked , stagnation of heat, this is the external cause excess heat, and the stagnation of Wei Qi . Internal organs through the tunnel and Shaoyang triple burner Cou film by film Hepatic constitute five major networks and film Cou triple burner is the circulation of blood and body fluids . If the impassioned internal injuries , through the tunnel twin acute , gas lift the guard who blocked, stagnation of heat , namely the so-called A mechanism of five emotions . Exogenous fever , its oncoming emergency , internal injuries , fever, its oncoming slow ; exogenous fever , systemic fever is characterized by fever injuries to local heating is characterized . Although the causes are exogenous , not internal injuries and whose qi thermal mechanism is the same , are true hot.
Shaoyang triple burner gas co- operation is the way of Tianjin . Jin yin , yang gas , too yin yang chun with mercy, not only of the heat ; yin yang chun was very inviting , it does not stagnate . If the temperature of evil by the First Fanfei , qi heat, excessive heat Shangyin , was as high fever , sweating , thirst , flood pulse , this is the air of excess heat . If the hot blood of the camp , with night heat than sung , its characteristic red tongue .
Hot : deficiency syndrome with fever like coexist , that the Hot. Hot formation mechanism of two, one exogenous fever , heat deficiencies ; First imbalance of yin and yang , the Hot students. Heat in the gas separation , heat has retired , only to see the throat, mouth, red tongue , little coating , although extinguished stove smoke , ash and fire, this is the gas heat damage to Yin , the actual transfer virtual Hot ; Jorge people camp blood , thermal potential has been reduced , only to see the cool early evening heat , this is the blood heat damage to Yin , the actual transfer virtual hot. Second, chronic illness or middle age , consumption of dark camp , bad yin yang , yin become , this is the yin and yang imbalance , the heat generated by endogenous Hot.
Heat syndrome lesions from nature is concerned, only two types of Heat and Hot ; humid like in terms of its clinical syndrome , only pure thermal disability allowance without excessive heat and damp and wet see each node categories, but its certificate as part varies because of where . Evil in the sun , with chills, fever is characterized by ; evil in Yangming , hot , thirsty , sweating characterized ; evil in Shaoyang to heat exchanges to move ; triple burner heat, thermal potential when low or high body afternoon characterized by heat . In addition, due to local qi only heat was painful swelling particularly prevalent . Camp David and the rest are not , yang sinking, floating yang deficiency , Yin Sheng Geyang four false heat , heat is a special mechanism , the relevant sections discuss each theory in this omitted.
2 Khan Shaoyang triple burner , gas lift is Tianjin ‘s way , Khan ‘s presence , and Jin Ying Xu Tong gas lift people out of stagnation relevant , reflecting the two types of water-chun barrier and leakage lesions. Clinical findings , to no sweat, Rehan , spontaneous , night sweats, head sweat , dysphoria Khan is the most common , although gas and water are of Wei Jin disorders, has a different mechanism .
No sweat : found prima facie evidence of exogenous cold . Hanxie beam table , hair thoroughly awakened to the evil invasion and contraction in response hinder Tianjin gas out of the table , then the table was no real sweat .
Rehan : warm or cold evil by evil bundle on the table , lung health by evil , qi heat, hot water, forcing Jin leaked, and see the fever , thirst , that the Rehan .
Spontaneous : no card table while outside the body often spontaneous , that the spontaneous . Tyvek weak camp , Camp David and those who have not ; Table Wei Qi, Jin solid missing persons , also frequent the .
Night sweats : sleep, sweating , called night sweats. This card yin, yang , hot and humid Jieneng cause , the careful study of its reasoning , both gas and health related . Ferrite Yin , yang partial Wang , Wei asleep inside the camp yin yang , not dense in solid form, together with Wei Yang and Yin points volt hot husbandry, working hand in glove , yin yang Minato , yin yang steaming heat of the blood , the blood heat the liquid leakage and sweats for men ! If the deficiency is not water, gas lines , water stop Shaoyang triple burner , when it ‘s sleep , the Yang Wei Wei Guiyin points and more virtual table , unable solid protection Yin-chun , the water leakage and sweats for men chun ! If qi heat, Tianjin cemented wet , stagnant Shaoyang triple burner , Wei Qi Guiyin when asleep within minutes, Wei Qi midnight sun by the shade of the water with Jin Wei gas leak , and night sweats also for men ! The three types of night sweats , hot and humid night sweats most common deficiency sweats even there , the yang and night sweats often coexist with spontaneous amounting to a minimum. Or Q: ancient sweats per capita that is due to yin yang Minato , Yin Ye and was steaming hot sweats, why trails that are mostly hot and humid night sweats ? Notice this card with children and young people , middle-aged most common in children and young viability , yin and yang, nothing biased , how to Yin ? Examine its red tongue, yellow slightly greasy , is hot and humid night sweats indications.
Head sweat : sweating seen in the head, neck and Sarkozy also , both head and body weight difficulties , abdominal swelling, greasy , steam is hot and humid on the triple burner head and face caused ; If food is the head, face sweating, steaming is the stomach dictates .
Bust sweat : sweating only see one side of the body , or left , or right , or on , or under , usually caused by business health disorders, or phlegm, blood stasis blocking side of the body , meridian barrier, blood can not flow week that suffering side no sweat, contralateral sweat .
Dysphoria Khan: spleen limbs , hands and feet sweating and stomach related. Therefore, ” Zhang Tong Medicine ,” says: ” stomach wet steam , next up limbs, hand, foot sweating .”
Scrotum wet : wet from Shaoyang triple burner because of bets before the overcast period. Investigate its pathogenic cold and heat , then those who have triple burner damp ; alpine bet those who have ; no migraine , cold and heat , not only because of spleen shipped wet, wet with the gas trap , bets before yin , there ‘s .
3 Pain Pain is a common one like syndrome , is caused by the empirical tunnel twin acute adverse flow of blood and body fluids ; deficiency is caused by blood fluid loss , loss of yang meridians warm , fluid and blood of moisten , twin acute and pain . Pain pathology, Qihuang long been discussed . “Su asked to cite the pain of” Cloud : ? ‘ Internal organs and death pain, gas dictates how popular than meridians , circumferential and endlessly protracted cold person who is late , bit and can not, off the little blood veins on the outside , off the veins. the gas barrier, however painful it is death . Curan mindful of their pain or who , or who Tongshen endlessly , …… or asthma who move should call or argument but with heart and back pain who help with the lower abdomen or flank with lead The pain who shares were cited or abdominal pain , or pain Suxi who made the plot , or Curan pain, I do not know the dead person back to life by a small room , or by pain and vomiting , or pain relief by then , or unreasonable pain and smell person . plainly all the pain , all the different shape , do as I do? ” presented in this cold outside invasion phase caused by the tunnel spasm causes pain , disease location involving its internal organs have different certificates like , how differentiation ? Below this are answered. ” Chill off cold outside veins are veins , veins curled cold then shrink , shrink curled the urgent pulse deficit , deficit emergency is outside lead small network, so the rate of pain , however , was Kyung ( heat ) is forearmed ended ; due to weight in on the cold , then the pain for some time now ! chill off in the meridians , and Kyung vapor thin, veins full ( of heat and showed fullness ) , at least the pain rather than between the stomach may also , under the original film . chill off , blood shall be scattered, small bow made contact anxious pain, then press the flesh scattered , so by the pain ended ; according to the heat of the hot gas to the pain only carry chill off the clock on the ridge of the Xia deep , according to the can and ! therefore according to the useless too. chill off in the red veins , red veins starting at Guan Yuan, with the belly straight chill off the clock nowhere, not General veins consequent gas , so asthma action should call now! chill off in the back of Yu ‘s veins are veins weep , weep the pulse deficiency , blood deficiency ( context twin acute and ) pain, Yu noted in his heart , so the phase lead and pain . chill off the clock in Jueyin , Jueyin veins who contact overcast , a department in the liver, chill off the blood in the veins weep , pulse anxious , so flank and lower abdomen pain with lead men ! Jue word when it is cold ) air passengers in the shade shares , cold ( when it is Jue Yu ) on the air and lower abdomen , blood weeping next phase cited threats …… so painful cited overcast . chill off in the stomach, the Jueni out , the pain and vomiting also. chill off in the small intestine, may not be as polyethylene , so the vent and carry pain ! heat to stay in the small intestine , gut pain, hate heat parched , the firm must not dry out , so the pain and the smell unreasonable men ! ” cited by 12 kinds of pain syndrome , in which 10 kinds are caused due to cold twin acute meridians , blood coagulation and was pain. Only “full the pain can not press” because the cold causes a local qi heat, long before the pain endlessly ; “pain and leisure unreasonable ” because cold beam table , resulting in qi heat, excessive heat disability allowance, intestine Zaoshi stop the plot , but the pain barrier , indicating pain syndrome were more due to the cold . Because the internal organs through the tunnel fascia constituted by the Department of liver , tendons have Yuhan twin characteristics ; circulate in the blood and body fluids through the tunnel , there Yuhan coagulation properties. Meridians twin acute blood barrier , then the pain for now! However, it should be noted that the local qi heat, resulting in congestion, edema, purulent , erosion and the pain was more common , can not always view them as cold. I like to Archives of stasis , liquid became stone, bone hyperplasia, resulting in blood barrier and pain , abuzz lot.