Abdominal diagnosis of Chinese medicine

The Chinese medicine consultation is to press and touch a certain part of the body, the pulse diagnosis is to touch the meridian pulse, and the pulse diagnosis is included in the consultation. In addition to the pulse diagnosis, the palpation is often referred to as thoracodorsal palpation and abdominal palpation. In particular, the abdominal examination is more important. Here's a brief introduction on this aspect.


The origin of an abdominal clinic is quite long. The "Su Wen and the veins must be subtle" contains: "Emperor Ji: Having a heart and anxious diagnosis, this is why the disease is so sick. How is it?" "First of all, see the veins, and then enrolled in the abdomen clinic. The lower abdomen has visible protrusions and the diagnosis is heart palpitation. The "Su Wen Ya Chuan Zhong Lun" includes: "Emperor's Day: The sickness has a low abdomen, there are roots up and down, and so on. Why is this disease, can you cure it? You Bori: The name of the patient's day falls on the beam. Emperor Day: Fu Liang is due to what What's more? Bo Bori: Wrapped with pus and blood, it can't be treated outside of the stomach and intestines. Each cut of governance is caused by death." The characteristics of the disease and its causes cannot be treated by cutting and squeezing. "Lingshu·Swelling" is: "How about water and bloating? Why shouldn't you? From the beginning, you will see a slight swelling on your head. If you get a new one, your neck pulsates, you have a cough, you have a cold in the yin The bloated, the abdomen is big, its water has already become the cricket, by the hand presses its abdomen, rises with the hand, if is the condition that wraps the water, this waits for it.Bloody bulges, the chilly person is between the skin, is not firm, The abdomen is large, body is swollen, and the skin is thick. According to its abdomen, it can't afford it, and its belly color does not change. This is its waiting time.” Discusses the identification of ascites and abdominal distension. The same article also read: "Intestinal fistulas... cold passengers are outside the intestines, fighting with the gas in the air. The gas must not be glorious. Because of the lineage, the skeleton and the inside, the evil spirits are rising, and the polyps are born. Chicken eggs, slightly to benefit, to its success, such as the pregnant child, the old one away from the old, according to the firm, push the shift, the month to the present, this is its waiting. "Symptoms Its abdomen clinic. "Su Wen Pai Tong Pao": "Emperor Day, the pain or the death of the dead, but the person who is still very painful, or pain can not be pressed by, or according to the pain of those who, or according to the benefit of ... Where This pain, all different forms, other than what? Bibo Ri: cold outside the passengers in the veins, the veins cold, the veins are shrinking qi, shrinking phlegm is the pulse urgency, then the external lead small network, so the death but pain. The chilly passengers are in the meridians, and when the phlegm gas is thin, the pulse is full, and the pain is full, and the chilly air is not between the gastrointestinal tract. Under the membrane, the blood cannot be scattered, and the small collaterals rush to cause pain. Blood gas scattered, so according to the pain only. The chilly passengers in the Xia Xia pulse is deep, according to the can not, so according to the useless. "Also give cold due to different parts of the body in different parts of the pain occurs, according to the phlegm as a treatment It also helps as a differential diagnosis.


"Serious Difficulties, 16 Difficulties" are: "If you have a liver failure, you will get a good result with a foreign body, and you will be angry with your face. The inner umbilical cord has a lot of vitality, and if you feel pain, if you feel it hurts." Internal and external card and abdominal clinic see. It is worth mentioning that the abdomen clinic has achieved considerable development in the Han Dynasty, and it has been shown prominently in Zhang Zhongjing's major contribution to abdominal diagnosis. "Treatise on Febrile Diseases" 137 clouds; "Tai-yang disease, severe sweating and retreat, do not stool five or six days, dry and thirsty tongue, the sun is small and hot flashes, from the heart at least whip full face pain Those who are not close to them should take advantage of the fact that they are in the chest." 151: "Pulse is floating and tight, face down and down, and tight against people, you are squatting, and you are self-declared, but you are angry." The difference in cardiology in the cardiology is described very clearly. "Golden Oxygenate and malarial syndrome": "Sick malaria is not bad, the knot is awkward, the name of malaria mother, emergency treatment, Yi Jia Jiajian pills." According to the abdominal examination and combined with the disease and determine the disease. "Abdomen is full of chilly food": "The patient is full of abdomen, and those who are not painful are imaginary, and those who are suffering from pain are true. They can be treated. Those who haven't got yellow tongues, and those who haven't got rid of them." The actual situation is sometimes very important. There are a lot of places where Zhong Jing works on middle theory and abdominal examination (consultation), and it should be admitted that he has achieved high achievements. However, after Zhongjing, due to the limitations and impacts of various reasons, the pulse diagnosis in the consultation has obtained due development and the abdomen clinic has stopped. Unlike the situation in our country, the neighboring Japan, thanks to the efforts of the Chinese medical doctors, has made the development of the abdomen clinic remarkable, and has also aroused the attention of the Chinese doctors.


The TCM method of abdominal examination has its own characteristics. The combination of an abdominal examination and other examination methods can provide a fuller basis for diagnosing the disease and determining the principles of treatment. In the clinical and theoretical research of integrated Chinese and Western medicine, abdominal diagnostics is of great significance. In the process of combining disease differentiation with syndrome differentiation, it has a very practical value in the combination of prescriptions and prescriptions, and it can play a role in bridging the gap between traditional Chinese medicine and Western medicine. A systematic and comprehensive exploration of abdomen diagnostics in the medical heritage of the motherland will promote the smooth progress of integrated Chinese and Western medicine.

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