Dialectics of Traditional Chinese Medicine
Dialectics of Traditional Chinese Medicine
Due to the accumulation of some mischievous evils in the traditional culture and western scientific empirical quantitative thinking, there are or too much respect for superstition or questioning and opposition or even abandonment.
So what kind of insight should we take?
Regarding the legend of hanging thread and cutting the pulse, I thought that it was more likely to exist in the sternly guarded ancient times. However, judging from the lack of records in the literature and later not the main method of diagnosis of traditional Chinese medicine, “matchmaking” is moreIndividual doctors take special actions in specific situations, so they have little practical significance in academia or practice.
Some people say that good Chinese medicine should cut the pulse to know the disease without the need for the patient to speak.
I thought it was incorrect.
This is because: First of all, Chinese and Western medicine have different disease name systems and definitions. Except for a few names such as malaria and dysentery, the two disease names are the same. In most cases, they are not the same concept that can be directly corresponded to.
For example, TCM for diabetes is called thirst in western medicine, but thirst does not only refer to diabetes. Therefore, it is a misunderstanding of TCM to accurately cut out the name of the disease in the vein of TCM.
Secondly, cutting the pulse is cutting the pulse, that is, the pulse.
It can be composed of one pulse or several pulses.
The meaning of pulses only reflects a certain state of the body, not a direct response to a disease.
For example, Huamai, it generally reflects the pathological conditions such as phlegm dampness, food accumulation, and real heat. These conditions may coexist in one person, or they may exist alone, or they may exist in various diseases of traditional Chinese medicine.
On the contrary, even if the same disease is caused, other pulses can appear in different people, not to mention that Huamai is the normal pulse of young adults.
For example, pregnant women often have slippery pulses, but if the slippery pulses of a man or a girl are also regarded as pregnant, it is not only ridiculous but even trouble.
Furthermore, the pulse of traditional Chinese medicine has the existence of so-called false pulses that people do not know are inconsistent with the disease. Therefore, there is a long-standing ancient teaching of “relieving the pulse to follow the evidence”.
Up to now, there are still some diseases that are “identifiable without pulse”, such as hepatitis B and AIDS.
Traditional Chinese medicine treats syndrome differentiation based on syndrome differentiation rather than disease as its focus. Therefore, what is cut and cut is only the basis for syndrome differentiation, not the specific disease name of traditional Chinese and western medicine.
Even if you have a high level and cut out the patient and got the abdominal pain disease of Chinese medicine, how can you further determine the specific belonging and nature of many diseases in the multiple systems of Western medicine?
Some patients will say: The old Chinese medicine I have seen before can really tell me exactly what is wrong with me.
In fact, the patients are unaware: most of the doctors say only the symptoms of the patients and more are not the diagnosis of the disease.
Of course, in the diagnosis of patients with inability to speak, the situation of relying on the pulse alone often occurs, but this is simple and uncomplicated due to the disease, the second is the serious cause of the disease and the main contradictions are prominent and the pathogenesis is concise.Other important means include seeing and hearing.
Therefore, this phenomenon cannot be a universal basis for knowing the disease by cutting the pulse.
As for the online introduction, a person who has not studied the pulse can accurately explain the disease of the western medicine based on the pulse. I have a general but not full belief about this.
Because there are always wizards between the vast world.
But I think that this kind of cut-off that only measures the diseases of Western medicine is actually alienated into the diagnostic method of Western medicine, and it is no longer the original Chinese medicine in essence.
In particular, it should be emphasized that the pulse resection is only one of the diagnostic methods, and diagnosis and treatment are not the same concept, nor are they necessarily the same level.
Therefore, even if a disease is diagnosed, it cannot replace or complete the process of TCM syndrome differentiation.
As for the promotion of the pulse (tongue) image instrument, I agree.
It is just that we cannot abandon the practice and understanding of pulse science, because the meaning of pulse to TCM has become more and more important.
What does TCM diagnosis rely on?
What kind of attitude should I take for Qiemai?
I think I should rely on the comprehensive analysis of the “Wang Wen Wen Qi” four clinics and the wisdom and experience of the physician.
In Shu Jing, Wang Shuhe said: “He is wonderful, still or even thinking.
“It means that even the” sacred doctors “who have very good medical skills—He, Bian Ying and Zhang Zhongjing—when they are diagnosed, they do not just rely on the diagnosis, but they also have to think and borrow the symptoms and signs of their patients.
Li Shizhen also said in “The Science of Lakes and Veins” that “the world’s two doctors and the sick, Xian is the first priority.
I do not know the pulse is the end of the four diagnosis, that is a coincidence.
Chinese medicine practitioners want to make it complete.
It can be seen that the role of incision of the pulse is important but limited. Since ancient times, the treatment of the disease by cutting the pulse alone has not been the mainstream and essence of traditional Chinese medicine.
But if you negate or even abandon it, it is too far away from Chinese medicine.