Pulse diagnosis is one of the four diagnostic methods in Chinese medicine, and is an indispensable diagnostic method in Chinese medicine, the last of the four diagnostic methods. The diagnostic value of the pulse diagnosis has been viewed differently or exaggerated by medical practitioners throughout the ages, with excessive emphasis on the clinical value of the pulse diagnosis. The significance of pulse diagnosis is also not uniform in the Chinese medical classics “Nei Jing” and “Difficult Classic”. For example, the “Spiritual Pivot – the fourth form of disease in the internal organs of evil qi” contains: “press its pulse, know its disease, the life is said to be God.” The difficult sutra – 61st difficult” contains: “cut the pulse and know it is said to be clever …… cut the pulse and know it, diagnose its inch mouth, depending on its deficiency, in order to know its disease, the disease in what organs and what internal organs also.” In fact, pulse diagnosis is a technique of Chinese medicine diagnosis. Because Chinese medicine diagnosis has always emphasized the four diagnoses together, so the wise doctors of the past generations have a very objective discussion on the diagnosis of the pulse to determine the disease. The following is a brief example to illustrate this. Taixing skin prevention hospital combined Chinese and Western medicine department Yin Lihua 1 “Nei Jing” objective discourse: “Su Wen – the four loss of theory”: “diagnosis of disease does not ask its beginning, worry about the disorder of diet, excessive living, or injury to the poison, without first talking about this, and then hold the inch mouth, what disease can be in? Delusional words for the name, for the coarse poor, this treatment of the four failures.” The later commentators on Nei Jing have given clear and objective comments on this statement. For example, Ming – Zhang Jiebin, “Twelve volumes of the classics – on the treatment of the class 19 – the four failures” note cloud: “Where the way to diagnose the disease, must first examine the cause of the disease, and then combined with the pulse, then its yin and Yang deficiency, obviously since clear. …… does not first examine the reason for holding the inch mouth, self-proclaimed pulse God, without waiting for the question, but also how to know the true and false reverse from the original pulse evidence does not match, a hasty diagnosis, how can all in the condition? The heart has no definite opinion, so delusion for the name. Mistreatment of injury to life, the loss of virtue is ripe, people have been poor, cover carelessness is not refined due to this four failures.” When the sage Hu Tianxiong “Suwen supplement knowledge” cloud: “cover does not ask the cause of the disease, hasty to hold the pulse to respond to the patient’s questions, but delusional words fraudulent name to deceive people. Delusional words are nonsense. Fraudulent name, is to make up the name of the disease. …… the fourth missing point, originally only do not ask the cause of the disease, hold the inch mouth two points, but because only by cutting the pulse, can not fully grasp the condition, and want to delude the treatment, is already a rough work, the condition is not grasped, the finger is difficult to understand, the mind is countless, when the patient asked about the condition, can only be credible nonsense, fabricate the name of the disease to stall, the rough work of the trick, so far completely and thoroughly exposed.” Hu’s objective explanation, is extremely true, the clinical is indeed. According to the purpose of the sutra has clearly pointed out that the diagnosis must first ask the diagnosis, and then cut the pulse, is the order of diagnosis, so as to be a wise doctor; otherwise, hasty diagnosis of the pulse, or the pulse alone, the mistake is great. 2 Song – Su Shi, Shen Kuo “Su Shen Liang Fang” objective discourse: “Su Shen Liang Fang”, also known as “Su Shen Nei Han Liang Fang”. It is a combination of medical miscellany written by Su Shi in the Song Dynasty and “Liangfang” written by Shen Guo (Cunzhong). Su Shi was a famous writer in the Song Dynasty and one of the “Eight Great Men of the Tang and Song Dynasties”. He was always concerned about medicine and paid attention to collecting local medical knowledge when he was relegated to various places. His friendship with Pang An-shi, a famous doctor, has become a good story in the medical world. Shen Kuo was a famous scientist in the Song Dynasty and occupied an important position in the history of ancient Chinese science. He had made great achievements in geology, arithmetic, astronomy, calendar, biology, music and so on, and also had deep attainments in medicine. Su Shen Liang Fang – Volume 1 – pulse said: “the difficulty of the pulse, the ancient and modern diseases also …… disease can not visit the doctor, and the doctor of the pulse, the world covers one or two numbers. Ti steed from time to time, the world has never been in vain; and Pian not out of this world, the patient does not die in vain, but also because of its long and get its short. The scholars and scholars more secretly suffer from to seek medical advice, to test whether the doctor can, so that the disease in the indifference, to identify the virtual reality of hot and cold in between the suspicion. Medical misfortune and loss, and finally refused to call themselves lost, it is cleverly decorated to cover the wrong, in order to complete its name. As for not saving, it is said to be solid difficult to treat. Sometimes there is a wish, although or because of the master’s words, but also refer to what is seen, two exist and mixed treatment, so the medicine is not effective. This is the world’s common problem, and no understanding of it. I seek medical treatment in my life, cover and usually, silent test its work, to have a disease and seek treatment, must first tell all the suffering, and then seek medical consultation, so that the doctor clearly know where the suffering is also, and then seek the diagnosis. The deficiency of hot and cold first set in the middle, then the pulse of doubt can not be confused. Therefore, although Chinese doctors, treatment of my disease often heal. I seek only to heal, not to be troubled by the doctor for the matter!” Note: From the text, a scholar of literature, the understanding of pulse diagnosis and how to communicate with the doctor after illness, how to see the doctor objective and reasonable perception, is a wise patient, but unfortunately the world may not always be such a patient. Do you know how to see a doctor when you are sick? There is indeed a learning curve. I can’t use the pulse diagnosis to determine whether the disease is definite or not, jumping to conclusions and difficult to treat. 3 The objective commentary of Ming-Li Shizhen’s “The Pulse of the Lake” Ming-Li Shizhen’s “The Pulse of the Lake” extracts the essence of pulse research of previous people and divides 27 kinds of veins into details. The identification of similar and dissimilar pulses and the main diseases of various pulses can be studied both extensively and precisely, and are compiled into songs for easy practice and recitation. Li Shizhen’s view of pulse science has been unanimously endorsed by the subsequent Chinese medical community, and no scholar has yet publicly disagreed. The pulse science since the “endangered lake pulse science”, scholars more popular, the various sayings gradually unified, so the development of universal and correct. The development of pulse science reached the highest level in history in the Wei and Jin dynasties, thanks to the writing of Wang Shuhe’s “Pulse Classic”. The theory of the Pulse Classic was so delicate and extensive that it was not easy for learners to understand it deeply and master it comprehensively, and because of the large volume, it was very difficult to copy and recite it, so it did not achieve the desired effect in the implementation and dissemination. After the Six Dynasties, there is Gao Yang Sheng’s name Wang Shuhe written into the “pulse secret” 1 volume, in the form of a song to explain the pulse pulse theory and its clinical significance, the content is simple, practice recitation is very convenient, soon popular spread, and even the phenomenon of “pulse secret” out and the “pulse” hidden. But because the “pulse” is a pseudo-composition of the work, coupled with the “text slang”, the content also has errors and inaccuracies, thus causing dissatisfaction and slander in the academic community, the emergence of the history of pulse on the “pulse” centuries-long wave of criticism. Li Shizhen’s “The pulse of the near lake” is the final work of this wave of criticism. On the basis of refuting the content of the “Pulse Book”, he followed the form of expression of the “Pulse Book” in the form of a song, and introduced the science of Shuhe in an in-depth and simple manner, which not only prevented the “erroneous circulation” of the “Pulse Book”, but also solved the need for teaching materials for general medical practitioners, thus achieving great success and becoming the most influential and widely circulated monograph on pulseology in the history of pulseology. Even today it is still an important reference book for learning pulse science. Therefore, Li Shizhen’s “The Pulse of the Lake” is an important monograph in Chinese medicine, which has played an important role in promoting the development of Chinese medicine diagnostics – pulse science. Although the pulse study is very research, but still emphasizes the four diagnoses together, opposed to the pulse diagnosis alone to determine the disease. For example, Li Shizhen pointed out that “every time I see a doctor in the six parts of the two hands, press and press”, “as if the internal organs live in between the two hands, can be felt and obtained”, “in fact, it is self-deception of the very”, so in writing There is a very objective discussion in the writing of “The Pulse of the Lake”. As the following: “the endangered lake pulse study – self-preface” cloud: “the world’s medical disease two, salty to the pulse as the first priority, do not know the pulse is the end of the four diagnostic, said the tricky ear. The superior scholar wants to know the whole of it, not to prepare the four diagnoses.” 4 Ming-Li Zhongzi’s objective commentary Ming-Li Zhongzi “diagnosis of the family is the eye” is also an important monograph on pulse, the book has a huge impact on later generations. Today’s 28 disease pulse is based on the 27 disease pulse in the “endangered lake pulse study”, and then by the “diagnosis of the family is the eye” plus a “disease pulse” to increase the pulse 28 kinds and become. Although Li Zhongzi has made deep attainments in pulse science, he does not stick to one end, but puts great emphasis on the “four diagnoses” of looking, hearing, asking and cutting. For example, in the “diagnosis of the family is the eye – must first ask for clarification and then diagnose the pulse” cloud: “the ancient sacred, not always to look, smell, ask, cut four reference to each other to examine the condition. But must first look at its color, the next is to hear its voice, the next is to ask the source of the disease, the next is to diagnose its pulse, this sequence of the order. In recent times, the doctor, both attached to know the pulse, and the patient also want to test their skills, so they do not say anything, but reach out to the diagnosis, and the doctor that is forced to guess. If the speculation even fit, it is believed to be a god hand; and speculation does not fit, it is thin for foolishness.” And in the “medical must read – not to lose the human emotion theory” cloud: “there are taboo disease not to say, there are hidden feelings difficult to tell, and even so hidden disease symptoms, test the doctor to pulse. I do not know since the ancient sacred, there is no look, smell, ask and only by a pulse. And such as gas mouth pulse, then know the injury food, as to when the injury, what is injured, can not be known by the pulse?” The author of the book, “The Origin and Flow of Medicine,” is a rich and unique collection of medical treatises, based on the current situation of the medical profession at that time, taking the classical works such as “Nei Jing” and “Treatise on Typhoid” as the basis, combining the doctrines of various schools and his own clinical experience, pointing out the shortcomings of the medical stream of the time in order to correct the heresy and evil. The book is based on the classic works such as the Internal Classic and the Treatise on Typhoid Fever. The book is only a thousand words long, but it is profound and well documented, reflecting not only the author’s views on Chinese medicine, but also his extensive knowledge and rich experience in clinical practice. In the academic aspect, he highly esteems the classical works such as Nei Jing, The Treatise on Typhoid Fever, and Shennong Ben Cao Jing, and “the words must be based on the Bible, and the treatment must follow the ancient method”, and has a foundation in learning; in the diagnostic aspect, he attaches importance to the four diagnoses with reference to each other, opposes relying on the pulse alone, and advocates examining the evidence according to the person and the cause of the evidence; in the treatment aspect, he advocates the use of medicine with identification of the evidence and the equal emphasis on internal and external treatment, and does not give preference to In the treatment, he advocates the use of medicine for identification, internal and external treatment, without giving preference to single prescriptions, experimental prescriptions, acupuncture, massage and other methods, and attaches importance to details such as decoction method and serving method. The following is his objective commentary on pulse diagnosis: “The Treatise on the Sources of Medicine – Volume 1 – Pulse – Diagnosis of Pulse to Determine Death and Life” states: “As for the diagnosis of pulse, it is possible to know what disease. And the cloud of human death and life, can not be foretold, but also not. The change of the pulse is indefinite, or there may be a stroke of the evil, not immediately pass in the meridians, and the pulse has not changed for a while; or the disease is light and can not be present in the pulse; or there is a chronic disease, long and combined with the qi and blood, it is difficult to distinguish its severity for a while; or there is the transmission of changes in accordance with the meridians, the flow is unpredictable, can not stick to the pulse of the moment, determine its right and wrong. In addition, the name of the disease has ten thousand, but the pulse of the image of only dozens, and a disease and dozens of pulse, all visible, how can diagnose the pulse and know what disease it is? This is all speculation even in, so deceive people. If the pulse of the true organs, dying and not present, then how to determine it? It is necessary to look, hear and ask the three together and visit, but also a hundred not lose a carry on. Therefore, the pulse can be based on, and the pulse is sometimes not enough with; to the pulse is not based on, and it is well established that it can be based on, always in the doctor is familiar with the scriptures, and more deep thinking from, then nothing is not tested. If the world’s nonsense, are not enough to listen to.” The medical source of flow theory-volume – the pulse of the theory of the” contains: “foolishly press: the pulse of the way, but to check its blood gas bloom and decay of cold and heat, and the flow of evil gas in which the by-pass and what organs, and the present symptoms, visit each other to examine, in order to investigate its birth and grasp the reason of the submissive, and then the auspiciousness can be based. Therefore, “Nei Jing”, “Difficult Jing” and Zhong Jing’s theory of pulse, its argument against if very sparse, and should be tested as God. If you stick to the “pulse” of the said, think that its disease when see a certain pulse, a certain pulse when a certain disease, although the “Inner Classic” also have between the, not as rigid and cumbersome. Test and not tested, so or blame the pulse of inaccuracy, or blame the disease is not true, or blame the prescriptions and medicines are not right, but do not know are not. Cover the disease with the pulse, there is not in line with the pulse, and there is the opposite of the pulse. The same pulse is also seen in this case as appropriate, seen in the other case as inappropriate. The same disease, see a certain pulse is appropriate, see a certain pulse is not appropriate. A disease can be seen in dozens of veins, and a pulse can show hundreds of symptoms, with no restrictions on changes. If the mud set a say, then from the pulse and the disease does not fit, from the disease and the pulse does not fit, but people are at a loss, nothing to do. Therefore, the ancient and modern discussion of the pulse of the house, different from each other, right and wrong, people hold a theory, the gains and losses of half, always by not knowing the essence of the change, so the more dense and more sparse. …… If you want to mud pulse to cure the disease, it will be to all unsure.” 6 Qing – Zhang Shanlei (Shouyi) “pulse study justice” objective commentary “pulse study justice” a book is the Qing – Zhang Shanlei (Shouyi) Mr. collected the pulse study theory of all generations, a detailed compilation of categories, and to justice commentary of the power of the work. This book from Qihuang, Zhongjing, down to the Ming and Qing dynasties, where the theory of pulse is reasonable and can be enlightened, all are collected and commented. …… This book is measured, positive and negative, the intention does not fall into the commonplace, justice has a lot of new ideas, identify the pulse outline, the pulse focus on practice, is the pulse of the writings of the collection of the master, the study of pulse has a high academic value for future generations. (“pulse study justice – summary”) the following is its objective commentary on the diagnosis of the pulse: “pulse study justice – pulse study program – introduction” cloud: “the order of the four diagnoses, look and ask for the first, cut the pulse after, non-pulse method of insufficient evidence. The pulse examination to examine the disease, only with reference to one of the ends of the pathology, can not be regardless of the sound and color of the physical evidence, only according to the pulse to determine whether it is cold or heat, is real or deficient. Why? The pulse of the article, about the number of floating and sinking late, long and short slippery, the size of the outline of the deficiency; analysis of the words have twenty-eight kinds of name of the identification. No matter what the disease, where this kind of pulse, nothing can be seen occasionally, and nothing can not be seen both. If not combined with the sound and color dialectic, although there is a high sage, can not make an assertion. If it is said that the pulse method, but a finger, do not ask other, and can be insight into the wall, then from the ancient famous, not heard of this high theory.” 7 modern famous doctor Yang Zemin “submerged factory medical talk” objective commentary “pulse diagnosis for the recent medical practitioners, patients common beliefs, as the diagnosis of the only art. In the doctor can not add the diagnosis and make three fingers to sparse prescription, the patient is concealed condition to test the doctor’s pulse diagnosis of the ability, the desolation of the medical path is more than this. This practice does not go, I will not have a foothold in medicine. The former sage knows, sent for the deafening theory: ‘pulse is the end of the four diagnoses, said the tricky one. The upper workers want to be its full, non-prepared four diagnosis can not.’ This Li Shizhen said. ‘The ancients to cut at the end of the look, hear and ask, then at the time of the look, hear and ask, has got its condition. But then diagnose its pulse, see the disease should be and should not also ……, with the pulse to refer to the disease, the intention is so, where to diagnose the pulse to know the disease for expensive.’ This is Zhang Jinyue’s words also. And Xu Da Chun’s theory is particularly clear. It says: ‘The name of the disease has ten thousand, and the pulse of the image is only dozens of, and a disease and dozens of pulse is not visible, how can diagnose the pulse that know what disease it is, this are speculation even in, so deceive people.’ And the “History – chapter magpie biography” said: ‘see the wall side of the people, so see the disease as much as the visceral symptoms’, but the pulse for the name of the ear. The creation of the inch mouth diagnosis pulse of the magpie is like this, let alone the people after him.” “Chinese medicine speaks pulse, although the inch mouth division of the law, the law of the human Ying inch mouth, the law of the three parts of the nine wait, the law of the light and heavy division of the wait, are not applicable. Must have no choice but to use the old saying. According to the difficult scriptures, the inch to wait for the head to the chest, the Guan to wait from the diaphragm to the umbilicus, the ruler to wait for the umbilicus to the foot. The “Medical Zong Jinjian” said: ‘The pulse is all one, and not two, and not two cuts.’ Enough to prove that the three parts with the internal organs of the irrational carry on. Li Shizhen said: ‘Every time I see the doctor in the two hands of the six parts of the pulse pressed and pressed, said a viscera so, a viscera like him, as if the viscera between the two hands, can be asked and got, all kinds of deception of the ugly, in fact, is self-deception of very. The pulse can not be based on alone, and look and hear and ask for a common diagnosis, as the guidelines for doctors to treat. The true interpretation of pulse diagnosis.” “pulse diagnosis is one of the diagnostic methods, the ancients are attached to the end of the four diagnoses, to cut the pulse to know the disease as the next work. Therefore, the purpose of pulse diagnosis, in the examination of the body of the disease, the shallow depth of the disease, the progression of the disease, the prognosis of the good and bad, the strength and weakness of the qi and blood is only, past this, not the diagnosis of the pulse is also known. It is a bizarre and unorthodox people, both delusional belief in the internal organs with when the six parts of the said, and fallaciously adhere to the pulse of the main disease of the talk, a certain part to see a certain pulse that is a certain disease, the big talk of Yan Yan, chisel hole planting beard. Especially absurd, and the pulse to determine the death of people, pregnant men and women, rich and poor, a few are determined by the three fingers, such as Peng with the flow of light, really ten deaths without pardon.” “In short, the diagnosis of disease should be the testimony of the testimony to cut the pulse and determine the, not only by the three fingers also. ‘Can be combined with the color pulse, can be all-around’, the previous people solidly expressed our generation to the correct method.” “The one who specializes in the pulse diagnosis method of the inch mouth, began with the “difficult scriptures” of the magpie. The Inner Classic is the whole body diagnosis method. The historical record – the biography of the magpie said: ‘so far the world speaks pulse, because the magpie also.’ This is particularly clear. However, although the magpie created a clear inch pulse diagnosis of the disease method, not purely believe in the three fingers, the “Historical Records” said: ‘see the side of the wall people, this (finger pulse) to see the disease, all the visceral symptoms, especially the pulse for the name of the ear. Magpie is still the case, let alone future generations. Zhang Jinyue said: ‘the ancients to cut at the end of the look and hear and ask, then at the time of look and hear and ask, has got the condition, but then diagnose its pulse, see the disease should be and should not. …… to the pulse to refer to the disease, the intention is so, where to diagnose the pulse to know the disease as valuable! And Xu Lingtai’s theory is particularly clear: ‘a disease and dozens of pulse is not visible, why can diagnose the pulse that knows what disease it? This is all speculation even in, so deceive people also. Later people ignore this righteousness, dead belief in a certain pulse master of a certain disease, do not know the “typhoid” “Jin Kui” for our country’s medical sect, the discussion of the disease on the occasion of treatment, all the pulse as a reference for the identification (“typhoid – Ping pulse chapter” for Wang Shuhe additional, later deleted is carried out), where the pulse master of the disease! The absurdist, in many words even in the opportunity and charmingly said, in this way to deceive people, this this self-deception, can it be? Therefore, the pulse must know the main disease delusion and can be interpreted after the true.”