I ka wā e pili ana i ka palpating i ka Traditional Chinese Medicine (TCM), ke nānā nei mākou i ka palpation o kekahi mau wahi o ke kino a me ka pulse Kina. Inā ʻike ʻia he mea pono ka palpation i ka ʻike ʻana i nā maʻi musculoskeletal, no ka laʻana, ʻoi aku ka paʻakikī o ka noʻonoʻo ʻana i ka lawe ʻana i ka pulse a i ʻole ka nānā pono ʻana i kekahi mau kiko o ka ʻōpū a i ʻole ke kua i hōʻike ʻia i loko. pilikia kino. Eia naʻe, ua lōʻihi ka lawe ʻana i ka pulse, me ka nānā ʻana i ke alelo, ka mea hana pono o nā haku nui o TCM e hana i kā lākou diagnoses - hiki ke hoʻemi ʻia ka manawa nīnau i nā nīnau liʻiliʻi.

Ua hānai ʻia ka hoʻomohala ʻana o ka ikehu pulse ma lalo o ka Confucianist Han dynasty (206 BC - 23 AD), i ka manawa i makemake ai ka haʻahaʻa i ka launa kino liʻiliʻi ma waena o ke kauka a me ka maʻi. ʻO ka lawe ʻana i nā pulupulu ʻo ia wale nō ke ʻano hana palpation i ʻae ʻia, a no laila ua maʻemaʻe loa a pololei.

Nā pulu Radial

Lawe ʻia nā puʻupuʻu radial ʻeono ma nā wahi ʻekolu i loaʻa ma nā aʻa radial o kēlā me kēia o nā lima lima ʻelua. Hōʻike kēlā me kēia i ke kūlana ikaika o kahi Organ. Hoʻokomo ka mea hoʻomaʻamaʻa i ʻekolu manamana lima ma ka lima lima a hoʻopaʻa i kēlā me kēia kūlana me ke kaomi ʻokoʻa:

• Hoʻokomo ʻia ka manamana lima ma ke kūlana "kumu", ua kapa ʻia no ka mea kokoke loa i ka manamana lima. Manaʻo mākou i ka Qi o ka Lani, ʻo ia hoʻi ke ʻano o nā ʻOkana o ka Puʻuau Kiʻekiʻe (e ʻike i ka Triple Heater): ma ka lima ʻākau, ʻo ka Qi o ka māmā, a ma ka hema, ʻo ka Puʻuwai.
• Hoʻokomo ʻia ka manamana lima ma ka "kubita" (he mau kenimika hou aʻe) a ʻo ia ka helu haʻahaʻa kahi i puka mai ai ka Qi o ka Honua. Hāʻawi ia i ka ʻike e pili ana i ka mokuʻāina o Kidney Yin ma ka hema, a me Kidney Yang ma ka ʻākau.
• Ma waena o kēia mau manamana lima ʻelua, aia ka manamana waena ma ke kūlana "pale", ka hinge ma waena o ka Lani a me ka Honua, kahi e ulu ai ke kanaka. Nānā ia i ke kūlana o nā ʻano o ka hoʻoheheʻe ʻana, aia ma ka waena waena, ka Spleen / Pancreas ma ka ʻākau a me ka ate ma ka hema.

ʻAʻole kēia ʻano o ka lawe ʻana i ka pulse wale nō, akā ʻo ia ka mea maʻamau i kēia lā.

Hoʻopili ʻia kēlā me kēia pulse i ʻekolu mau ʻano like ʻole - ma muli o ke kaomi i hana ʻia - e koi ana i ka mākaukau nui ma ka ʻaoʻao o ka mea hoʻomaʻamaʻa. Pono ka palpation o ka pae papa i ke kaomi māmā me nā manamana lima. Hōʻike ia i nā maʻi o Surface a me ke kūlana o Qi a me Lung. No ka laʻana, ʻo kēia puʻupuʻu e hōʻike ai aia ke kanaka i ka pae mua o ke anu a ʻo ka Qi o kona Lūnū e hakakā me ka makani waho. Hoʻopili ʻia ka pae hohonu ma ka hoʻoikaika ikaika ʻana i ke aʻa, a ma hope o ka hoʻomaha iki. Hāʻawi ia i ka ʻike e pili ana i ka mokuʻāina ʻo Yin a ʻoi aku ka nui o nā Kidneys. Ma waena o nā mea ʻelua ka pulse waena, e pili ana i ka Qi o ka Spleen / Pancreas a me ka ʻōpū a me ke kūlana o ka hua o kā lākou hana, ke koko.

Hoʻohui ʻia kēia mau hiʻohiʻona e like me ke kani, ka ikaika a me ke ʻano, e hoʻokaʻawale i ka pulse i loko o ka 28 (a i ʻole 36, e pili ana i ka mea kākau) ākea ākea o nā ʻano. Hoʻokaʻawale pinepine ʻia nā ʻano o ka pulse e like me ka ʻokoʻa mai kekahi ʻano i kekahi, akā hiki ke hōʻike i kahi ʻano kikoʻī. Mai kēia mau hiʻohiʻona e unuhi ʻia nā ʻano like ʻole, e like me ka Heat, Excess, Stagnation, etc. i kūpono i loko o nā grids diagnostic analysis. Eia kekahi mau laʻana:

• ʻO kahi puʻupuʻu wikiwiki (ʻoi aku ma mua o ʻelima mau kuʻi no ka pōʻai hanu) e hōʻike i ka hele ʻana o ka Heat. ʻO ka mea ʻē aʻe, pili ka pulse lohi me Cold.
• ʻO ka pulupulu kaula he puʻupuʻu paʻakikī a haiki e like me ke kaula kīkā i hohola ʻia ma lalo o nā manamana lima. He hōʻailona ia i ke kaulike ʻole o ke ake. ʻO kēia ka puʻupuʻu i loaʻa iā mākou ma Mr. Borduas i loaʻa i ka maʻi poʻo ma muli o ka Stagnation o ka Qi o ke ake.
• ʻO kahi pulse lahilahi, e like me kā mākou e ʻike ai i nā hihia he nui (e ʻike i ka Depression, Slow Digestion, a i ʻole Tendonitis), pili me ka Emptiness of Blood. He liʻiliʻi ka laulā o kahi uea, ʻike ʻia, akā liʻiliʻi ka ikaika.
• Hāʻawi ka pulupulu paheʻe i ke ʻano o nā momi e kaʻa ana ma lalo o nā manamana lima, ʻo ia ka ʻaila a me ka maʻalahi, ʻo nā mea a pau i ka poepoe. He hōʻailona ia o ka mākū a i ʻole ka stagnation o ka meaʻai. ʻO ia hoʻi ka puʻuwai o ka wahine hāpai.
• ʻO ka ʻokoʻa, hāʻawi ka puʻupuʻu koʻikoʻi i ke ʻano o kahi mea e ʻoki ana i nā manamana lima, a he hōʻailona ia o ka Emptiness of Blood.

Nā pulupili pili

ʻO ka hoʻohana ʻana i nā puʻupuʻu peripheral, ʻeiwa ka helu, ma mua o nā pulu radial i ka lāʻau lapaʻau Kina. Ma ka palpating ana i na pulses o ka carotid artery, ka femoral artery a me ka foot artery, hiki i na kauka Kina ke nana i ka mokuaina o Qi ma kekahi meridian, pinepine ma kahi kiko acupuncture. ʻO ka ʻoi aku ka maʻalahi o ke ana ʻana i ka pulse radial, akā naʻe, ua pani i ka hoʻohana ʻana i nā pulses peripheral a he liʻiliʻi nā acupuncturists e hoʻohana iā lākou me ka ʻōnaehana.

ʻO ka ʻike pono

ʻO ka pulse kahi mea diagnostic, ʻaʻole pono e haʻalele ʻia ke kumuhana. Hiki ke loaʻa kēia kumuhana mai ka ʻike o ka mea hoʻomaʻamaʻa e like me kona ʻano pilikino a i ʻole mai kahi kikoʻī maʻalahi e like me ka mahana o nā manamana lima ... Pono mākou e ʻike e hōʻike ana ka pulse i ke kūlana koke o ka mea maʻi, hiki ke hoʻopili ʻia. e nā manaʻo maʻamau, ʻoi aku ka wikiwiki o ke ola ma mua o ka maʻamau, nā hana kino ma mua o kāna kipa ʻana, ka mea āna i ʻai ai a i ʻole ka maʻi ʻaʻahu keʻokeʻo ...

Hiki ke loli koke nā hiʻohiʻona Pulse ma muli o nā kumu kiko waho. Hāʻawi lākou i ka ʻike waiwai nui, akā pono e hoʻopaʻa ʻia kēia e nā mea ʻē aʻe o ka loiloi. Ma ka ʻaoʻao ʻē aʻe, loaʻa iā lākou ka pōmaikaʻi o ka ʻae ʻana i nā loea e hōʻoia koke i ka pono o kahi lapaʻau. E like me kā Dr Yves Réquéna i ʻōlelo maikaʻi ai: "He aha ka mea nui o ka ʻoihana lapaʻau i ka manawa like me kona nāwaliwali. “1

ʻO ka palpation o nā wahi o ke kino (ʻoi aku ka ʻōpū a me ke kua), e like me ka lawe ʻana i ka pulse, hāʻawi i ka ʻike e pili ana i ke ʻano o ke kaulike ʻole o kahi Organ a i ʻole Meridian. ʻO ke kiʻekiʻe o ke kūʻē ʻana i hāʻawi ʻia a i ʻole ka ʻeha i hana ʻia e ka palpting ʻana i nā wahi like ʻole o ke kino e hōʻike ana i ka Excess or Emptiness. ʻO nā kiko i hiki ke hōʻeha i ka ʻeha ke kapa ʻia ʻo Ashi. Hōʻike ka ʻeha ʻeha i ka ʻeha ʻoiai e pili ana ka ʻeha ʻoi me ka Excess. Hiki ke hōʻike ʻia ka mahana o ka ʻili a me kona maʻamau.

Eia kekahi, ʻo ka palpation kikoʻī o kekahi mau Meridians e hiki ai, i waena o nā mea ʻē aʻe, ke hoʻoholo i nā wahi acupuncture e pono ai no ka mālama ʻana, ʻoi aku ka nui o ka ʻeha musculoskeletal. ʻO ka manaʻo kumu hoʻomaka o kēia wā - ʻike pinepine ʻia ma kahi o nā wahi acupuncture - hiki iā mākou ke kānalua ʻaʻole naʻaupō loa ka lāʻau Kina i ke ʻano o nā kaulahao ʻiʻo (e ʻike iā Tendinitis).

Palpation o ka ʻōpū

Nānā ʻia ka ʻōpū i ʻelua pae. ʻO ka mea mua, palpate mākou i nā helu Mu (e nānā i ke kiʻi) e hāʻawi pono i ke komo i ka ikehu Yin o kēlā me kēia viscera. Loaʻa kēia mau kiko ma ka ʻaoʻao mua o ke kino (ka ʻaoʻao Yin). Ma keʻano laulā, hiki iā mākou ke ʻōlelo i ka wā e ʻeha ai kahi helu Mu, ʻo ia ke ʻano (ka Yin) o ka Organ e pili ana.

A laila, nānā ka palpation i nā wahi ʻoi aku ka nui, ʻo kēlā me kēia mea e hōʻike ana i kahi Organ i kahi hoʻonohonoho i kapa ʻia ʻo Hara (e nānā i ke kiʻi). ʻO nā pads o nā manamana lima a pau, i hui pū ʻia e like me ka probe, palpate i kēlā me kēia wahi, kūpono me ke kaomi like, e loaʻa ai ka ʻike e pili ana i ke kino pili.

Hiki ke hoʻohui ʻia kēia ʻano me ka palpation o nā quadrants ʻehā, kahi ʻano e māhele ʻia ai ka ʻōpū i ʻehā mau ʻāpana anatomical, i hoʻokaʻawale ʻia e kahi laina ākea a me kahi laina kūpaʻa e hele ana i ka umbilicus. Hoʻāʻo ʻia kēlā me kēia quadrant e loiloi i ka hiki ke pōʻino ʻia kahi kino.

Palpation o ke kua

Loaʻa i kēlā me kēia Viscera kāna kiko Shu ma ke kaulahao mua o ka Meridian of the Bladder e holo ana ma ke kua mai luna a lalo, e hoʻoinu ana i ke kaulahao ganglion o ka ʻōnaehana aloha. Hiki ke hoʻopaʻa ʻia nā kiko Shu i kēlā me kēia, a i ʻole ma ke kaʻina hoʻomau me ka hoʻohana ʻana i ka "pinch-roll" (e ʻike i ke kiʻi), kekahi o nā ʻenehana o ka lomilomi Tuina. Aia ma ka ʻaoʻao hope (no laila ʻo Yang) o ke kino, pili lākou i ka hana o nā Organs, ma mua o ko lākou ʻano. No ka laʻana, inā ʻike ʻia kahi ʻeha ʻeha ma ka palpation o ka lae Kidney (23V Shèn Shu), aia ma ke kiʻekiʻe o ka lua o ka vertebra lumbar, ʻo ia ka papa kuhikuhi o kahi Kidney Yang Void. Ma ka hihia o ka hānō liʻiliʻi o Zachary, ʻo ka palpation o ka lae Shu o ka Lung Meridian (13V Fei Shu) he ʻeha loa, e hōʻike ana i ka hānō mau.

Nā helu hou loa

ʻO ka ulu ʻana o ka lāʻau lapaʻau Kina mai ka hoʻomaka ʻana o ke au hou ua lawe mai i kāna ʻāpana o nā mea hou a mākou e ʻike ai i waena o nā wahi diagnostic. ʻO kahi ʻeha ʻeha ma ka palpation o ka lae ʻo Dan Nang Xue (aia kokoke i ke kuli), no ka laʻana, e hōʻoia i ka mumū o ka gallbladder. Eia kekahi, e hoʻomaha ʻia ka ʻeha i hana ʻia e kēia ʻano ma ke kī ʻana i ka wahi like.