Kana zvasvika pakupuruzira muChinyakare Chinese Mushonga (TCM), isu tinoreva zvese palpation yedzimwe nzvimbo dzemuviri uye kupuruzira kweChinese. Kana zvichiita sezviri pachena kuti palpation inogona kubatsira mukuongororwa kwezvirwere zvemusculoskeletal, semuenzaniso, zvakanyanya kuoma kufungidzira kuti kutora kwepuru kana kuti kunyatsoongorora kwemamwe mapoinzi edumbu kana kumashure kunogona kuratidza yemukati. organic matambudziko. Zvisinei, kutora pulse kwave kwenguva refu, pamwe chete nekuongororwa kwerurimi, chimbo chakaropafadzwa chevatenzi vakuru veTCM kuita zvirwere zvavo - chikamu chekubvunzurudza chinogona kuderedzwa kumibvunzo mishomanana chete.

Kuvandudzwa kwepulse simba kuongororwa kwakasimudzirwa pasi peConfucianist Han dzinza (206 BC - 23 AD), panguva iyo kuzvininipisa kwaida kushamwaridzana kwepanyama pakati pechiremba nemurwere. Kutorwa kwemapulses panguva iyoyo ndiyo chete nzira yakagamuchirwa palpation, uye yave yakanyatsonatswa uye yakanyatsojeka.

Radial pulses

Iwo matanhatu radial pulses anotorwa pamapoinzi matatu ari paradial arteries yeimwe neimwe yemaoko maviri. Mumwe nemumwe anoratidza kushanda nesimba kweOrgan. Murapi anoisa zvigunwe zvitatu pachiwoko uye anopuruzira chinzvimbo chega chega nekumanikidza kwakasiyana:

• Chigunwe chinoiswa panzvimbo ye "chigunwe", inodanwa nekuti iri padyo nechigunwe. Tinonzwa Qi yeDenga, kureva iyo yeMaorgans of the Upper Hearth (ona Triple Heater): paruoko rworudyi, Qi yeLung, uye kuruboshwe, iyo yeMoyo.
• Chigunwe chemhete chinoiswa pa "kubhiti" (masendimita mashoma mberi) uye inoverengera iyo yakaderera kutarisa uko Qi yePasi inotangira. Inopa ruzivo rwemamiriro eKidney Yin kuruboshwe, uye Kidney Yang kurudyi.
• Pakati pezvigunwe zviviri izvi, chigunwe chepakati chiri munzvimbo ye "chipingamupinyi", hinge pakati peDenga nePasi, apo Munhu anokura. Inoongorora mamiriro enhengo dzekugaya, dzakagarwa pakati pemoto, Spleen / Pancreas kurudyi uye Chiropa kuruboshwe.

Iyi nzira yekutora pulse haisi yega, asi ndiyo inonyanya kushandiswa nhasi.

Kurova kwega kwega kunoongororwa nenzira nhatu dzakasiyana-zvichienderana nekumanikidza kunoitwa - izvo zvinoda hunyanzvi hukuru pane chikamu cheanorapa. Palpation yezinga repamusoro inoda kudzvanywa neminwe. Inoburitsa zvirwere zveSurface pamwe nemamiriro eQi neLung. Semuenzaniso, iyi pulse iyo icharatidza kuti munhu ari muchikamu chekutanga chechando uye kuti Qi yeLung yake inofanira kurwisana neMhepo yekunze. Iyo yakadzika nhanho inopepetwa nekuita dzvinyiriro yakasimba patsinga, inoteverwa nekuzorora zvishoma. Inopa ruzivo rwemamiriro eYin uye kunyanya paItsvo. Pakati pezviviri pane kuputika kwepakati, kunoenderana neQi yeSpleen / Pancreas uye Dumbu uye mamiriro emuchero wekugadzirwa kwavo, Ropa.

Kuzvinhu izvi kunowedzerwa hunhu hwakadai se rhythm, simba uye magadzirirwo, ayo anozoisa mutsauko mukati memakumi maviri nemasere (kana 28, ​​zvichienderana nemunyori) zvikamu zvakafara zvehunhu. Mhando dzemapuruzi akanyorwa kudaro anowanzosiyaniswa nekusiyanisa kubva kune humwe hunhu kuenda kune humwe, asi anogona zvakare kuratidza humwe hunhu. Kubva paunhu uhwu huchatorwa maitiro akasiyana-siyana, akadai seKupisa, Kuwedzeredza, Kumira, nezvimwewo izvo zvichakodzera mukati meiyo diagnostic analysis grids. Heino mimwe mienzaniso:

• Kurova kwekukurumidza (kupfuura mabhiti mashanu pamhepo yekufema) kunoratidza kuvepo kweKupisa. Pane zvinopesana, kuputika kunononoka kunobatanidzwa neCold.
• Rudzi rwetambo (string pulse) irwonzi rwakaoma, nhete rwunoita serwonzi rwegitare rwakatambanudzwa pasi peminwe. Inoratidza kusaenzana kweChiropa. Iyi ndiyo pulse yatinowana muna Mr. Borduas anotambura nemusoro nekuda kweStagnation yeQi yeChiropa.
• Kupomba kwakatetepa, sezvatinoona muzviitiko zvakawanda (ona Kushungurudzika, Kunonoka Kudya, kana Tendonitis), kunobatanidzwa neKushayikwa Kweropa. Zvisina hupamhi hwewaya, zvinoonekwa, asi zvine simba shoma.
• Kupuruzira kunotsvedza kunopa kunzwa kwemaparera achikunguruka pasi peminwe, ine kirimu uye yakatsetseka, zvese mukutenderera. Chiratidzo cheKunyorova kana Kumira kwechikafu. Ndiwo matsimba emukadzi ane mimba.
• Kusiyana neizvi, kupomba kwakakasharara kunopa kunzwa kwechimwe chinhu chinokwenya zvigunwe, uye chiratidzo chekushaikwa kweRopa.

Peripheral pulses

Kushandiswa kweparipheral pulses, mapfumbamwe muhuwandu, kwakatangira iyo yeradial pulses mumushonga weChinese. Nekupuruzira pulses yecarotid artery, iyo femoral artery kana tsoka yetsoka, vanachiremba veChinese vaigona kutarisa mamiriro eQi pane imwe meridian, kazhinji pane chaiyo acupuncture point. Iyo yakanyanya nyore radial pulse kuyerwa, zvisinei, yakatsiva kushandiswa kweparipheral pulses uye vashoma ma acupuncturists vanoashandisa zvakarongeka.

Kunzwisisa kunodikanwa

Iyo pulse inhengo yekuongorora, iyo subjectivity iyo isingafaniri kuregererwa. Uku kuzviisa pasi kunogona kuuya zvakanyanya kubva muruzivo rwemurapi kubva pahunhu hwake kana kubva kune zvakapusa senge tembiricha yeminwe ... Isu tinofanirawo kuziva kuti kupuruzira kunoratidza mamiriro epakare emurwere, izvo zvinogona kukanganiswa. nemanzwiro asina kujairika, kumhanya kwakanyanya kwehupenyu kupfuura zvakajairwa, zviitiko zvemuviri asati ashanya, zvaachangobva kudya kana kunyange white coat syndrome…

Pulse maitiro anogona kusiyana nekukurumidza zvichienderana nekunze point zvinhu. Vanopa ruzivo rwakakosha, asi izvi zvinofanirwa kutsigirwa nezvimwe zvinhu zvekuongorora. Nekune rimwe divi, vane mukana wekubvumira varapi kuti vaone nekukurumidza kushanda kwekurapa. Sokutsanangura kunoita Dr Yves Réquéna: “Chii chiri ukuru hwehunyanzvi hwekurapa panguva imwe chete utera hwahwo. “1

Palpation yenzvimbo dzemuviri (kunyanya dumbu nemusana), sekutora kupomba, inopa ruzivo nezve mamiriro ekusaenzana kweOrgan kana Meridian. Iyo dhigirii yekupikisa inopihwa kana kurwadziwa kunokonzerwa nekupuruzira nzvimbo dzakasiyana dzemuviri kunogona kuratidza Kuwedzera kana Kusina. Mapoinzi ayo, kana anzwa, anogona kukonzera marwadzo anonzi Ashi. Chirwere chakagomara chinotaridza Kusava nematuro apo kurwadziwa kwakanyanya kunobatanidzwa neKuwedzera. Kupisa kweganda nekunyorova kwaro kunogonawo kuratidza.

Uye zvakare, iyo chaiyo palpation yemamwe maMeridians inoita kuti zvikwanise, pakati pezvimwe zvinhu, kuona kuti ndeapi acupuncture mapoinzi angave anobatsira pakurapa, kunyanya mumatambudziko emusculoskeletal pain. Mazuva ano trigger point theory - iyo inowanzowanikwa panzvimbo yeacupuncture points - inotibvumira kufungidzira kuti mushonga weChinese wakanga usingazivi zvachose maitiro emaketani emasumbu (ona Tendinitis).

Palpation yedumbu

Dumbu rinoongororwa muzvikamu zviviri. Kutanga, isu tinopuruzira iyo Mu mapoinzi (ona mufananidzo) ayo anonyatso kupa mukana kune iyo Yin simba reimwe neimwe ye viscera. Aya mapoinzi anowanikwa kune anterior side remuviri (iyo Yin side). Kazhinji, tinogona kutaura kuti kana Mu point inorwadza, ndiyo chimiro (Yin) yeChiremba chinoenderana chinobatwa.

Zvadaro, palpation inotarisa munzvimbo dzakakura, imwe neimwe ichimiririra Organ mune seti inonzi Hara (ona mufananidzo). Mapadhi ezvigunwe zvese, akaungana pamwe chete senge probe, palpate imwe neimwe nzvimbo, zvine hungwaru nekumanikidza kwakaenzana, kuti uwane ruzivo nezve inoenderana nhengo.

Iyi nzira inogona kusanganiswa neyepalpation yechina quadrants, nzira iyo dumbu rinopatsanurwa kuita mana atomical zones, yakaganhurwa neyakachinjika mutsara uye yakatwasuka mutsara unopfuura nemuguvhu. Imwe neimwe quadrant inoongororwa kuti iongorore mukana wekuti nhengo iri kukuvara.

Palpation yekumusana

Imwe neimwe Viscera ine Shu point yayo iri pacheni yekutanga yeMeridian yeBladder iyo inomhanya nekumashure kubva kumusoro ichienda pasi, ichidiridza ganglion cheni yetsitsi system. Iwo mapoinzi eShu anogona kupepetwa rimwe nerimwe, kana kunyangwe mukutevedzana kunoramba kuchitevedzana uchishandisa "pinch-roll" (ona mufananidzo), imwe yehunyanzvi hweTuina massage. Inowanikwa pachiso chemashure (saka Yang) yemuviri, inoenderana nekushanda kweOrgans, pane kuumbwa kwavo. Semuyenzaniso, kana marwadzo asinganzwisisike akaonekwa papalpation yeKidney point (23V Shèn Shu), iri padanho rechipiri lumbar vertebra, iyi indekisi yeKidney Yang Void. Panyaya yeAsma yaZachary mudiki, palpation yeShu point yeLung Meridian (13V Fei Shu) yainyanya kurwadza, zvichiratidza asthma isingaperi.

Mapoinzi matsva

Iko kushanduka kwemishonga yeChinese kubva pakutanga kwemazuva ano kwaunza chikamu chayo chezvitsva zvitsva pakati pezvatinowana pakati pezvimwe zvirwere zvekuongorora. Kunzwa kunorwadza pane palpation yeDan Nang Xue point (iri padyo nebvi), semuenzaniso, ichasimbisa kuzvimba kwe gallbladder. Mukuwedzera, marwadzo anokonzerwa nemamiriro ezvinhu aya achasunungurwa nekubaya pfungwa imwe chete.