1. The scope and diagnostic value of the skin diagnostic scale were discussed. It shows that from the different changes of skin smoothness, size, cold and heat, and the principle of "knowing the interior from the exterior", we can understand the deficiency and excess, cold and heat properties, exterior and interior, up and down and so on of the disease.
Second, by observing the five colors of the eyes, we can know what disease it is; Understand which meridian the eye pain belongs to from the direction of the red vein extending in the eye; The number of red pulses appearing on the pupil can predict the length of cold and hot death period.
Third, briefly describe the diagnosis methods of dental caries, jaundice, pregnancy, etc. And the value of vascular changes in diagnosis.
Fourthly, according to the law of the growth and decline of yin and yang, it shows that the climate in four seasons is different, so different diseases can occur from pathogenic factors to the next season.
original text
The Yellow Emperor asked Qi Bo, "If you don't want to see the color pulse, you can tell the disease by adjusting your ruler alone and know it from the outside. What can I do? " ?
Qi Bo said: from the point of view of urgency, smallness, smoothness and astringency, the meat is firm and crisp, but the disease shape has been determined.
Depending on people's eyes, there is a slight carbuncle, such as lying as new, and sometimes the neck beats and coughs. If you press your hands and feet, your skin will swell due to feng shui.
My feet and skin are slippery and the wind is strong. Those with soft feet and soft meat will be relieved, and those who lie down and take off their meat will be cold and hot, and they will not recover. Feet and skin are greasy and windy. Those with astringent feet and skin are also wind arthralgia. People whose feet and skin are as thick as scales of dead fish will drink water. If the skin is very hot and the pulse is full and impetuous, the disease will be warm, and if the pulse is full and slippery, the disease will come out. If the skin is cold, the pulse is small and the gas is low. The foot skin torch runs (1), first hot and then cold, then cold and hot; The skin is cold first, and then it is cold and hot for a long time.
The elbow alone is hot, and it is hot above the waist; Hands alone are hot, from the waist down. Only in front of the elbow, hot before the elbow; Those who are alone behind their elbows have hot shoulders and backs. One-armed, waist and abdomen are hot; Those who are three or four inches below the elbow are hot and have worms in their intestines. Heat in the palm, heat in the abdomen; The palms are cold and the abdomen is cold. Fish with white meat and blue veins, stomach cold.
When the torch is hot, people will bleed when they meet a big one; Strong feet, weak pulse, low qi, increased embarrassment and death.
Red-eye, heart disease, white lung, green liver, yellow spleen and black kidney. Those who can't name yellow are all sick in their chests.
Eye pain, upper and lower red pulse, sun disease; Bottom-up, Yangming disease; From the exterior to the interior, it is shaoyang disease
Cold and heat diagnosis, red pulse up and down to the pupil, see a pulse two, died at the age of one; See a pulse and a half, one year old and half dead; See the second pulse and die at the age of two; See the second pulse and a half, two years old and half dead; At the age of three, I saw three veins and died.
According to Yang's source, all the patients who have suffered from dental caries have a fever alone, which is right, left and right, up and down.
In the diagnosis of blood vessels, red fever, green pain and black are chronic joint pain. Those red, black and green ones are hot and cold.
Physical pain, yellow color, yellow teeth, yellow nails, and jaundice. Lying small is convenient for the yellow pool, and those with fine and astringent pulse are not addicted to food.
People's illness, the pulse of the mouth, the pulse of welcoming people, ups and downs, it is rare to get sick. The female hand has yin deficiency and a heavy pulse. If the baby gets sick, the person whose hair stands on end will die. When the green pulse between the ears begins, it will be very painful. Red and thin stool (3), thin pulse, cold hands and feet, hard to have; Diarrhea, small pulse, warm hands and feet, easy to discharge.
The change of the four seasons, the victory of cold and summer, the heavy yin will be yang, and the Chongyang will be yin; Therefore, yin dominates cold and yang dominates heat, so cold is hot and heat is cold, so cold produces heat and heat produces cold, which is also the change of yin and yang.
Therefore, winter cold is painful, and spring life is hot; Spring is wind injury, summer is diarrhea, summer is heat, and autumn is tuberculosis; Dampness in autumn and cough in winter. It means the order of the four seasons.
To annotate ...
(1) Scalding: A high fever means scalding your hands.
② Pulse: here refers to the red pulse.
3 red petals diarrhea: red, do "green" talk. Refers to stool that is petal-shaped and blue in color, which is a manifestation of indigestion.
translate
The Yellow Emperor asked Qi Bo: "I don't think it is necessary to look at the color and feel the pulse, but we can identify the disease by examining the skin and infer the internal changes from the external manifestations. What is the method of checking the skin? "
Qi Bo said: We can determine what kind of disease ulna skin belongs to by examining its emergency or relaxation, high or thin, smooth or stagnant performance, and the firmness or fragility of muscles.
I saw a slight edema in the sunken part of the patient's orbit, as if he had just woken up. People with neck feel pulse and cough from time to time. If you press the patient's hands and feet with your hands, the pressed place can't sink very deep. This is a symptom of feng shui and skin swelling.
Foot skin is slippery but not astringent, which is wind disease; Muscle weakness of ulna is a "carbuncle-relieving" disease with lethargy and slack limbs. It likes to sleep, and muscle thinness is frequent occurrence of cold and heat, which is difficult to cure. If the skin is smooth as cream, it is wind disease; The foot skin is stagnant and not slippery, which is blood deficiency and wind arthralgia; The rough and moist skin of feet is like dried fish scales, which is a "phlegm-drinking" disease with insufficient spleen and indigestion; Burning skin and restless pulse are fever. If the pulse is grand but not restless, it will be slippery, evil spirits will be driven out, and healthy qi will gradually recover, which is a sign that the disease must be cured; Cold feet and small pulse are diseases of diarrhea and qi deficiency; Scalp skin burning hands is a disease of cold and heat exchange. The skin of the ruler feels cold at first, but it feels hot after being pressed for a long time, which is also a disease of cold and heat.
If the elbow skin is heated alone, it will be heated above the waist; If the skin of the wrist is heated alone, it will be heated below the waist; If you heat the front of the elbow alone, it will heat the back of the shoulder; If the elbow and back are alone, it will cause shoulder and back fever; If the middle part of the arm is heated alone, it will cause fever in the waist and abdomen; There are worms in the intestine when it is three or four inches below the trailing edge of the elbow; If the palm is hot, wait for the abdomen to be hot; When the palm of your hand is cold, your stomach is cold; The thenar white meat has blue blood, but it is cold in the stomach.
Foot-skin fever, full neck pulse, belonging to heat, mainly blood loss; If the feet and skin are strong, but the pulse is small, it will be seen in qi deficiency. Plus boredom, I'll die soon
See red disease in the heart, white disease in the lungs, green disease in the liver, yellow disease in the spleen, black disease in the kidney, yellow and other colors but can not be distinguished, the main disease in the chest.
Check the eye pain, there are red collaterals up and down, which belongs to the disease of the sun meridian; From bottom to top, it belongs to the disease of Yangming meridian; Walking from the outside to the inside belongs to the disease of shaoyang meridian.
If there is a red vein penetrating the pupil from top to bottom in the eyes when diagnosing a disease of cold-heat exchange, the patient who sees the red vein will die for one year; See a pulse and a half red, half dead for a year; People who see two red veins die in two years; See two and a half red veins and die for two years; He who sees three red veins dies in three years.
When checking the pain of dental caries, press Yangming pulse, and the affected part will be heated separately. The disease is characterized by left fever and right fever, with upper fever and lower fever.
When examining collaterals, if the skin is red, collaterals are mostly related to heat, green and pain, while black is related to chronic joint pain; If you see red, black and blue at the same time, it is a cold-heat disease and your body hurts.
Yellow complexion, yellow teeth and yellow nails are all jaundice. If you are addicted to lying, urinating in Huang Chi, and your pulse is fine and astringent, you are not addicted to food.
The pulse at the mouth of the hand and the radius of the patient and the pulse at the neck are large and equal in fluctuation, which is a refractory disease. A woman's hands are powerless and her heart is beating, which is a sign of pregnancy. When a baby is sick, his hair will stand on end and he will die. If the ear collateral is blue and swollen, abdominal pain is the main convulsion. The stool is blue-green, with breast flap, which is caused by weak pulse, cold hands and feet and is difficult to treat. If diarrhea has a large pulse and warm hands and feet, it is easy to treat.
The climate changes all the year round, with cold and summer alternating, and its law is that yin flourishes and yang changes. Yang turns into yin when it reaches its peak. Yin governs cold and Yang governs heat.
So it will become hot when it is cold to a certain extent, and it will become cold when it is hot to a certain extent. Therefore, cold can produce heat, and heat can produce cold. This is the reason for the change of yin and yang. Therefore, if you feel cold evil in winter, you won't get sick immediately, and febrile diseases will occur in spring; Wind pathogen does not occur in spring, but diarrhea and dysentery in summer; In summer, the pathogen of summer heat does not occur, and malaria is easy to occur in autumn; If you feel damp in autumn, you will get sick and cough in winter. This is because the four seasons have different climates, and the sequence of various diseases is spring, summer, autumn and winter.
pedant
Fever, cold and heat, from the degree of skin cold and heat and the degree of eye changes, we can understand the specific position of the disease in the body through the dialectics of Yin and Yang. This paper gives a detailed description in this respect.