"Doctor Detective" said: "Being late is right, even blind." "Medical Records" said: "I just didn't have time to count it. Therefore, the nature of the late pulse is only a matter of frequency and should not contain other properties. This is the "boundary" of late pulse. If this boundary is clear, it is easy to clarify the concept of pulse condition changing with frequency, such as number, time delay and so on. Late pulse is also a pulse with independent quality and programmatic significance. It is very important to distinguish its concept and definition.
Through the explanation of late pulse in ancient books on pulse science, we can see that "three to one breath" in Pulse Classic is the most standard. This is based on the saying in Neijing: "When a person breathes his pulse once, he breathes again, and pulsates five times when he is at rest. The boudoir breathed more, and his life was flat. When a person breathes a pulse, he breathes a pulse and moves, saying that he is short of breath. " ("Su Wenping's Meteorology") "One call for peace ... one call for Jing Yue, the second call for essence from heaven, the third call for death from heaven, and the fourth call for death from heaven. This is also a loss of pulse." The average person's breathing pulse in the world is between four and five, one breath and two is a very slow pulse, and there are very few pulses less than 40 times per minute (the slow pulse mentioned in the classics is actually impossible), while breathing three to five is about 50 times per minute, which is reasonable. Pulse Sutra is generally used in pulse books of past dynasties. Such as prescription, movable type book, Cui Shi pulse method, guide to diagnosis, doctor's summary, notes on difficult menstruation, surgical essentials, pulse leakage method, Danxi hand mirror, Yijing primary school, introduction to medicine, pulse mystery due to deficiency and endangered pulse. Four Diagnoses, Understanding of Medical Mind, Jin Jian of Medical Sect, Annotation and Enlightenment of Pulse Method, Pulse Accuracy, Medical Tribute, Continuous Flame of Medical Lamp, Shen's Life-respecting Book, Zhao Shu's Pulse Differentiation, Theory of Pulse Method Unity, Three Fingers Zen,
It is very important to set the standard of slow pulse as a norm, which should be fully affirmed and not hesitated. However, the clinical objective situation is complicated. The delay pulse is a slow pulse, so it can't be fixed below three. Therefore, it is necessary to "extend" on the basis of "three three" in understanding and even in practice, and this "extension" can only extend in a slower direction. Of course, it goes without saying. We can think that putting forward and echoing the statement of "one breath for three times" has the nature of imaginary number, and it has extended significance in itself, which can be obtained from inheriting the statements in Neijing, Difficult Classic and other books and the facts of clinical practice. Of course, some books on pulse science clearly state this situation, which is no different from the theory that a patient has three or three diseases. On the contrary, their views are consistent and should be understood with reference to each other. For example, the saying about "delay" is: "delay pulse belongs to yin, reaching three times in one breath, driving slowly later, not as slow as four times, two losses and one decline, the disease is incurable, two qi are exhausted, and the pulse is lifeless." (Li Yanwen's "Four Points") "In the evening, the doctor breathes and sucks the patient's pulse for three to three days. Two to one is too late. If two phones are bad, it will be too late. " ("Pulse Language") "Less than four." ("Jing Yue Quan Shu") "Four to the following are all late pulses." ("Siming Heart Method") "If you are late, you will take three breaths ... If you take two breaths, your vitality will be defeated. If you take a breath, your vitality will be defeated and the disease will not be cured; Two breaths, one arrival, it's really wonderful. Although the pulse has gone, the flame is burning after the light is lit. " ("The medical lamp continues to burn") "Five draws, four delays, three delays and two defeats." (Zhao Shu's "Distinguishing Pulse") "If you are late, you will be less than four." ("Three Views on Diagnosing Cases") "Late is the yin pulse, and the number is the yin and yang to treat the body. Counting six to three, the interest rate is very high. The meridians are only two to one. " ("Pulse") "One breath comes to two or three to one breath and one to one." ("Medicine is Easy") "One breath and one pulse is no later than four days." ("Syndrome Differentiation of Pulse Diagnosis 22") "The pulse condition is extremely late, only two or three times between two breaths." ("The Old Book of Pulse")
According to the above statement, it can be considered that the slow pulse is a pulse with less than four, which can be defined as three to one breath in principle, or at least three depending on the degree, but the nature is the same. Except for the slow number of late pulses, the ancients sometimes explained it three times at a time, which should be said to be of little significance. For example, the Pulse Sutra also says that the late pulse is "coming very late and going very late". This sentence has also been quoted by some pulse theories of later generations, such as Fang, The Book of the Living, A Guide to Diagnosis, Notes on Difficult Classics, Mistakes in Pulse Tactics, Tongzong of Pulse Method, and Three Knowledge Theory. In addition, there are pulse studies like Hu Ling's and Bian Hui's, and medical records must be read. Being late or extremely slow or being late is the same meaning. Cui Zixu's "pulse tactics" should also be considered to be in line with the Pulse Classic. Because the slow pulse is slower than the normal pulse, adding "coming late and leaving late" to the slow pulse is at most a general explanation of "three times in one breath" and has no other meaning.
In addition, some pulse books have made some inappropriate or even wrong explanations for pulse delay. For example, under the sentence "Breathe three times and come very late" in the Pulse Sutra, there is a small line that says: "It is not enough to lift one day, try to lift it as steadily as possible, press it steadily one day and lift it as little as possible." This equates the late pulse with the fast pulse, which is of course wrong. Also quoted the text, which is influential. Other books also unreasonably quote the late pulse. For example, Pulse Tactics says, "Those who punch hard will be rewarded." Finger, palm and pulse "and" guide to diagnosis "say:" Press very slowly and forcefully. "Danxi Hand Mirror" said: "The orchid is firmly connected, and it is not enough to lift it, but it is enough to press it." "Timing Baoyuan" said: "The late pulse belongs to yin and dirty. Hold half a finger and press it again, and you will see. This is a wrong formulation, confusing slow pulse with heaviness and imprisonment. Another example is Chen Shiduo's "Pulse Interpretation", which says: "If you are late, you will be sleepy, and if you are late, you will not enter. Isn't it too late to walk a hundred miles? It is because it has no strength and no desire to sleep, so it can't, so it can't go in. Cheng Guanquan's Medical Description says that the pulse condition is "stagnant". These are all suspected of mixed pulse. As for the secret of Taisu pulse, it is certainly wrong to say "it should be gentle" and to say "the pulse is small and weak" in Tongya. " Medical Primary School said: "There are three extensions. "He means that the late pulse comes slowly, only three to one breath, but the slow pulse is the name of another pulse. As a word to describe late pulse here, it is easy to cause misunderstanding and confusion. This is not just a question of "using words to damage meaning" in seven-character poems.
According to historical documents, analysis and textual research, combined with clinical practice and experiments, the traditional pulse delay index is formulated as follows:
1, and the delayed pulse is a single factor pulse with independent significance.
2. Delay pulse-delay pulse constitutes a series of pulse conditions, which have various changes at different frequencies.
3, the pulse is only a few words, less than four in one breath, typical three to three, which can be extended to three to one breath or less.
4. The late pulse contains no other properties except frequency variation.
5. Late pulse is one of the programming pulses. It has the nature of program pulse and can form concurrent pulse with related pulse conditions.