Uma kukhulunywa ngokushaya kancane Ngemithi Yendabuko YamaShayina (TCM), sibhekisela kukho kokubili ukushaywa kwezindawo ezithile zomzimba kanye nokushaya kwenhliziyo kwamaShayina. Uma kubonakala kusobala ukuthi i-palpation ingaba usizo ekuxilongweni kwezifo ze-musculoskeletal, isibonelo, kunzima ukucabanga ukuthi ukuthathwa kwe-pulse noma ukuthi ukuhlolwa okuqondile kwamaphuzu athile esiswini noma ngemuva kungase kube inkomba yangaphakathi. izinkinga eziphilayo. Kodwa-ke, ukuthatha i-pulse sekuyisikhathi eside, kanye nokuhlolwa kolimi, ithuluzi elinelungelo lamakhosi amakhulu we-TCM ukwenza ukuxilongwa kwabo - isigaba sokuphenya singancishiswa sibe yimibuzo embalwa nje.

Ukuthuthukiswa kokuxilonga amandla okushaya kwenhliziyo kwakhuthazwa ngaphansi kobukhosi bukaConfucianist Han (206 BC - 23 AD), ngesikhathi lapho isizotha sasidinga ukuthintana ngokomzimba okuncane phakathi kukadokotela nesiguli. Ukuthatha ama-pulses kwabe kuwukuphela kwendlela eyamukelwayo yokuphefumula, futhi ngaleyo ndlela iye yacwengwa kakhulu futhi yanemba.

Ama-radial pulses

Ama-radial pulses ayisithupha athathwa ezindaweni ezintathu abekwe emithanjeni emise okwesihlakala ngasinye kwezihlakala ezimbili. Ngayinye ibonisa isimo somfutho Sesitho. Udokotela ubeka iminwe emithathu esihlakaleni bese eshaya kancane indawo ngayinye ngengcindezi eguquguqukayo:

• Umunwe wokukhomba ubekwe endaweni “yesithupha”, okubizwa kanjalo ngoba useduze nesithupha. Sizwa i-Qi yaseZulwini, okusho ukuthi yezitho ze-Upper Hearth (bheka i-Triple Heater): esandleni sokudla, i-Qi yamaphaphu, futhi kwesokunxele, eyenhliziyo.
• Umunwe wendandatho ubekwe "kubhithi" (amasentimitha ambalwa ukuqhubekela phambili) futhi ulandisa ukugxila okuphansi lapho i-Qi Yomhlaba iqala khona. Ihlinzeka ngolwazi ngesimo se-Kidney Yin kwesokunxele, kanye ne-Kidney Yang kwesokudla.
• Phakathi kwale minwe emibili, umunwe ophakathi nendawo usendaweni “yesithiyo,” ihinge phakathi kweZulu nomhlaba, lapho uMuntu echuma khona. Ihlola isimo sezitho zokugaya, ezibekwe eziko eliphakathi, i-Spleen / Pancreas ngakwesokudla kanye nesibindi kwesokunxele.

Le ndlela yokuthatha ukushaya kwenhliziyo akuyona yodwa, kodwa isetshenziswa kakhulu namuhla.

Ukushaya kwenhliziyo ngakunye kuhlolwa ngezindlela ezintathu ezihlukene - kuye ngomfutho owenziwe - odinga ikhono elikhulu ngasohlangothini lukadokotela. I-Palpation yezinga elingaphezulu kudinga ukucindezela okulula ngeminwe. Iveza izifo ze-Surface kanye nesimo se-Qi ne-Lung. Isibonelo, yilokhu kushaya kwenhliziyo okuzoveza ukuthi umuntu usesigabeni sokuqala somkhuhlane nokuthi i-Qi ye-Lung yakhe kufanele ilwe nomoya ongaphandle. Izinga elijule kakhulu lishaywa umoya ngokucindezela ngamandla umthambo wegazi, okulandelwa ukuphumula kancane. Inikeza ulwazi ngesimo se-Yin futhi ikakhulukazi ngezinso. Phakathi kwalokhu okubili kukhona ukushaya kwenhliziyo okuphakathi, okuhambisana ne-Qi ye-Spleen / Pancreas kanye nesisu kanye nesimo sesithelo sokukhiqiza kwabo, iGazi.

Kulezi zici kwenezelwa izici ezifana nesigqi, amandla nokuthungwa, okuzohlukanisa ukushaya kwenhliziyo phakathi kwama-28 (noma 36, ​​kuye ngombhali) izigaba ezibanzi zezimfanelo. Izinhlobo ze-pulse ezibalwe kanjalo zivame ukuhlukaniswa ngokuqhathanisa ukusuka kukhwalithi eyodwa kuya kwenye, kodwa futhi zingaveza ikhwalithi ethile. Kulezi zimfanelo kuzothathwa izici ezihlukahlukene, ezinjengokushisa, Ukweqisa, Ukuma, njll. ezizongena ngaphakathi kwamagridi okuhlaziya ukuxilonga. Nazi izibonelo:

• Ukushaya kwenhliziyo okusheshayo (amabhithi angaphezu kwamahlanu ngomjikelezo wokuphefumula ngamunye) kuveza ubukhona Bokushisa. Ngokuphambene nalokho, ukushaya kwenhliziyo kancane kuhlotshaniswa ne-Cold.
• I- string pulse iyi- pulse eqinile, emincane ezwakala njengentambo yesiginci enwetshwe ngaphansi kweminwe. Ikhombisa ukungalingani kwesibindi. Lona ukushaya kwenhliziyo esikuthola kuMnu. Borduas ohlushwa yikhanda ngenxa yokuma kwe-Qi yesibindi.
• Ukushaya kwenhliziyo okuncane, njengoba sithola ezimweni eziningi (bona Ukucindezeleka, Ukugaya Kancane, noma I-Tendonitis), kuhlotshaniswa nokungabi nalutho Kwegazi. Ngokungangabazeki ububanzi bocingo, iyabonakala, kodwa inamandla amancane kakhulu.
• Ukushaya kwenhliziyo okushelelayo kunikeza umuzwa wamaparele agingqika ngaphansi kweminwe, anokhilimu futhi abushelelezi, wonke ayindilinga. Kuwuphawu Lokuswakama noma Ukuma kokudla. Kuphinde kube wukushaya kwenhliziyo kowesifazane okhulelwe.
• Ngokuphambene, ukushaya kwenhliziyo okunamandla kunikeza ukuzwa kokuthile okunwaya iminwe, futhi kuwuphawu Lokungabi Nalutho Kwegazi.

I-Peripheral pulses

Ukusetshenziswa kwama-peripheral pulses, ayisishiyagalolunye ngenani, kwandulela lokho kwama-radial pulses emithini yamaShayina. Ngokucofa imithambo ye-carotid artery, i-femoral artery noma i-foot artery, odokotela baseShayina bangabheka isimo se-Qi ku-meridian ethile, ngokuvamile endaweni ethile yokutshopa. Ukulinganisa kwe-radial pulse okulula kakhulu, nokho, kuthathe indawo yokusetshenziswa kwama-peripheral pulses futhi ambalwa ama-acupuncturist awasebenzisa ngokuhlelekile.

Ukuqonda okufanele

I-pulse iyisici sokuxilonga, ukuzithoba okufanele kunganakwa. Lokhu kuzithoba kungavela kakhulu kulokho okuhlangenwe nakho kodokotela njengokuzicabangela kwakhe siqu noma ngisho nasemininingwaneni elula efana nezinga lokushisa leminwe ... Kufanele futhi sazi ukuthi ukushaya kwenhliziyo kubonisa isimo esiseduze sesiguli, esingathinteka. ngemizwelo engavamile, ijubane lokuphila elimatasa kunokujwayelekile, imisebenzi yomzimba ngaphambi kokuvakasha kwakhe, lokho asanda kukudla noma i-white coat syndrome ...

Izici ze-Pulse zingahluka ngokushesha kakhulu kuye ngamaphoyinti angaphandle. Banikeza ulwazi olubaluleke kakhulu, kodwa lokhu kufanele kuqinisekiswe ezinye izici zokubuyekeza. Ngakolunye uhlangothi, banenzuzo yokuvumela odokotela ukuthi baqinisekise ngokushesha ukusebenza kokwelashwa. Njengoba uDkt Yves Réquéna ekubeka kahle: “Yini ubukhulu bobuciko bezokwelapha ngesikhathi esifanayo ubuthakathaka babo. “1

Ukushaya kwenhliziyo kwezindawo zomzimba (ikakhulukazi isisu nomhlane), njengokuthatha ishayela, kunikeza ulwazi mayelana nesimo sokungalingani Kwesitho noma i-Meridian. Izinga lokumelana okunikezwayo noma ubuhlungu obubangelwa ukumpampatha ezindaweni ezihlukahlukene zomzimba kungase kubonise Ukweqile noma Ukungabi Nalutho. Amaphuzu okuthi, uma ezwa, abangele ubuhlungu abizwa ngokuthi i-Ashi. Izimpawu zobuhlungu obuthuntu Ubuze kuyilapho ubuhlungu obubukhali buhlotshaniswa Nokweqisa. Izinga lokushisa lesikhumba kanye nomswakama waso nakho kungadalula.

Ngaphezu kwalokho, i-palpation ethile yama-Meridians athile yenza kube nokwenzeka, phakathi kwezinye izinto, ukunquma ukuthi yimaphi amaphuzu okutshopa angase abe usizo ekwelapheni, ikakhulukazi ezimeni zobuhlungu be-musculoskeletal. Ithiyori yesimanje ye-trigger point - evame ukutholakala endaweni yezindawo zokutshopa - isivumela ukuthi sisole ukuthi umuthi wamaShayina wawungazi ngokuphelele indlela yamaketanga emisipha (bona i-Tendinitis).

I-Palpation yesisu

Isisu sihlolwa ngezigaba ezimbili. Okokuqala, sithinta amaphuzu e-Mu (bona isithombe) esinikeza ngokuqondile amandla e-Yin e-viscera ngayinye. Lawa maphuzu atholakala ohlangothini lwangaphambili lomzimba (uhlangothi lwe-Yin). Ngokuvamile, singasho ukuthi lapho i-Mu point ibuhlungu, yisakhiwo (i-Yin) ye-Organ ehambisanayo ethintekayo.

Khona-ke, i-palpation igxila ezindaweni ezinkulu, ngayinye imele i-Organ esethi ebizwa ngokuthi i-Hara (bheka isithombe). Amaphedi ayo yonke iminwe, eqoqwe ndawonye njenge-probe, ishaya izandla endaweni ngayinye, ngokufanelekile ngokucindezela okulinganayo, ukuthola ulwazi ngesitho esihambisanayo.

Le nqubo ingase ihlanganiswe naleyo yokuphefumula kwamaquadrants amane, indlela lapho isisu sihlukaniswa khona izingxenye ezine ze-anatomical, zihlukaniswe ngomugqa ovundlile kanye nomugqa oqondile odlula inkaba. I-quadrant ngayinye iyaphenywa ukuze kuhlolwe ukuthi kungenzeka yini ukuthi isitho silimale.

Palpation of the back

I-Viscera ngayinye inephuzu layo le-Shu elitholakala ochungechungeni lokuqala lwe-Meridian yeSinye elidlula ngemuva ukusuka phezulu ukuya phansi, linisela iketango le-ganglion lesistimu yozwela. Amaphuzu we-Shu angashaywa ngalinye ngalinye, noma ngokulandelana okuqhubekayo kusetshenziswa i-“pinch-roll” (bheka isithombe), enye yezindlela zokubhucunga i-Tuina. Akhiwe ebusweni obungemuva (ngakho-ke uYang) womzimba, ahlobene nokusebenza kwezitho, kunokuba nesakhiwo sawo. Isibonelo, uma izinhlungu ezibuhlungu zivela ku-palpation yephoyinti lezinso (23V Shèn Shu), elisezingeni le-lumbar vertebra yesibili, lokhu kuyinkomba ye-Kidney Yang Void. Endabeni yesifuba somoya sika-Zachary omncane, ukushaya kwenhliziyo kwephoyinti le-Shu le-Lung Meridian (13V Fei Shu) kwakubuhlungu kakhulu, okubonisa isifuba somoya esingamahlalakhona.

Amaphuzu amasha sha

Ukuvela kwemithi yamaShayina kusukela ekuqaleni kwenkathi yesimanje ilethe ingxenye yayo yamaphuzu amasha phakathi kwawo esiwatholayo phakathi kwamanye amaphuzu okuxilonga. Umzwelo obuhlungu ekuphucweni kwephuzu likaDan Nang Xue (eliseduze kwedolo), isibonelo, kuzoqinisekisa ukuvuvukala kwe-gallbladder. Ngaphezu kwalokho, ubuhlungu obubangelwa yilesi simo buzokhululeka ngokubhoboza iphuzu elifanayo.