| 英文摘要 |
Chapter XI of the “Synopsis of Golden Chamber, On Pulse, Symptom Complex and Treatment Of Accumulation of Pathologenic Wind and Cold in the Five Viscera” hereinafter referred to as “Wind and Cold in the Five Viscera” states “Pulse of Dead Lung is deficient when pressed lightly and as weak and rootless as the leaves of a Chinese onion when pressed deeply. This indicates a fatal case.”, “Pulse of the Dead Liver is weak when pressed lightly. When pressed deeply, pulse is as stale as a rope or moves like a snake. Such pulsation is an indication of a fatal case.”, “Pulse of a Dead Heart is excessive when pressed lightly, resembling the feeling of beans. When pressed deeply, the pulse becomes restless and swift. Such pulse suggests a fatal case.”, “Pulse of a Dead Spleen is huge and strong when pressed lightly. When pressed deeply, it feels like an inverted empty cup, with swirling and restless pulsation. This indicates a fatal case.”, “Pulse of a Dead Kidney is mighty and hard when pressed lightly. When pressed deeply, it feels like a swirling ball with an irregular movement. If this pulsation is more apparent in the Cubit, the case will be fatal.”. This section we will abbreviate as the death pulses of the five viscera. Written by Zhang Zhong-Ji during the Eastern Han dynasty(25-220 A.D.), records and summarizes his method of the dying viscus pulse pattern from his clinical treatment and experience. Although, the text describes the structure and manner of speaking in great detailed, there are many sections that are questionable with gaps and omission.
Therefore, the most important step is to re-determine the original content of the death pulses of the five viscera so that can reflect the clinical observation by Zhang Zhong-Ji. Finally, combine the integration perspective of modern medicine, giving them a correct pathological diagnosis and clinical significance. |
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