中医竟能“望”出你是否有“有趣的灵魂”?
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公开课模版测试文章(编辑别推)

张久亮

中日友好医院中西医结合心脏内科主任医师

中医里的“望闻问切”具体指什么?
一、望诊。首先是望“神”,是得神、失神还是假神。中医对神的认识有两方面,广义的神指的是人类生命活动的体现,狭义的神指的是灵魂意识。得神是指人的神志正常、言语清晰、精神状态好;失神则是人的思维不敏捷或精神萎靡不振;假神主要指的是人在病危阶段时的回光返照。其次就是望五脏之窍,看眼、耳、鼻、舌等。
二、闻诊。包括用耳朵听和用鼻子闻。听病人喘息的声音,闻患者排泄物的气味(目前很少采用)。

中医竟能“望”出你是否有“有趣的灵魂”?

三、问诊。遵循的是四诊八纲原则,也就是我们通常说的阴阳、表里、寒热、虚实。目前采用的内容就是《景岳全书》中记载的“十问歌”,一问寒热二问汗,三问头身四问背等。通俗地讲,就是要把患者的冷热、饮食、用药情况等问清楚。

中医竟能“望”出你是否有“有趣的灵魂”?

四、切诊。主要是触摸患者的胸部和腹部。另外,脉诊是中医里最常用的切诊方法。
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