How to judge the health of the body by breathing?

[This article is: Dr. Peng lectures on the "Yellow Emperor's Inner Classics" series - the essence of the three hundred.] (More exciting content is constantly being updated...) ）】

"Good doctors look at the color and follow the pulse, and don't yin and yang first." Examine the turbidity, and know the part, see the wheezing, listen to the sound, and know the suffering, look at the rules, and know the master of the disease, according to the size, look at the floating and slippery, and know the disease. There is no fault in the treatment, and there is no loss in the diagnosis. ——" The Yellow Emperor's Inner Classic: The Great Theory of Yin and Yang Should Be Like"

(Continued) We look back, it is called "seeing wheezing, listening to the sound, and knowing what is suffering", what does it mean to breathe? Literally, breathing is the sound of panting, breath is the sound of breathing, and judging the patient's condition by observing his breathing.

The Su Qing Wu Zhu • Volume II notes that "breathing is coarse, heat is more than enough, wheezing is urgent, cold is insufficient, those with high breaths, more than heart and lungs, those with weak breaths, and insufficient liver and kidneys." "It is to judge whether this person is a yang or a yin." If the sound of panting is very thick, and the exhaled breath is still very hot, this is a heat proof, called More than enough. If the breathing is very urgent, the breath is still cold, this cool is not necessarily to use the thermometer to measure the temperature of the breath, but the patient will describe to you, the breathing feeling is all cold air, some patients say "No, Dr. Peng, the exhaled breath is all hot." "This is the subjective judgment of the patient, the subjective judgment of the air that may be exhaled and inhaled, or the temperature."

For example, our room temperature is often twenty-seven or eight degrees, inhalation may be twenty-seven or eight degrees, exhalation may be more than thirty degrees, or even forty degrees, similar to body temperature, but the feeling of self is not the same. Some people like to drink cold water, and some people like to drink hot water. The water is still the same water, or H₂O, but liking the cold and liking the heat are not the same.

We watched the patient gasping for breath, and he would describe himself as saying "my breathing is particularly hot". If you really use a thermometer to measure, maybe the breath he exhales is also more than thirty degrees, and the person who says that he exhales cold breath is also more than thirty degrees, and there is no difference in objective physical indicators, but there is a difference in the subjective feelings of patients. Therefore, here I hope that everyone must pay attention to the subjective feelings of patients, Chinese medicine is very important, in order to judge whether it is yang fever or cold. If the breath is particularly thick and the exhaled breath is still particularly hot, this is the yang evidence. If the exhalation is cold, and the breathing is particularly short, this is the cold evidence. (Today's headline @ Dr. Peng Xin, Chinese medicine) "Those who have high breaths, there is more than enough heart and lungs", that is, opening the mouth and raising the shoulders, breathing is particularly high, this kind of person is called heart and lung more than enough, that is, there is fire in the heart and lungs, there is heat. "Suck the weak, the liver and kidneys are insufficient", if you can't inhale in it, the breath is still particularly short, just like I said in the previous lectures, some people breathe very short, especially some elderly people, the inhalation can not inhale dantian, at most suck to the heart socket there can not sink, this is a manifestation of the kidney does not absorb the qi, that is, the liver and kidney can not absorb the qi. Isn't this person weak? Weak qi will get sick. So there are a lot of asthma like this, and you can't inhale. This is all the subjective feeling of the patient.

We look further back, the suqin collection of notes • volume II notes that "the "Golden Outline" says: those who shake their shoulders, those who are firm in their hearts, those who breathe in the chest, those who breathe, cough, those who open their mouths, those who are short-breathing, those who have diarrhea and spit. It is also known that the inhalation and the micronutrial, its disease in the middle of the focus is also real, the present is healed, the void is not cured, in the upper focus, its suction is urgent, and the lower focus is sucked far. This is difficult to treat. The breath is shaken, and the vibrating person is not cured. This is the content of the "Outline of the Golden Plateau" quoted in the "Notes on the Collection of Su Questions", and the "Outline of the Golden Plateau" is the second part of the "Treatise on Typhoid Fever and Miscellaneous Diseases" written by Zhang Zhongjing, which I talked about earlier, and some of the treatment methods of miscellaneous diseases.

"Those who shake their shoulders, their hearts are firm, their breaths are in their chests, and those who breathe up are coughing and opening their mouths." What does that mean? That is, when many people breathe, the shoulders are shaken, a shake shoulder to breathe once, and "heart firm", that is, a little heartache, a little chest tightness and shortness of breath, can not exhale, blocked, this is called heart hard. "Breath in the chest, the upper breath, cough", if it is breathing in the chest of this breath to go up, can not sink, this kind of person is the lung of the propaganda and suppression function is not good, began to cough. "Breathing open mouth, shortness of breath, pulmonary impotence spit". Some people are pulmonary impotence, that is, opening their mouths and shoulders, opening their mouths to breathe, and their breaths are very short, which is the situation described by some diseases. He also said, "If you suck in and count, your disease is in the middle of the scorch, and the present is cured." "It is that some people inhale particularly quickly, especially a lot, this disease is in the middle focus, the middle focus is the spleen and stomach, which refers to the digestive system, there is empirical evidence." What to do at this time? Then the next one is healed. It is to use the next method directly, only to use the gas bearing class, such as using citrus fruit or rhubarb, or adding glauber's salt to go directly down, the stool is good.

If it is false, it is not easy to cure. "In the upper focus, its suction is short, and in the lower focus it is sucked far. This is difficult to treat. "That is to say, these two conditions, shortness of breath or far-reaching in focus and focus, are not easy to treat." The breath is shaken, and the vibrator is not cured", that is, when breathing, the whole body is shaking, and it is vibrating, and this situation is difficult to treat. This description is somewhat similar to the current cor pulmonale, asthma and so on. Asthma in ancient times was a problem, and now we have some Western medicines to alleviate it, and the bronchi is immediately relaxed after spraying, and the breathing is not so suffocating. But in ancient times there was no such spray, what to do? Then you have to use Traditional Chinese medicine to cure it. Some doctors may not have many treatment methods, and indeed many people did not have the rule of law at that time, so There is a saying in Chinese medicine called "internal asthma, external diseases are not treated", these two diseases are extremely difficult to treat.

Wheezing, originally a sound, why use the word sight? Called visual wheezing, can you see the sound? The Commentary on the Sutra sutra, Volume 1, replies, saying, "It is a breath and a sound, so why should we speak and see?" If you cover your breathing, you will move, and if you breathe more, you will breathe less, and if you are heavy, you will lift your nose and raise your shoulders, so you will not only listen to the sound of his breathing, but also look at the shape of his breathing, and cover the way to smell it. This shows that some people breathe with their mouths open and their shoulders raised.

In general, it may be just a sound, but some people, open their mouths and raise their shoulders, and when they are heavy, they still stare at their eyes, which is called staring and lifting their noses, and the wings of their noses are also floating together, and their shoulders are lifted upwards. You may not have seen respiratory patients, we have previously transferred to respiratory departments, especially the old slow branch, chronic bronchitis, and some patients with concomitant asthma, their breathing is very difficult. These patients are "mole ~ click ~ " all day long, and then breathe "mole, mole", the sound of breathing comes out, and at night can not lie flat, a flat lie on the seizure, can only lean on the bed to sleep. Some of these patients may understand, have not seen this type of patient, really can not understand. Therefore, through this manifestation of the patient, it is seen, not simply heard, so it is called visual wheezing. It shows that the clinical observation of wheezing in this situation is not only to listen to the sound, but also to see the medical symptoms to judge. (To be continued)

This article is: Dr. Peng lectures on the "Yellow Emperor's Inner Classics" series - the essence of the three hundred. (More exciting content is constantly being updated...) ）

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