GB/T 40665.4-2021Operation specifications for four diagnostic methods in traditional Chinese medicine—Part 4: Pulse palpation (English PDF)
中医四诊操作规范 第4部分:切诊
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Issued by
SAMR; SAC
Level / Type
National · Recommended
Issue date
November 26, 2021
Implementation date
November 26, 2021
Scope
GB/T 40665.4-2021 is the English-translated version of 中医四诊操作规范 第4部分:切诊.
GB/T 40665.4-2021 is Part 4 of the Chinese national code of practice for the four diagnostic methods of traditional Chinese medicine, and it covers pulse palpation.
It defines the terms used, such as the cunkou wrist pulse, the three pulse positions cun, guan and chi, pulse diagnosis and palpation diagnosis, and it sets out the basic requirements, the content and the method of pulse examination and of palpation of other parts of the body.
Normative annexes list the precautions for the operation and what the doctor should tell the patient. The other three parts of GB/T 40665 deal with inspection, listening and smelling, and inquiry.
It is intended for teaching, clinical work, research, medical administration, publishing and academic exchange in Chinese medicine. It was issued on 26 November 2021 and has applied since 26 November 2021.
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Document preview — GB/T 40665.4-2021
National Standard of the People's Republic of China
- ICS
- 11.020
- Classification
- C 04
Issued by: State Administration for Market Regulation; Standardization Administration of the PRC
Contents
- Foreword
- Introduction
- 1 Scope
- 2 Normative references
- 3 Terms and definitions
- 4 Pulse Examination
- 4.1 Basic requirements
- 4.2 Pulse diagnosis content
- 4.3 Pulse diagnosis method
- 4.4 Pulse diagnosis
- 5 Press
- 5.1 Basic requirements
- 5.2 According to the content of the consultation
- 5.3 Diagnosis method
- Appendix A (Normative) Precautions for Diagnosis and Operation
- Appendix B (Normative) The doctor reminds the patient
Foreword
This document is in accordance with GB/T 1.1-2020 "Guidelines for Standardization Part 1: Structure and Drafting Rules of Standardization Documents". To be drafted.
This document is part 4 of GB/T 40665 "Code of Practice for the Fourth Diagnosis of Traditional Chinese Medicine". GB/T 40665 has released the following parts.
---Part 1: Inspection;
---Part 2: smell and diagnosis;
---Part 3: Inquiry;
---Part 4: Diagnosis.
Introduction
The methods of Chinese medicine diagnosis and detection of diseases include four types. inspection, smell, inquiry, and excision (collectively referred to as the "four diagnosis"), which are the long-term medical practice of doctors in the past dynasties.
It is gradually formed and developed on the basis of, and has been continuously supplemented and improved with the progress of the times. "Four diagnosis" in the clinical information of Chinese medicine Collection plays an important role, so the standardization and standardization of its operating procedures and methods is to promote the construction, academic development and Basic work to improve the level of clinical diagnosis and treatment of Chinese medicine.
GB/T 40665 "Code of Practice for the Four Diagnoses of Traditional Chinese Medicine" is to guide teaching, clinical, scientific research, medical administration, publishing and academic exchanges at home and abroad The basic and universal standards for the "four diagnostics" operation in China. The "four diagnosis" examines and collects the patient's condition data from different angles.
With its unique method and basis, the four cannot replace each other. Therefore, GB/T 40665 "Code of Practice for the Fourth Diagnosis of Traditional Chinese Medicine" is planned to be composed of four departments. Sub-composition.
---Part 1: Inspection. The purpose is to guide the operation of the inspection.
---Part 2: smell and diagnose. The purpose is to guide the operation of smell and diagnosis.
---Part 3: Asking a doctor. The purpose is to guide the operation of the consultation.
---Part 4: Diagnosis. The purpose is to guide the operation of the excision.
Diagnosis is one of the "four diagnoses" of traditional Chinese medicine, including pulse diagnosis and follow-up diagnosis. It is gradually formed on the basis of the long-term medical practice of doctors in the past dynasties.
And developed, and are constantly being supplemented and improved with the progress of the times. Diagnosis is a method of TCM diagnosis and detection of diseases.
The collection of information plays an important role. Its connotation is rich and requires more patience and meticulous observation.
Practicing keeps pace with the times and is constantly enriched. There is a certain difference from traditional methods. Pulse diagnosis has the characteristics of Chinese medicine and is the essence of Chinese medicine diagnosis. therefore, The standardization and standardization of diagnosis operation procedures and methods is the need to better pass on the diagnosis and examination skills of Chinese medicine, and it is to promote the department of Chinese medicine.
The basic work of construction, academic development and improvement of the level of clinical diagnosis and treatment of traditional Chinese medicine is the needs of teaching, medical treatment, scientific research, management and foreign exchanges.
The formulation of this document is based on reference to the latest understanding of contemporary Chinese medicine incisional diagnosis.
The method is summarized, and it is hoped that with the development of the times and the progress of science and technology, combined with the latest and mature research results, it will be continuously revised and supplemented And refinement.
In clinical practice, it is difficult to completely separate the operations of the "four diagnostics". The "four diagnostics" are often combined to collect the patient's condition information in order to distinguish the disease.
Provide reliable evidence for the diagnosis and treatment of the syndrome.
1 Scope
This document stipulates the terms and definitions, basic requirements, contents and methods of diagnosis in the "four diagnosis" of traditional Chinese medicine.
This document is suitable for teaching, clinical, scientific research, medical administration, publishing and academic exchanges at home and abroad in the field of Chinese medicine.
2 Normative references
There are no normative references in this document.
3 Terms and definitions
The following terms and definitions apply to this document.
3.1 Pulse palpation
The doctor touches, touches, presses, and taps the patient's pulse and specific or related parts of the body with his fingers or palms, and touches the patient's pulse through the touch of the hand.
Response status to understand the condition of the disease and the way to diagnose the disease.
3.2 Cunkou wrist pulse
Behind the transverse stripes of the wrists, the inner side of the radial styloid, and the obvious place where the radial artery pulsates, it is the place for pulse diagnosis.
Note: Including Cun, Guan and Chi.
3.3 Cun, guan and chi
In the Cunkou pulse diagnosis method, there are three pulse locations. the inner side of the radial styloid process is Guan, the front (wrist end) is Cun, and the rear (elbow) is the ulnar.
Note: The three pulses are called Cunmai, Guanmai and Chimai.
3.4 Methods of pulse diagnosis
The doctor uses his fingers to cut and press the pulse of certain parts of the patient's body, and observe the image of the pulse to understand the health of the body. A diagnosis method for distinguishing disease symptoms.
3.5 Pulse diagnosis
The process by which the doctor uses his fingers to probe the pulse.
3.6 Palpation diagnosis
The doctor touches, presses or taps certain parts of the patient with his hands to understand the local characteristics of cold and heat, moisturizing, softness, lumps, pain or swelling And other abnormal changes, a diagnosis method to distinguish disease symptoms.
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This preview omits tables, figures, formulas and parts of the technical clauses. The complete document — 15 pages — is available in the English PDF.
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Related Standards
GB/T 40665.3-2021 — Operation specifications for four diagnostic methods in traditional Chinese medicine—Part 3: Inquiry
GB/T 40665.2-2021 — Operation specifications for four diagnostic methods in traditional Chinese medicine—Part 2: Listening and smelling
GB/T 40665.1-2021 — Operation specifications for four diagnostic methods in traditional Chinese medicine—Part 1: Inspection
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