Tui Na Diagnosis: Looking

The diagnosis of the body is an important part of the diagnosis. The main content of the diagnosis is to observe the body’s appearance, color, shape, and state in order to deduce the changes in the body.

The long-term practice of Chinese medicine proves that the exterior of the human body and the five internal organs have a close relationship, especially the relationship between the face, tongue and internal organs is even closer.

Therefore, through the observation of the exterior, we can understand the overall pathology, as stated in the “Spiritual Pivot – The Organ Chapter”: “If we look at its external response to know its internal storage, we will know the disease.”

Tui Na Diagnosis: Looking
Tui Na Diagnosis: Looking

Whole body diagnosis

Firstly, we should look at the mental color of the face, tongue coating and tongue texture, and then look at the various patterns of the whole body and local injuries.

Look at the spirit and color 

The spirit of calm and natural, moist face injury is light; spirit atrophy, emaciated face, expression pain, face color is not flashy, the injury is more serious. Five colors on the main disease of injury: white main blood loss, deficiency; cyan main blood stasis, Qi and blood flow is blocked; red main injury fever; yellow main spleen deficiency, heavy dampness, damp-heat blockage; black main kidney deficiency, or loss of warmth of the meridians.

Look at the body posture 

Spiritual pivot – cold and heat disease” cloud: “body injury blood out of more, and wind and cold, if there is a fall, limbs slack not collected, called the body lazy.” It is pointed out that limb injury and wind and cold can lead to unfavorable limb movement, which is called body laziness. Pay attention to the body posture, which can provide an important basis for diagnosis. Injury to bones and tendons, or paralysis or impotence caused by wind and cold, can lead to loss of limb movement and various protective postures. For example, in children, radial head subluxation shows forearm rotation and elbow semi-flexion; lumbar intervertebral disc herniation can cause compensatory scoliosis of the spine. Look at the body posture is an indispensable part of the diagnosis of orthopedic diseases, should be paid attention to.

Local diagnosis

Look at the skin color

Mainly depending on the color and appearance of the skin changes. New injury bleeding, the skin color is blue and purple, swelling range is more concentrated; old injury bleeding time is longer, the skin color becomes yellow, swelling range is more extensive; after the injury, the skin color blue and purple is deepening and increasing, for the phenomenon of internal bleeding more than, should pay attention to further examination or measures. Cyanosis and red should be prevented from secondary infection, the skin color lost red and white, for blood deficiency or blood circulation is blocked; injury site skin color purple black, should prevent tissue necrosis.

Look for deformity

Severe fractures, dislocations and other injuries, limbs or trunk can present various deformities. For example, square shoulder deformity in shoulder dislocation; lower limb abduction or adduction deformity in hip dislocation; posterior protrusion ankylosis deformity in rheumatoid spondylitis; scoliosis deformity in lumbar disc herniation, etc.

Looking for swelling

In the “Golden Guide to Medicine”, it is said that “the blood and qi of a person flow around endlessly, and if there is a slight congestion, it is swollen.” Swelling occurs when there is congestion of the meridians after injury. If the swelling is severe and the bruising is obvious, there may be a fracture or broken tendon; if the swelling is mild and there is slight bruising or no bruising, it is mostly a minor injury.

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