醫界“偵探”：楚醫靠脈診戳破裝病大戲

咱今兒個嘮嘮這醫界裏的奇事兒，那真是比那說相聲還精彩！您瞧啊，這中醫裏頭，脈診可是一門絕活兒，就像那武俠小說裏的獨門祕籍，厲害着呢！國醫大師李士懋就說過“脈象無假”，這話一點兒不假，它能把身體裏的真相給赤裸裸地暴露出來，古人的智慧，那真是讓人忍不住豎起大拇指，讚歎一聲“絕了”！

就說那《封神演義》裏，姜子牙扣住了妖精的脈門，嘿，那妖精就跟被施了定身法似的，跑都跑不了！這就說明啊，這脈可沒法作假，它就像一條神祕的通道，直通靈魂和本質，連那神通廣大的妖精都無從變化和逃逸，乖乖現出原形。您說神奇不神奇？

咱再把時間往前倒一倒，在扁鵲還沒成爲大名鼎鼎的神醫之前，楚國就有這麼一位厲害的御醫，上演了一場精彩的“脈診斷案”。這事兒啊，記載在《左傳》裏頭，發生在公元前551年。那時候楚國有個大臣叫申叔豫，這人爲了政治避難，想出了個裝病不上朝的主意。您想想，這大夏天的，天氣熱得跟蒸籠似的，他要裝個什麼病才能躲過上朝呢？這申叔豫也是絞盡腦汁，最後想出個自認爲絕妙的好辦法，就大着膽子跟楚君請了病假，一連多日都不去上朝。

楚君一開始還真沒往心裏去，可時間一長，心裏就犯嘀咕了：這申叔豫平時身體倍兒棒，喫嘛嘛香，怎麼突然就臥病不起了呢？而且這病還不好不壞的，一直拖着。於是，楚君就派了個醫生去申叔豫家裏瞧瞧，看看這申愛卿到底病得咋樣。這一派醫生，那可是合情合理，一方面表示對大臣的關心，另一方面也想探探虛實，看看申叔豫是不是在家避暑納涼，故意裝病呢。

這楚國的御醫到了申叔豫家裏一看，好傢伙，那場面還真像那麼回事兒。申叔豫蓋着一牀厚被，躺在牀上，身體瘦得跟竹竿似的，面容枯槁，嘴裏還不停地哼哼唧唧，一副病入膏肓的樣子。御醫走上前去，先看了看他的面容和舌苔，心裏還直犯嘀咕：這看着可真像個大病號啊。不過，咱這御醫可不是喫素的，他接着就把申叔豫的手拿過來，一摸脈，嘿，心裏就有底了。

御醫安慰了申叔豫幾句，就回去向楚君交差了。楚君一見到御醫，就迫不及待地問：“咋樣啊？申愛卿的病是不是很危險？”御醫不緊不慢地說：“申先生看上去是很消瘦，可他的血氣不亂，六脈調勻，和緩有力，按理說不應該有什麼大病啊。”

原來啊，這申叔豫爲了裝得像病人，在家裏挖了個大坑，往坑裏放滿冰塊，再捂上被子，把牀鋪鋪在上面。他躺在這牀上，自然不覺得熱，雖然蓋着厚被，還是涼氣嗖嗖的。他還不光躺牀上，還減少進食，身體很快就瘦了下來。而且，爲了裝得更逼真，他每天不梳不洗，面容自然晦暗無光。您瞧瞧，這申叔豫爲了裝病，那可是煞費苦心啊，跟那專業演員似的，就差沒拿個小金人了。

可他千算萬算，沒算到這脈診的厲害。儘管他外表裝得像模像樣，可人的氣血循行那是沒法作假的。這楚醫一句“血氣未動”的結論，就像一把鋒利的劍，一下子就戳破了他的裝病假象。這就好比那魔術師在行家面前變魔術，再怎麼花裏胡哨，也逃不過人家的火眼金睛。

從這事兒咱們就能看出來，脈診的客觀性那可是深受古人推崇的。中醫看病，摸脈這個環節那是絕對不能省略的，而且還得重視起來。就像咱說相聲，每一個包袱都得抖得恰到好處，才能逗樂觀衆。中醫摸脈，那也是得摸得準、摸得細，才能準確判斷病情。

現在啊，有些人生病了，總覺得西醫檢查一大堆，中醫摸脈沒啥用。其實啊，這是大錯特錯的。您想想，從古至今，多少厲害的中醫靠着脈診治好了疑難雜症。就像這楚醫，靠着脈診就能識破裝病的把戲，這脈診的本事可見一斑。據不完全統計，在中醫臨牀診斷中，脈診對於判斷病情的準確率那可是相當高的。所以啊，咱可不能小瞧了這脈診，它可是中醫的瑰寶之一呢！

咱得從這楚醫的故事裏吸取經驗，重視中醫的脈診。不管是醫生還是患者，都得明白這脈診的重要性。醫生得好好鑽研脈診技術，把這門絕活兒練得爐火純青；患者呢，也得相信中醫，積極配合醫生進行脈診。只有這樣，咱才能讓中醫這顆璀璨的明珠在現代社會里繼續發光發熱，爲咱老百姓的健康保駕護航！您說是不是這個理兒？

作者簡介：梁世傑 中醫高年資主治醫師，本科學歷，從事中醫臨牀工作24年，積累了較豐富的臨牀經驗。師從首都醫科大學附屬北京中醫院肝病科主任醫師、著名老中醫陳勇，侍診多載，深得器重，盡得真傳！擅用“商湯經方分類療法”、專病專方結合“焦樹德學術思想”“關幼波十綱辨證”學術思想治療疑難雜症爲特色。現任北京樹德堂中醫研究院研究員，北京中醫藥薪火傳承新3+3工程—焦樹德門人（陳勇）傳承工作站研究員，國際易聯易學與養生專委會常務理事，中國中醫藥研究促進會焦樹德學術傳承專業委員會委員，中國藥文化研究會中醫藥慢病防治分會首批癌症領域入庫專家。榮獲2020年中國中醫藥研究促進會仲景醫學分會舉辦的第八屆醫聖仲景南陽論壇“經方名醫”榮譽稱號。2023年首屆京津冀“扁鵲杯”燕趙醫學研究主題徵文優秀獎獲得者。事蹟入選《當代科學家》雜誌、《中華英才》雜誌。

Medical "detective": Chu doctors rely on acupuncture to pinpoint a drama of broken diseases

Let''s talk about the strange things in the medical field today. It''s more wonderful than talking stand-up! You see, acupuncture is a wonderful skill in Chinese medicine, as powerful as the only secret in a martial arts novel. Li Shizhao, the master of Chinese medicine, said that "pulse patterns are false," which is not false. It can reveal the truth in the body nakedly. The wisdom of the ancient people, which makes it impossible to raise a thumbs-up and admire "absolutely."

In that "The Act of God," ginger''s teeth held the demon''s pulse door. Hey, the demon seemed to have been immobilized and couldn''t run! This shows that this pulse cannot be faked, and it is like a mysterious passage that leads directly to the soul and nature, and even the magical spirit cannot change or escape, and remain true to its original form. Do you say magic isn''t magic?

Let''s turn back the clock. Before Bianu became famous as a healer, there was a powerful king doctor in Chu who performed a wonderful "pulse diagnosis." This happened in 551 B.C., as recorded in the Left Chronicles. At that time, there was a minister in the State of Chu called Shen Zunyi, who had the idea of pretending to be ill and not coming to the throne in order to take political asylum. Imagine that this summer, the weather is as hot as a steam cage. What kind of illness does he have to pretend to be ill in order to avoid going to the king? Shen Zunyi also struggled with his brain, and finally came up with a solution that he thought was a wonderful one. He took the courage to ask the Chu King for sick leave and did not go to the king for many days.

At first, the Chu Jun did not really think about it, but as time went on, he began to wonder: Shen Zunyi usually had a great body and a good diet, so why suddenly did he become ill? And the disease isn''t bad or bad, and it''s been dragging on. Then the King of Chu sent a doctor to see Shen Zunyi''s home to see how sick Shen Aiqing was. This class of doctors was reasonable. On the one hand, they expressed concern for the minister, and on the other, they wanted to find out whether Shen Zunyi was staying at home for the summer and pretending to be ill.

The king doctor of the State of Chu went to Shen Zunyi''s house and looked at it. "Good man, that scene really looks like that." Shen Zunyi lay on the bed, covered with a thick blanket. His body was as thin as a bamboo pole, his face was wizened, and his mouth continued to hum, looking terminally ill. The king''s doctor walked up to him, first looked at his face and tongue, and thought to himself, "This looks like a very sick man." However, this king doctor is not a vegetarian. He then took Shen Suyi''s hand and touched Shen''s pulse. Hey, I know exactly what I know.

The king''s doctor comforted Shen''s uncle a few words, and went back to make a return to the prince of Chu. As soon as the prince of Chu saw the king''s doctor, he could not wait to ask:“What''s going on? Is Shen Aiyi''s illness dangerous?”The king''s doctor said without a pause, "Mr. Shen looks very thin, but his blood and spirits are undisturbed, his six veins are harmonized, and he is calm and strong. According to theory, there should be no major illness."

It turns out that Shen, in order to pretend to be a patient, dug a large hole in his home, filled it with ice, covered it with a blanket, and laid the bed on top. He lay in this bed, and naturally he did not feel hot, and even though he was covered with a thick blanket, the cool air was sizzling. He wasn''t just lying in bed, he was eating less, and he quickly lost weight. Moreover, in order to be more realistic, he does not comb or wash every day, and his face is naturally dull and dull. You see, Shen Suyi took great pains to pretend he was ill. Like a professional actor, he couldn''t get a little gold man.

But he didn''t count the importance of the consultation. Although he appeared to be a good looking man, the manner of human beings could not be faked. This conclusion by Chu''s doctor that his blood was still alive was like a sharp sword that punctured his false appearance of illness at once. It is like a magician who performs magic in front of a wizard, and no matter how fancy he does it, he cannot escape the attention of the people.

From this, we can see that the objectivity of acupuncture was highly admired by ancient people. In traditional Chinese medicine, the touching of the pulse should never be omitted, and it must be taken seriously. Like when we talk stand-up, every baggage has to be shaken just right in order to amuse the audience. In traditional Chinese medicine, when touching the vein, it is also necessary to feel accurately and carefully in order to accurately judge the condition.

Nowadays, some people are sick and always think that Western medicine does a lot of checking and that there is no use in touching the pulse. Actually, that''s a huge mistake. Think about how many powerful traditional Chinese medicine practitioners have been able to cure a variety of ailments through pulse therapy since ancient times. Like this Chu doctor, he can recognize the tricks of pretending to be ill by using a pulse diagnosis, and this pulse diagnoses can be seen as a demonstration of his ability. According to incomplete statistics, in the clinical diagnosis of traditional Chinese medicine, the accuracy of pulse diagnosis is quite high for determining the condition. So, we must not underestimate this acupuncture, which is one of the treasures of Chinese medicine.

We must draw lessons from the story of the Chu doctor and value the acupuncture of traditional Chinese medicine. Both doctors and patients need to understand the importance of this consultation. Doctors must study ambulatory techniques and practice this skill perfectly. Patients also need to believe in traditional Chinese medicine and actively cooperate with doctors in their consultation. Only in this way can we allow the brilliant pearl of traditional Chinese medicine to continue to shine and heat in modern society and safeguard the health of our people! Are you saying that''s the point?

Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo''s ten-level diagnosis.He is currently a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation of Jiao Shude''s protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023. His work was featured in the journal Current Scientist and the journal Chinese Talent.