First, point out the feeling.

1. Basic feeling

A flood, literally, is as big as a flood. "Maxim is under the finger", understand the meaning of "big" and compare it with "small". The size of this pulse refers to the size of the pulse shape, and the biggest thing is that the pulse shape is particularly large.

In addition to the large pulse shape, flood pulse also has the characteristics of buoyancy, which is large. Floating veins are more than enough, but not enough. What about the flood pulse? In large cases, it is floating. If it's not so big, it's up and down, so it may belong to the true pulse. Therefore, the flood fluctuates greatly.

2. Pulse potential

The feeling of flood pulsation under the fingers is not only floating but also big, mainly because there is a feeling of flood raging, and the hot air inside is coming out.

Second, the main pathogenesis

1. The heat in the room is unbearable.

1)26 Take Guizhi decoction. People who feel thirsty and have a heavy pulse after sweating are puzzled. White tiger plus ginseng soup.

The principle of Guizhi decoction sweating is "sweating all over." "Don't sweat it, don't sweat it. Why do you sweat after eating Guizhi decoction? Maybe Guizhi decoction is drunk too much, or you have sweated for too long, or for other reasons, after sweating, it turns into Yangming, and there are symptoms of thirst and heavy pulse. Therefore, this is a sign of exuberance. When the internal heat is hot, it will flood the body surface and reach the surface. In the state of qi and blood, it will also go up. So at this time, in addition to floating, there will be big ones, because qi and blood are steamed out by real fire and real heat.

2) In Synopsis of the Golden Chamber, people with intestinal carbuncle have less abdominal distension and fullness. When they press it, the pain is like a surge, urine is self-regulated, and they often have fever, spontaneous sweating and aversion to cold. If the pulse is late and tight, pus can be discharged when there is blood. If the pulse is numerous, it means that pus has formed and it is not allowed to drop. Rhubarb peony soup is the main ingredient.

"People with intestinal carbuncle have swollen abdomen, and it hurts like a shower when they press it." The feeling of pain is like that caused by stranguria. However, "urine is self-regulating", urine is normal and stranguria is abnormal, so stranguria is excluded. "Sometimes fever, spontaneous sweating and aversion to cold" is the initial state of intestinal carbuncle, which is both afraid of cold and fever. "If the pulse is slow and tight, pus can be discharged. If there is blood and the pulse is heavy, pus can be discharged, but it cannot be discharged. Dahuang Shaoyao Decoction is the main prescription. " Dahuang Shaoyao Decoction is a prescription for treating intestinal carbuncle in synopsis of golden chamber, which contains peach kernel and mirabilite, and can disperse blood stasis and stagnation. "The pus is not finished yet" with rhubarb peony soup. "If the pulse is heavy, the pus has become, and it cannot be discharged." If the pulse is heavy, you can't use rhubarb peony soup. Instead, we should use the prescription of Coix lacryma-jobi Fuzi Patrinia powder mentioned in the last article. Coix lachryma-jobi Radix Aconiti Lateralis powder, due to heat and pus accumulation. What should I do if I use rhubarb peony soup after suppuration? It wasn't perforated originally, but it was perforated after being attacked by rhubarb peony soup. Therefore, flooding in this paper means that pus has developed, that is, it has been filled with heat, and Yangming's excess fire and excess heat will spread to the stage of abscess and suppuration.

Therefore, the main reason of flood pulse is that the heat inside is rich outside. On the epitope, it presents a state of great flood of qi and blood.

Three. Other cases

Summer pulse is a flood in the four-season pulse.

"Ping Pulse Method" says that "spring strings float in autumn, winter sinks in summer, and color pulses vary in size." Man corresponds to heaven and earth, and the change of climate in the four seasons will inevitably affect man, so the pulse condition presents various forms with the change of the four seasons. The ancients believed that the four seasons were spring as the chord, autumn as the float, winter as the sink and summer as the pan.

Why is there a pulse flood in summer?

In spring, the yang begins to rise, but the cold in winter does not completely recede. Summer is full of yang, without the bondage of winter cold, everything is prosperous, qi and blood are full of blood, and pulse conditions are like tides. Therefore, people's pulse condition will be slightly generalized from the four-hour angle in summer.

Fourth, clinical thinking.

The flood pulse indicates that the flood is big and turbulent, and the main pathogenesis is Yangming excess fire and excess heat, and the heat is steaming outside. The pulse counting and sliding are mainly internal heat, but they can be seen in various situations such as deficiency heat, excess heat and heat mixed with excess and deficiency, while the red pulse is seen in Yangming excess fire and excess heat.