Knowledge Base/Diagnostics/Abdominal examination in classical practice
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诊法

Abdominal examination in classical practice fù zhěn · 腹诊

Classical texts describe palpating the abdomen: its overall tension, the location of tenderness, whether pressure relieves or worsens discomfort, and whether there are palpable masses or a sense of shifting fluid.

This overlaps with what any clinician does during an abdominal examination, and the dividing line matters. Anything new, severe, or accompanied by fever, bleeding or weight loss calls for medical assessment rather than pattern reasoning.

古籍描述按腹的方法:腹部整体的紧张度、压痛的部位、按压后缓解还是加重,以及有无可触及的包块或振水感。

这与现代临床的腹部检查有重合,而且这条界线很重要:凡新出现、程度剧烈,或伴发热、出血、消瘦者,应先就医评估,而非按证候推理。

Classical method · Shanghan Lun

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