JIANG Jianguo's Insights into Pulse Theory in Treatise on Cold Pathogenic and Miscellaneous Diseases Through Complex Thinking in Syndrome Differentiation

WANG Yiheng; SONG Suhua

doi:10.16295/j.cnki.0257-358x.2026.04.014

Abstract：Pulse diagnosis originated in the era of Bianque and boasts a long-standing history.Although medical experts from different dynasties have offered diverse interpretations and made advancements in pulse diagnosis,Professor JIANG Jianguo contends that the discussion on pulse-taking methods in Treatise on Cold Pathogenic and Miscellaneous Diseases is the most classic one.Through in-depth research on the syndrome differentiation system of Treatise on Cold Pathogenic and Miscellaneous Diseases and combined with years of clinical experience,Professor JIANG innovatively proposed the complex thinking in syndrome differentiation.Professor JIANG's insights on pulse theory in Treatise on Cold Pathogenic and Miscellaneous Diseases,based on the complex thinking in syndrome differenti-ation,are as follows:① Since pulses reflect multiple pathological states,their clinical interpretations require integration of pathogenesis and context.②Under specific conditions,the phenomenon of contradiction between the pulse and symptoms(i.e.,"contradictory pulse")may occur.For example,a yin-pulse may be present in yang-diseases,and a yang-pulse may be present in yin-diseases.③ Regarding the relationship between the pulse and symptoms,a flexible choice should be made between following the pulse and ignoring the symptoms or following the symptoms and ignoring the pulse through the comprehensive consideration of both the pulse and symptoms.④For similar pulses,accurate pulse differentiation can be achieved by combining other medical information apart from pulse diagnosis or by inferring the pathogenesis in reverse.In conclusion,Professor JIANG's pulse theory is deeply rooted in ZHANG Zhongjing's pulse-taking methods.It integrates the concepts of constancy and change,dynamic development,and holistic view,providing a well-structured,flexible and practical pulse-taking method for clinical practice.It holds significant academic value and clinical guiding significance.