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Reading Hands: Pulse Qualities and the Specificity of the Clinical

机译：阅读手：脉搏质量和临床的特异性

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摘要

Opening with a contrast between the pulse-reading practices of traditional Chinese medicine doctors in clinics and the objective data on pulses provided by the electronic pulsometer, this discussion analyzes the qualitative judgments involved in medical diagnosis and therapy. Working clinicians who discern and classify pathological processes employ a semiotics of qualities to establish the value, or practical and ethical significance, of bodily signs. The embodied perceptiveness of pulse reading in Chinese medicine is thus understood as an engagement with qualities. As such, it narrows the field of qualities available to the touch in conventional and historically authorized ways, while still relying on a qualitative excess. In spite of a widespread interest in providing objectively proven, evidence-based medicine both in China and in North America, this article suggests that it is in the nature of clinical work everywhere ultimately to prefer a qualitative semiotics that exceeds standardized classification and quantification.
机译：对比了传统中医在诊所的脉搏读取方法与电子脉搏计提供的脉搏客观数据之间的对比，本次讨论分析了医学诊断和治疗中的定性判断。辨别病理过程并对其进行分类的在职临床医生会使用质量符号学来确定身体症状的价值或实际意义和伦理意义。因此，中医对脉搏读取的内在感知力被理解为与品质的结合。因此，它以传统的和历史授权的方式缩小了触摸可用质量的范围，同时仍然依赖于质量上的限制。尽管在中国和北美，人们普遍希望提供客观可靠的循证医学，但本文表明，最终，偏爱定性符号学超越标准化的分类和定量，这是临床工作的本质所在。

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