RESUMO
[Objective] Research for the pulse mechanism, diagnosis and treatment of Pro. Lian Jianwei on right guan large virtual pulse. [Method] Through analyzing Pro. Lian learning process of pulses and his outpatient cases, explore his clinical diagnosis and treatment on right guan large virtual pulse, summarize the right guan large virtual pulse mechanism and the use of formula and medication by Pro. Lian. [Result] Pro. Lian attaches importance to the value of Li Dongyuan’s academy of spleen and stomach, skil in pulse diagnosis. He considers that right guan large virtual pulse is the pulse on right hand guan which is wide and large, soft and empty when taking pulse. Internal injury due to emotional disorder and diet fatigue are the main factors that result to deficiency of spleen qi and stomach qi, endophytic of yin-fire, consumed yin-blood, causing qi detached from blood and lead to the rising of qi to surface. The treatment obeys the rules of“debilitated patients treated with herbs warm in property ”by“Neijing”, uses Li Dongyuan’s Buzhongyiqi decoction with herbs sweet in flavor and warm in property to invigorate qi to elevate spleen-yang, for sufficient primordial qi and convergence yin-fire, also modifying the formula accord-ing to the patient’s syndrome. [Conclusion] Pro. Lian is good at inheriting Li Dongyuan’s spleen and stomach academy, attaches importance to the pulse diag-nosis in his clinical practice, good at using Li Dongyuan’s Buzhongyiqi decoction and modifying it according to the patient’s syndrome as the treatment for right guan large virtual pulse.