仲景"沉脉主病"探微
Exploration of the diagnostic significances of deep pulse generalized by Zhang Zhongjing
王素兰 1戴娜 2马建英 2李正光2
作者信息
- 1. 山东中医药大学,济南 250355
- 2. 青岛市中医医院,山东 青岛 266033
- 折叠
摘要
从沉脉历史沿革、脉象特征、生理性沉脉、仲景沉脉主病及沉脉现代临床研究五个方面对沉脉进行探讨.沉脉最早见于《黄帝内经》,需重按方能应指,病位在里,属阴脉.季节变化、五脏属性、个体差异等因素的影响会出现生理性沉脉.沉脉主病,主里虚证包括阳虚、气血虚,里实证包括里实热证和里实寒证,水气内停及气血壅盛,主表证,及沉脉相关疾病的转归与愈后.
Abstract
This article mainly discusses deep pulse from five aspects:its historical evolution,its manifestations,physiological deep pulse,diagnostic significances of deep pulse expounded by Zhang Zhongjing and its modern clinical research.Deep pulse was first expounded in the Huangdi Neij ing,according to which the pulse is palpable only when pressed hard,and it indicates an affected location in the interior,and belongs to yin meridian.Seasonal changes,five zang-organs attributes,individual differences and other factors can lead to a physiological deep pulse.Deep pulse can signify diseases in diagnosis,covering interior deficiency syndromes such as yang deficiency syndrome and qi and blood deficiency syndrome,interior excess syndromes such as interior excessive heat syndrome and interior excessive cold syndrome,signify a syndrome of internal stagnation of fluid-dampness and a syndrome of qi-blood congestion and excessiveness,and signify superficies syndromes.Moreover,the paper discusses the sequelae and prognosis of diseases related to deep pulse.
关键词
张仲景/《伤寒论》/《金匮要略》/沉脉/主病Key words
Zhang Zhongjing/Shanghan Lun(Treatise on Cold Pathogenic Diseases)/J ingui Yaolüe(Synopsis of Golden Chamber)/deep pulse/diagnostic significance引用本文复制引用
基金项目
山东省中医药科技发展计划项目(2015-353)
出版年
2024
国家科技期刊平台
NSTL
万方数据