首页|基于《金匮要略》原著探析弦脉的特点及主病

基于《金匮要略》原著探析弦脉的特点及主病

扫码查看
目的 基于《金匮要略》原著,归纳分析弦脉的脉象、病位病性病证特点和主病,以期为弦脉的临床应用提供系统的参考。方法 首先按篇章顺序整理出《金匮要略》中含有"弦脉"的条文,然后总结弦脉的脉象及病机特点,最后探讨其主病及临床意义。结果 本研究总结出《金匮要略》弦脉之脉象特点:紧如弦,直上下行。《金匮要略》弦脉之病位特点:主要偏里,在胸腹肝胁;其病性特点主要为实寒证;其病证特点主要为痛证。归纳出7种弦脉主病:弦主痉病、弦主疟病、弦主胸痹、弦主寒疝、弦主饮病、弦主胃反和弦主转筋。结论 《金匮要略》所反映的弦脉特点及主病,体现了病脉证治相结合的辨证模式,对后世辨证论治理论产生了深远影响。
Exploring the Characteristics and Main Diseases of the String Pulse in Synopsis of Golden Chamber
Objective Based on the original text of Synopsis of Golden Chamber,we summarized and analyzed the pulse manifestation,characteristics of disease location,nature and syndrome,and main diseases of the stringed pulse in order to provide a systematic reference for its clinical application.Methods The sentences containing"stringed pulse"were sorted out according to the order of chapters in Synopsis of Golden Chamber firstly.Then the characteristics of pulse manifestation and pathogenesis were summarized.Finally,its main diseases and clinical significance were analyzed.Results This study summarized characteristics of the stringed pulse manifestation in Synopsis of Golden Chamber:the pulse flexibility is as tight as a bow string,the pulse shapes are straight up and down.And characteristics of the string pulse pathogenesis:the disease location is mainly interior,located in the chest,abdomen,liver and ribs;the nature of disease mainly tends to cold syndrome and excess syndrome;the main symptom is pain.There are seven main diseases related to string pulse:disease with symptoms such as convulsion,opisthotonos,trismus;malaria;stagnation of qi in chest;cold abdominal colic;Fluid retention disease;gastric disorder causing nausea and spasm.Conclusion The characteristics and main diseases of the string pulse reflected in the Synopsis of the Golden Chamber embody the thinking mode of diagnosis and treatment based on disease,syndrome and pulse,which has had a profound impact on the theory of diagnosis and treatment in later generations.

Synopsis of Golden ChamberStringed pulseDiagnosis and treatment based on an overall analysis of the illness and patient's conditionDiagnosis pulses and differentiation of symptoms and signs

唐利、程宏发、张雅文、郭肖瑶、王含誉、张影、张秋霞、杨邱月、张晓辉、解亚辉

展开 >

首都医科大学中医药学院 北京 100069

北京市昌平区中医医院 北京 102200

《金匮要略》 弦脉 辨证论治 平脉辨证

2024

世界科学技术-中医药现代化
中科院科技政策与管理科学研究所,中国高技术产业发展促进会

世界科学技术-中医药现代化

CSTPCD北大核心
影响因子:1.175
ISSN:1674-3849
年,卷(期):2024.26(11)