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脉痿的中医古籍文献研究

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通过对中医典海及博览医书数据库中关于脉痿的中医古籍文献进行整理研究,挖掘脉痿的涵义、病因病机、证治方药.脉痿属于五体痿,与心痿不同;经文"枢析挈胫,纵而不任地也"一句指"少阳枢机失常,致小腿悬持,缓纵不立";"胞络"指"心包络".提炼出脉痿心气热证与心血虚证.古籍中治疗心气热证治以清热,心血虚证治以镇坠补阴;外治法以针灸为主,选取阳明经、心经、心包经的荥、输穴.系统地对中医古籍文献进行整理,不仅有助于中医药临床治疗脉痿,更具有重要的理论研究价值.
Study on Ancient Books of Traditional Chinese Medicine of"Vessel Flaccidity"
Through the collation and research of ancient Chinese medicine literature about"vessel flaccidity"in Traditional Chinese Medicine Classic and Ancient Books Database and Imedbooks,it explored the meaning,etiology and pathogenesis,syn-drome,treatment and prescription of"vessel flaccidity"."Vessel flaccidity"belongs to five-body flaccidity,which is different from"heart flaccidity".In classic,it refers"Qi movement disorder of Shaoyang causes calf suspension and flaccidity and weak-ness without standing".The"Baoluo"refer to"pericardium".It extracts heart-Qi heat syndrome and heart blood deficiency syndrome of"vessel flaccidity".In ancient books,clearing heat method is used to treat heart-Qi heat syndrome,while setting heart and nourishing Yin method is used to treat heart blood deficiency syndrome.The external therapy is mainly acupuncture,se-lecting Xing and Shu acupoints of Yangming Meridian,heart meridian and pericardium meridian.Systematic arrangement of the ancient literature of TCM is not only conducive to the clinical treatment of"vessel flaccidity"with TCM,but also has important theoretical research value.

vessel flacciditybasic symptomsetiology and pathogenesisrule of syndrome and treatmentliterature study

于光明、石岩、梁茂新、范颖、乔文军

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辽宁中医药大学,辽宁沈阳 110847

辽宁中医药大学附属医院,辽宁沈阳 110032

脉痿 基本症状 病因病机 证治规律 文献研究

国家中医药局中医药古籍文献和特色技术传承专项

GZY-KJS-2020-045

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(6)
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