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Pulse",true,1,"\u002Fpulses\u002Fzh\u002F01-fu-mai",{"title":6,"description":53},"fu-mai","pulses\u002Fzh\u002F01-fu-mai","4ikhr3BKv5dBJAKXbFUQUFRy4MJzL2nVTq5E6Y9z1rY",{"id":75,"title":76,"body":77,"category":119,"chineseName":62,"description":53,"extension":63,"image":86,"lang":64,"meta":120,"navigation":67,"order":54,"path":122,"seo":123,"slug":124,"stem":125,"__hash__":126},"pulses\u002Fpulses\u002Fzh\u002F02-chen-mai.md","沉脉",{"type":8,"value":78,"toc":112},[79,81,87,89,92,94,97,99,102,104,107,109],[11,80,76],{"id":76},[14,82,83],{},[17,84],{"alt":85,"src":86},"沉脉脉象波形图","\u002Fimages\u002Fpulses\u002Fchen-mai.gif",[22,88,24],{"id":24},[14,90,91],{},"沉行筋骨，如水投石；按之有余，举之不足。",[22,93,30],{"id":30},[14,95,96],{},"沉脉为阴，其病在里。寸沉短气，胸痛引胁；或为痰饮。或水与血。关主中寒，因而痛结；或为满闷，吞酸筋急。尺主背痛，亦主腰膝；阴下湿痒。淋浊痢泄。",[22,98,36],{"id":36},[14,100,101],{},"无力里虚，有力里实。沉迟痼冷，沉数内热；沉滑痰饮，沉涩血结；沉弱虚衰，沉牢坚积；沉紧冷疼，沉缓寒湿。",[22,103,42],{"id":42},[14,105,106],{},"沉脉主里证，其形成多因邪气内郁、气血内困，或阳气虚衰、鼓动无力，致脉位深沉，须重按始得。沉而有力者，多为里实，常见于寒凝、痰饮、水湿、瘀血、宿食等实邪内阻；沉而无力者，多为里虚，多见于阳气虚衰、阴血内亏，脏腑机能低下。寸部沉脉多主上焦气机壅滞或胸阳不振，可见短气、胸痛引胁、咳喘痰饮；关部沉脉多属中焦寒凝或脾胃积滞，可见脘腹疼痛、胀满、吞酸、筋脉拘急；尺部沉脉多与下焦有关，可见腰背疼痛、腰膝酸冷、阴部湿痒、淋浊、泄痢等。沉迟为里寒，沉数为里热，沉滑为痰饮，沉涩为血结，临证须结合脉之有力无力及兼脉以辨虚实寒热。",[22,108,48],{"id":48},[14,110,111],{},"沉脉属里证，治疗当以扶正祛邪、调和脏腑为要。沉而有力、里实寒凝者，宜温阳散寒、通里止痛，方用大黄附子汤或温脾汤；沉滑而痰饮内停者，宜温化痰饮、健脾利湿，方选苓桂术甘汤或二陈汤；沉涩而瘀血内结者，宜活血化瘀、通络止痛，方用血府逐瘀汤或少腹逐瘀汤；沉弱无力、阳气虚衰者，宜温补肾阳、益气养血，方用金匮肾气丸或右归丸；沉细而阴血亏虚者，宜滋阴养血，方选四物汤或六味地黄丸。调护上应注意保暖，尤其腰腹、下肢避寒；饮食宜温热、易消化，忌生冷、油腻、黏滞之品；保持情志舒畅，避免过劳，适当进行舒缓运动以助气血运行。里寒证者可用艾灸关元、气海、神阙等穴以温阳固本。",{"title":53,"searchDepth":54,"depth":54,"links":113},[114,115,116,117,118],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":36,"depth":54,"text":36},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"沉脉类",{"englishName":121},"Deep Pulse","\u002Fpulses\u002Fzh\u002F02-chen-mai",{"title":76,"description":53},"chen-mai","pulses\u002Fzh\u002F02-chen-mai","FDPdSdSGNADI9_yh0eVNmrzIBpXBbDpqM-4UR7Di5yM",{"id":128,"title":129,"body":130,"category":172,"chineseName":62,"description":53,"extension":63,"image":139,"lang":64,"meta":173,"navigation":67,"order":175,"path":176,"seo":177,"slug":178,"stem":179,"__hash__":180},"pulses\u002Fpulses\u002Fzh\u002F03-chi-mai.md","迟脉",{"type":8,"value":131,"toc":165},[132,134,140,142,145,147,150,152,155,157,160,162],[11,133,129],{"id":129},[14,135,136],{},[17,137],{"alt":138,"src":139},"迟脉脉象波形图","\u002Fimages\u002Fpulses\u002Fchi-mai.gif",[22,141,24],{"id":24},[14,143,144],{},"迟脉属阴，象为不及；往来迟慢，三至一息。",[22,146,30],{"id":30},[14,148,149],{},"迟脉主脏，其病为寒。寸迟上寒，心痛停凝；关迟中寒，癥结挛筋；尺迟火衰，溲便不禁，或病腰足，疝痛牵阴。",[22,151,36],{"id":36},[14,153,154],{},"有力积冷，无力虚寒。浮迟表冷，沉迟里寒；迟涩血少，迟缓湿寒；迟滑胀满，迟微难安。",[22,156,42],{"id":42},[14,158,159],{},"迟脉主寒证，亦可见于邪热内结之里实热证。其形成多因寒邪凝滞、阳气不足，气血运行缓慢，故脉来迟慢，一息不足四至。一般而言，迟而有力多为实寒，因阴寒之邪凝滞脏腑、经络，气血为寒所遏；迟而无力多为虚寒，因阳气衰微，无力鼓动血行。寸部迟脉多主上焦寒凝，可见胸痛、心痛、胸闷、咳喘清冷；关部迟脉多主中焦寒盛，可见脘腹冷痛、癥结、筋脉挛急、食少便溏；尺部迟脉多主下焦火衰，肾阳不足，可见腰膝酸冷、小便清长或失禁、五更泄泻、疝气牵引阴部疼痛。迟脉亦可见于阳明腑实证，热邪与燥屎互结，气机壅滞，脉道不利而见迟而有力，此时当伴腹满硬痛、便秘、潮热等热实之象，不可概以寒论。",[22,161,48],{"id":48},[14,163,164],{},"迟脉属寒者，治疗以温阳散寒为大法。实寒凝滞、迟而有力者，宜温中散寒、通阳止痛，方用理中汤、附子理中丸或吴茱萸汤；寒凝肝脉、疝痛牵引者，宜暖肝温经、行气止痛，方选暖肝煎；肾阳不足、尺迟无力者，宜温补肾阳、固涩下元，方用金匮肾气丸、右归丸或四神丸。若属阳明腑实、热结里实之迟脉，则宜通腑泻热，方用大承气汤。调护上须避寒就温，尤其注意腹部、腰膝保暖；饮食宜温热，多食生姜、羊肉、桂圆等温阳之品，忌生冷瓜果、寒凉饮料；避免久居潮湿阴冷环境。虚寒者可常灸关元、命门、足三里以温阳补虚；实寒痛甚者可用热敷或艾灸疼痛部位以散寒通络。",{"title":53,"searchDepth":54,"depth":54,"links":166},[167,168,169,170,171],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":36,"depth":54,"text":36},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"迟脉类",{"englishName":174},"Slow Pulse",3,"\u002Fpulses\u002Fzh\u002F03-chi-mai",{"title":129,"description":53},"chi-mai","pulses\u002Fzh\u002F03-chi-mai","HzcAzZaMvcoGr8gEsoFhytwQP6uEDdGNOyajbhlRYV4",{"id":182,"title":183,"body":184,"category":226,"chineseName":62,"description":53,"extension":63,"image":193,"lang":64,"meta":227,"navigation":67,"order":229,"path":230,"seo":231,"slug":232,"stem":233,"__hash__":234},"pulses\u002Fpulses\u002Fzh\u002F04-shuo-mai.md","数脉",{"type":8,"value":185,"toc":219},[186,188,194,196,199,201,204,206,209,211,214,216],[11,187,183],{"id":183},[14,189,190],{},[17,191],{"alt":192,"src":193},"数脉脉象波形图","\u002Fimages\u002Fpulses\u002Fshuo-mai.gif",[22,195,24],{"id":24},[14,197,198],{},"数脉属阳，象为太过；一息六至，往来越度。",[22,200,30],{"id":30},[14,202,203],{},"数脉主腑，其病为热。寸数喘咳，口疮肺；关数胃热，邪火上攻；尺数相火，遗浊淋癃。",[22,205,36],{"id":36},[14,207,208],{},"有力实火，无力虚火。浮数表热，沉数里热。阳数君火，阴数相火。右数火亢，左数阴戕。",[22,210,42],{"id":42},[14,212,213],{},"数脉主热证，其形成多因热邪亢盛、气血运行加速，或阴虚阳亢、虚热内扰，致脉来急促，一息五至以上。数而有力者多为实热，因阳热偏盛，正邪交争剧烈；数而无力者多为虚热，因阴液亏虚，虚阳内扰。寸部数脉多主上焦心肺有热，可见喘咳、胸痛、口舌生疮、咽喉肿痛、心烦失眠；关部数脉多主中焦胃热或肝火上炎，可见口渴引饮、牙龈肿痛、消谷善饥、胁痛目赤；尺部数脉多主下焦相火妄动，可见遗精、带下黄稠、小便淋浊、癃闭、腰膝酸软等。浮数属表热，沉数属里热，弦数属肝火，细数属阴虚内热，滑数属痰火，临证需结合部位与兼脉分辨脏腑虚实。",[22,215,48],{"id":48},[14,217,218],{},"数脉属热，治疗当以清热为主，区分实热、虚热而治。实热壅盛、数而有力者，宜清热泻火，方用白虎汤、黄连解毒汤或凉膈散；肺热喘咳者，宜清肺化痰，方选麻杏石甘汤或泻白散；胃火上炎、牙龈肿痛者，宜清胃泻火，方用清胃散；肝火亢盛者，宜清肝泻火，方选龙胆泻肝汤。虚热内扰、数而无力者，宜滋阴清热，方用六味地黄丸、知柏地黄丸或清骨散；阴虚火旺、心烦失眠者，可选天王补心丹。调护上宜清淡饮食，多食绿豆、苦瓜、梨、藕等清热生津之品，忌辛辣煎炸、烟酒及温热补品；保持情绪稳定，避免恼怒伤肝；保证充足睡眠，避免熬夜伤阴。实热者可用针刺大椎、曲池、合谷以泻热；虚热者可灸三阴交、太溪以滋阴降火。",{"title":53,"searchDepth":54,"depth":54,"links":220},[221,222,223,224,225],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":36,"depth":54,"text":36},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"数脉类",{"englishName":228},"Rapid Pulse",4,"\u002Fpulses\u002Fzh\u002F04-shuo-mai",{"title":183,"description":53},"shuo-mai","pulses\u002Fzh\u002F04-shuo-mai","Mo8MIBJzvpCDXFTN0s7jpMVkudEqUsLyXpxVWOcfoHs",{"id":236,"title":237,"body":238,"category":280,"chineseName":62,"description":53,"extension":63,"image":247,"lang":64,"meta":281,"navigation":67,"order":283,"path":284,"seo":285,"slug":286,"stem":287,"__hash__":288},"pulses\u002Fpulses\u002Fzh\u002F05-hua-mai.md","滑脉",{"type":8,"value":239,"toc":273},[240,242,248,250,253,255,258,260,263,265,268,270],[11,241,237],{"id":237},[14,243,244],{},[17,245],{"alt":246,"src":247},"滑脉脉象波形图","\u002Fimages\u002Fpulses\u002Fhua-mai.gif",[22,249,24],{"id":24},[14,251,252],{},"滑脉替替，往来流利；盘珠之形，荷露之义。",[22,254,30],{"id":30},[14,256,257],{},"滑脉为阳，多主痰涎。寸滑咳嗽。胸满吐逆；关滑胃热，壅气伤食；尺滑病淋，或为痢积，男子溺血，妇人经郁。",[22,259,36],{"id":36},[14,261,262],{},"浮滑风痰，沉滑痰食。滑数痰火，滑短气塞。滑而浮大，尿则阴痛。滑而浮散，中风瘫痪。滑而冲和，娠孕可决。",[22,264,42],{"id":42},[14,266,267],{},"滑脉主痰饮、食滞、实热及妊娠，其形成多因痰湿、食积、实热等邪气内盛，气血充盈，脉道流畅，故往来流利，如珠走盘。平人脉滑而冲和，为气血充盈之象；妇人妊娠亦常见滑脉，乃冲任气血旺盛以养胎元之故。病理性滑脉多见于痰湿内蕴、食滞胃肠、实热壅盛。寸部滑脉多主上焦痰热，可见咳嗽痰多、胸闷气逆、呕吐；关部滑脉多主中焦痰食积滞或胃热，可见脘腹胀满、嗳腐吞酸、口臭便秘；尺部滑脉多主下焦湿热，可见小便淋浊、痢疾、便血、遗精、妇人带下或月经失调。滑数多为痰火，浮滑多为风痰，沉滑多为痰食，临证需结合兼脉与症状综合判断。",[22,269,48],{"id":48},[14,271,272],{},"滑脉属痰饮、食滞、湿热者，治疗以化痰、消食、清热利湿为主。痰湿内盛、咳嗽胸闷者，宜燥湿化痰、理气和中，方用二陈汤、温胆汤或导痰汤；痰热壅肺者，宜清热化痰，方选清气化痰丸或小陷胸汤。食滞胃肠、脘腹胀满者，宜消食导滞，方用保和丸或枳实导滞丸。湿热下注、小便淋浊者，宜清热利湿通淋，方选八正散或萆薢分清饮。妊娠滑脉为生理现象，一般无需治疗，但需注意安胎养胎，避免过劳、房事及辛辣动血之品。调护上宜清淡饮食，忌肥甘厚味、生冷甜腻，以免助湿生痰；适当运动以促进脾胃运化；肥胖痰湿体质者可行穴位按摩或艾灸丰隆、足三里、中脘以健脾化痰。",{"title":53,"searchDepth":54,"depth":54,"links":274},[275,276,277,278,279],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":36,"depth":54,"text":36},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"滑脉类",{"englishName":282},"Slippery Pulse",5,"\u002Fpulses\u002Fzh\u002F05-hua-mai",{"title":237,"description":53},"hua-mai","pulses\u002Fzh\u002F05-hua-mai","QS2vIwrLfIgQ4ZbBeA6LKbCoSiUjgzlTAQsXaBcxfPI",{"id":290,"title":291,"body":292,"category":334,"chineseName":62,"description":53,"extension":63,"image":301,"lang":64,"meta":335,"navigation":67,"order":337,"path":338,"seo":339,"slug":340,"stem":341,"__hash__":342},"pulses\u002Fpulses\u002Fzh\u002F06-se-mai.md","涩脉",{"type":8,"value":293,"toc":327},[294,296,302,304,307,309,312,314,317,319,322,324],[11,295,291],{"id":291},[14,297,298],{},[17,299],{"alt":300,"src":301},"涩脉脉象波形图","\u002Fimages\u002Fpulses\u002Fse-mai.gif",[22,303,24],{"id":24},[14,305,306],{},"涩脉蹇滞，如刀刮竹；迟细而短，三象惧足。",[22,308,30],{"id":30},[14,310,311],{},"涩为血少，亦主精伤。寸涩心痛，或为怔忡。关涩阴虚，因而中热；右关土虚，左关胁胀。尺涩遗淋，血利可决；孕为胎病，无孕血竭。",[22,313,36],{"id":36},[14,315,316],{},"涩而坚大，为有实热；涩而虚软，虚火炎灼。",[22,318,42],{"id":42},[14,320,321],{},"涩脉主血少、精伤、气滞血瘀，其形成多因阴血亏虚、脉道失于濡润，或气滞血瘀、脉道不利，故脉来艰涩不畅，如轻刀刮竹。虚性涩脉多因久病耗血、产后失血、精血内亏，脉道不充，血行艰涩；实性涩脉多因情志不畅、寒凝气滞、瘀血内阻，血行受阻。寸部涩脉多主心肺血少或瘀血，可见心痛、心悸怔忡、胸闷；关部涩脉多主肝脾阴血不足或气滞血瘀，可见胁肋胀痛、脘腹灼痛、口干咽燥、食少；尺部涩脉多主下焦精血亏虚或瘀血阻滞，可见遗精、淋浊、崩漏、便血、不孕。孕妇见涩脉，多属胎元不固或胎病；无孕而见尺涩，多为精血枯竭之候，需警惕虚损重症。",[22,323,48],{"id":48},[14,325,326],{},"涩脉属血少精伤者，治疗以养血滋阴、填精益髓为主。心血亏虚、心悸怔忡者，宜养血安神，方选四物汤合天王补心丹或归脾汤；肝肾阴虚、精血不足者，宜滋补肝肾，方用六味地黄丸、左归丸或大补阴丸。涩而有力、瘀血内阻者，宜活血化瘀、通络止痛，方用血府逐瘀汤、桃红四物汤或生化汤。气滞血瘀、胸胁胀痛者，宜行气活血，方选柴胡疏肝散合失笑散。调护上宜多食养血滋阴之品，如红枣、桂圆、黑芝麻、枸杞、桑葚、当归等，忌辛辣燥热、耗血动血之物；保持心情舒畅，避免郁怒伤肝；保证充足睡眠，避免熬夜伤阴。血瘀者可配合艾灸膈俞、血海、三阴交以活血通络，但出血倾向者慎用艾灸及活血化瘀之品。",{"title":53,"searchDepth":54,"depth":54,"links":328},[329,330,331,332,333],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":36,"depth":54,"text":36},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"涩脉类",{"englishName":336},"Choppy Pulse",6,"\u002Fpulses\u002Fzh\u002F06-se-mai",{"title":291,"description":53},"se-mai","pulses\u002Fzh\u002F06-se-mai","KdDrc_evpoLO-VG09wFDpqX5bgufVWYCo_lffqbHt3c",{"id":344,"title":345,"body":346,"category":382,"chineseName":62,"description":53,"extension":63,"image":355,"lang":64,"meta":383,"navigation":67,"order":385,"path":386,"seo":387,"slug":388,"stem":389,"__hash__":390},"pulses\u002Fpulses\u002Fzh\u002F07-xu-mai.md","虚脉",{"type":8,"value":347,"toc":376},[348,350,356,358,361,363,366,368,371,373],[11,349,345],{"id":345},[14,351,352],{},[17,353],{"alt":354,"src":355},"虚脉脉象波形图","\u002Fimages\u002Fpulses\u002Fxu-mai.gif",[22,357,24],{"id":24},[14,359,360],{},"虚合四形，浮大迟软；及乎寻按，几不可见。",[22,362,30],{"id":30},[14,364,365],{},"虚主血虚。又主伤暑。经络技巧公众号提示左寸心亏，惊悸怔忡；右寸肺亏，自汗气怯。左关肝伤，血不营筋；右关脾寒，食不消化。左尺水衰，腰膝痿痹；右尺火衰，寒证蜂起。",[22,367,42],{"id":42},[14,369,370],{},"虚脉为气血两虚之象，其形成多因先天禀赋不足、后天失养、久病耗伤、劳倦过度，致气血亏虚，脉道不充，血行无力，故脉来浮大迟软，按之空虚。虚脉多见于各种慢性虚损性疾病，尤以气血双亏为主。左寸虚者，多属心血亏虚，心失所养，可见心悸怔忡、失眠多梦、健忘；右寸虚者，多属肺气不足，卫外不固，可见自汗、气短、声低、易感外邪。左关虚者，多属肝血不足，筋脉失养，可见肢体麻木、筋脉拘急、视物昏花；右关虚者，多属脾胃虚弱，运化无力，可见食少腹胀、便溏、面色萎黄。左尺虚者，多属肾阴不足，可见腰膝酸软、筋骨痿弱、耳鸣健忘；右尺虚者，多属肾阳亏虚，可见畏寒肢冷、阳痿、五更泄泻。",[22,372,48],{"id":48},[14,374,375],{},"虚脉以补益为大法，需辨气血阴阳之虚而分别调治。气血两虚者，宜益气养血，方用八珍汤或归脾汤；心脾两虚者，宜补益心脾，方选归脾汤；肺脾气虚者，宜健脾益肺，方用补中益气汤或四君子汤。肝血不足者，宜养血柔肝，方选四物汤加味；肾阴虚者，宜滋补肾阴，方用六味地黄丸或左归丸；肾阳虚者，宜温补肾阳，方用金匮肾气丸或右归丸。伤暑见虚脉者，宜清暑益气，方用清暑益气汤。调护上宜劳逸结合，避免过度耗散；饮食宜温补、营养丰富，常食黄芪、党参、山药、红枣、龙眼肉等；忌食生冷、寒凉、油腻及辛辣伤正之品。可进行太极拳、八段锦等柔和运动以培补元气，亦可艾灸足三里、关元、气海以扶正固本。",{"title":53,"searchDepth":54,"depth":54,"links":377},[378,379,380,381],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"虚脉类",{"englishName":384},"Empty Pulse",7,"\u002Fpulses\u002Fzh\u002F07-xu-mai",{"title":345,"description":53},"xu-mai","pulses\u002Fzh\u002F07-xu-mai","nTevUpX_8LsIsZJMZph-n9RiHEJoOs4-eN4sht00YFE",{"id":392,"title":393,"body":394,"category":436,"chineseName":62,"description":53,"extension":63,"image":403,"lang":64,"meta":437,"navigation":67,"order":439,"path":440,"seo":441,"slug":442,"stem":443,"__hash__":444},"pulses\u002Fpulses\u002Fzh\u002F08-shi-mai.md","实脉",{"type":8,"value":395,"toc":429},[396,398,404,406,409,411,414,416,419,421,424,426],[11,397,393],{"id":393},[14,399,400],{},[17,401],{"alt":402,"src":403},"实脉脉象波形图","\u002Fimages\u002Fpulses\u002Fshi-mai.gif",[22,405,24],{"id":24},[14,407,408],{},"实脉有力，长大而坚；应指愊愊，三候皆然。",[22,410,30],{"id":30},[14,412,413],{},"血实脉实，火热壅结。左寸心劳，舌强气涌；右寸肺病，呕逆咽疼。左关见实，肝火胁痛；右关见实，中满气疼。左尺见之，便闭腹疼；右尺见之，相火亢逆。",[22,415,36],{"id":36},[14,417,418],{},"实而且紧，寒积稽留。实而且滑，痰凝为祟。",[22,420,42],{"id":42},[14,422,423],{},"实脉主实证，其形成多因邪气亢盛而正气未衰，正邪交争剧烈，气血壅盛于脉道，故脉来充实有力，长大而坚。实脉可见于热毒壅盛、痰火内结、瘀血阻滞、寒积、宿食等多种实邪内停之证。左寸实者，多属心火亢盛或痰火扰心，可见心烦、口舌生疮、舌强语謇、气逆上冲；右寸实者，多属肺热壅盛或痰热阻肺，可见咳喘、胸痛、咽喉肿痛、呕逆。左关实者，多属肝火炽盛，可见头痛目赤、胁肋灼痛、急躁易怒；右关实者，多属脾胃实热或食积气滞，可见脘腹胀满疼痛、嗳腐吞酸、便秘。左尺实者，多属大肠燥热或膀胱湿热，可见便秘、腹痛、小便不利；右尺实者，多属相火亢逆，可见遗精、带下黄稠、下肢疮疡。",[22,425,48],{"id":48},[14,427,428],{},"实脉以祛邪为大法，根据实邪性质分别采用清热、化痰、活血、攻下、消食、散寒等法。实热壅盛者，宜清热泻火，方用白虎汤、黄连解毒汤；痰火内结者，宜清热化痰，方选清气化痰丸或滚痰丸；肝火炽盛者，宜清肝泻火，方用龙胆泻肝汤；肺热咳喘者，宜清肺化痰，方选麻杏石甘汤。食积气滞者，宜消食导滞，方用保和丸或枳实导滞丸；寒积腹痛者，宜温下寒积，方选大黄附子汤；瘀血内阻者，宜活血化瘀，方用血府逐瘀汤或桃仁承气汤。调护上宜清淡饮食，避免肥甘厚味、辛辣炙煿助热生痰；保持大便通畅，适当运动以促进气血运行；实热证者忌温补，寒积者忌生冷。可配合针刺曲池、合谷、内庭等穴以泻实热，但须在专业医师指导下进行。",{"title":53,"searchDepth":54,"depth":54,"links":430},[431,432,433,434,435],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":36,"depth":54,"text":36},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"实脉类",{"englishName":438},"Full Pulse",8,"\u002Fpulses\u002Fzh\u002F08-shi-mai",{"title":393,"description":53},"shi-mai","pulses\u002Fzh\u002F08-shi-mai","GXNaoPEvcfQBpX-jTWEwvDR3lWYSXbSd7-neJ86-vRA",{"id":446,"title":447,"body":448,"category":484,"chineseName":62,"description":53,"extension":63,"image":457,"lang":64,"meta":485,"navigation":67,"order":487,"path":488,"seo":489,"slug":490,"stem":491,"__hash__":492},"pulses\u002Fpulses\u002Fzh\u002F09-chang-mai.md","长脉",{"type":8,"value":449,"toc":478},[450,452,458,460,463,465,468,470,473,475],[11,451,447],{"id":447},[14,453,454],{},[17,455],{"alt":456,"src":457},"长脉脉象波形图","\u002Fimages\u002Fpulses\u002Fchang-mai.gif",[22,459,24],{"id":24},[14,461,462],{},"长脉迢迢，首尾俱端；直上直下，如循长竿。",[22,464,30],{"id":30},[14,466,467],{},"长主有余，气逆火盛。左寸见长，君火为病；右寸见长，满逆为定。左关见长，木实之殃；右关见长，土郁胀闷。左尺见之，奔豚冲兢；右尺见长，相火专令。",[22,469,42],{"id":42},[14,471,472],{},"长脉主阳热内盛、气血有余之证。其脉首尾端直，超过本位，如循长竿，多因阳气偏亢、气逆火盛，气血涌盛而脉道伸长。长而柔和者为气血充盛之常脉，可见于健壮之人；长而弦硬者多为病脉，提示肝阳上亢、肝火内盛或气逆上冲。左寸长者，多属心火亢盛，可见心烦、失眠、口舌生疮；右寸长者，多属肺气上逆，可见咳喘、胸闷、气逆。左关长者，多属肝木实火，可见头痛眩晕、目赤易怒、胁痛；右关长者，多属脾胃郁滞、升降失常，可见脘腹胀满、嗳气、纳呆。左尺长者，可见下焦气逆，如奔豚气上冲心胸；右尺长者，多属相火妄动，可见遗精、带下、下肢热痛。长脉多属实证、热证，若见硬劲之态，须防肝风内动、中风之虞。",[22,474,48],{"id":48},[14,476,477],{},"长脉属气逆火盛者，治疗以平肝潜阳、清热泻火、理气降逆为主。肝阳上亢、头痛眩晕者，宜平肝潜阳，方用天麻钩藤饮或镇肝熄风汤；肝火炽盛者，宜清肝泻火，方选龙胆泻肝汤或当归龙荟丸。心火亢盛、心烦失眠者，宜清心泻火，方用导赤散或黄连阿胶汤；肺气上逆、咳喘胸闷者，宜降气化痰，方选苏子降气汤或定喘汤。脾胃郁滞、脘腹胀满者，宜理气和中、消食导滞，方用柴胡疏肝散或保和丸。相火妄动、遗精带下者，宜滋阴降火，方选知柏地黄丸。调护上宜保持情绪平和，避免恼怒伤肝；饮食清淡，忌辛辣、酒酪、煎炸助火之品；保证充足睡眠，避免熬夜伤阴。可练习太极拳、八段锦以调和气血，亦可针刺太冲、行间、风池以平肝潜阳。",{"title":53,"searchDepth":54,"depth":54,"links":479},[480,481,482,483],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"长脉类",{"englishName":486},"Long Pulse",9,"\u002Fpulses\u002Fzh\u002F09-chang-mai",{"title":447,"description":53},"chang-mai","pulses\u002Fzh\u002F09-chang-mai","Vy2h6_KJYZAfJrv6I7eGYNUcjGDXamGTVH0mV1BlQLc",{"id":494,"title":495,"body":496,"category":532,"chineseName":62,"description":53,"extension":63,"image":505,"lang":64,"meta":533,"navigation":67,"order":535,"path":536,"seo":537,"slug":538,"stem":539,"__hash__":540},"pulses\u002Fpulses\u002Fzh\u002F10-duan-mai.md","短脉",{"type":8,"value":497,"toc":526},[498,500,506,508,511,513,516,518,521,523],[11,499,495],{"id":495},[14,501,502],{},[17,503],{"alt":504,"src":505},"短脉脉象波形图","\u002Fimages\u002Fpulses\u002Fduan-mai.gif",[22,507,24],{"id":24},[14,509,510],{},"短脉涩小，首尾俱俯；中间突起，不能满部。",[22,512,30],{"id":30},[14,514,515],{},"短主不及，为气虚证。短居主寸，心神不定；短见右寸，肺虚头痛。短在左关，肝气有伤；短在右关，膈间为殃。左尺短时，少腹必疼；右尺短时，真火不隆。",[22,517,42],{"id":42},[14,519,520],{},"短脉主气虚、气郁及脏腑气血不足之证。其脉首尾俱俯，不及本位，脉体短缩，多因气虚无力鼓动血行，或气滞脉道不畅，气血不能充盈脉道所致。短而无力者多为气虚，短而有力者多为气郁或痰食阻滞。寸部短者，多主心肺气虚，可见心悸、气短、神疲、头痛、失眠多梦；关部短者，多主肝脾气机不畅，可见胁肋胀痛、胸闷嗳气、脘腹胀满；尺部短者，多主肾元不足或下焦气滞，可见少腹疼痛、腰膝酸软、阳痿、小便不利。短脉常与细、弱、涩等脉并见，多见于久病体虚、过度劳累、情志不畅之人。若短脉骤然出现而无明显虚象，须考虑气机上逆、痰食壅塞之实证。",[22,522,48],{"id":48},[14,524,525],{},"短脉属气虚者，治疗以益气补中为主。心肺气虚、心悸气短者，宜益气养心，方用生脉散或归脾汤；肺气虚、自汗易感者，宜益气固表，方选补中益气汤或玉屏风散。肝郁气滞、胁肋胀痛者，宜疏肝理气，方用柴胡疏肝散或逍遥散；脾胃气虚、脘腹胀满者，宜健脾益气，方用四君子汤或香砂六君子汤。肾元不足、腰膝酸软者，宜补肾填精，方选金匮肾气丸或右归丸。气郁痰阻者，宜理气化痰，方用半夏厚朴汤或柴胡疏肝散合二陈汤。调护上宜避免过度劳累及情绪抑郁，保持心情舒畅；饮食宜温补益气，常食山药、大枣、黄芪、党参、鸡肉等；忌生冷寒凉、油腻难化之品。可进行腹式呼吸、八段锦等以调畅气机，艾灸膻中、气海、足三里以益气健脾。",{"title":53,"searchDepth":54,"depth":54,"links":527},[528,529,530,531],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"短脉类",{"englishName":534},"Short Pulse",10,"\u002Fpulses\u002Fzh\u002F10-duan-mai",{"title":495,"description":53},"duan-mai","pulses\u002Fzh\u002F10-duan-mai","DWCKUaSY4Y8cYHXJyepGegz5umI1Myv-EhB6Hl-gmBA",{"id":542,"title":543,"body":544,"category":580,"chineseName":62,"description":53,"extension":63,"image":553,"lang":64,"meta":581,"navigation":67,"order":583,"path":584,"seo":585,"slug":586,"stem":587,"__hash__":588},"pulses\u002Fpulses\u002Fzh\u002F11-hong-mai.md","洪脉",{"type":8,"value":545,"toc":574},[546,548,554,556,559,561,564,566,569,571],[11,547,543],{"id":543},[14,549,550],{},[17,551],{"alt":552,"src":553},"洪脉脉象波形图","\u002Fimages\u002Fpulses\u002Fhong-mai.gif",[22,555,24],{"id":24},[14,557,558],{},"洪脉极大，状如洪水；来盛去表，滔滔满指。",[22,560,30],{"id":30},[14,562,563],{},"洪为盛满，气壅火亢。左寸洪大。心烦舌破；右寸洪大，胸满气逆。左关见洪，肝木太过；右关见洪，脾土胀热。左尺洪兮，水枯便难；右尺洪兮，龙火燔灼。",[22,565,42],{"id":42},[14,567,568],{},"洪脉主阳热亢盛、气分热盛之证。其脉形极大，来盛去衰，如洪水滔滔，满指而动，多因热邪炽盛、正气抗邪有力，气血涌盛于脉道所致。洪脉多见于外感热病气分阶段或脏腑实热证。左寸洪者，多属心火亢盛，可见心烦、口舌生疮、失眠多梦；右寸洪者，多属肺热气壅，可见胸闷、咳喘、气逆、咽喉肿痛。左关洪者，多属肝木过旺、肝火上升，可见头痛眩晕、目赤易怒、胁痛；右关洪者，多属脾胃湿热或胃火炽盛，可见脘腹胀满、口干口臭、牙龈肿痛、消谷善饥。左尺洪者，多属肾阴不足、水亏火旺，可见便秘、腰膝酸软、耳鸣；右尺洪者，多属相火妄动，可见遗精、带下黄稠、下肢疮疡。洪脉若久而不退，来盛去衰之势明显，须防热盛伤津、气阴两伤。",[22,570,48],{"id":48},[14,572,573],{},"洪脉属气分实热者，治疗以清热生津为主。热在气分、壮热烦渴者，宜清气分热，方用白虎汤；肺热壅盛者，宜清肺泻热，方选麻杏石甘汤或泻白散。心火亢盛者，宜清心泻火，方用导赤散或黄连解毒汤；肝火炽盛者，宜清肝泻火，方选龙胆泻肝汤；胃火炽盛者，宜清胃泻火，方用清胃散。肾阴亏虚、水亏火旺者，宜滋阴降火，方选知柏地黄丸或六味地黄丸。调护上宜多饮温水或淡盐水以补充津液，饮食清淡，多食西瓜、梨、藕、绿豆等清热生津之品，忌辛辣、酒酪、炙煿及温补之物；保持环境凉爽，避免高温劳作；高热汗出过多者须防津伤气脱。可针刺大椎、曲池、合谷以清热泻火，但体虚者不宜过泻。",{"title":53,"searchDepth":54,"depth":54,"links":575},[576,577,578,579],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"洪脉类",{"englishName":582},"Flooding Pulse",11,"\u002Fpulses\u002Fzh\u002F11-hong-mai",{"title":543,"description":53},"hong-mai","pulses\u002Fzh\u002F11-hong-mai","Pc_ueoOnBKdntZcV86MZLSR6pPRud774_ku9TWbOsIs",{"id":590,"title":591,"body":592,"category":628,"chineseName":62,"description":53,"extension":63,"image":601,"lang":64,"meta":629,"navigation":67,"order":631,"path":632,"seo":633,"slug":634,"stem":635,"__hash__":636},"pulses\u002Fpulses\u002Fzh\u002F12-wei-mai.md","微脉",{"type":8,"value":593,"toc":622},[594,596,602,604,607,609,612,614,617,619],[11,595,591],{"id":591},[14,597,598],{},[17,599],{"alt":600,"src":601},"微脉脉象波形图","\u002Fimages\u002Fpulses\u002Fwei-mai.gif",[22,603,24],{"id":24},[14,605,606],{},"微脉极细，而又极软；似有若无，欲绝非绝。",[22,608,30],{"id":30},[14,610,611],{},"微脉模糊，气血大衰。左寸惊怯，右寸气促。左关寒挛。右关胃冷。左尺得微，髓竭精枯；右尺得微，阳衰命绝。",[22,613,42],{"id":42},[14,615,616],{},"微脉主气血大衰、阳气虚微之证。其脉极细极软，按之欲绝，似有若无，多因久病正虚、暴病阳气外脱、气血亏虚至极，脉道不充，血行无力所致。微脉为虚损危候，多见于大失血、大汗、大吐大泻之后，或久病垂危之时。左寸微者，多属心气心血极虚，可见心悸怔忡、惊恐不安、面色苍白；右寸微者，多属肺气衰败，可见呼吸短促、声低息微、自汗不止。左关微者，多属肝血不足、寒凝筋脉，可见肢体挛急、麻木、畏寒；右关微者，多属胃阳虚弱，可见胃脘冷痛、呕吐清水、食少便溏。左尺微者，多属肾精髓海枯竭，可见腰膝酸软、耳鸣耳聋、健忘；右尺微者，多属肾阳衰微，可见畏寒肢冷、阳痿早泄、水肿，甚者命火将绝，预后不良。",[22,618,48],{"id":48},[14,620,621],{},"微脉属气血衰微者，治疗以益气回阳、救逆固脱为大法。阳气暴脱、汗出肢冷者，宜回阳救逆，方用四逆汤或参附汤；气阴两伤、汗多口渴者，宜益气养阴、敛汗固脱，方选生脉散加味。气血两虚者，宜大补气血，方用十全大补汤或人参养荣汤；肾精亏虚者，宜填精补髓，方选左归丸或龟鹿二仙胶。胃阳虚弱者，宜温中健脾，方用理中汤或附子理中丸。调护上须绝对卧床休息，避免风寒，注意保暖，尤其四肢、腹部；饮食宜温热、流质或半流质，少量多餐，如米粥、参汤、红枣汤等，忌生冷、油腻、难化之物。可艾灸关元、气海、命门、足三里以回阳固脱，但病情危重者须立即送医急救，不可延误。",{"title":53,"searchDepth":54,"depth":54,"links":623},[624,625,626,627],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"微脉类",{"englishName":630},"Faint Pulse",12,"\u002Fpulses\u002Fzh\u002F12-wei-mai",{"title":591,"description":53},"wei-mai","pulses\u002Fzh\u002F12-wei-mai","uconKJu9SVIkdUmo5lLFYoDEubUsw0nSF6ZRijTMjYI",{"id":638,"title":639,"body":640,"category":676,"chineseName":62,"description":53,"extension":63,"image":649,"lang":64,"meta":677,"navigation":67,"order":679,"path":680,"seo":681,"slug":682,"stem":683,"__hash__":684},"pulses\u002Fpulses\u002Fzh\u002F13-xi-mai.md","细脉",{"type":8,"value":641,"toc":670},[642,644,650,652,655,657,660,662,665,667],[11,643,639],{"id":639},[14,645,646],{},[17,647],{"alt":648,"src":649},"细脉脉象波形图","\u002Fimages\u002Fpulses\u002Fxi-mai.png",[22,651,24],{"id":24},[14,653,654],{},"细直而软，累累萦萦；状如丝线，较显于微。",[22,656,30],{"id":30},[14,658,659],{},"细主气衰，诸虚劳损。细居左寸，怔忡不寐；细在右寸，呕吐气怯。细入左关，肝阴枯竭；细入右关，胃虚胀满。左尺若细，泄痢遗精；右尺若细，下元冷惫。",[22,661,42],{"id":42},[14,663,664],{},"细脉主气血两虚、诸虚劳损之证。其脉体细小如线，应指明显，但软弱无力，多因气虚血少、脉道不充，血行不畅所致。细脉较微脉更为明显，虽细仍有形，主病以虚损为主，亦可见于湿邪阻遏气机。左寸细者，多属心血不足，可见心悸怔忡、失眠多梦、健忘；右寸细者，多属肺气亏虚，可见咳嗽气短、自汗、声音低怯、易感冒。左关细者，多属肝阴不足，可见目涩昏花、筋脉拘急、情志抑郁；右关细者，多属胃虚脾弱，可见脘腹胀满、食少便溏、面色萎黄。左尺细者，多属肾阴亏虚，可见遗精、泄痢、腰膝酸软；右尺细者，多属肾阳不足、下元虚冷，可见畏寒肢冷、小便清长、阳痿早泄、腰膝无力。",[22,666,48],{"id":48},[14,668,669],{},"细脉属气血两虚者，治疗以益气养血为主。心血不足者，宜养血安神，方选归脾汤或天王补心丹；肺气亏虚者，宜补肺益气，方用补肺汤或生脉散合玉屏风散。肝阴不足者，宜滋阴柔肝，方选一贯煎或杞菊地黄丸；脾胃虚弱者，宜健脾和胃，方用香砂六君子汤或参苓白术散。肾阴亏虚者，宜滋补肾阴，方用六味地黄丸或左归丸；肾阳不足者，宜温补肾阳，方选金匮肾气丸或右归丸。若细脉因湿邪内阻而起，宜化湿理气，方用平胃散或藿香正气散。调护上宜饮食富有营养而易于消化，常食山药、红枣、莲子、芡实、瘦肉、鱼类等；忌生冷、油腻、辛辣及过度寒凉之物。保持起居规律，避免过劳及熬夜，可进行散步、太极拳等柔和运动，艾灸足三里、三阴交、关元以培补气血。",{"title":53,"searchDepth":54,"depth":54,"links":671},[672,673,674,675],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"细脉类",{"englishName":678},"Thin Pulse",13,"\u002Fpulses\u002Fzh\u002F13-xi-mai",{"title":639,"description":53},"xi-mai","pulses\u002Fzh\u002F13-xi-mai","Dz8U7oITxkX2P1X1VzcAwflaxSTv0wsrendIDHEw9k8",{"id":686,"title":687,"body":688,"category":724,"chineseName":62,"description":53,"extension":63,"image":697,"lang":64,"meta":725,"navigation":67,"order":727,"path":728,"seo":729,"slug":730,"stem":731,"__hash__":732},"pulses\u002Fpulses\u002Fzh\u002F14-ru-mai.md","濡脉",{"type":8,"value":689,"toc":718},[690,692,698,700,703,705,708,710,713,715],[11,691,687],{"id":687},[14,693,694],{},[17,695],{"alt":696,"src":697},"濡脉脉象波形图","\u002Fimages\u002Fpulses\u002Fru-mai.gif",[22,699,24],{"id":24},[14,701,702],{},"濡脉细软，见于浮分；举之乃见，按之即空。",[22,704,30],{"id":30},[14,706,707],{},"濡主阴虚，髓绝精伤。经络技巧公众号提示左寸见濡，健忘惊悸；右寸见濡，腠虚自汗。左关逢之，血不营筋；右关逢之，脾虚湿浸。左尺得濡，精血枯损；右尺得之，火败命乖。",[22,709,42],{"id":42},[14,711,712],{},"濡脉主阴虚、湿困及精血亏虚之证。其脉位浮而细软，轻取可得，重按则空，多因阴血亏虚、脉道不充，或湿邪困遏、阳气被抑，气血不能充盈脉道所致。濡脉浮分主表，细软主虚，故常见于表虚、阴虚或湿滞。左寸濡者，多属心阴不足、心神失养，可见健忘、惊悸、失眠；右寸濡者，多属肺卫不固、腠理疏松，可见自汗、易感风寒。左关濡者，多属肝血不足、筋脉失养，可见肢体麻木、筋脉拘挛、视物模糊；右关濡者，多属脾虚湿困，可见脘腹胀满、食少便溏、肢体困重。左尺濡者，多属肾阴精血亏耗，可见腰膝酸软、遗精、耳鸣；右尺濡者，多属命门火衰，可见畏寒肢冷、阳痿、水肿，预后多较差。",[22,714,48],{"id":48},[14,716,717],{},"濡脉属阴虚者，治疗以滋阴养血为主；属湿困者，以健脾化湿为要。心阴不足者，宜养阴安神，方选天王补心丹或酸枣仁汤；肺卫不固者，宜益气固表，方用玉屏风散或牡蛎散。肝血不足者，宜养血柔肝，方选四物汤或补肝汤；脾虚湿困者，宜健脾利湿，方用参苓白术散或香砂六君子汤。肾阴亏虚者，宜滋补肾阴，方用六味地黄丸或左归丸；命门火衰者，宜温补肾阳，方选右归丸或金匮肾气丸。调护上宜避免久居潮湿环境，注意衣着干燥；饮食宜清淡温补，脾虚湿困者可多食薏苡仁、赤小豆、山药、茯苓等健脾利湿之品，阴虚者宜食银耳、百合、黑芝麻、枸杞等滋阴养血之物。忌生冷、油腻、甜腻助湿之品。可艾灸足三里、阴陵泉、脾俞以健脾祛湿，或灸肾俞、关元以温阳固本。",{"title":53,"searchDepth":54,"depth":54,"links":719},[720,721,722,723],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"濡脉类",{"englishName":726},"Soft Pulse",14,"\u002Fpulses\u002Fzh\u002F14-ru-mai",{"title":687,"description":53},"ru-mai","pulses\u002Fzh\u002F14-ru-mai","9yxNkt6MbeqCnybSgQM64B5-96wDSPSjD3fHxIfqwSs",{"id":734,"title":735,"body":736,"category":772,"chineseName":62,"description":53,"extension":63,"image":745,"lang":64,"meta":773,"navigation":67,"order":775,"path":776,"seo":777,"slug":778,"stem":779,"__hash__":780},"pulses\u002Fpulses\u002Fzh\u002F15-ruo-mai.md","弱脉",{"type":8,"value":737,"toc":766},[738,740,746,748,751,753,756,758,761,763],[11,739,735],{"id":735},[14,741,742],{},[17,743],{"alt":744,"src":745},"弱脉脉象波形图","\u002Fimages\u002Fpulses\u002Fruo-mai.gif",[22,747,24],{"id":24},[14,749,750],{},"弱脉细小，见于沉分；举之则无，按之乃得。",[22,752,30],{"id":30},[14,754,755],{},"弱为阳陷，真气衰弱。左寸心虚，惊悸健忘；右寸肺虚，自汗短气。左关木枯，必苦挛急；右关土寒，水谷之疴。左尺弱形，涸流可征；右尺弱见，阳陷可验。",[22,757,42],{"id":42},[14,759,760],{},"弱脉主阳气虚衰、气血不足之证。其脉位沉而细小柔软，轻取不应，重按始得，多因阳气虚陷、鼓动无力，气血不能上充于脉所致。弱脉为里虚之象，尤以阳气虚为主。左寸弱者，多属心阳心气不足，可见心悸、惊悸、健忘、气短；右寸弱者，多属肺气虚寒，可见自汗、短气、声低、易感外邪。左关弱者，多属肝血不足、筋脉失养，可见肢体挛急、麻木、视物昏花；右关弱者，多属脾胃虚寒、运化失司，可见脘腹冷痛、食少便溏、四肢不温。左尺弱者，多属肾阴不足、精血亏虚，可见腰膝酸软、遗精、耳鸣、月经量少；右尺弱者，多属肾阳衰微、阳气下陷，可见畏寒肢冷、阳痿早泄、小便清长或失禁。",[22,762,48],{"id":48},[14,764,765],{},"弱脉属阳气虚衰者，治疗以益气升阳、温补脾肾为主。心气虚者，宜益气养心，方用炙甘草汤或生脉散；肺气虚者，宜补肺益气固表，方选补肺汤或玉屏风散。肝血不足者，宜养血柔肝，方用四物汤或补肝汤；脾胃虚寒者，宜温中健脾，方用理中汤或附子理中丸。肾阴不足者，宜滋补肾阴，方选六味地黄丸或左归丸；肾阳衰微者，宜温补肾阳、升举阳气，方用金匮肾气丸、右归丸或补中益气汤。调护上宜注意保暖，避免受寒，尤其腰腹、下肢；饮食宜温热，多食羊肉、生姜、桂圆、山药、红枣等温补气血之品，忌生冷、寒凉、油腻之物。避免过度劳累及久站久行，以防阳气下陷。可艾灸百会、关元、气海、足三里、肾俞以升阳固本，配合太极拳、八段锦等柔和运动以培补元气。",{"title":53,"searchDepth":54,"depth":54,"links":767},[768,769,770,771],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"弱脉类",{"englishName":774},"Weak Pulse",15,"\u002Fpulses\u002Fzh\u002F15-ruo-mai",{"title":735,"description":53},"ruo-mai","pulses\u002Fzh\u002F15-ruo-mai","nDTszTl44V7OwPOSkTj62K1UOQEEQwy2bsBAbkonM_Y",{"id":782,"title":783,"body":784,"category":820,"chineseName":62,"description":53,"extension":63,"image":793,"lang":64,"meta":821,"navigation":67,"order":823,"path":824,"seo":825,"slug":826,"stem":827,"__hash__":828},"pulses\u002Fpulses\u002Fzh\u002F16-jin-mai.md","紧脉",{"type":8,"value":785,"toc":814},[786,788,794,796,799,801,804,806,809,811],[11,787,783],{"id":783},[14,789,790],{},[17,791],{"alt":792,"src":793},"紧脉脉象波形图","\u002Fimages\u002Fpulses\u002Fjin-mai.gif",[22,795,24],{"id":24},[14,797,798],{},"紧脉有力，左右弹指；如绞转索，如切紧绳。",[22,800,30],{"id":30},[14,802,803],{},"紧主寒邪，又主诸痛。左寸逢紧，心满急痛；右寸逢紧，伤寒喘嗽。左关人迎，浮紧伤寒；右关气口，沉紧伤食。左尺见之，脐下痛极；右尺见之，奔豚疝疾。",[22,805,42],{"id":42},[14,807,808],{},"紧脉主寒证、痛证，其形成多因寒邪侵袭人体，阳气被遏，经脉挛急，气血运行受阻，故脉来紧张有力，如牵绳索、切紧绳。紧脉为寒邪凝滞、正邪相争之象，多见于外感风寒、里寒凝滞及各种疼痛性疾病。左寸紧者，多属寒凝心脉，可见心胸满闷、急痛、心悸；右寸紧者，多属风寒束肺，可见恶寒发热、头痛、喘咳。左关紧者，多属寒邪在表或肝经寒凝，可见头痛、身痛、胁痛；右关紧者，多属寒食伤中，可见脘腹冷痛、呕吐、泄泻。左尺紧者，多属下焦寒凝，可见脐腹剧痛、腰膝冷痛；右尺紧者，多属寒疝、奔豚气等少腹及阴部疾患。紧而浮为表寒，紧而沉为里寒，紧而弦为寒凝肝脉或宿食，临床须结合部位与兼脉辨治。",[22,810,48],{"id":48},[14,812,813],{},"紧脉属寒邪凝滞者，治疗以温经散寒、通络止痛为大法。外感风寒、表寒实证者，宜辛温解表、散寒止痛，方用麻黄汤或桂枝汤；寒凝心脉、心痛者，宜温阳散寒、活血止痛，方选枳实薤白桂枝汤或冠心苏合丸。中焦寒凝、脘腹冷痛者，宜温中散寒，方用理中汤、附子理中丸或吴茱萸汤；寒凝肝脉、疝痛者，宜暖肝散寒、行气止痛，方选暖肝煎或天台乌药散。下焦寒凝、脐腹剧痛者，宜温下散寒，方用大黄附子汤或温经汤。调护上须严格避寒保暖，尤其胸背、腰腹、下肢；饮食宜温热，多食生姜、葱白、羊肉、花椒等温散寒邪之品，忌生冷瓜果、寒凉饮料；疼痛发作时可用热水袋热敷或艾灸疼痛部位，如神阙、关元、足三里、三阴交等穴，以散寒通络、缓解疼痛。",{"title":53,"searchDepth":54,"depth":54,"links":815},[816,817,818,819],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"紧脉类",{"englishName":822},"Tight Pulse",16,"\u002Fpulses\u002Fzh\u002F16-jin-mai",{"title":783,"description":53},"jin-mai","pulses\u002Fzh\u002F16-jin-mai","qvgIrtJgZnD4abE_bCS6Dc0lvuxw0J42QOA0vzwxOBY",{"id":830,"title":831,"body":832,"category":865,"chineseName":62,"description":53,"extension":63,"image":841,"lang":64,"meta":866,"navigation":67,"order":868,"path":869,"seo":870,"slug":871,"stem":872,"__hash__":873},"pulses\u002Fpulses\u002Fzh\u002F17-huan-mai.md","缓脉",{"type":8,"value":833,"toc":859},[834,836,842,844,847,849,851,854,856],[11,835,831],{"id":831},[14,837,838],{},[17,839],{"alt":840,"src":841},"缓脉脉象波形图","\u002Fimages\u002Fpulses\u002Fhuan-mai.gif",[22,843,24],{"id":24},[14,845,846],{},"缓脉四至，来往和匀；微风轻颭，初春杨柳。",[22,848,30],{"id":30},[22,850,42],{"id":42},[14,852,853],{},"缓脉有平脉与病脉之分。平人脉来和缓从容，一息四至，为气血调和、胃气充足之常象。病理性缓脉多主湿证、脾虚及气血不足，其形成多因湿邪黏滞、气机不畅，或脾胃虚弱、气血生化不足，致脉行弛缓。缓而有力者，多为湿盛或食滞；缓而无力者，多为脾虚或气虚。左寸缓者，多属心气不足或湿阻心胸，可见心悸、胸闷、气短；右寸缓者，多属肺脾气虚、痰湿内蕴，可见咳喘痰多、自汗、易感。左关缓者，多属肝脾不调、湿阻中焦，可见胁肋胀满、纳呆、口苦；右关缓者，多属脾胃虚弱、湿浊内停，可见脘腹胀满、食少便溏、肢体困重。左尺缓者，多属肾阳不足、湿浊下注，可见腰膝酸软、小便不利；右尺缓者，多属下焦湿盛或肾气虚寒，可见泄泻、遗精、带下清稀。",[22,855,48],{"id":48},[14,857,858],{},"缓脉属脾虚湿困者，治疗以健脾化湿、理气和中之法为主。脾胃虚弱、食少便溏者，宜健脾益气，方用四君子汤、参苓白术散或香砂六君子汤；湿阻中焦、脘腹胀满者，宜燥湿运脾，方用平胃散或藿香正气散；脾虚湿盛、泄泻者，宜健脾渗湿止泻，方选参苓白术散或补中益气汤。气血不足、缓而无力者，宜益气养血，方用八珍汤或归脾汤。肾阳不足、下焦湿盛者，宜温肾化湿，方用金匮肾气丸或真武汤。调护上宜饮食规律，忌生冷、油腻、甜腻及难化之品，以免助湿困脾；可多食山药、薏苡仁、茯苓、白术、芡实等健脾利湿之物。适当运动如散步、八段锦可促进脾胃运化；避免久居潮湿环境。可艾灸足三里、中脘、脾俞、阴陵泉以健脾祛湿、升发阳气。",{"title":53,"searchDepth":54,"depth":54,"links":860},[861,862,863,864],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"缓脉类",{"englishName":867},"Moderate Pulse",17,"\u002Fpulses\u002Fzh\u002F17-huan-mai",{"title":831,"description":53},"huan-mai","pulses\u002Fzh\u002F17-huan-mai","KFFr8epFdZ0VOfD5x3kB8YvS9nce7S16u5WrBgM6SoM",{"id":875,"title":876,"body":877,"category":919,"chineseName":62,"description":53,"extension":63,"image":886,"lang":64,"meta":920,"navigation":67,"order":922,"path":923,"seo":924,"slug":925,"stem":926,"__hash__":927},"pulses\u002Fpulses\u002Fzh\u002F18-xian-mai.md","弦脉",{"type":8,"value":878,"toc":912},[879,881,887,889,892,894,897,899,902,904,907,909],[11,880,876],{"id":876},[14,882,883],{},[17,884],{"alt":885,"src":886},"弦脉脉象波形图","\u002Fimages\u002Fpulses\u002Fxian-mai.gif",[22,888,24],{"id":24},[14,890,891],{},"弦如琴弦，轻虚而滑；端直以长，指下挺然。",[22,893,30],{"id":30},[14,895,896],{},"弦为肝风，主痛主疟，主痰主饮。弦在左寸，心中必痛；弦在右寸，胸及头疼。左关弦兮，痰疟癥瘕；右关弦兮，胃寒膈痛。左尺逢弦。饮在下焦；右尺逢弦，足挛疝痛。",[22,898,36],{"id":36},[14,900,901],{},"浮弦支饮，沉弦悬饮。弦数多热，弦迟多寒。弦大主虚，弦细拘急。阳弦头痛，阴弦腹痛。单弦饮癖，双弦寒痼。",[22,903,42],{"id":42},[14,905,906],{},"弦脉主肝胆病、痰饮、痛证、疟疾，其形成多因肝气郁结、肝阳上亢或痰饮内停，致脉道紧张而端直如弦。弦为肝脉，肝病则气机不畅，脉道失柔，故见弦象。左寸弦者，多属心经气滞或痰饮阻痹，可见心胸疼痛、心悸；右寸弦者，多属肺气不宣、痰饮上逆，可见头痛、胸闷、咳喘。左关弦者，多属肝胆郁滞或疟邪、癥瘕，可见胁肋胀痛、寒热往来、腹中包块；右关弦者，多属胃寒或痰饮停膈，可见胃脘冷痛、膈胀、嗳气。左尺弦者，多属水饮内停下焦，可见小便不利、少腹拘急；右尺弦者，多属寒凝肝脉或疝气，可见少腹、睾丸疼痛、筋脉挛急。弦而数为肝火，弦而迟为寒凝，弦大为肝脾两虚，弦细为肝阴不足、筋脉拘急。",[22,908,48],{"id":48},[14,910,911],{},"弦脉属肝气郁结者，治疗以疏肝理气为主，方用柴胡疏肝散或逍遥散；肝阳上亢、头痛眩晕者，宜平肝潜阳，方选天麻钩藤饮或镇肝熄风汤；肝火炽盛者，宜清肝泻火，方用龙胆泻肝汤。痰饮内停者，宜温化痰饮、健脾利湿，方用苓桂术甘汤、二陈汤或温胆汤；寒凝肝脉、疝痛者，宜暖肝散寒，方选暖肝煎。疟疾见弦脉者，宜和解少阳、祛邪截疟，方用小柴胡汤或柴胡截疟饮。肝阴不足、筋脉拘急者，宜滋阴柔肝，方用一贯煎或芍药甘草汤。调护上宜保持心情舒畅，避免郁怒伤肝；饮食清淡，忌辛辣、酒酪及油腻助痰之物；保证睡眠，避免熬夜伤阴。可进行太极拳、八段锦等舒缓运动以调畅气机，亦可按摩太冲、行间、阳陵泉以疏肝理气。",{"title":53,"searchDepth":54,"depth":54,"links":913},[914,915,916,917,918],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":36,"depth":54,"text":36},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"弦脉类",{"englishName":921},"Wiry Pulse",18,"\u002Fpulses\u002Fzh\u002F18-xian-mai",{"title":876,"description":53},"xian-mai","pulses\u002Fzh\u002F18-xian-mai","9xQiGNrcnI7vYlc9e3-BMu-cP4s-NA1WlSTvravdIGY",{"id":929,"title":930,"body":931,"category":967,"chineseName":62,"description":53,"extension":63,"image":940,"lang":64,"meta":968,"navigation":67,"order":970,"path":971,"seo":972,"slug":973,"stem":974,"__hash__":975},"pulses\u002Fpulses\u002Fzh\u002F19-dong-mai.md","动脉",{"type":8,"value":932,"toc":961},[933,935,941,943,946,948,951,953,956,958],[11,934,930],{"id":930},[14,936,937],{},[17,938],{"alt":939,"src":940},"动脉脉象波形图","\u002Fimages\u002Fpulses\u002Fdong-mai.gif",[22,942,24],{"id":24},[14,944,945],{},"动无头尾，其动如豆；厥厥动摇，必兼滑数。",[22,947,30],{"id":30},[14,949,950],{},"动脉主痛，亦主于惊。左寸得动，惊悸可断；右寸得动，自汗无疑。左关若动，惊及拘挛；右关若动，心脾疼痛。左尺见之，亡精为病；右尺见之，龙火奋迅。",[22,952,42],{"id":42},[14,954,955],{},"动脉主痛证与惊证，其脉形短而滑数，搏动如豆，厥厥动摇，多因阴阳相搏、气血逆乱，或痛极、惊惕不安，致气血冲动于局部脉道而见动脉。动脉多出现在关部，亦可见于寸、尺，提示气机壅塞、痛势较急。左寸动者，多属心气被扰、惊悸不安，可见心悸、失眠、多梦易惊；右寸动者，多属肺气不宁、卫表不固，可见自汗、气短、易惊。左关动者，多属肝风内动或筋脉拘挛，可见肢体抽搐、震颤、惊惕；右关动者，多属心脾不和、气机逆乱，可见胃脘或心胸疼痛、嗳气、恶心。左尺动者，多属肾阴亏虚、精关不固，可见遗精、滑泄；右尺动者，多属相火妄动，可见遗精、带下、下肢疮疡或夜寐不安。",[22,957,48],{"id":48},[14,959,960],{},"动脉属惊悸不安者，治疗以镇惊安神、养血定志为主。心虚胆怯、惊悸失眠者，宜益气镇惊、安神定志，方用安神定志丸或酸枣仁汤；心脾两虚者，宜补益心脾、养血安神，方选归脾汤。肝风内动、惊搐拘挛者，宜平肝息风、镇惊安神，方用羚角钩藤汤或镇肝熄风汤。疼痛剧烈者，宜根据疼痛部位与性质分别采用活血、理气、散寒、通络之法，如丹参饮、失笑散、金铃子散等。肾精亏虚、精关不固者，宜滋阴固精，方选金锁固精丸或知柏地黄丸。调护上宜保持环境安静，避免突发声响惊吓；睡前可用温水泡脚，饮温牛奶或龙眼肉以养心安神；避免观看惊悚刺激内容。可进行静坐、深呼吸以安定神志，艾灸神门、内关、三阴交有助于宁心安神。",{"title":53,"searchDepth":54,"depth":54,"links":962},[963,964,965,966],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"动脉类",{"englishName":969},"Throbbing Pulse",19,"\u002Fpulses\u002Fzh\u002F19-dong-mai",{"title":930,"description":53},"dong-mai","pulses\u002Fzh\u002F19-dong-mai","o5dcGU4Uml9Muht_aagrPHbn4KXGlm9hPBX9Wz59xkQ",{"id":977,"title":978,"body":979,"category":1015,"chineseName":62,"description":53,"extension":63,"image":988,"lang":64,"meta":1016,"navigation":67,"order":1018,"path":1019,"seo":1020,"slug":1021,"stem":1022,"__hash__":1023},"pulses\u002Fpulses\u002Fzh\u002F20-cu-mai.md","促脉",{"type":8,"value":980,"toc":1009},[981,983,989,991,994,996,999,1001,1004,1006],[11,982,978],{"id":978},[14,984,985],{},[17,986],{"alt":987,"src":988},"促脉脉象波形图","\u002Fimages\u002Fpulses\u002Fcu-mai.gif",[22,990,24],{"id":24},[14,992,993],{},"促为急促，数时一止；如趋而蹶，进则必死。",[22,995,30],{"id":30},[14,997,998],{},"促因火亢，亦由物停。左寸见促，心火炎炎；右寸见促，肺鸣咯咯。促见左关，血滞为殃；促居右关，脾宫食滞。左尺逢之，遗滑堪忧；右尺逢之，灼热为灾。",[22,1000,42],{"id":42},[14,1002,1003],{},"促脉主阳热亢盛、气滞血瘀、痰食停积之证。其脉来急促，数中一止，止无定数，多因热邪内盛、心神被扰，或瘀血、痰食、气滞等实邪阻滞脉道，气血运行不畅，故脉行急而时有中止。促脉多属热证、实证，但亦可见于虚阳外越之危候。左寸促者，多属心火亢盛，可见心烦、失眠、口舌生疮、心悸；右寸促者，多属肺热壅盛或痰热阻肺，可见喘鸣、咳喘、胸痛。左关促者，多属肝郁血滞，可见胁肋胀痛、情志不畅、月经不调；右关促者，多属脾胃食滞或痰热内扰，可见脘腹胀满、嗳腐吞酸、便秘。左尺促者，多属下焦湿热或肾阴亏虚、相火妄动，可见遗精、淋浊、小便灼热；右尺促者，多属下焦热盛，可见小便灼热、带下黄稠、下肢疮疡。",[22,1005,48],{"id":48},[14,1007,1008],{},"促脉属心火亢盛者，治疗以清心泻火、安神定志为主，方用黄连解毒汤、导赤散或天王补心丹；肺热痰壅者，宜清肺化痰、降气平喘，方选麻杏石甘汤或清气化痰丸。肝郁血滞者，宜疏肝理气、活血化瘀，方用柴胡疏肝散合血府逐瘀汤；脾胃食滞者，宜消食导滞，方用保和丸或枳实导滞丸。下焦湿热者，宜清热利湿，方选八正散或萆薢分清饮；肾阴亏虚、相火妄动者，宜滋阴降火，方用知柏地黄丸。若促脉见于久病虚衰、虚阳外越者，宜回阳救逆、益气固脱，方用参附汤或四逆汤。调护上宜保持情绪稳定，避免恼怒及过度劳累；饮食清淡，忌辛辣、酒酪、炙煿助火之物；保证充足睡眠，避免熬夜伤阴。可针刺内关、神门、太溪以宁心安神，但促脉若伴严重心悸、胸闷，须及时就医。",{"title":53,"searchDepth":54,"depth":54,"links":1010},[1011,1012,1013,1014],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"促脉类",{"englishName":1017},"Hasty Pulse",20,"\u002Fpulses\u002Fzh\u002F20-cu-mai",{"title":978,"description":53},"cu-mai","pulses\u002Fzh\u002F20-cu-mai","4tVDShngjy9iHnePqtPz0DL-Ro6bopbLNsm-ruWxfaY",{"id":1025,"title":1026,"body":1027,"category":1063,"chineseName":62,"description":53,"extension":63,"image":1036,"lang":64,"meta":1064,"navigation":67,"order":1066,"path":1067,"seo":1068,"slug":1069,"stem":1070,"__hash__":1071},"pulses\u002Fpulses\u002Fzh\u002F21-jie-mai.md","结脉",{"type":8,"value":1028,"toc":1057},[1029,1031,1037,1039,1042,1044,1047,1049,1052,1054],[11,1030,1026],{"id":1026},[14,1032,1033],{},[17,1034],{"alt":1035,"src":1036},"结脉脉象波形图","\u002Fimages\u002Fpulses\u002Fjie-mai.gif",[22,1038,24],{"id":24},[14,1040,1041],{},"结为凝结，缓时一止；徐行而怠，颇得其旨。",[22,1043,30],{"id":30},[14,1045,1046],{},"结属阴寒，亦由凝积。左寸心寒，疼痛可决；右寸肺虚，气寒凝结；左关结见，疝瘕必现；右关结形，痰滞食停。左尺结兮，痿躄之疴；右尺结兮，阴寒为楚。",[22,1048,42],{"id":42},[14,1050,1051],{},"结脉主阴寒凝滞、气血瘀结之证。其脉来迟缓，时有一止，止无定数，多因阴寒内盛、阳气不足，或瘀血、痰浊、宿食等有形之邪阻滞脉道，气血运行艰涩，故脉行迟缓而时有中止。结脉多属寒证、虚证，亦可兼夹实邪。左寸结者，多属心阳不振、寒凝心脉，可见心胸疼痛、心悸、胸闷；右寸结者，多属肺气虚寒、痰饮凝结，可见咳喘、气短、胸痛。左关结者，多属肝经寒凝、气滞血瘀，可见疝气、癥瘕、胁肋疼痛；右关结者，多属脾胃寒湿、痰食停滞，可见脘腹胀满、嗳气、呕吐、便溏。左尺结者，多属下焦寒凝、经络不通，可见腰膝痿弱、肢体不用或疼痛；右尺结者，多属肾阳不足、阴寒内盛，可见少腹冷痛、腰膝酸冷、小便不利。",[22,1053,48],{"id":48},[14,1055,1056],{},"结脉属心阳不振、寒凝心脉者，治疗以温阳散寒、活血通脉为主，方用枳实薤白桂枝汤、瓜蒌薤白白酒汤或冠心苏合丸；阳气虚衰者，可合用参附汤或四逆汤。肺寒痰凝者，宜温肺化痰，方选苓甘五味姜辛汤或小青龙汤。肝寒凝滞、疝痛癥瘕者，宜暖肝散寒、行气活血，方用暖肝煎或天台乌药散。脾胃寒湿、痰食停滞者，宜温中化湿、消食导滞，方用理中汤合二陈汤或平胃散。肾阳不足、下焦阴寒者，宜温补肾阳、散寒通络，方用金匮肾气丸或右归丸。调护上须严格避寒保暖，尤其胸背、腰腹、下肢；饮食宜温热，多食生姜、羊肉、桂圆等温阳散寒之品，忌生冷、寒凉之物。可进行艾灸关元、气海、神阙、足三里以温阳通脉，但结脉若伴明显心悸、胸痛，应警惕心脏器质性病变，须及时就医检查。",{"title":53,"searchDepth":54,"depth":54,"links":1058},[1059,1060,1061,1062],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"结脉类",{"englishName":1065},"Knotted Pulse",21,"\u002Fpulses\u002Fzh\u002F21-jie-mai",{"title":1026,"description":53},"jie-mai","pulses\u002Fzh\u002F21-jie-mai","FjvtxP4GuhE3Qt-bP9iB9dc0XhDceHMngcMsHQUcBRs",{"id":1073,"title":1074,"body":1075,"category":1111,"chineseName":62,"description":53,"extension":63,"image":1084,"lang":64,"meta":1112,"navigation":67,"order":1114,"path":1115,"seo":1116,"slug":1117,"stem":1118,"__hash__":1119},"pulses\u002Fpulses\u002Fzh\u002F22-dai-mai.md","代脉",{"type":8,"value":1076,"toc":1105},[1077,1079,1085,1087,1090,1092,1095,1097,1100,1102],[11,1078,1074],{"id":1074},[14,1080,1081],{},[17,1082],{"alt":1083,"src":1084},"代脉脉象波形图","\u002Fimages\u002Fpulses\u002Fdai-mai.gif",[22,1086,24],{"id":24},[14,1088,1089],{},"代为禅代，止有常数；不能自还，良久复动。",[22,1091,30],{"id":30},[14,1093,1094],{},"代主脏衰，危恶之候。脾土败坏，吐利为咎；中寒不食，腹疼难救。两动一止，三四日死；四动一止，六七日死。次第推求，不失经旨。",[22,1096,42],{"id":42},[14,1098,1099],{},"代脉主脏腑衰败、气血亏耗之重证。其脉来缓弱，时有中止，止有定数，良久复动，多因脏气衰微、心气亏虚，脉气不能接续所致。代脉为危候，多见于心脏病、严重电解质紊乱、中毒或各种慢性疾病的终末期。中医认为代脉多由脾土衰败、中焦运化失司，或心肾阳气衰微、气血生化无源而成。临床上可见心悸怔忡、气短乏力、面色晄白、四肢不温、食欲不振、腹痛泄泻等症。代脉出现提示正气大伤，脏腑功能严重减退，需高度重视。古代脉学有“两动一止，三四日死；四动一止，六七日死”之说，强调代脉预后凶险，然今之临床需结合现代医学检查综合判断，不可单凭脉象定论。",[22,1101,48],{"id":48},[14,1103,1104],{},"代脉属脏气衰败者，治疗以益气养血、温阳复脉、挽救垂危为大法。心脾气血两虚者，宜大补气血、复脉定悸，方用炙甘草汤或归脾汤；心肾阳虚、阳气欲脱者，宜回阳救逆，方用四逆汤、参附汤或麻黄附子细辛汤；脾土衰败、吐利交作者，宜温中健脾、升清止泻，方用附子理中汤或四神丸。若因瘀血、痰浊阻滞心脉者，宜在扶正基础上佐以活血化痰、通络复脉，如丹参、川芎、瓜蒌、薤白等。调护上须绝对卧床休息，严密观察生命体征，注意保暖，避免风寒及情绪激动；饮食宜少量多餐，给予易消化、温热、营养丰富之流质或半流质，如米粥、参汤、红枣汤等，忌生冷、油腻、难化之物。代脉多见于危重症，必须在专业医疗机构监护治疗，可配合艾灸关元、气海、命门、内关以回阳固脱。",{"title":53,"searchDepth":54,"depth":54,"links":1106},[1107,1108,1109,1110],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"代脉类",{"englishName":1113},"Intermittent Pulse",22,"\u002Fpulses\u002Fzh\u002F22-dai-mai",{"title":1074,"description":53},"dai-mai","pulses\u002Fzh\u002F22-dai-mai","jTrIqWMgNlaLslmCgUJ7lfo_YGOKmtYbti9bY48oTo0",{"id":1121,"title":1122,"body":1123,"category":1159,"chineseName":62,"description":53,"extension":63,"image":1132,"lang":64,"meta":1160,"navigation":67,"order":1162,"path":1163,"seo":1164,"slug":1165,"stem":1166,"__hash__":1167},"pulses\u002Fpulses\u002Fzh\u002F23-ge-mai.md","革脉",{"type":8,"value":1124,"toc":1153},[1125,1127,1133,1135,1138,1140,1143,1145,1148,1150],[11,1126,1122],{"id":1122},[14,1128,1129],{},[17,1130],{"alt":1131,"src":1132},"革脉脉象波形图","\u002Fimages\u002Fpulses\u002Fge-mai.gif",[22,1134,24],{"id":24},[14,1136,1137],{},"革大弦急，浮取即得；按之乃空，浑如鼓革。",[22,1139,30],{"id":30},[14,1141,1142],{},"革主表寒，亦属中虚。左寸之革，心血虚痛；右寸之革，金衰气壅。左关遇之，疝瘕为祟；右关遇之，土虚为疼。左尺诊革，精空可必；右尺诊革，殒命为忧。女人得之，半产漏下。",[22,1144,42],{"id":42},[14,1146,1147],{},"革脉主虚寒失血、精气内亏之重证。其脉浮大弦急，外坚中空，浮取即得，重按则空，如按鼓皮，多因阴血亏虚、阳气无所依附而浮越于外，或寒邪外束、内里空虚所致。革脉多见于大出血、久漏、久病虚损之人，为精血内亏、阳气外浮之危象。左寸革者，多属心血亏虚，可见心胸疼痛、心悸、面色无华；右寸革者，多属肺气衰败、气机壅塞，可见胸闷、气短、咳嗽无力。左关革者，多属肝血不足、寒凝气滞，可见疝气、癥瘕、胁肋疼痛；右关革者，多属脾胃虚弱、中焦虚寒，可见脘腹疼痛、食少便溏。左尺革者，多属肾精空虚，可见腰膝酸软、遗精、耳鸣；右尺革者，多属命门火衰、阳气欲脱，可见畏寒肢冷、水肿、阳痿，预后较差。妇人见革脉，常见于半产、漏下等失血病症。",[22,1149,48],{"id":48},[14,1151,1152],{},"革脉属精血亏虚者，治疗以补血填精、益气固摄为主。大失血后气血两虚者，宜大补气血，方用当归补血汤、十全大补汤或人参养荣汤；脾不统血、崩漏不止者，宜健脾益气、养血止血，方用归脾汤或胶艾汤。肾阴亏虚、精血不足者，宜滋肾填精，方选左归丸或大补阴丸；肾阳衰微者，宜温补肾阳、固摄精气，方用右归丸或金匮肾气丸。中焦虚寒、脘腹疼痛者，宜温中补虚，方用小建中汤或黄芪建中汤。调护上须静养避劳，注意保暖，防止受寒；饮食宜温补而富有营养，如红枣、桂圆、阿胶、山药、乌鸡、猪肝等，忌食生冷、寒凉、辛辣动血之物。出血未止者应绝对卧床，避免剧烈运动及情志激动。可艾灸关元、气海、足三里、三阴交以补气养血，但出血急性期须就医处理。",{"title":53,"searchDepth":54,"depth":54,"links":1154},[1155,1156,1157,1158],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"革脉类",{"englishName":1161},"Tympanic Pulse",23,"\u002Fpulses\u002Fzh\u002F23-ge-mai",{"title":1122,"description":53},"ge-mai","pulses\u002Fzh\u002F23-ge-mai","rRj_r3laKZd4MJhTMZTlZGTdfV4qUcuQrIaXErvLqQo",{"id":1169,"title":1170,"body":1171,"category":1207,"chineseName":62,"description":53,"extension":63,"image":1180,"lang":64,"meta":1208,"navigation":67,"order":1210,"path":1211,"seo":1212,"slug":1213,"stem":1214,"__hash__":1215},"pulses\u002Fpulses\u002Fzh\u002F24-lao-mai.md","牢脉",{"type":8,"value":1172,"toc":1201},[1173,1175,1181,1183,1186,1188,1191,1193,1196,1198],[11,1174,1170],{"id":1170},[14,1176,1177],{},[17,1178],{"alt":1179,"src":1180},"牢脉脉象波形图","\u002Fimages\u002Fpulses\u002Flao-mai.gif",[22,1182,24],{"id":24},[14,1184,1185],{},"牢在沉分，大而弦实；浮中二候，了不可得。",[22,1187,30],{"id":30},[14,1189,1190],{},"牢主坚积。病在于内。左寸之牢，伏梁为病；右寸之牢，息贲可定。左关见牢，肝家血积；右关见牢，阴寒痞癖。左尺牢形，奔豚为患；右尺牢形，疝瘕痛甚。",[22,1192,42],{"id":42},[14,1194,1195],{},"牢脉主阴寒坚积、里实之证。其脉位深沉，脉体大而弦实，浮取、中取均不应，重按始得，多因阴寒内盛、瘀血痰浊等有形实邪凝结于里，气血壅聚于深部脉道所致。牢脉多见于癥瘕积聚、疝气、顽痹、寒疝腹痛等久病痼疾。左寸牢者，多属心下积块，如伏梁之属，可见心胸疼痛、胀满；右寸牢者，多属肺中积气或痰瘀互结，可见喘息、胸痛、咳嗽气逆。左关牢者，多属肝血瘀积，可见胁下肿块、刺痛拒按；右关牢者，多属脾胃阴寒、痞块内结，可见脘腹痞满、冷痛、食少。左尺牢者，多属下焦寒凝气逆，如奔豚气，可见少腹气上冲心、疼痛；右尺牢者，多属寒疝、癥瘕，可见少腹及阴部剧痛。牢脉为里实寒积之象，病程多较长，邪气深伏，治疗需缓图消散。",[22,1197,48],{"id":48},[14,1199,1200],{},"牢脉属阴寒坚积者，治疗以温阳散寒、软坚散结、活血化瘀为主。寒凝血瘀、癥瘕积聚者，宜温经散寒、化瘀消癥，方用桂枝茯苓丸、大黄䗪虫丸或温经汤；肝脾肿大、瘀血内结者，可选用鳖甲煎丸或膈下逐瘀汤。寒疝腹痛者，宜暖肝散寒、行气止痛，方选暖肝煎或天台乌药散；奔豚气逆者，宜温阳降逆，方用桂枝加桂汤或奔豚汤。脾胃虚寒、痞块内结者，宜温中健脾、化痰散结，方用理中汤合二陈汤或香砂六君子汤加减。调护上宜注意保暖，避免受寒及生冷饮食，以免寒凝加重；饮食宜温热、易消化，可适量食用生姜、肉桂、茴香等温散之品。避免剧烈运动及腹部受压，疼痛发作时宜卧床休息。可艾灸关元、气海、足三里、三阴交以温阳散寒，配合局部热敷缓解疼痛。癥瘕积块需定期复查，结合中西医诊疗。",{"title":53,"searchDepth":54,"depth":54,"links":1202},[1203,1204,1205,1206],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"牢脉类",{"englishName":1209},"Firm Pulse",24,"\u002Fpulses\u002Fzh\u002F24-lao-mai",{"title":1170,"description":53},"lao-mai","pulses\u002Fzh\u002F24-lao-mai","orNqKY-rOgtOEKE5w0rbxqGMzGmbjYKPEcbMm12nQDo",{"id":1217,"title":1218,"body":1219,"category":1255,"chineseName":62,"description":53,"extension":63,"image":1228,"lang":64,"meta":1256,"navigation":67,"order":1258,"path":1259,"seo":1260,"slug":1261,"stem":1262,"__hash__":1263},"pulses\u002Fpulses\u002Fzh\u002F25-san-mai.md","散脉",{"type":8,"value":1220,"toc":1249},[1221,1223,1229,1231,1234,1236,1239,1241,1244,1246],[11,1222,1218],{"id":1218},[14,1224,1225],{},[17,1226],{"alt":1227,"src":1228},"散脉脉象波形图","\u002Fimages\u002Fpulses\u002Fsan-mai.gif",[22,1230,24],{"id":24},[14,1232,1233],{},"散脉浮乱，有表无里；中候渐空，按则绝矣。",[22,1235,30],{"id":30},[14,1237,1238],{},"散为本伤，见则危殆。左寸之散，怔忡不寐；右寸之散，自汗淋漓。左关之散，当有溢饮；右关之散，胀满蛊疾。居于左尺，北方水竭；右尺得之，阳消命绝。",[22,1240,42],{"id":42},[14,1242,1243],{},"散脉主元气离散、脏腑精气衰竭之危证。其脉位浮散无根，按之渐空，至沉取则脉形消失，似有表无里，多因久病正虚、元气耗散、阴阳离决，脉气不能内守而外越所致。散脉多见于各种疾病的终末期、大出血、大汗、大泄之后，或心力衰竭、休克等危候。左寸散者，多属心气涣散、心神失养，可见怔忡、心悸、失眠、精神恍惚；右寸散者，多属肺气外脱、卫表不固，可见大汗淋漓、呼吸微弱、面色晄白。左关散者，多属肝木失调、水液泛溢，可见水肿、溢饮、胁痛；右关散者，多属脾胃衰败、气机胀乱，可见腹胀如鼓、食少、泄泻。左尺散者，多属肾阴枯竭，可见腰膝酸软、耳鸣、遗精、小便不利；右尺散者，多属肾阳消亡、命火将绝，可见四肢厥冷、浮肿、意识淡漠，预后极差。",[22,1245,48],{"id":48},[14,1247,1248],{},"散脉属元气离散者，治疗以益气固脱、回阳救逆为大法。阳气暴脱、汗出肢冷者，宜回阳固脱，方用参附汤、四逆汤或独参汤；气阴两伤、汗多口渴者，宜益气养阴、敛汗固脱，方选生脉散加山茱萸、龙骨、牡蛎。肾气衰竭、阴阳离决者，宜大补元煎或参茸固本丸以回阳益阴。各脏腑虚衰者，可随证合用归脾汤、金匮肾气丸、左归丸、右归丸等扶正固本。调护上须绝对卧床，严密监护体温、呼吸、脉搏、血压；保持环境安静温暖，避免风寒刺激；饮食宜极清淡之流质或半流质，少量频服，如米汤、参汤、红枣汤，忌生冷、油腻、难化之物。散脉多见于危重症，必须立即送医抢救，配合现代医学治疗。可艾灸关元、气海、命门、百会、足三里以回阳固脱，但仅为辅助措施。",{"title":53,"searchDepth":54,"depth":54,"links":1250},[1251,1252,1253,1254],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"散脉类",{"englishName":1257},"Scattered Pulse",25,"\u002Fpulses\u002Fzh\u002F25-san-mai",{"title":1218,"description":53},"san-mai","pulses\u002Fzh\u002F25-san-mai","GuoqFInqZsv7j65jpdMSHyraAmY-l5impKHYSJdLfuM",{"id":1265,"title":1266,"body":1267,"category":1303,"chineseName":62,"description":53,"extension":63,"image":1276,"lang":64,"meta":1304,"navigation":67,"order":1306,"path":1307,"seo":1308,"slug":1309,"stem":1310,"__hash__":1311},"pulses\u002Fpulses\u002Fzh\u002F26-kou-mai.md","芤脉",{"type":8,"value":1268,"toc":1297},[1269,1271,1277,1279,1282,1284,1287,1289,1292,1294],[11,1270,1266],{"id":1266},[14,1272,1273],{},[17,1274],{"alt":1275,"src":1276},"芤脉脉象波形图","\u002Fimages\u002Fpulses\u002Fkou-mai.gif",[22,1278,24],{"id":24},[14,1280,1281],{},"芤乃草名，绝类慈葱；浮沉俱有，中候独空。",[22,1283,30],{"id":30},[14,1285,1286],{},"芤脉中空，故主失血。左寸呈芤，心主丧血；右寸呈芤。相搏阴伤。芤入左关，肝血不藏；芤现右关，脾血不摄。左尺如芤，便红为咎；右尺如芤，火炎精漏。",[22,1288,42],{"id":42},[14,1290,1291],{},"芤脉主失血、伤阴之证。其脉浮大中空，如按葱管，浮沉二候均有脉形，独中候空虚，多因大量失血后阴血骤虚，脉道失充，阳气浮越于外所致。芤脉常见于吐血、衄血、便血、崩漏、外伤大出血、产后大出血等急性失血之后。左寸芤者，多属心失血养，可见心悸、失眠、面色苍白、头晕；右寸芤者，多属肺阴受损或气阴两伤，可见咳嗽、气短、口干咽燥、自汗。左关芤者，多属肝血不藏，可见目涩昏花、筋脉拘急、易怒、月经不调；右关芤者，多属脾不统血，可见便血、崩漏、面色萎黄、食少乏力。左尺芤者，多属肾阴下亏、肠道失润，可见便血、腰膝酸软、耳鸣；右尺芤者，多属阴虚火旺、精关不固，可见遗精、带下、小便灼热、下肢疮疡。",[22,1293,48],{"id":48},[14,1295,1296],{},"芤脉属急性失血者，首当止血以救其急，继以补血养阴以复其虚。吐血、衄血者，宜凉血止血，方用十灰散、犀角地黄汤或泻心汤；脾不统血之崩漏、便血者，宜健脾益气、养血止血，方用归脾汤或黄土汤。血虚明显者，宜大补阴血，方选当归补血汤、四物汤或十全大补汤；阴虚火旺者，宜滋阴降火、凉血止血，方用知柏地黄丸或两地汤。产后大出血见芤脉者，宜益气养血、回阳固脱，方用当归补血汤合参附汤。调护上须绝对卧床休息，避免活动加重出血；注意保暖，防止受凉；饮食宜温热、易消化而富有营养，如红枣、桂圆、阿胶、猪肝、乌鸡、红糖水等，忌食生冷、辛辣、燥热动血之物。出血未止者禁食粗硬食物，可配合艾灸足三里、三阴交、血海以补气摄血，但须以止血为首要目标。",{"title":53,"searchDepth":54,"depth":54,"links":1298},[1299,1300,1301,1302],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"芤脉类",{"englishName":1305},"Hollow Pulse",26,"\u002Fpulses\u002Fzh\u002F26-kou-mai",{"title":1266,"description":53},"kou-mai","pulses\u002Fzh\u002F26-kou-mai","-zg4OE8Se9_JAgNlV-_D1J_sa3K0BRJv2qbic6cjSVg",{"id":1313,"title":1314,"body":1315,"category":1351,"chineseName":62,"description":53,"extension":63,"image":1324,"lang":64,"meta":1352,"navigation":67,"order":1354,"path":1355,"seo":1356,"slug":1357,"stem":1358,"__hash__":1359},"pulses\u002Fpulses\u002Fzh\u002F27-fu-mai2.md","伏脉",{"type":8,"value":1316,"toc":1345},[1317,1319,1325,1327,1330,1332,1335,1337,1340,1342],[11,1318,1314],{"id":1314},[14,1320,1321],{},[17,1322],{"alt":1323,"src":1324},"伏脉脉象波形图","\u002Fimages\u002Fpulses\u002Ffu-mai2.gif",[22,1326,24],{"id":24},[14,1328,1329],{},"伏为隐伏，更下于沉；推筋著骨，始得其形。",[22,1331,30],{"id":30},[14,1333,1334],{},"伏脉为阴，受病入深。伏犯左寸，血郁之证；伏居右寸，气郁之疴。左关值伏，肝血在腹；右关值伏，寒凝水谷。左尺伏见，疝瘕可验；右尺伏藏，少火消亡。",[22,1336,42],{"id":42},[14,1338,1339],{},"伏脉主阴邪内伏、病深入里之证。其脉位极深，甚于沉脉，须推筋按骨方能触及，多因阴寒之邪深伏于里，阳气被遏，气血凝滞，脉气不能外达所致。伏脉多见于寒邪直中、大寒内伏、剧痛、厥逆、痰饮壅盛等重病。左寸伏者，多属心血瘀郁，可见心胸刺痛、心悸、胸闷、面唇青紫；右寸伏者，多属肺气郁闭，可见胸痛、喘憋、咳嗽气逆。左关伏者，多属肝经寒凝血瘀，可见胁腹疼痛、癥瘕积聚；右关伏者，多属脾胃寒凝、水谷不化，可见脘腹冷痛、呕吐清水、泄泻。左尺伏者，多属下焦寒凝气滞，可见疝气、癥瘕、少腹冷痛；右尺伏者，多属肾阳衰微、命门火衰，可见畏寒肢冷、水肿、阳痿、小便清长或失禁。",[22,1341,48],{"id":48},[14,1343,1344],{},"伏脉属阴寒内伏者，治疗以温阳散寒、通脉开郁为主。寒邪直中、剧痛厥逆者，宜回阳救逆、散寒止痛，方用四逆汤、通脉四逆汤或大黄附子汤；寒凝肝经、疝痛癥瘕者，宜暖肝散寒、行气活血，方选暖肝煎或天台乌药散。心血瘀郁者，宜活血化瘀、温通心阳，方用血府逐瘀汤合瓜蒌薤白白酒汤；脾胃寒凝者，宜温中散寒，方用理中汤或附子理中丸。肾阳衰微者，宜温补肾阳，方用金匮肾气丸或右归丸。调护上须严格避寒保暖，尤其胸腹、腰背、下肢；饮食宜温热，多食生姜、肉桂、羊肉、花椒等温阳散寒之品，忌食生冷、寒凉、油腻之物。疼痛发作时宜卧床休息，局部热敷或艾灸以散寒止痛。伏脉多见于重病，应密切观察病情变化，必要时结合现代医学诊治，防止阳气衰脱。",{"title":53,"searchDepth":54,"depth":54,"links":1346},[1347,1348,1349,1350],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"伏脉类",{"englishName":1353},"Hidden Pulse",27,"\u002Fpulses\u002Fzh\u002F27-fu-mai2",{"title":1314,"description":53},"fu-mai2","pulses\u002Fzh\u002F27-fu-mai2","nLYR9ZD6wF8vKlBeuIDk0cmVlH-Jv03VNIzpk4CU0cI",{"id":1361,"title":1362,"body":1363,"category":1399,"chineseName":62,"description":53,"extension":63,"image":1372,"lang":64,"meta":1400,"navigation":67,"order":1402,"path":1403,"seo":1404,"slug":1405,"stem":1406,"__hash__":1407},"pulses\u002Fpulses\u002Fzh\u002F28-ji-mai.md","疾脉",{"type":8,"value":1364,"toc":1393},[1365,1367,1373,1375,1378,1380,1383,1385,1388,1390],[11,1366,1362],{"id":1362},[14,1368,1369],{},[17,1370],{"alt":1371,"src":1372},"疾脉脉象波形图","\u002Fimages\u002Fpulses\u002Fji-mai.gif",[22,1374,24],{"id":24},[14,1376,1377],{},"疾为急疾，数之至极；七至八至，脉流薄疾。",[22,1379,30],{"id":30},[14,1381,1382],{},"疾为阳极，阴气欲竭；脉号离经，虚魂将绝；渐进渐疾，且多殒灭。左寸居疾，勿戢自焚；右寸居疾，金被火乘。左关疾也，肝阴已绝；右关疾也，脾阴消竭。左尺疾兮，涸辙难濡；右尺疾兮。赫曦过极。",[22,1384,42],{"id":42},[14,1386,1387],{},"疾脉主阳极阴竭、危重病证。其脉来急疾，一息七至八至，为数脉之极，多因阳热亢极、阴液枯竭，或虚阳外越、心气衰败，气血奔涌而无力自持所致。疾脉多见于高热神昏、中风闭证、心力衰竭、休克、严重感染或中毒等危急重症。左寸疾者，多属心火暴盛、心阴枯竭，可见高热神昏、谵语、心烦；右寸疾者，多属肺金被火邪所乘，可见喘促、胸痛、咳血、高热。左关疾者，多属肝阴耗竭、肝风内动，可见抽搐、震颤、目赤、头痛；右关疾者，多属胃阴脾阴消竭，可见口干唇裂、消谷善饥或食欲不振、腹胀。左尺疾者，多属肾阴涸竭，可见腰膝酸软、耳鸣、遗精、小便短赤；右尺疾者，多属相火过极、阴精耗伤，可见遗精、带下、下肢热疮、潮热盗汗。",[22,1389,48],{"id":48},[14,1391,1392],{},"疾脉属阳热极盛者，治疗以清热凉血、养阴生津、息风开窍为主。气营两燔、高热神昏者，宜清气凉营、开窍醒神，方用清营汤、安宫牛黄丸或紫雪丹；肝风内动、抽搐痉厥者，宜凉肝息风，方选羚角钩藤汤。阴液枯竭者，宜大剂滋阴救液，方用生脉散、增液汤或加减复脉汤；虚阳外越、阴阳离决者，宜回阳救逆、益气固脱，方用参附汤、四逆汤或生脉散合参附汤。调护上须立即就医抢救，密切监护生命体征；保持环境凉爽通风，避免燥热刺激；高热者可用温水擦浴物理降温，但忌用冰水。饮食宜清淡流质，如米汤、藕粉、梨汁、西瓜汁等以养胃阴、生津液，忌辛辣、温补、油腻及难化之物。神志不清者禁止强行喂食。疾脉预后凶险，须中西医结合积极救治，可配合针刺人中、十宣、涌泉以开窍醒神。",{"title":53,"searchDepth":54,"depth":54,"links":1394},[1395,1396,1397,1398],{"id":24,"depth":54,"text":24},{"id":30,"depth":54,"text":30},{"id":42,"depth":54,"text":42},{"id":48,"depth":54,"text":48},"疾脉类",{"englishName":1401},"Swift Pulse",28,"\u002Fpulses\u002Fzh\u002F28-ji-mai",{"title":1362,"description":53},"ji-mai","pulses\u002Fzh\u002F28-ji-mai","yjtae9bVhyZqWbr1vYzMNh3D3Kw48GpUQiMh7k2P0Pg",1788235975574]