[{"data":1,"prerenderedAt":72},["ShallowReactive",2],{"pulse-zh-chen-mai":3},{"id":4,"title":5,"body":6,"category":60,"chineseName":61,"description":52,"extension":62,"image":19,"lang":63,"meta":64,"navigation":66,"order":53,"path":67,"seo":68,"slug":69,"stem":70,"__hash__":71},"pulses\u002Fpulses\u002Fzh\u002F02-chen-mai.md","沉脉",{"type":7,"value":8,"toc":51},"minimark",[9,12,20,24,27,30,33,36,39,42,45,48],[10,11,5],"h1",{"id":5},[13,14,15],"p",{},[16,17],"img",{"alt":18,"src":19},"沉脉脉象波形图","\u002Fimages\u002Fpulses\u002Fchen-mai.gif",[21,22,23],"h2",{"id":23},"体象歌",[13,25,26],{},"沉行筋骨，如水投石；按之有余，举之不足。",[21,28,29],{"id":29},"主病歌",[13,31,32],{},"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。",[21,34,35],{"id":35},"兼脉歌",[13,37,38],{},"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。",[21,40,41],{"id":41},"主病详解",[13,43,44],{},"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。",[21,46,47],{"id":47},"治疗与调护",[13,49,50],{},"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":52,"searchDepth":53,"depth":53,"links":54},"",2,[55,56,57,58,59],{"id":23,"depth":53,"text":23},{"id":29,"depth":53,"text":29},{"id":35,"depth":53,"text":35},{"id":41,"depth":53,"text":41},{"id":47,"depth":53,"text":47},"沉脉类",null,"md","zh",{"englishName":65},"Deep Pulse",true,"\u002Fpulses\u002Fzh\u002F02-chen-mai",{"title":5,"description":52},"chen-mai","pulses\u002Fzh\u002F02-chen-mai","FDPdSdSGNADI9_yh0eVNmrzIBpXBbDpqM-4UR7Di5yM",1788235990795]