[{"data":1,"prerenderedAt":73},["ShallowReactive",2],{"pulse-zh-chi-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":67,"path":68,"seo":69,"slug":70,"stem":71,"__hash__":72},"pulses\u002Fpulses\u002Fzh\u002F03-chi-mai.md","迟脉",{"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},"迟脉脉象波形图","\u002Fimages\u002Fpulses\u002Fchi-mai.gif",[21,22,23],"h2",{"id":23},"体象歌",[13,25,26],{},"迟脉属阴，象为不及；往来迟慢，三至一息。",[21,28,29],{"id":29},"主病歌",[13,31,32],{},"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。",[21,34,35],{"id":35},"兼脉歌",[13,37,38],{},"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。",[21,40,41],{"id":41},"主病详解",[13,43,44],{},"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。",[21,46,47],{"id":47},"治疗与调护",[13,49,50],{},"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":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},"迟脉类",null,"md","zh",{"englishName":65},"Slow Pulse",true,3,"\u002Fpulses\u002Fzh\u002F03-chi-mai",{"title":5,"description":52},"chi-mai","pulses\u002Fzh\u002F03-chi-mai","HzcAzZaMvcoGr8gEsoFhytwQP6uEDdGNOyajbhlRYV4",1788235990814]