[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"pulse-zh-fu-mai2":3},{"id":4,"title":5,"body":6,"category":53,"chineseName":54,"description":46,"extension":55,"image":19,"lang":56,"meta":57,"navigation":59,"order":60,"path":61,"seo":62,"slug":63,"stem":64,"__hash__":65},"pulses\u002Fpulses\u002Fzh\u002F27-fu-mai2.md","伏脉",{"type":7,"value":8,"toc":45},"minimark",[9,12,20,24,27,30,33,36,39,42],[10,11,5],"h1",{"id":5},[13,14,15],"p",{},[16,17],"img",{"alt":18,"src":19},"伏脉脉象波形图","\u002Fimages\u002Fpulses\u002Ffu-mai2.gif",[21,22,23],"h2",{"id":23},"体象歌",[13,25,26],{},"伏为隐伏，更下于沉；推筋著骨，始得其形。",[21,28,29],{"id":29},"主病歌",[13,31,32],{},"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。",[21,34,35],{"id":35},"主病详解",[13,37,38],{},"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。",[21,40,41],{"id":41},"治疗与调护",[13,43,44],{},"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":46,"searchDepth":47,"depth":47,"links":48},"",2,[49,50,51,52],{"id":23,"depth":47,"text":23},{"id":29,"depth":47,"text":29},{"id":35,"depth":47,"text":35},{"id":41,"depth":47,"text":41},"伏脉类",null,"md","zh",{"englishName":58},"Hidden Pulse",true,27,"\u002Fpulses\u002Fzh\u002F27-fu-mai2",{"title":5,"description":46},"fu-mai2","pulses\u002Fzh\u002F27-fu-mai2","nLYR9ZD6wF8vKlBeuIDk0cmVlH-Jv03VNIzpk4CU0cI",1788235991553]