[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"pulse-zh-ge-mai":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\u002F23-ge-mai.md","革脉",{"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},"革脉脉象波形图","\u002Fimages\u002Fpulses\u002Fge-mai.gif",[21,22,23],"h2",{"id":23},"体象歌",[13,25,26],{},"革大弦急，浮取即得；按之乃空，浑如鼓革。",[21,28,29],{"id":29},"主病歌",[13,31,32],{},"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。",[21,34,35],{"id":35},"主病详解",[13,37,38],{},"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。",[21,40,41],{"id":41},"治疗与调护",[13,43,44],{},"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":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},"革脉类",null,"md","zh",{"englishName":58},"Tympanic Pulse",true,23,"\u002Fpulses\u002Fzh\u002F23-ge-mai",{"title":5,"description":46},"ge-mai","pulses\u002Fzh\u002F23-ge-mai","rRj_r3laKZd4MJhTMZTlZGTdfV4qUcuQrIaXErvLqQo",1788235991430]