[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"pulse-zh-jie-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\u002F21-jie-mai.md","结脉",{"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},"结脉脉象波形图","\u002Fimages\u002Fpulses\u002Fjie-mai.gif",[21,22,23],"h2",{"id":23},"体象歌",[13,25,26],{},"结为凝结，缓时一止；徐行而怠，颇得其旨。",[21,28,29],{"id":29},"主病歌",[13,31,32],{},"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。",[21,34,35],{"id":35},"主病详解",[13,37,38],{},"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。",[21,40,41],{"id":41},"治疗与调护",[13,43,44],{},"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":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},"结脉类",null,"md","zh",{"englishName":58},"Knotted Pulse",true,21,"\u002Fpulses\u002Fzh\u002F21-jie-mai",{"title":5,"description":46},"jie-mai","pulses\u002Fzh\u002F21-jie-mai","FjvtxP4GuhE3Qt-bP9iB9dc0XhDceHMngcMsHQUcBRs",1788235991405]