[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"pulse-zh-jin-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\u002F16-jin-mai.md","紧脉",{"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},"紧脉脉象波形图","\u002Fimages\u002Fpulses\u002Fjin-mai.gif",[21,22,23],"h2",{"id":23},"体象歌",[13,25,26],{},"紧脉有力，左右弹指；如绞转索，如切紧绳。",[21,28,29],{"id":29},"主病歌",[13,31,32],{},"紧主寒邪，又主诸痛。左寸逢紧，心满急痛；右寸逢紧，伤寒喘嗽。左关人迎，浮紧伤寒；右关气口，沉紧伤食。左尺见之，脐下痛极；右尺见之，奔豚疝疾。",[21,34,35],{"id":35},"主病详解",[13,37,38],{},"紧脉主寒证、痛证，其形成多因寒邪侵袭人体，阳气被遏，经脉挛急，气血运行受阻，故脉来紧张有力，如牵绳索、切紧绳。紧脉为寒邪凝滞、正邪相争之象，多见于外感风寒、里寒凝滞及各种疼痛性疾病。左寸紧者，多属寒凝心脉，可见心胸满闷、急痛、心悸；右寸紧者，多属风寒束肺，可见恶寒发热、头痛、喘咳。左关紧者，多属寒邪在表或肝经寒凝，可见头痛、身痛、胁痛；右关紧者，多属寒食伤中，可见脘腹冷痛、呕吐、泄泻。左尺紧者，多属下焦寒凝，可见脐腹剧痛、腰膝冷痛；右尺紧者，多属寒疝、奔豚气等少腹及阴部疾患。紧而浮为表寒，紧而沉为里寒，紧而弦为寒凝肝脉或宿食，临床须结合部位与兼脉辨治。",[21,40,41],{"id":41},"治疗与调护",[13,43,44],{},"紧脉属寒邪凝滞者，治疗以温经散寒、通络止痛为大法。外感风寒、表寒实证者，宜辛温解表、散寒止痛，方用麻黄汤或桂枝汤；寒凝心脉、心痛者，宜温阳散寒、活血止痛，方选枳实薤白桂枝汤或冠心苏合丸。中焦寒凝、脘腹冷痛者，宜温中散寒，方用理中汤、附子理中丸或吴茱萸汤；寒凝肝脉、疝痛者，宜暖肝散寒、行气止痛，方选暖肝煎或天台乌药散。下焦寒凝、脐腹剧痛者，宜温下散寒，方用大黄附子汤或温经汤。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、葱白、羊肉、花椒等温散寒邪之品，忌生冷瓜果、寒凉饮料；疼痛发作时可用热水袋热敷或艾灸疼痛部位，如神阙、关元、足三里、三阴交等穴，以散寒通络、缓解疼痛。",{"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},"紧脉类",null,"md","zh",{"englishName":58},"Tight Pulse",true,16,"\u002Fpulses\u002Fzh\u002F16-jin-mai",{"title":5,"description":46},"jin-mai","pulses\u002Fzh\u002F16-jin-mai","qvgIrtJgZnD4abE_bCS6Dc0lvuxw0J42QOA0vzwxOBY",1788235991235]