[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"pulse-zh-kou-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\u002F26-kou-mai.md","芤脉",{"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},"芤脉脉象波形图","\u002Fimages\u002Fpulses\u002Fkou-mai.gif",[21,22,23],"h2",{"id":23},"体象歌",[13,25,26],{},"芤乃草名，绝类慈葱；浮沉俱有，中候独空。",[21,28,29],{"id":29},"主病歌",[13,31,32],{},"芤脉中空，故主失血。左寸呈芤，心主丧血；右寸呈芤。相搏阴伤。芤入左关，肝血不藏；芤现右关，脾血不摄。左尺如芤，便红为咎；右尺如芤，火炎精漏。",[21,34,35],{"id":35},"主病详解",[13,37,38],{},"芤脉主失血、伤阴之证。其脉浮大中空，如按葱管，浮沉二候均有脉形，独中候空虚，多因大量失血后阴血骤虚，脉道失充，阳气浮越于外所致。芤脉常见于吐血、衄血、便血、崩漏、外伤大出血、产后大出血等急性失血之后。左寸芤者，多属心失血养，可见心悸、失眠、面色苍白、头晕；右寸芤者，多属肺阴受损或气阴两伤，可见咳嗽、气短、口干咽燥、自汗。左关芤者，多属肝血不藏，可见目涩昏花、筋脉拘急、易怒、月经不调；右关芤者，多属脾不统血，可见便血、崩漏、面色萎黄、食少乏力。左尺芤者，多属肾阴下亏、肠道失润，可见便血、腰膝酸软、耳鸣；右尺芤者，多属阴虚火旺、精关不固，可见遗精、带下、小便灼热、下肢疮疡。",[21,40,41],{"id":41},"治疗与调护",[13,43,44],{},"芤脉属急性失血者，首当止血以救其急，继以补血养阴以复其虚。吐血、衄血者，宜凉血止血，方用十灰散、犀角地黄汤或泻心汤；脾不统血之崩漏、便血者，宜健脾益气、养血止血，方用归脾汤或黄土汤。血虚明显者，宜大补阴血，方选当归补血汤、四物汤或十全大补汤；阴虚火旺者，宜滋阴降火、凉血止血，方用知柏地黄丸或两地汤。产后大出血见芤脉者，宜益气养血、回阳固脱，方用当归补血汤合参附汤。调护上须绝对卧床休息，避免活动加重出血；注意保暖，防止受凉；饮食宜温热、易消化而富有营养，如红枣、桂圆、阿胶、猪肝、乌鸡、红糖水等，忌食生冷、辛辣、燥热动血之物。出血未止者禁食粗硬食物，可配合艾灸足三里、三阴交、血海以补气摄血，但须以止血为首要目标。",{"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},"芤脉类",null,"md","zh",{"englishName":58},"Hollow Pulse",true,26,"\u002Fpulses\u002Fzh\u002F26-kou-mai",{"title":5,"description":46},"kou-mai","pulses\u002Fzh\u002F26-kou-mai","-zg4OE8Se9_JAgNlV-_D1J_sa3K0BRJv2qbic6cjSVg",1788235991530]