[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"pulse-zh-lao-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\u002F24-lao-mai.md","牢脉",{"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},"牢脉脉象波形图","\u002Fimages\u002Fpulses\u002Flao-mai.gif",[21,22,23],"h2",{"id":23},"体象歌",[13,25,26],{},"牢在沉分，大而弦实；浮中二候，了不可得。",[21,28,29],{"id":29},"主病歌",[13,31,32],{},"牢主坚积。病在于内。左寸之牢，伏梁为病；右寸之牢，息贲可定。左关见牢，肝家血积；右关见牢，阴寒痞癖。左尺牢形，奔豚为患；右尺牢形，疝瘕痛甚。",[21,34,35],{"id":35},"主病详解",[13,37,38],{},"牢脉主阴寒坚积、里实之证。其脉位深沉，脉体大而弦实，浮取、中取均不应，重按始得，多因阴寒内盛、瘀血痰浊等有形实邪凝结于里，气血壅聚于深部脉道所致。牢脉多见于癥瘕积聚、疝气、顽痹、寒疝腹痛等久病痼疾。左寸牢者，多属心下积块，如伏梁之属，可见心胸疼痛、胀满；右寸牢者，多属肺中积气或痰瘀互结，可见喘息、胸痛、咳嗽气逆。左关牢者，多属肝血瘀积，可见胁下肿块、刺痛拒按；右关牢者，多属脾胃阴寒、痞块内结，可见脘腹痞满、冷痛、食少。左尺牢者，多属下焦寒凝气逆，如奔豚气，可见少腹气上冲心、疼痛；右尺牢者，多属寒疝、癥瘕，可见少腹及阴部剧痛。牢脉为里实寒积之象，病程多较长，邪气深伏，治疗需缓图消散。",[21,40,41],{"id":41},"治疗与调护",[13,43,44],{},"牢脉属阴寒坚积者，治疗以温阳散寒、软坚散结、活血化瘀为主。寒凝血瘀、癥瘕积聚者，宜温经散寒、化瘀消癥，方用桂枝茯苓丸、大黄䗪虫丸或温经汤；肝脾肿大、瘀血内结者，可选用鳖甲煎丸或膈下逐瘀汤。寒疝腹痛者，宜暖肝散寒、行气止痛，方选暖肝煎或天台乌药散；奔豚气逆者，宜温阳降逆，方用桂枝加桂汤或奔豚汤。脾胃虚寒、痞块内结者，宜温中健脾、化痰散结，方用理中汤合二陈汤或香砂六君子汤加减。调护上宜注意保暖，避免受寒及生冷饮食，以免寒凝加重；饮食宜温热、易消化，可适量食用生姜、肉桂、茴香等温散之品。避免剧烈运动及腹部受压，疼痛发作时宜卧床休息。可艾灸关元、气海、足三里、三阴交以温阳散寒，配合局部热敷缓解疼痛。癥瘕积块需定期复查，结合中西医诊疗。",{"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},"牢脉类",null,"md","zh",{"englishName":58},"Firm Pulse",true,24,"\u002Fpulses\u002Fzh\u002F24-lao-mai",{"title":5,"description":46},"lao-mai","pulses\u002Fzh\u002F24-lao-mai","orNqKY-rOgtOEKE5w0rbxqGMzGmbjYKPEcbMm12nQDo",1788235991478]