[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"pulse-zh-san-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\u002F25-san-mai.md","散脉",{"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},"散脉脉象波形图","\u002Fimages\u002Fpulses\u002Fsan-mai.gif",[21,22,23],"h2",{"id":23},"体象歌",[13,25,26],{},"散脉浮乱，有表无里；中候渐空，按则绝矣。",[21,28,29],{"id":29},"主病歌",[13,31,32],{},"散为本伤，见则危殆。左寸之散，怔忡不寐；右寸之散，自汗淋漓。左关之散，当有溢饮；右关之散，胀满蛊疾。居于左尺，北方水竭；右尺得之，阳消命绝。",[21,34,35],{"id":35},"主病详解",[13,37,38],{},"散脉主元气离散、脏腑精气衰竭之危证。其脉位浮散无根，按之渐空，至沉取则脉形消失，似有表无里，多因久病正虚、元气耗散、阴阳离决，脉气不能内守而外越所致。散脉多见于各种疾病的终末期、大出血、大汗、大泄之后，或心力衰竭、休克等危候。左寸散者，多属心气涣散、心神失养，可见怔忡、心悸、失眠、精神恍惚；右寸散者，多属肺气外脱、卫表不固，可见大汗淋漓、呼吸微弱、面色晄白。左关散者，多属肝木失调、水液泛溢，可见水肿、溢饮、胁痛；右关散者，多属脾胃衰败、气机胀乱，可见腹胀如鼓、食少、泄泻。左尺散者，多属肾阴枯竭，可见腰膝酸软、耳鸣、遗精、小便不利；右尺散者，多属肾阳消亡、命火将绝，可见四肢厥冷、浮肿、意识淡漠，预后极差。",[21,40,41],{"id":41},"治疗与调护",[13,43,44],{},"散脉属元气离散者，治疗以益气固脱、回阳救逆为大法。阳气暴脱、汗出肢冷者，宜回阳固脱，方用参附汤、四逆汤或独参汤；气阴两伤、汗多口渴者，宜益气养阴、敛汗固脱，方选生脉散加山茱萸、龙骨、牡蛎。肾气衰竭、阴阳离决者，宜大补元煎或参茸固本丸以回阳益阴。各脏腑虚衰者，可随证合用归脾汤、金匮肾气丸、左归丸、右归丸等扶正固本。调护上须绝对卧床，严密监护体温、呼吸、脉搏、血压；保持环境安静温暖，避免风寒刺激；饮食宜极清淡之流质或半流质，少量频服，如米汤、参汤、红枣汤，忌生冷、油腻、难化之物。散脉多见于危重症，必须立即送医抢救，配合现代医学治疗。可艾灸关元、气海、命门、百会、足三里以回阳固脱，但仅为辅助措施。",{"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},"散脉类",null,"md","zh",{"englishName":58},"Scattered Pulse",true,25,"\u002Fpulses\u002Fzh\u002F25-san-mai",{"title":5,"description":46},"san-mai","pulses\u002Fzh\u002F25-san-mai","GuoqFInqZsv7j65jpdMSHyraAmY-l5impKHYSJdLfuM",1788235991494]