[{"data":1,"prerenderedAt":73},["ShallowReactive",2],{"pulse-zh-shi-mai":3},{"id":4,"title":5,"body":6,"category":60,"chineseName":61,"description":52,"extension":62,"image":19,"lang":63,"meta":64,"navigation":66,"order":67,"path":68,"seo":69,"slug":70,"stem":71,"__hash__":72},"pulses\u002Fpulses\u002Fzh\u002F08-shi-mai.md","实脉",{"type":7,"value":8,"toc":51},"minimark",[9,12,20,24,27,30,33,36,39,42,45,48],[10,11,5],"h1",{"id":5},[13,14,15],"p",{},[16,17],"img",{"alt":18,"src":19},"实脉脉象波形图","\u002Fimages\u002Fpulses\u002Fshi-mai.gif",[21,22,23],"h2",{"id":23},"体象歌",[13,25,26],{},"实脉有力，长大而坚；应指愊愊，三候皆然。",[21,28,29],{"id":29},"主病歌",[13,31,32],{},"血实脉实，火热壅结。左寸心劳，舌强气涌；右寸肺病，呕逆咽疼。左关见实，肝火胁痛；右关见实，中满气疼。左尺见之，便闭腹疼；右尺见之，相火亢逆。",[21,34,35],{"id":35},"兼脉歌",[13,37,38],{},"实而且紧，寒积稽留。实而且滑，痰凝为祟。",[21,40,41],{"id":41},"主病详解",[13,43,44],{},"实脉主实证，其形成多因邪气亢盛而正气未衰，正邪交争剧烈，气血壅盛于脉道，故脉来充实有力，长大而坚。实脉可见于热毒壅盛、痰火内结、瘀血阻滞、寒积、宿食等多种实邪内停之证。左寸实者，多属心火亢盛或痰火扰心，可见心烦、口舌生疮、舌强语謇、气逆上冲；右寸实者，多属肺热壅盛或痰热阻肺，可见咳喘、胸痛、咽喉肿痛、呕逆。左关实者，多属肝火炽盛，可见头痛目赤、胁肋灼痛、急躁易怒；右关实者，多属脾胃实热或食积气滞，可见脘腹胀满疼痛、嗳腐吞酸、便秘。左尺实者，多属大肠燥热或膀胱湿热，可见便秘、腹痛、小便不利；右尺实者，多属相火亢逆，可见遗精、带下黄稠、下肢疮疡。",[21,46,47],{"id":47},"治疗与调护",[13,49,50],{},"实脉以祛邪为大法，根据实邪性质分别采用清热、化痰、活血、攻下、消食、散寒等法。实热壅盛者，宜清热泻火，方用白虎汤、黄连解毒汤；痰火内结者，宜清热化痰，方选清气化痰丸或滚痰丸；肝火炽盛者，宜清肝泻火，方用龙胆泻肝汤；肺热咳喘者，宜清肺化痰，方选麻杏石甘汤。食积气滞者，宜消食导滞，方用保和丸或枳实导滞丸；寒积腹痛者，宜温下寒积，方选大黄附子汤；瘀血内阻者，宜活血化瘀，方用血府逐瘀汤或桃仁承气汤。调护上宜清淡饮食，避免肥甘厚味、辛辣炙煿助热生痰；保持大便通畅，适当运动以促进气血运行；实热证者忌温补，寒积者忌生冷。可配合针刺曲池、合谷、内庭等穴以泻实热，但须在专业医师指导下进行。",{"title":52,"searchDepth":53,"depth":53,"links":54},"",2,[55,56,57,58,59],{"id":23,"depth":53,"text":23},{"id":29,"depth":53,"text":29},{"id":35,"depth":53,"text":35},{"id":41,"depth":53,"text":41},{"id":47,"depth":53,"text":47},"实脉类",null,"md","zh",{"englishName":65},"Full Pulse",true,8,"\u002Fpulses\u002Fzh\u002F08-shi-mai",{"title":5,"description":52},"shi-mai","pulses\u002Fzh\u002F08-shi-mai","GXNaoPEvcfQBpX-jTWEwvDR3lWYSXbSd7-neJ86-vRA",1788235990968]