[{"data":1,"prerenderedAt":73},["ShallowReactive",2],{"pulse-zh-xian-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\u002F18-xian-mai.md","弦脉",{"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},"弦脉脉象波形图","\u002Fimages\u002Fpulses\u002Fxian-mai.gif",[21,22,23],"h2",{"id":23},"体象歌",[13,25,26],{},"弦如琴弦，轻虚而滑；端直以长，指下挺然。",[21,28,29],{"id":29},"主病歌",[13,31,32],{},"弦为肝风，主痛主疟，主痰主饮。弦在左寸，心中必痛；弦在右寸，胸及头疼。左关弦兮，痰疟癥瘕；右关弦兮，胃寒膈痛。左尺逢弦。饮在下焦；右尺逢弦，足挛疝痛。",[21,34,35],{"id":35},"兼脉歌",[13,37,38],{},"浮弦支饮，沉弦悬饮。弦数多热，弦迟多寒。弦大主虚，弦细拘急。阳弦头痛，阴弦腹痛。单弦饮癖，双弦寒痼。",[21,40,41],{"id":41},"主病详解",[13,43,44],{},"弦脉主肝胆病、痰饮、痛证、疟疾，其形成多因肝气郁结、肝阳上亢或痰饮内停，致脉道紧张而端直如弦。弦为肝脉，肝病则气机不畅，脉道失柔，故见弦象。左寸弦者，多属心经气滞或痰饮阻痹，可见心胸疼痛、心悸；右寸弦者，多属肺气不宣、痰饮上逆，可见头痛、胸闷、咳喘。左关弦者，多属肝胆郁滞或疟邪、癥瘕，可见胁肋胀痛、寒热往来、腹中包块；右关弦者，多属胃寒或痰饮停膈，可见胃脘冷痛、膈胀、嗳气。左尺弦者，多属水饮内停下焦，可见小便不利、少腹拘急；右尺弦者，多属寒凝肝脉或疝气，可见少腹、睾丸疼痛、筋脉挛急。弦而数为肝火，弦而迟为寒凝，弦大为肝脾两虚，弦细为肝阴不足、筋脉拘急。",[21,46,47],{"id":47},"治疗与调护",[13,49,50],{},"弦脉属肝气郁结者，治疗以疏肝理气为主，方用柴胡疏肝散或逍遥散；肝阳上亢、头痛眩晕者，宜平肝潜阳，方选天麻钩藤饮或镇肝熄风汤；肝火炽盛者，宜清肝泻火，方用龙胆泻肝汤。痰饮内停者，宜温化痰饮、健脾利湿，方用苓桂术甘汤、二陈汤或温胆汤；寒凝肝脉、疝痛者，宜暖肝散寒，方选暖肝煎。疟疾见弦脉者，宜和解少阳、祛邪截疟，方用小柴胡汤或柴胡截疟饮。肝阴不足、筋脉拘急者，宜滋阴柔肝，方用一贯煎或芍药甘草汤。调护上宜保持心情舒畅，避免郁怒伤肝；饮食清淡，忌辛辣、酒酪及油腻助痰之物；保证睡眠，避免熬夜伤阴。可进行太极拳、八段锦等舒缓运动以调畅气机，亦可按摩太冲、行间、阳陵泉以疏肝理气。",{"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},"弦脉类",null,"md","zh",{"englishName":65},"Wiry Pulse",true,18,"\u002Fpulses\u002Fzh\u002F18-xian-mai",{"title":5,"description":52},"xian-mai","pulses\u002Fzh\u002F18-xian-mai","9xQiGNrcnI7vYlc9e3-BMu-cP4s-NA1WlSTvravdIGY",1788235991295]