元代以前中医学对心律失常脉象的认识初探

Preliminary Exploration of Arrhythmic Pulses Before Yuan Dynasty

通过搜集整理历代中医主要论著,总结心律失常脉象相关论述。在秦汉时期,提出了心律失常典型脉象有促、结、代脉之名,明确结、代脉的概念,描述了心动过速、心动过缓脉象的特征;在西晋至隋唐五代时期,以王叔和《脉经》最具代表性,对心律失常脉象的认识不局限于促、结、代脉,还有数、迟、涩、芤及诸多死脉,确立了心律失常脉象更为客观具体的内容;在宋金元时期,诸多医家对《脉经》论述的心律失常脉象各有不同的理解,并对促、结、代脉、涩脉有了更为深入的认识,对心律失常脉象的理解和认识更趋全面,更切合临床实际。

On the basis of the description of the arrhythmic pulses in ancient medical treatises,this paper studied the origin and development of arrhythmic pulses in previous dynasties.It was concluded that the major arrhythmic pulses were running pulse,knotted pulse and intermittent pulse,which were defined differently in varying dynasties.