中医临床常见脉象分布情况调查

Distribution of Clinical Common Pulses

目的:调查临床常见脉象的分布情况,为脉象客观化研究提供参考。方法:调查和分析了全国23个省市、55家单位的156位高级职称中医师在临床诊脉过程中的体会。结果:(1)156位中医师临床体会过的脉象按出现频次由高到低排在前十位的依次为弦脉、数脉、沉脉、滑脉、迟脉、浮脉、细脉、结脉、代脉、虚脉;(2)110位中医师认为临床常见的脉象按出现频次由高到低排在前十位的依次为弦脉、数脉、滑脉、沉脉、浮脉、细脉、迟脉、虚脉、缓脉、结脉;(3)130位中医师描述的涩脉特征涉及不流利、脉形细、脉率慢、脉律不齐、脉力不足、脉位沉、脉形短等8个方面的特征;(4)117位中医师描述的紧脉特征涉及紧张度甚于弦脉、有力、脉率偏快、脉位偏浮等四个方面的特征。结论:为进一步研究脉象客观化问题提供参考依据。

This is a survey to understand the distributions of the pulses commonly felt in the clinical environment, in an attempt to provide reference for the objective judgment of pulses. The survey has covered 156 experienced physicians in 55 establishments in 23 provinces and municipalities. The survey has come up with the fallowing results： （1）the frequency of the top ten pulses measured by 156 physicians from high to low： wiry pulse, rapid pulse, deep pulse, slippery pulse, slow pulse, superficial pulse, thready pulse, irregular intermittent pulse, regular intermittent pulse, deficient pulse;（2）the frequency of the top ten common pulses rated by 110 physicians from high to low： wiry pulse, rapid pulse, slippery pulse, deep pulse, superficial pulse, thready pulse, slow pulse, deficient pulse, moderate pulse, and irregular intermittent pulse; （3）hesitant pulse and tense pulse are basically the same as they were described in medical literatures. The survey provides a reference for the objective judgment of pulses.