张仲景论弦脉考略

Research on discussion of wiry pulse by ZHANG Zhong-jing

弦脉首载于《黄帝内经》,为常见脉象之一。现代多版《中医诊断学》教材多谓弦脉主肝胆病、疼痛、痰饮等,然而,在《伤寒杂病论》中,却并未见弦脉主肝胆病的论述。文章从仲景原文出发,探讨了其论弦脉的用意,并归纳为诊断疾病、分析病机、判断预后3个方面,对临床具有一定指导意义。

Wiry pulse is one of the common pulse tracings, which was recorded firstly in Inner Canon of Huangdi. Most of the modern textbooks of diagnostics of TCM consider that it relates with liver-gallbladder diseases, ache and phlegm-fluid retention,etc. However, there was not record of stringy pulse relating with liver-gallbladder diseases in Treatise on Cold Pathogenic Diseases. From the original of ZHANG Zhong-jing, this article researched the author’s object of discussing stringy pulse, which can be induced as three aspects： diagnosing diseases, analysing pathogenesis and deducing prognosis. The anticle maybe benefited to clinical work of TCM.