论代脉的脉象特征及临床意义

Characteristics and clinical significance of pulse condition of regularly intermittent pulse

在对古籍中有关代脉的论述进行梳理、归纳的基础上,结合西医学心血管理论探讨代脉的脉象特征及临床意义,认为代脉作为一个独立的脉象,其特征为"脉来一止,止有定数,良久方还",其脉率可以正常,也可偏快或偏慢。代脉的临床意义为"脏气衰微、七情惊恐、跌打损伤、风证、痛证及心脏疾患,也可以见于妇女妊娠和禀赋异常的常人"。临床应用中以"结、代脉交替出现或脉有间歇,时有规律,时无规律"等文字描述"脉结代"更为准确。

The characteristics and clinical significance of pulse condition of regularly intermittent pulse are discussed based on carding and summarizing the knowledge on regularly intermittent pulse in ancient books and combining cardiovascular theory in Western medicine. As an independent pulse condition,regularly intermittent pulse is found to be characterized by a regular long pause between heartbeats,with pulse rate being normal,fast or slow. Clinically,regularly intermittent pulse can be observed in patients with visceral dysfunction,panic of seven emotions,traumatic injury,wind pattern,pain patterns and heart diseases. It can also be seen in pregnancy women and health people with preternatural capacity. It will be more accurate in clinic to describe bound-intermittent pulse with the text as follows： bound pulse and regularly intermittent pulse appear alternately,pulsing at regular or irregular intervals.