迟、数脉分部主病之探讨

Discussion on the Diagnosis Depending on Slow Pulse or Rapid Pulse in Different Region

四纲脉中的迟脉、数脉在临床上十分常见,在中医的遣方用药上亦有较大的指导作用。古人认为,在大多数情况下,数脉主热,迟脉主寒,此理论也在后世医家的实践中得到了验证。然而,古代医家提出的迟脉、数脉分部主病的观点却与现代医学之解剖和生理学知识产生了矛盾,笔者就此问题提出了自己的见解:寸关二部所出现的迟脉、数脉当理解为该部位的脉粗大有力,强于另外两部,且合并迟脉或数脉,而尺部所出现的迟脉、数脉当理解为该部位的脉细小无力,弱于另外两部,同时合并迟脉或数脉。

The slow pulse and rapid pulse are very common in clinical practice,and also have a great guiding role in the prescription of traditional Chinese medicine.The ancients believed that,in most cases,the rapid pulse indicated heat while the slow pulse indicated cold,this theory had also been verified in the practice of later physicians.However,the view put forward by the ancient physicians that the slow pulse or rapid pulse in different region may suggest different disease is contradictory to the anatomical and physiological knowledge of modern medicine.The author thinks that the slow pulse or rapid pulse appeared in Cun or Guan means vascular pulsation in local Cun or Guan is more powerful than the other two parts while the pulse rate is slow or rapid.In contrast,the slow pulse or rapid pulse appeared in Chi means vascular pulsation in local Chi is weaker than the other two parts while the pulse rate is slow or rapid.