消渴脉诊与病机结构案析

Pulse Diagnosis and Pathogenesis Structure Analysis

本文通过梳理全国名中医张西俭教授的“脉气脉质”与“病机结构论”的临证经验,摘析历代医家消渴医案中的脉诊与病机结构,探讨消渴脉诊与病机结构特点及其相互之间的联系。实践发现脉象变化与全身的“气变”存在密切的相关性,“气变”是一切病变的基本病机,由此再进一步探索其他层面的病机变化。病机结构是在深刻认识“气变”的基础上对于每个患者病机个体化的认识,达到治病求本的目的。

The theory of"Pulse-pneuma and pulse-quality"and"Pathogenesis structure"of professor Zhang Xijian were analyzed,as well as some diabetes medical records of ancient physicians and the relationship and characteristics of them were discussed.It is found that there is a close correlation between the changes of pulse and the changes of qi,which is the basic pathogenesis of all diseases.Pathogenesis structure is based on the deep understanding of qi to recognize the individual pathogenesis of each patient.It is the most profound technical route to achieve the purpose of treating the disease.