疾脉源流考

Research on the Origin and Development of Swift Pulse

疾脉隶属于二十八脉,是二十八脉中最晚单列出来的一种脉象。元代滑寿首次描述了疾脉的脉象特征,明代李中梓在《诊家正眼》中增疾脉即为二十八脉,首次将疾脉别立为单独一种脉象,明确其特征为脉率一息七八至,并为后世沿用。疾脉主阳极阴竭,元气将脱,亦可见于平人,临床可通过疾脉判断疾病的进退与预后。本文通过梳理中医古医籍、现代中医脉学专著、中医诊断学教材及现代文献中有关疾脉的脉象特征与临床意义的记载,探析古今医家对疾脉的脉象特征及临床意义认识的演变轨迹,并与其他相似脉进行对比,以期为脉象的规范化研究、指导教学和临床实践提供依据。

The Swift Pulse belongs to the 28 pulses,which is the latest pulse condition listed in the 28 pulses.Hua Shou in the Yuan Dynasty described the pulse characteristics of the Swift Pulse for the first time. In the Ming Dynasty,Li Zhongzi added the Swift Pulse to 28 pulses in his Zhen Jia Zheng Yan. For the first time,the Swift Pulse was established as a single type of pulse,and its characteristic was pulse rate. Li defined this pulse as having 7 or 8 beats per respiration,and this was used for later generations. The Swift Pulse means extreme yang,depletion of yin,vitality will be lost,or it can also be found in healthy people. Clinically,the disease progression and prognosis can be judged by the Swift Pulse. This article combs through the records of the pulse characteristics and clinical significance of the Swift Pulse in ancient Chinese medical books,modern TCM pulse studies,TCM diagnostics textbooks and modern documents,explores the evolution track of ancient and modern doctors′ understanding of the pulse characteristics and clinical significance of the Swift Pulse,and comparesit with other similar pulses,so as to provide a basis for standardized research,instructional teaching and clinical practice of pulse conditions.