《伤寒论》动脉的内涵与临床应用

The Connotation and Clinical Application of Stirred Pulse in Treatise on Febrile Diseases

结合中医经典理论探讨《伤寒论》中动脉的病机与主治,认为动脉反映了正气驱邪外出而相持不下,阴阳气欲相交而不得相交融洽的情况,主惊、痛及气机逆乱,里虚不足是其重要原因。临证时需考虑人体正气强弱情况,做到因势利导,或鼓舞正气或调和阴阳,切忌因气机逆乱相争而出现的热象、实象而误用攻伐之法,导致正退邪进。

Based on the classic theories of traditional Chinese medicine,this paper discussed the pathogenesis and main treatment of stirred pulse in the Treatise on Febrile Diseases.It was believed that stirred pulse reflect the situation where the healthy Qi drives away evil and remains stagnant,while the Yin and Yang Qi desire to intersect but cannot be harmonious.The main symptoms were shock,pain,and disorder of Qi mechanism,and the deficiency of internal Qi was the main reason of stirred pulse.It was necessary to consider the strength of healthy Qi in the human body during clinical diagnosis,so as to guide the situation,or encourage healthy Qi or harmonize Yin and Yang.It was important to avoid the misuse of drastic remedy due to the heat and excess syndrome caused by the struggle between the healthy Qi and pathogen and Qi movement disorder,which can lead to the retreat of healthy Qi and the advancement of pathogen.