摘要
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.
作者
黄遂和
张锦祥
齐玉茹
HUANG Suihe;ZHANG Jinxiang;QI Yuru(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510120,China;LI Ke and Qi Yuru TCM Academic Office,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong 510120,China)
出处
《中医药导报》
2023年第10期212-215,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
杨志敏广东省名中医传承工作室建设项目(粤中医办函〔2020〕1号)
广东省中医院李可古中医齐玉茹学术经验传承工作室项目(中医二院〔2014〕89号-22)
广东省中医院扶阳流派工作室项目(2013KT1517)。
关键词
动脉
《伤寒论》
脉象
病机
临床应用
stirred pulse
Treatise on Febrile Diseases
pulse manifestation
pathogenesis
clinical application