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张锡纯诊识数脉探析

Exploration on ZHANG Xi-chun’s experience in understanding rapid pulse
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摘要 脉诊是中医诊察疾病、收集病情资料的重要手段,传承和研究脉诊是中医学者面临的重要课题。文章以清末民国初名医张锡纯所著《医学衷中参西录》为主要研究对象,参考历代医家对数脉的注解,对该书中记载的数脉病案、主病等内容进行总结,列举了数脉主虚,包括脾阴受伤,元气虚极,血虚有热,阴虚及阳、阴阳不相维系,肾阴不能上潮等;数脉主实,包括阳明热炽,热药所伤,肝风内动,热砖外熨、寒邪内陷等。通过探讨张锡纯对数脉临床意义的理解,揭示张锡纯运用脉诊的特色。 Pulse examination is an important means of diagnosing and collecting disease information in traditional Chinese medicine. It is an important task for TCM scholars to inherit and study pulse diagnosis. Records of Tradition Chinese and Western Medicine in Combination being written by ZHANG Xi-chun, a famous doctor in the late Qing dynasty and early republic of China, is selected as the main research object in the article. The rapid pulse annotations of past dynasties doctors are refered. The medical records of rapid pulse and main diseases recorded in this book are summarized. The asthenia symptoms of rapid pulse are listed, including spleen yin being injured, yuan qi being extreme lack, blood deficiency producing heat syndrome,yin deficiency affecting yang qi, yin and yang being not able to maintain and kidney yin being not able to be upward. The excess symptoms of rapid pulse are listed, including blazing heat in Yangming channel, thermal medicine injuring body, internal stirring of liver wind, hot bricks ironing outside and leading to cold evil invaginating. Through ZHANG Xi-chun’s understanding of the clinical significance of rapid pulse is discussed, the characteristics of using pulse diagnosis are revealed.
作者 靳贺超 刘晓 聂金涛 董尚朴 于文涛 潘莉 JIN He-chao;LIU Xiao;NIE Jin-tao;DONG Shang-pu;YU Wen-tao;PAN Li(Hebei University of Chinese Medicine,Shijiazhuang 050200,China;Handan Hospital of Traditional Chinese Medicine,Handan 056001,China;Hebei Provincial Key Laboratory of Traditional Chinese Medicine Research on Cardio-cerebrovascular Disease,Shijiazhuang 050091,China)
出处 《中华中医药杂志》 CAS CSCD 北大核心 2019年第3期1003-1005,共3页 China Journal of Traditional Chinese Medicine and Pharmacy
基金 河北省中医药管理局科研计划资助项目(No.2014004) 2018年省级中医药发展资金中医药重大科研专项-中医药古典文献和传承流派研究(No.20181002) 河北省科技计划项目(No.16277718D).
关键词 数脉 张锡纯 医学衷中参西录 Rapid pulse ZHANG Xi-chun Records of Tradition Chinese and Western Medicine in Combination
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