摘要
国医大师李士懋以脉诊为中心,认为气血的运行变化是形成不同脉象的根本,临床应重在体会指下脉的形象,而不以至数为中心,强调应整体感知脉象特征,抓住病机本质,方可精准辨治;应以脉象特征为依据,辨析弦、缓、迟、数、虚、散、紧脉等脉象的判断标准;创造性地提出"痉脉"主寒凝证,"躁脉"主火郁证等临床新见,丰富了脉诊的内容、提高了脉诊的实用价值。李老倚重脉诊,强调切脉应"重脉象而非至数",突出诊脉之要是把握脉象特征,指出了中医诊断疾病的精髓,值得认真研习。
Professor LI Shi-mao takes pulse diagnosis as the center, and believes that the movement of qi and blood is the basis for the formation of different pulse conditions. The clinical practice should focus on understanding the image of the lower pulse, rather than the number as the center, emphasizing that the overall pulse characteristics should be sensed to grasp the disease.Accurate differentiation and treatment can only be done based on the nature of the mechanism;the judgment criteria of string,moderate, slow, rapid, deficiency, looseness and tight pulse should be analyzed based on the characteristics of the pulse condition.He had creatively proposed ‘spasmodic pulse’ as the main cold and coagulation syndrome. These new clinical findings such as ‘impulse pulse’ as the main fire-stagnation syndrome have enriched the content of pulse diagnosis and improved the practical value of pulse diagnosis. Professor LI relied on pulse diagnosis, emphasizing that pulse cutting should be ‘emphasis on the pulse condition rather than the number’. It is emphasized that if the pulse diagnosis is to grasp the characteristics of the pulse condition,he pointed out the essence of TCM diagnosis of diseases, which is worthy of serious study.
作者
熊志刚
郭虹君
李雅歌
王晓伟
童煜峰
王四平
XIONG Zhi-gang;GUO Hong-jun;LI Ya-ge;WANG Xiao-wei;TONG Yu-feng;WANG Si-ping(Hebei University of Chinese Medicine,Shijiazhuang 050200,China;Langfang Dachang Hui Autonomous County Center for Disease Control and Prevention,Langfang 065300,China;Zhangjiakou Fifth Hospital,Zhangjiakou 075000,China;Hebei Province Hospital of Chinese Medicine,Shijiazhuang 050011,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2021年第12期7108-7110,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家中医药管理局第二届国医大师传承工作室建设项目。
关键词
李士懋
脉象
至数
平脉辨证
脉学
LI Shi-mao
Pulse characteristics
Pulse rate
Syndrome differentiation from pulse diagnosis
Study of the pulse
