主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2017, Vol. 40 ›› Issue (9): 709-713.doi: 10.3969/j.issn.1006-2157.2017.09.001

• 理论研究 •    下一篇

论代脉的脉象特征及临床意义*

沈无瑕,王天芳#,陈欣然   

  1. 北京中医药大学中医学院 北京 100029
  • 收稿日期:2017-04-12 出版日期:2017-09-10 发布日期:2017-09-10
  • 通讯作者: 王天芳,女,博士,教授,博士生导师,E-mail:tianfangwang2000@163.com
  • 作者简介:沈无瑕,女,在读硕士生
  • 基金资助:
    *国家自然科学基金资助项目(No.81473598),北京中医药大学新奥奖励基金项目(No.1000062720037/001)

Characteristics and clinical significance of pulse condition of regularly intermittent pulse*

SHEN Wuxia, WANG Tianfang#, CHEN Xinran   

  1. Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2017-04-12 Online:2017-09-10 Published:2017-09-10
  • Supported by:
    National Natural Science Foundation of China (No. 81473598)

摘要: 在对古籍中有关代脉的论述进行梳理、归纳的基础上,结合西医学心血管理论探讨代脉的脉象特征及临床意义,认为代脉作为一个独立的脉象,其特征为“脉来一止,止有定数,良久方还”,其脉率可以正常,也可偏快或偏慢。代脉的临床意义为“脏气衰微、七情惊恐、跌打损伤、风证、痛证及心脏疾患,也可以见于妇女妊娠和禀赋异常的常人”。临床应用中以“结、代脉交替出现或脉有间歇,时有规律,时无规律”等文字描述“脉结代”更为准确。

关键词: 代脉, 脉象特征, 临床意义

Abstract: The characteristics and clinical significance of pulse condition of regularly intermittent pulse are discussed based on carding and summarizing the knowledge on regularly intermittent pulse in ancient books and combining cardiovascular theory in Western medicine. As an independent pulse condition, regularly intermittent pulse is found to be characterized by a regular long pause between heartbeats, with pulse rate being normal, fast or slow. Clinically, regularly intermittent pulse can be observed in patients with visceral dysfunction, panic of seven emotions, traumatic injury, wind pattern, pain patterns and heart diseases. It can also be seen in pregnancy women and health people with preternatural capacity. It will be more accurate in clinic to describe bound-intermittent pulse with the text as follows: bound pulse and regularly intermittent pulse appear alternately, pulsing at regular or irregular intervals.

Key words: regularly intermittent pulse, characteristics of pulse condition, clinical significance

中图分类号: 

  • R241.1