凭脉指导肝病辨证价值初探  

Value of pulse-taking in syndrome differentiation of liver diseases

作　　者：陈慧娟[1] 朱凌凌[1] 梁尚华[1] 

机构地区：[1]上海中医药大学基础医学院,上海201203

出　　处：《中华中医药杂志》2008年第6期475-477,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：上海市教委资助课题(No.07cz045)

摘　　要：脉诊是中医最具特色的诊断方法,其重要性已被古今医家所认识。然而目前脉诊的使用和推广受到限制。文章通过梳理古今文献,探讨了脉象对肝病辨证论治的指导价值,提出"肝应左关"和"弦为肝脉"对肝的辨证论治有明确指向性,左关异常脉象和脉见弦象皆有助于诊断肝病,由此论证了凭脉辨证的意义。同时指出脉象需与其他症状互参方具可靠诊断意义。Pulse-taking is the most specific diagnostic method of TCM.Its significance has been recognized by ancient and modern doctors.However,at present the application and spread of pulse-taking is limited.In this paper,the author made detailed explorations of literatures and studies the value of pulse condition in guiding syndrome differentiation of liver diseases.The study shows abnormal pulse in left guan and taut pulse in cunkou location both suggest the liver is disordered.We can judge the location of diseases through pulse condition.This exploration shows pulse-taking plays important role in syndrome differentiation.But there is one thing should be paid more attention,pulse condition should be integrated with other symptoms,that will be reliable in guiding diagnosis.

关 键 词：脉象 辨证 临床价值 文献研究 

分 类 号：R256.4[医药卫生—中医内科学] R241[医药卫生—中医学]