论上热下寒证及其系统辨证脉学诊断  

Discussion on Syndrome of Upper Heat and Lower Cold and its Diagnosis with Systemic Pulse Study based on Syndrome Differentiation

作　　者：丁雅楠[1] 李京凯[1] 

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《山东中医药大学学报》2016年第4期325-327,共3页Journal of Shandong University of Traditional Chinese Medicine

摘　　要：上热下寒证是机体阴平阳秘常态被打破的状态。搜集古今文献,阐释其病因病机、临床表现、治疗方法等,并提出从"系统辨证脉学"入手对上热下寒证作出明确诊断。用该脉学体系中的"寒""热"两个要素来分析机体的阴阳失衡状态,即以脉象"尺寒寸热"对应机体"上热下寒"的阴阳紊乱。同时提出需以脉象中其他要素为背景脉象,以达到辅助诊断、分析病因病机、判断病情发展进程等目的。以脉断证,以实现对临床相应证候的诊断,同时清晰认识整个疾病的过程。Syndrome of upper heat and lower cold is the imbalance condition between Yin and Yang. The ancient and modem literatures were collected to explain the pathogeneses,clinical manifestations,treatments and diagnosis of upper heat and lower cold syndrome was determined with systemic pulse study based on syndrome differentiation. Cold and heat were used to analyze the imbalance condition between Yin and Yang,i.e. ＂cold in Chi,heat in Cun＂ corresponding to the imbalance condition of upper heat and lower cold. Meanwhile,other pulse elements were needed to be the backgrounding pulse conditions to assist the diagnosis,analyze the pathogenesis and determine the prognosis. Syndrome was determined based on pulse conditions to diagnose the clinical syndromes and realize the whole disease course.

关 键 词：上热下寒证 系统辨证脉学 脉象要素 寒热 

分 类 号：R241.1[医药卫生—中医诊断学]