浮脉的历史沿革、影响因素及主病探讨  

Discussion on the historical evolution, influencing factors and main diseases of floating pulse

作　　者：安二匣 刘佳[2] 周灵运[2] 汪南玥[2] AN Erxia;LIU Jia;ZHOU Lingyun;WANG Nanyue(Basic Medical College,Shaanxi University of Chinese Medicine,Shaanxi Province,Xianyang712046,China;Experimental Research Center,China Academy of Chinese Medical Sciences,Beijing100700,China)

机构地区：[1]陕西中医药大学基础医学院,陕西咸阳712046 [2]中国中医科学院医学实验中心,北京100700

出　　处：《中国医药导报》2019年第24期51-54,共4页China Medical Herald

基　　金：科技部基础性工作专项项目(2013FY114400);北京市科技新星计划交叉学科项目(Z171100001117140);北京市科技新星计划项目(Z161100004916125)

摘　　要：浮脉为脉诊的纲领脉之一,是临床较常见的生理、病理脉象,对临床诊疗具有重要意义。从秦汉至今,浮脉理论发展历经了上千年的历史。在论述脉诊的医学古籍中,关于浮脉的记载在诸多脉象中多居于首位,其受到了历代医家的重视。随着现代科学技术的进步,浮脉的相关研究也在与时俱进。根据其影响因素,浮脉可以分为受体型、季节、肺部、精神因素影响而出现的生理性浮脉,以及与正邪交争、人体阴阳气血等因素相关的病理性浮脉。对于临床中出现的病理性浮脉,本文还从寸、关、尺三部各自出现浮象与三部俱浮两方面进行论述,简述了浮脉作为单因素脉象时的主病特点,并且整理了浮脉参与构成的相兼脉的主病及浮脉的临床意义。浮脉的临床鉴别受多种因素影响,在诊疗过程中需要综合分析,客观诊断,以便更好地为临床服务。As one of the guiding veins of pulse-diagnosis,the floating pulse is a common physiological and pathological pulse in clinic,which is of great significance for clinical diagnosis and treatment.From Qin-Han dynasties to the present,the development and improvement of the theory of floating pulse have experienced a history of thousands of years.In the ancient medical books on pulse-diagnosis,the record of floating pulse is in the first place among many pulse signs,which has been paid attention by doctors of all dynasties.With the progress of modern science and technology,the study of floating pulse is advancing with the times.According to the influencing factors,the floating pulse can be divided into physiological floating pulse affected by body type,season,lungs and emotion and pathological floating pulse related to the conflict between positive and evil factors,and human body′s Qi-Blood-Yin-Yang.To the pathologic floating pulse that appears in clinic,this paper also discusses from two aspects:each of the bar and cubit,three parts at wrist where the pulse is usually taken,appears as a floating figure,and all three have floating.The main clinical features of floating pulse as single factor,the main diseases of parallel pulse composed of floating pulse,and the clinical significance of floating are described in brief.The clinical identification of floating pulse is affected by many factors,which need to be judged by comprehensive analysis and objective diagnostic,so as to better serve the clinic.

关 键 词：浮脉 历史沿革 影响因素 主病 

分 类 号：R241.1[医药卫生—中医诊断学]