基于“开阖枢”理论探讨紧脉在《伤寒论》阳明篇的意义  

The significance of the tight pulse in Yangming disorder article in the Treatise on Febrile Diseases based on the viewpoint of "Open-close-pivot"

作　　者：史光伟 王凯莉 郭宏明[2] 梁永林[2] Shi Guangwei;Wang Kaili;Guo Hongming;Liang Yonglin

机构地区：[1]酒泉市中医院,甘肃酒泉735000 [2]甘肃中医药大学,甘肃兰州730000

出　　处：《中医临床研究》2020年第9期13-16,共4页Clinical Journal Of Chinese Medicine

基　　金：敦煌医学与转化省部共建教育部重点实验室2015-2016年度开放基金项目(DHYX1516-02);国家社会科学基金地区项目(18XMZ031);第四批全国中医(临床、基础)优秀人才研修项目(201724)。

摘　　要："脉证并治"是《伤寒论》最主要的特点,紧脉则是其最主要的脉象之一,更是"太阳伤寒"的主脉,然而它在《伤寒论》其他篇节也频繁出现,且具有不同的辨证意义。本文基于"开阖枢"理论从《伤寒论》"阳明篇"中涉及紧脉的189条、192条、201条、221条等条文出发开展研究,以期挖掘紧脉在"阳明病"辨证施治的意义,进一步更好地指导临床应用。The organic combination of pulse diagnosis and dialectical therapy is the most important characteristic of the Treatise on Febrile Diseases.The tight pulse is one of the most important pulse tracings,and it is the main pulse of cold-stroke syndrome of Taiyang channel.Having different meanings,it also appears frequently in other articles of the Treatise on Febrile Diseases.Basing on the viewpoint of"Open-close-pivo",this paper intends to analyze the articles 189,192,201 and 221 in Yangming disorder article of the book in order to explore the significance of Yangming disorder(阳明病)in syndrome differentiation and treatment of"Yangming disease",and further better guide the clinical application.

关 键 词：开阖枢 紧脉 《伤寒论》 阳明病 

分 类 号：R241.1[医药卫生—中医诊断学]