系统辨证脉学指导下的经方临床应用  

Clinical Application of Classic Formulas Under Guidance of Systematic Sphygmology for Syndrome Differentiation

作　　者：许希迎[1] 齐向华[1] 滕晶[1] XU Xiying;QI Xianghua;TENG Jing(Second Department of Neurology,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,China)

机构地区：[1]山东中医药大学附属医院神经内二科,山东济南250011

出　　处：《山东中医药大学学报》2024年第4期401-404,共4页Journal of Shandong University of Traditional Chinese Medicine

基　　金：山东省非物质文化遗产扁鹊脉学诊法保护与传承发展研究项目(编号:22WL(Y)170);第七批全国老中医药专家学术经验继承项目(批文号:国中医药人教函[2022]76号)。

摘　　要：经方具有药味精简、配伍严谨、力专效显的特点,为后世所推崇,但在实际应用中却存在诸多难点,使得临床应用受限。系统辨证脉学将脉象要素与经方方证相结合,能够更全面地反映疾病病因病机,为经方的应用提供更加准确的依据。介绍1例头晕案例,详细描述其脉象要素特征及有辨证意义的“证”,将脉象要素与“方证”使用相结合,处方经典方剂,取得较好临床疗效。将脉诊与经方相结合,可以提高经方的临床应用效果,此临床辨证思路值得推广。The classic formulas have the characteristics of simplified ingredients,rigorous combination,and specific efficacy,which are highly praised by later generations.However,there are many difficulties in their actual application,which limit their clinical application.The systematic sphygmology for syndrome differentiation can combine the pulse elements with the classic formulas and syndromes,which can reflect the etiology and pathogenesis of the disease more comprehensively and provide more accurate basis for the application of classic formulas.This paper introduced one case of dizziness and described the characteristic pulse elements and the“syndrome”with clinical signifi-cance.By combining the pulse elements with the application of“formula and syndrome”,the classic formula is prescribed to achieve good clinical efficacy.Combining pulse diagnosis with classic formulas can improve the clinical application effect of classic formulas,and this clinical thought of syndrome differentiation is worth promoting and popularization.

关 键 词：系统辨证脉学 经方 脉诊 方证 脉象要素 头晕 

分 类 号：R241.1[医药卫生—中医诊断学]