黄文政紧脉论及验案举隅  

Discussion on Tight Pulse by HUANG Wenzheng and Proved Cases

作　　者：袁旭 白亚丽 张泽 尤旭颖 袁红霞 YUAN Xu;BAI Yali;ZHANG Ze;YOU Xuying;YUAN Hongxia(College of Management,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津中医药大学管理学院,天津301617

出　　处：《山东中医杂志》2024年第11期1276-1279,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：天津市教学成果奖重点培育项目(编号:PGYJ-032)。

摘　　要：紧脉为临床常见脉象,因其脉形、脉势与弦脉类似,故临床容易混淆而造成疾病误治。复习古今不同时期文献对紧脉的论述,总结了黄文政教授对紧脉的论述。紧脉与其相似脉弦脉可从脉形、脉位及脉道三方面进行鉴别,同时应舌脉合参以鉴别紧脉及弦脉。临床诊及紧脉提示以寒证为主,三焦病证均可见紧脉,可灵活运用羌活胜湿汤、荆防败毒散、藿朴夏苓汤、理中丸、肾胀方、甘姜苓术汤、独活寄生汤等方剂加减治疗,疗效显著。Tight pulse is common in clinic.Since the form and trend of tight pulse are similar to those of wiry pulse,it is difficult to distinguish both pulse in clinic which would cause mistreatment.This study reviews the descriptions of the tight pulse across various historical periods and summarizes Professor HUANG Wenzheng’s perspectives on it.The tight pulse can be distinguished from the similar wiry pulse based on three aspects:pulse form,pulse position,and pulse passage,with a comprehensive approach that combines tongue and pulse diagnosis to further differentiate the two.Clinically,the detection of a tight pulse primarily suggests cold syndromes.Besides,tight pulses can be observed across the triple-energizer.Formulas such as Qianghuo Shengshi Decoction(羌活胜湿汤),Jingfang Baidu Powder(荆防败毒散),Huopo Xialing Decoction(藿朴夏苓汤),Lizhong Pill(理中丸),Shezhang Formula(肾胀方),Ganjiang Lingzhu Decoction(甘姜苓术汤),and Duhuo Jisheng Decoction(独活寄生汤)are ofen applied with modification,and to achieve significant efficacy.

关 键 词：黄文政 紧脉 弦脉 三焦 寒证 脉学 

分 类 号：R249[医药卫生—中医临床基础]