广中医-中医诊断-切诊2

《广中医-中医诊断-切诊2》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、Obliqueflyingpulse（斜飞脉）Ectopicradialpulse（反关脉）Allthefactorsabovementionedmayaffecttheconditionsofthepulse.However,ifthepulsestillkeepsgastricqi,spiritandroot,itisstillthenormalpulse.MorbidpulseThepulseinamorbidconditioniscalledmorbidpulse,inwhichthemanifestationsofpulsecondi

2、tionsareeitherthechangesofthepositionofthepulse,orthedifferenceinrhythm,orvariationinmorphology形态,orchangesinstrength.1floatingpulseFeatures:sensibleunderlightpressure,weakandconstantbeatingunderheavypressure.Floatingpulseismarkedbysuperficialbeating.Clinicalsignificance:Ind

3、icatesexternalsyndromeorinternalastheniasyndrome.a.floatingandpowerfulexternalstheniasyndromeb.Floatingandweakexternalastheniasyndrome示意图浮脉脉图如水漂木浮中沉2sunken(deep)pulseFeatures:sensibleonlyunderheavypressure.“weakbytouchingandstrongbypressing.”Clinicalsignificance:Indicatesint

4、ernalsyndrome.a.sunkenandpowerfulinternalstheniasyndromeb.sunkenandweakinternalastheniasyndrome沉脉示意图脉图如水沉石浮中沉3SlowpulseFeatures:thepulsepulsatesnomorethan4beatsinacycleofbreath(<60/min).Clinicalsignificance:Indicatescoldsyndrome.a.slowandpowerfulstheniacoldsyndromeb.sunkenan

5、dweakastheniacoldsyndrome示意图迟脉脉图浮中沉一息Suchapulseconditionisalsoseenininternalstheniaheatsyndromeduetointernalaccumulationofpathogenicheat.Athletesoryoung(thestrong)areinanormalcondition.Notonlycoldsyndrome,butalsoheatsyndrome.4ModeratepulseFeatures:thepulsepulsates4beatsinacy

6、cleofbreath(60-70/min).Clinicalsignificance:Indicatesdampdiseaseandweaknessofthestomachandspleen.Ifthepulseisvigorouswithequalintervals,andthepulsesinthreeportionsarethesame,theisanormalpulse.示意图缓脉脉图一息如微风拂柳浮中沉5FastpulseFeatures:thepulsepulsatesover5-6beatsinacycleofbreath(>9

7、0/min).Clinicalsignificance:Indicatesheatsyndrome.a.heatandpowerfulstheniaheatsyndromeb.heatandweakastheniaheatsyndromeMaybeseeninthesyndromeduetoexternalfloatingofasthenicyang(虚阳外越）.示意图数脉脉图一息浮中沉6WeakpulseFeatures:thepulseismarkedbyweakbeatingofthepulseatallthecun,guanandchi

8、regions.Clinicalsignificance:Indicatesastheniasyndrome.usuallyseeninastheni