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ID:58662017
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时间:2020-10-05
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1、脉诊Pulse-taking脉诊Pulse-taking脉诊是医者用手指触按患者一定部位的脉搏,以体察脉象、了解病情的一种诊病方法。机理—略脉象的形成与诸脏腑、气血的功能密切相关。心脏与血脉紧密相连;心气心阳推动血液通过脉管而布运全身,内人五脏六腑,外至四肢百骸,运行不息,并导致脉搏的跳动。另外,心对于血液的生成具有一定的作用。肺主气,“肺朝百脉”,肺气的敷布是心对血液推动作用的辅助。脾胃为“气血生化之源”;脾又主统血,血液在脉管内流行不致逸出脉外,有赖脾气的统摄。肝主疏泄,对于全身气机的调畅起着重要的作用,并促进血液营
2、运不休;肝又主藏血,能调节血流量。肾藏精,肾中精、气、阴、阳是人体各脏腑阴、阳的根本;且精可以化生血,肾精充足,则血有所充。Pulse-takingmeansthatthedoctoruseshisorherhandtopresscertainpartofthepatient'spulsetoexaminetheconditionsofthepulseanddiagnosedisease.Thepulseconditionsarecloselyrelatedtothevisceraandqiandblood.Thehea
3、rtisconnectedwiththevessels:theheartqipropelsbloodtocirculateinthevesselsallthroughthebody,thatis,fromvisceratoallthelimbsandjointsofthebody.Suchanincessantcirculationleadstothepulsationofthevessels.Besides,theheartexertscertaineffectontheproductionofblood.Thelun
4、ggovernsqiand"connectswithallvessels".Thedistributionofpulmonaryqihelpstheheartpropelblood.Thespleenandthestomachare"thesourceofqiandblood";thespleendirectbloodtocirculateinthevessels.Thelivergovernsconveyanceandcoursing,regulatingtheactivityofqithroughthebodyand
5、promotingbloodcirculation;theliveralsostoresbloodandregulatestheflowofblood.Thekidneystoresessence;thekidneyessence,qi,yinandyangconstitutethesourceofyinandyangintheotherviscera.Sinceessencecantransformintoblood,theexuberanceofkidneyessenceensuressufficiencyofblo
6、odinthebody.脉诊Pulse-taking机理--脉为血之府,是气血运行的通道。气血的盛衰和运行状况,脉管的紧张度、弹性、粗细等,直接对脉象产生影响。因此,人体各脏腑功能活动及气、血、津液的盛衰和运行状况,都可以直接或间接地对脉象产生影响。当致病因素作用于人体,引起脏腑、气、血、津液的功能失常,脉象亦随之发生改变。故通过诊脉可以诊察疾病。Thevesselsaretheorganstoholdbloodandthepathwaysforqiandbloodtocirculate.Theconditionsand
7、circulationofqiandbloodaswellasthetensity,elasticityandthicknessofthevesselsdirectlyinfluencethestatesofpulse.Besides,thefunctionalactivitiesofallvisceraaswellastheconditionsandcirculationofqi,bloodandbodyfluidinthemallcandirectlyorindirectlyaffectthestatesofpuls
8、e.Whenpathogenicfactorsinvadethebodyandcausedysfunctionoftheviscera,qi,bloodandbodyfluid,theconditionsofpulsewillchangeaccordingly.Therefore,examinationofpulse
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