“躁”脉含义考及临床应用探讨

Exploration of the meaning of “manic” pulse and its clinical application

关键词:  《黄帝内经》  躁脉  文献学  脉学

Key words:  The Yellow Emperor’s Inner Canon  manic pulse  philology  pulsology

摘要:

“躁”脉是《黄帝内经》中常见的一种脉象。古代诸多医家对“躁”脉都有所继承和发展，但限于时代背景的不同，诸家对“躁”脉的理解和体悟并未达成一致。现代诸多医家亦不对“数”“躁”二脉加以辨识，使“躁”脉逐渐失去了临床应用价值。文章通过古代文字学典籍、《黄帝内经》、古今医家认识3个角度对“躁”脉进行综合的论证归纳，得出以下结论：“躁”脉的单次脉搏起伏比较急促，在脉势上有触手即去、动扰不定之感，但其脉位、脉数、脉形都非固定，易兼见于浮、数、动等脉之中；“躁”脉在临床上可应用于阳热性疾病、心系疾病、情志疾病的诊治以及疾病预后的判断，且能用于指导针灸的诊断治疗。

Abstract:

The “manic” pulse is common in The Yellow Emperor’s Inner Canon. Many ancient doctors inherited and developed the concept of a “manic” pulse. Still，due to the different historical backgrounds，they did not agree on their understanding and perception of the “manic” pulse. Many modern doctors do not distinguish between the two pulses of “rapid” and “manic”，which makes the “manic” pulse gradually lose its clinical application value. This paper comprehensively demonstrates and summarizes the “manic” pulse from three perspectives：ancient philological classics，The Yellow Emperor’s Inner Canon and the understanding of ancient and modern doctors，and draws the following conclusions：the single pulse of the “manic” pulse is relatively rapid，and the pulse has a sense of being touched and gone，and the movement is uncertain，but its pulse position，pulse rate，and pulse shape are not fixed，and it is easy to be seen in floating，rapid，and moving pulses；the “manic” pulse can be used in the diagnosis and treatment of yang-heat diseases，heart diseases，emotional diseases，and the judgment of disease prognosis in clinical practice，and can be used to guide the diagnosis and treatment of acupuncture.