反关脉临床诊疗意义浅议

A brief discussion on the significance of clinical diagnosis and treatment of anti-guanmai

关键词:  反关脉  机理  诊疗意义  气血辩证

Key words:  Anti-guanmai  mechanism  diagnosis and treatment significance  syndrome differentiation of qi and blood

摘要:

[目的] 探讨反关脉的形成机理及临床诊疗中的辨证意义，寻求恰当辨证方法。[方法] 通过归纳中医典籍、现代解剖学对正常脉象和反关脉形成机理的认识，总结古代医家和现代医家对反关脉临床辨证意义的不同观点，对反关脉的临床诊断提出新的见解。[结果] 中西医学均认为反关脉为脉道或经络偏行所致，而历代医家对反关脉诊疗取舍难明。笔者认为反关脉虽区别于寸口脉象，不能详尽提供三部九候各脏腑的信息，但能从气血上提供辨证依据，因此，笔者认为在临床诊疗中，针对反关脉患者，脏腑辨证并不十分适宜，选择气血辩证，以八纲统脉法并参合四诊诊疗更为妥当。[结论] 脉诊是中医特色诊断，把握反关脉的机理意义和临床辨证方法有利于完善中医脉诊体系。

Abstract:

[Objective] to explore the formation mechanism of anti-guanmai and the significance of syndrome differentiation in clinical diagnosis and treatment, and to seek the appropriate syndrome differentiation method.[Methods] by summing up the understanding of the formation mechanism of normal pulse and anti-guanmai in TCM classics and modern anatomy, the different views of ancient doctors and modern doctors on the clinical dialectical significance of anti-guanmai were summarized. This paper puts forward a new opinion on the clinical diagnosis of the reverse pulse.[Results] both Chinese and Western medicine believed that the anti-guanmai was caused by the deviation of pulse channel or meridian, but it was difficult for doctors to choose the diagnosis and treatment of anti-guanmai in the past dynasties. The author thinks that although the anti-guanmai is different from the inch mouth pulse, it can not provide the information of the three parts and nine syndromes and each viscera in detail, but it can provide the dialectical basis from the qi and blood. therefore, the author thinks that in the clinical diagnosis and treatment, aiming at the patients with the anti-guanmai, Zang-fu syndrome differentiation is not very suitable, the choice of qi and blood dialectical, with the eight-class pulse method and participate in the four diagnosis and treatment is more appropriate.[Conclusion] Pulse diagnosis is the characteristic diagnosis of traditional Chinese medicine. grasping the mechanism and significance of anti-guanmai and clinical syndrome differentiation method is helpful to perfect the pulse diagnosis system of traditional Chinese medicine.