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从《湿热病篇》看薛生白对脉诊的认识

ZENG Lu,LI Yaohui,XU Jianqin

Jilin Journal of Traditional Chinese Medicine（2022）

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Abstract
薛生白《湿热病篇》中记录了16种脉象,很有湿热病特色.虚脉是湿热伤气的脉象,也代表着湿邪内阻脾阳不足;细脉不是阴虚,而是寒湿伤阳的脉象;脉细如丝或绝不是真阳外脱,而是湿热邪气内阻,表里气机不通;脉洪大而长为热重于湿的典型脉象;脉伏是脾胃之阳为寒湿所蒙,不得升越之象;数脉是湿热病中最常见的脉象,可以表现为细数、软数、滑数、脉数大按之豁然空者以及尺脉数、左关弦数等.这些代表湿热病主证的脉象,大大开阔了临床对湿热病脉象的认识.
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