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顶焦脉及其临床应用探析 被引量:1

Analysis and Clinical Application of the Top Jiao Pulse
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摘要 仝小林院士结合现代解剖学将人体划分为顶焦、上焦、中焦和下焦,并提出顶焦脉的概念,即腕横纹及其以上脉。分析了顶焦脉的脉形、走向、态势及其在临床中的应用,认为顶焦脉的提出对于颈部甲状腺疾病、颈椎疾病、颈动脉斑块、脑血管病变等顶焦部位疾病的轻重及转归预后具有重要临床应用价值。强调病脉诊和态脉诊,既有联系也有区别,当疾病发展到一定程度出现态时,病与态就要互参。顶焦与顶焦脉的提出是对寸口脉学理论的补充和完善,将极大地丰富中医脉学理论。 Academician Tong Xiaolin divided the human body into top,upper,middle and lower jiao in combination with modern anatomy,and proposed the concept of"top jiao pulse",that is,the pulse at or above the wrist transverse stripe.This paper analyzes the shape,trend,state and clinical application of the"top jiao pulse";believes that the proposal of the"top jiao pulse"has important clinical application value for the severity and prognosis of diseases in the top jiao area,such as cervical thyroid disease,cervical spondylosis,carotid plaque,cerebrovascular disease,etc;emphasizes that there are both connections and differences between disease pulse diagnosis and state pulse diagnosis.When a disease develops to a certain extent and appears in a state,the disease and state should be mutually involved.The proposal of"top jiao"and"top jiao pulse"is a supplement and improvement to the theory of Cunkou sphygmology,which will greatly enrich the theory of traditional Chinese medicine pulse.
作者 张莉莉 苗润宇 雷烨 赵林华 韦宇 李青伟 夏冰 陈锐 仝小林 ZHANG Li-li;MIAO Run-yu;LEI Ye;ZHAO Lin-hua;WEI Yu;LI Qing-wei;XIA Bing;CHEN Rui;TONG Xiao-lin(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Graduate School,Beijing University of Chinese Medicine,Beijing 100105,China;The Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712099,China;Natural Chinese Studies Branch of Chinese Yanhuang Culture Research Association,Beijing 100048,China;Scientific Foundation and Information Network Professional Committee of Chinese Society of Natural Dialectic,Beijing 100045,China;School of Basic Medicine,Changchun University of Chinese Medicine,Changchun 130117,China)
出处 《南京中医药大学学报》 CAS CSCD 北大核心 2023年第7期601-605,共5页 Journal of Nanjing University of Traditional Chinese Medicine
基金 国家中医药管理局中医药创新团队及人才支持计划(ZYYCXTD-D-202001) 北京市自然科学基金(7212189) 中国中医科学院中央级公益性科研院所基本科研业务费(ZZ13-ZD-06) 中国中医科学院广安门医院临床医学研究中心建设专项项目(2022LYJSZX28) 中央级公益性科研院所基本科研业务费专项资金(ZZ16-XRZ-042)。
关键词 顶焦 顶焦脉 脉学 甲状腺疾病 颈椎疾病 颈动脉斑块 脑血管病变 top jiao top jiao pulse sphygmology thyroid disease cervical spondylosis carotid plaque cerebrovascular disease
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