《伤寒论》脉理研究

发布时间：2018-01-14 13:23

本文关键词：《伤寒论》脉理研究　出处：《成都中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：整理、归纳《伤寒论》脉学理论,系统总结其脉学规律和特色,以之指导临床,以提高临床疗效。方法：整理《伤寒论》文献,以《内经》始历代文献作为参考,从伤寒单体脉象、六经脉象、脉症关系及临床运用角度,探讨《伤寒论》脉学理论的规律,从而更好的指导临床。结果：脉诊是中医四诊之一,是中医诊断疾病的重要特殊手法,其对临床辨证有重要的指导意义。《伤寒论》并非脉学专著,但脉学在《伤寒论》中占有极其重要的地位,其脉学理论与《内经》《难经》脉学理论一脉相承。但因其并未单独探讨脉学理论,而是将脉理融入条文,成为临床实践的具体载体,故与理法方药的每一方面都有密切的联系,贯穿辨证论治的每一环节,是仲景学术思想体系中不可忽视的瑰宝。结论：仲景脉学理论灵活生动,结合自身临床实践,形成了具有仲景特色的脉学理论体系,展现了对脉学实用性的重视。其部分脉象与后世脉象相比独具特色,在临床意义上也有特殊之处。故以仲景所述特征脉为纲,分析、归纳其脉理意义,以脉症相参的方法,讨论仲景脉学理论,认真总结仲景脉法各种脉象的组成要素以及其在病证中所具有的临床意义,对比同病异脉或同脉异病所代表的临床意义,通过深入详细的研究,明确仲景脉学理论重视阴阳理论在脉学的应用,重视脉学理论在临床实践中与症候的动态联系,并提出了“观其脉证,知犯何逆,随证治之”的重要辨证原则。
[Abstract]:Objective: to sort out and summarize the theory of pulse theory, systematically summarize its meridian law and characteristics, and guide the clinic to improve the clinical curative effect. Methods: to sort out the literature of febrile typhoid theory. Based on the literature of the beginning dynasties of the Inner Classic, this paper discusses the law of pulse theory of typhoid fever from the angle of pulse, six meridians, pulse syndrome and clinical application. Results: pulse diagnosis is one of the four diagnoses of TCM, it is an important special technique for the diagnosis of diseases in TCM, and it has important guiding significance for clinical differentiation of symptoms and signs. The Treatise of febrile Diseases is not a monograph of pulsation. But pulsology plays an extremely important role in the Treatise of febrile Diseases, and its pulsology theory is in the same vein with that of the Nei Jing. However, because it does not discuss the theory of pulsology alone, it incorporates the theory of pulse theory into the text. Become the specific carrier of clinical practice, so there is a close relationship with every aspect of the prescription and prescription, which runs through every link of syndrome differentiation and treatment. Conclusion: Zhongjing meridian theory is flexible and vivid, combined with its own clinical practice, formed a Zhongjing characteristics of the pulse theory system. It shows the importance of the practicability of pulse science. Some of the pulse images are unique compared with the later generation pulse, and also have special clinical significance. Therefore, taking the characteristics of Zhongjing as the outline, this paper analyzes and summarizes the significance of the pulse mechanism. The theory of Zhongjing pulsology is discussed with the method of pulse syndrome, and the components of pulse phenomenon of Zhongjing pulse method and its clinical significance in disease and syndromes are summarized. Compare the clinical significance of the same disease or the same pulse and different disease, through the in-depth and detailed study, it is clear that Zhongjing pulse theory attaches importance to the application of Yin and Yang theory in pulsology. Pay attention to the dynamic relation between pulse theory and symptoms in clinical practice, and put forward the important dialectical principle of "observing its pulse syndrome, knowing what to do with it and treating it with syndrome".
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R222.2

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