心脏与胃之大络关系的探讨

发布时间：2018-03-30 12:38

本文选题：心脏　切入点：胃之大络　出处：《中华中医药杂志》2017年10期

【摘要】：临床中对虚里(也即胃之大络)的按诊就是诊察心尖的搏动。此事实令人思考胃之大络是否就是心脏?通过分析以《黄帝内经》为源头的文献资料,笔者发现,从胃之大络搏动的位置、功能的重要性及其内部结构这3个方面比对心脏可知,胃之大络即是指心脏。因为心脏具有大络(脏腑之络)及胃土(可收舒的赤肉)的性质,又可输布胃腑所出之气血,所以《黄帝内经》将心脏视为胃之大络。分析结果进一步说明:心脏的形质为赤肉,为脾胃所主。所以治疗心力衰竭的关键点是改善赤肉功能,也即应从脾胃论治心力衰竭。
[Abstract]:Clinical diagnosis of vacuity (that is, the great collaterals of the stomach) is to examine the pulsation of the apex. This fact makes one wonder whether the great meridian of the stomach is the heart? By analyzing the literature of Huangdi Nei Jing as its source, the author found that the location of the great pulse of the stomach, the importance of its function and its internal structure were better than those of the heart. The great collaterals of the stomach refer to the heart, because the heart has the properties of the great collaterals (the collaterals of the viscera) and the earth of the stomach (the red flesh that can be remitted), and it can also transmit the qi and blood from the stomach's entrails. Therefore, Huangdi Nei Jing regards the heart as the great collateral of the stomach. The analysis results further show that the shape of the heart is red meat, which is dominated by the spleen and stomach. Therefore, the key point of treating heart failure is to improve the red meat function, that is, to treat heart failure from the spleen and stomach.
【作者单位】：中日友好医院;
【分类号】：R22

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