浙江中医药大学学报2025，Vol.49Issue(9)：1121-1126,6.DOI:10.16466/j.issn1005-5509.2025.09.005
"革脉"涵义及其主证治法探析
Exploration on the Meaning and Treatment of Ge Pulse
摘要
Abstract
[Objective]To explore the pattern,symptom and treatment of Ge pulse,thus promoting the application of pulse diagnosis in clinical practice.[Methods]Through literature collation and theoretical analysis,this study traced the historical evolution of Ge pulse from the Treatise on Cold Damage and Miscellaneous Diseases,reviewed interpretations by various physicians,analyzed the mechanism and characteristics of Ge pulse based on ZHANG Zhongjing's original texts,and summarized four treatment methods,supplemented with case studies.[Results]Ge pulse is characterized by a wiry and large pulse with a weak feeling upon pressure.It reflects a severe condition of internal deficiency and cold,accompanied with dispersion of vital essence,commonly seen in asthenia-related diseases such as blood loss,spermatorrhea,miscarriage and persistent uterine bleeding.ZHANG Zhongjing's treatment methods include:astringing essence with mineral drugs,relieving exterior without inducing profuse sweating,treating according to pathological manifestations,and continuously tonifying deficiency and nourishing essence.Three clinical cases demonstrated that Ge pulse could present in various conditions such as hematochezia,jaundice and febrile diseases with deficiency,all effectively treated with corresponding formulas.[Conclusion]Ge pulse is a critical pulse pattern indicating severe asthenia.Its diagnostic significance and therapeutic system are clear.Clarifying its pattern and corresponding treatment expands the understanding of traditional pulse diagnosis and enhances clinical management of deficiency-related disorders.关键词
革脉/张仲景/虚劳病/亡血失精/半产漏下/《伤寒杂病论》/脉象机制/治则治法Key words
Ge pulse/ZHANG Zhongjing/asthenia disease/loss of blood and essence/abortion and menstrual/Treatise on Cold Damage and Miscellaneous Diseases/pulse mechanism/principles and methods of treatment分类
医药卫生引用本文复制引用
王瀚峥,陈含璐,王柏舟,黄巾格,赵婷.."革脉"涵义及其主证治法探析[J].浙江中医药大学学报,2025,49(9):1121-1126,6.基金项目
国家中医药管理局科技司"中华医藏经典医籍影校对照整理丛书"专项计划(GZY-KJS-2021-060) （GZY-KJS-2021-060）
教育部首批虚拟教研室建设试点项目(教高厅函[2022]2号) （教高厅函[2022]2号）
浙江省本科高校省级名师网络工作室(虚拟教研室)试点建设项目(浙教办高教[2021]43号) Special Program on"Photocopying and Comparison and Collation of Classical Medical Books in the Chinese Medical Collection"by the Science and Technology Department of SATCM(GZY-KJS-2021-060) （虚拟教研室）
Ministry of Education's First Pilot Projects for the Construction of Virtual Teaching and Research Offices(J.G.T.H.[2022]2) （J.G.T.H.[2022]2）
Pilot Construction Project of Provincial Master Teacher Network Studio(Virtual Teaching and Research Room)in Undergraduate Colleges and Universities in Zhejiang Province(Z.J.B.G.J.[2021]43) （Virtual Teaching and Research Room）
