当前课程知识点:Diagnostics in Chinese Medicine >  Week 10 Diagnosis methods::Pulse examination >  8.4 Characteristics and significance of pulse >  8.4.5 Knotted, slow-regular-intermittent, irregularly abrupt

返回《Diagnostics in Chinese Medicine》慕课在线视频课程列表

8.4.5 Knotted, slow-regular-intermittent, irregularly abrupt在线视频

下一节:8.5 Similar pulse, concurrent pulse, pulse indicating deterioration of visceral qi۞

返回《Diagnostics in Chinese Medicine》慕课在线视频列表

8.4.5 Knotted, slow-regular-intermittent, irregularly abrupt课程教案、知识点、字幕

同学们好

下面我们学习

按脉的均匀度分类的三种脉象

结脉 代脉和促脉

这三种脉象都是节律不齐

脉搏有歇止(停跳)的表现

为脉气不相连续的表现

我们先来看一看

结脉 代脉和促脉

这三种脉象节律的比较

我们看这几张脉搏的直观图

首先比较结脉 代脉与促脉

脉搏跳动的频率

结脉 代脉相对而言比较缓慢(即缓)

而促脉 比较快(即数)

这三种脉象都会有停跳(即止)

所以结脉 代脉 描述为 缓而时止

促脉描述为 数而时止

接下来比较结脉 代脉和促脉脉搏停跳的规律

图形中的结脉 脉搏停跳没有规律

因此描述为 止无定数

图形中的代脉 脉搏停跳是有规律的

因此描述为 止有定数

图形中的促脉

脉动波形跳动很快

但也没有规律

因此描述为 止无定数

所以 结脉的脉象特征描述为 缓而时止 止无定数

代脉的脉象特征描述为 缓而时止 止有定数

促脉的脉象特征描述为 数而时止 止无定数

我们来看看它们各自的临床意义

结脉

如果结而有力 通常是见于

阴寒气结 寒痰血瘀

导致心阳被遏 脉气不连续的表现

结而无力 主要见于久病气血虚弱

尤其是心气 心阳虚衰

脉气不相连续的病人

代脉

如果代而无力

主要见于脏气虚衰 元气不足导致的

脉气不相连续的病人

通常见于心脏的器质性的病变

代而有力 通常见于

痹病疼痛 跌扑损伤

或七情过极引起的短暂性的

气结 血瘀 痰凝等等

阻遏脉道 血行涩滞不畅

脉气不相连续的一种表现

促脉

如果促而有力

通常见于阳邪亢盛 热迫血行

可见脉来急数

热盛伤津耗气

导致脉气不相连续

可见脉有歇止

促而有力 还可见于气滞 血瘀 痰凝 饮食积滞等

有形实邪阻滞

导致脉气不相连续而形成歇止

另外 促而无力主要见于

真气衰败 阴血不足 虚阳浮动

导致脉气不相顺接

而导致脉来歇止

结脉 代脉和促脉 通常见于心脏实质性病变

但是

结脉 代脉和促脉 也可以见于某些正常人

比如 情绪激动 过度劳累

酗酒 饮用浓茶等等

都可以偶尔见到结脉 代脉和促脉

如果只是短暂性的表现

很快能够恢复正常

这种结脉 代脉和促脉

都不是病变的脉象

以上是我们学习的结脉 代脉和促脉

三种脉象的脉象特征和脉象意义

至此 我们将全部二十八脉中常见的十九种病脉

跟同学们共同学习了

由于脉象繁多

很多脉象彼此非常相似

不容易掌握和记忆

因此 脉象如何分类记忆

我们将在下节课中继续学习

本节课就上到这里

Diagnostics in Chinese Medicine课程列表:

Week 1 Introduction

-Introductory remark

--Introductory remark

--QQ groups、WeChat public account

-Introduction

--Introduction

--【Discussion 1】Why do you want to take this course?

-Unit test for Introduction

Week 1 Basic Theory of Chinese Medicine 1:Yin-Yang and Five Elements Theory

-1.1 Yin-yang theory

--1.1 Yin-yang theory

-1.2 The theory of five elements

--1.2.1 The theory of five elements

--1.2.2 Application of the theory of five elements

-Frequently Asked Questions

--Frequently Asked Questions

-Unit test for week 1

Week 2 Basic Theory of Chinese Medicine 2:Zang-Fu Theory

-2.0 Outline

--2.0 Outline

--【Discussion 2】How to understand the holistic view centered on the Zang Fu theory?

-2.1 Liver

--2.1 Liver

--【Discussion 3】Why is repose more important than vigorous exercise in recuperation for patients with

-2.2 Heart

--2.2 Heart

-2.3 Spleen

--2.3 Spleen

-2.4 Lung

--2.4 Lung

-2.5 Kidney

--2.5 Kidney

-2.6 Six fu organs

--2.6 Six fu organs

-Frequently Asked Questions

--Frequently Asked Questions

-Unit test for week 2

Week 3 Basic Theory of Chinese Medicine 3:Qi,Blood and Body Fluid Theory

-3.1 Qi

--3.1 Qi

-3.2 Blood

--3.2 Blood

-3.3 Body fluid

--3.3 Body fluid

-3.4 The relationship of qi, blood and body fluid

--3.4 The relationship of qi, blood and body fluid

--【Discussion 4】A discussion about the theory of qi, blood and body fluid

-Frequently Asked Questions

--Frequently Asked Questions

-Unit test for week 3

Week 4 Basic Theory of Chinese Medicine 4: The theory of etiologic factor

-4.0 Outline

--4.0 Outline

-4.1 Six exogenous factors

--4.1.1 Six exogenous factors

--4.1.2 Nature and pathogenicity of wind and cold

--4.1.3 Nature and pathogenicity of summer heat and damp

--4.1.4 Nature and pathogenicity of dryness and fire

-4.2 Etiology of visceral impairment

--4.2 Etiology of visceral impairment

-Frequently Asked Questions

--Frequently Asked Questions

-Unit test for week 4

Week 5 Diagnosis methods: Inquiry (1)

-5.0 Outline of inquiry

--5.0.1 Outline of inquiry(1)

--5.0.2 Outline of inquiry(2)

--【Discussion 5】If you were a patient, how would you describe your condition to your doctor first?

-5.1 Inquiry of Chills and fever

--5.1.1 Chills and fever(Aversion to cold with fever)

--5.1.2 Chills and fever(Chills without fever)

--5.1.3 Chills and fever(Fever without chills)

--5.1.4 Chills and fever(Alternative chills and fever)

--【Discussion 6】How to understand "if you have clinical manifestations of cold, that is exterior syndr

-5.2 Inquiry of perspiration

--5.2 Inquiry of perspiration

-Frequently Asked Questions

--Frequently Asked Questions

-Unit test for week 5

Week 6 Diagnosis methods: Inquiry (2)

-5.3 Inquiring of pain

--5.3 Inquiring of pain

--【Discussion 7】How to understand "stagnation leading to pain and innourish leading to pain"?

-5.4 Inquiring of head, body, thorax and abdomen

--5.4 Inquiring of head, body, thorax and abdomen

-5.5 Inquiring of ears and eyes

--5.5 Inquiring of ears and eyes

-5.6 Inquiring of sleep

--5.6 Inquiring of sleep

-5.7 Inquiring of food and drink, appetite and taste

--5.7 Inquiring of food and drink, appetite and taste

-5.8 Inquiring of defecation and urination

--5.8.1 Inquiring of defecation

--5.8.2 Inquiring of urination

-5.9 Inquiring of infantile and women's disease

--5.9 Inquiring of infantile and women's disease

-Unit test for week 6

Week 7 Diagnosis methods: Observation (1)

-6.0 Outline of Observation

--6.0 Outline of Observation

--【Discussion 8】Please use the whole body inspection (including the expression, complexion and figure)

-6.1.1 Observation of vitality

--6.1.1 Observation of vitality

-6.1.2 Observation of the color

--6.1.2.1 The content, principles of inspection of the color

--6.1.2.2 Indication of diseases by five colors

--【Discussion 9】How do you understand the normal complexion of a normal people?

-6.1.3 Observation of the appearance

--6.1.3 Observation of the appearance

-6.1.4 Observation of figure and posture

--6.1.4 Observation of figure and posture

-Unit test for week 7

Week 8 Diagnosis methods: Observation (2)

-6.2.1 Observation of head and face

--6.2.1 Observation of head and face

-6.2.2 Observation of five sensory organs

--6.2.2.1Observation of five sensory organs(observation of eyes,ears,nose)

--6.2.2.2Observation of five sensory organs(observation of lips,teeth and gums,throat)

-6.2.3 Observation of body

--6.2.3 Observation of body

-6.2.4 Observation of limbs

--6.2.4 Observation of limbs

-6.2.5 Observation of two lower orifices

--6.2.5 Observation of two lower orifices

-6.2.6 Observation of skin

--6.2.6 Observation of skin

-6.3 Observation of excreta

--6.3 Observation of excreta

-6.4 Observation of infantile fingerprints

--6.4 Observation of infantile fingerprints

-Frequently Asked Questions

--Frequently Asked Questions

-Unit test for week 8

Week 9 Diagnosis methods: Inspection of tongue

-7.1 Outline of tongue inspection

--7.1.1 The morphology and structure of the tongue

--7.1.2 The principle of tongue examination

--7.1.3 The method and precaution of tongue examination

--7.1.4 The content of tongue examination, normal tongue

-7.2 Inspection of tongue structure

--7.2.1 Observe the color of tongue

--7.2.2 Observe the shape of tongue

--7.2.3 Observe the states of tongue

--7.2.4 Observation of sublingual vein

-7.3 Observation of tongue coating

--7.3.1 Observation of coating texture

--7.3.2 Observe the color of coating

-7.4 Clinical significance of tongue diagnosis

--7.4 Clinical significance of tongue diagnosis

--【Discussion 10】Why to observe the tongue can be used to diagnose disease?

-Unit test for week 9

Week 10 Diagnosis methods::Pulse examination

-8.1 The principle of pulse examination

--8.1 The principle of pulse examination

-8.2 The regions and methods of pulse examination

--8.2 The regions and methods of pulse examination

-8.3 The elements of pulse examination and the normal pulse

--8.3 The elements of pulse examination and the normal pulse

-8.4 Characteristics and significance of pulse

--8.4.1 Superficial pulse, deep pulse, slow pulse, rapid pulse

--8.4.2 Surging pulse, thin pulse, long pulse, short pulse

--8.4.3 Feeble pulse, forceful pulse, slippery pulse, uneven

--8.4.4 Taut pulse, tense pulse,soggy pulse, moderate pulse

--8.4.5 Knotted, slow-regular-intermittent, irregularly abrupt

-8.5 Similar pulse, concurrent pulse, pulse indicating deterioration of visceral qi۞

--8.5 Similar pulse, concurrent pulse, pulse indicating deterioration of visceral qi۞

--【Discussion 11】Why is complex pulse more common than single-factor pulse?

-8.6 Women’s pulse, children’s pulse

--8.6 Women’s pulse, children’s pulse

-8.7 The clinical significance of pulse diagnosis

--8.7 The clinical significance of pulse diagnosis

-Unit test for week 10

Week 11 Diagnosis methods:Listening and smelling examination

-9.1 Listening

--9.1 Listening

-9.2.1 Abnormal sound

--9.2.1 Abnormal sound

-9.2.2 Abnormal language

--9.2.2 Abnormal language

-9.2.3 Respiratory abnormality

--9.2.3 Respiratory abnormality

-9.2.4 Cough

--9.2.4 Cough

--【Discussion 12】How to observe the patient's cough sound and sputum changes to determine whether the

-9.2.5 Abnormal sounds of the stomach and intestines

--9.2.5 Abnormal sounds of the stomach and intestines

-9.3 Smelling

--9.3 Smelling

--【Discussion 13】How to diagnose by smelling?

-Unit test for week 11

Week 12 Diagnosis methods:Palpation

-10.1 The method, meaning and precautions of palpation

--10.1 The method, meaning and precautions of palpation

-10.2 Contents of palpation

--10.2.1 Palpating chest and hypochondrium

--10.2.2 Palpating stomach and abdomen

--10.2.3 Palpating skin

--10.2.4 Palpating hands and feet, palpating acupoints

--【Discussion 14】How to determine whether external or internal injuries?

-Unit test for week 12

Conclusion

-Conclusion

--Conclusion

Final Exam

-Final Exam

--Final Exam

8.4.5 Knotted, slow-regular-intermittent, irregularly abrupt笔记与讨论

也许你还感兴趣的课程:

© 柠檬大学-慕课导航 课程版权归原始院校所有,
本网站仅通过互联网进行慕课课程索引,不提供在线课程学习和视频,请同学们点击报名到课程提供网站进行学习。