中医看病,把脉是关键,把脉的哪几个原理知道越早越好?
推荐回答(5个)
中医的把脉是经典的诊断方法之一,说到把脉,我们往往想起小时候在电视剧中看到的郎中们只需要把手搭在患者的胳膊上,就能口若悬河的说出患者所患的炎症,甚至还可以算命。所以就慢慢把把脉神秘化,把会把脉的人当作是很神秘的人。其实把脉需要掌握的是几个细节,厉害的郎中断病情也不完全是靠的把脉。
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传统中医的断病法有望,闻,问,切。第四布的切就是把脉,把脉实在前三项之后,也就是说在把脉之前就应当了解足够的病情,切只是起到确认的作用。
把脉过程中最重要的是脉搏跳动的次数。正常的脉象不急不慢,有律动感,强弱始终,平和有力。脉象的频率与年龄,性别都有些许的关系。那么只是根据频率就能判断出来那么深奥的问题吗?当然不是。把脉的时候还需要判断脉象的类别,如常脉,实脉,泳脉,虚脉等。
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医生在把脉的时候不只是将手轻轻放在脉搏跳动处的上方,还会用手时而加力,时而轻柔,这么做是为了判断脉象的实与虚,比较虚的脉象往往会因为加力变得无力,而实的脉象是医生加力之后也会随之增强。
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不仅如此,把脉毕竟是一种有科学依据的诊断方法,像抽血化验一样。抽血化验需要注意时间,如空腹,早上之类的。把脉对时辰,个人状态等等也有一定的要求。把脉的体位与方法的要求更是严格。有时能看到医生维持一个动作一段时间之后更换动作或者要求患者更换体位。这往往是通过多种方法结合,来更精确的判断患者身体所出的问题。
中医的架构真复杂,越学越觉得知识结构愈显得庞大,立体化,错综复杂,真头疼死我了,但是又爱不释手,呵呵。
我是做针灸,也好给患者切一下脉,了解患者当下的身体状态。一般先察看病人脉位的浅深,即浮沉。脉数的多寡,即迟数。脉搏的强弱,即虚实。脉搏幅度的大小及脉体的长短。脉形和脉律就各看三个方面即滑、涩、弦,促、结、代。最后在汇总结合脉象祥诊细辩脉之洪、紧、缓、弱、滑、芤。再结合望、问,多了解,可以多获取情报,做法针对性会更全面。
中医诊疗原则是:望 闻 问 切四诊合参只有根据疾病在各诊上所表现出来的特征,综合起来进行分析判断,从而判断疾病的表里,寒热,虚实等性质。绝不可能只根指脉诊就能知道疾病的全部,如有你遇到只摸脉的医生,那十有八九就是想糊弄你。骗你钱财!
把脉纯属装神弄鬼,忽悠人的把戏!举例:假如疾病少说也有上百种,按100种来计算,那就需要100种脉象来对应,试问哪个神医能分出10种以上的脉象来?古代的“望闻问切”,主要靠“望闻问”,“切”只能判断脉搏强弱、生命力强弱……,但仅凭“望闻问”三诊,会让患者觉得医生没技术,所以才增加了“切”来装模作样,显得有技术,以此来忽悠病人。
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