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沖脈病證

醫案日記 2023-05-10 13:42:30

本證是沖(chong)脈(mo)及相關臟腑或奇恒之(zhi)腑等的病證。

主(zhu)要臨(lin)床表(biao)現(xian):沖脈(mo)氣(qi)逆可表(biao)現(xian)為(wei)氣(qi)從少(shao)(shao)(shao)腹上沖,或嘔吐(tu),惡(e)心,咳唾,吐(tu)血,或腹內拘急(ji)疼(teng)痛(tong)(tong),胸(xiong)脘攻痛(tong)(tong),或妊(ren)娠惡(e)阻;沖脈(mo)虛(xu)衰(shuai)可表(biao)現(xian)為(wei)月經(jing)量(liang)(liang)少(shao)(shao)(shao)色淡(dan),甚或經(jing)閉(bi),不(bu)孕,或初潮經(jing)遲,或絕(jue)經(jing)過早,少(shao)(shao)(shao)腹疼(teng)痛(tong)(tong),頭(tou)暈目眩,心悸(ji)失眠(mian),男子陰(yin)器(qi)傷損或發育不(bu)良,胡須、陰(yin)毛稀(xi)少(shao)(shao)(shao),不(bu)能生(sheng)育,舌淡(dan),脈(mo)細(xi)弱;沖脈(mo)氣(qi)結可表(biao)現(xian)為(wei)經(jing)行不(bu)暢,量(liang)(liang)少(shao)(shao)(shao)或愆期,或乳房脹痛(tong)(tong),乳汁量(liang)(liang)少(shao)(shao)(shao),或少(shao)(shao)(shao)腹積塊,游(you)走(zou)不(bu)定。

病機分析:沖(chong)(chong)(chong)(chong)脈(mo)具(ju)有(you)調(diao)(diao)節(jie)十二經(jing)(jing)氣(qi)(qi)血(xue)(xue)之(zhi)作用,沖(chong)(chong)(chong)(chong)脈(mo)氣(qi)(qi)機升(sheng)降失司,則(ze)氣(qi)(qi)從少腹(fu)上(shang)沖(chong)(chong)(chong)(chong),或(huo)(huo)嘔吐,惡(e)心(xin),咳唾(tuo),吐血(xue)(xue);沖(chong)(chong)(chong)(chong)脈(mo)起于(yu)胞中,沖(chong)(chong)(chong)(chong)脈(mo)氣(qi)(qi)逆,則(ze)腹(fu)內拘急疼(teng)痛,胸脘攻痛,妊娠(shen)惡(e)阻(zu)。“沖(chong)(chong)(chong)(chong)為血(xue)(xue)海”,有(you)促進生(sheng)殖能力及調(diao)(diao)節(jie)月經(jing)(jing)作用,沖(chong)(chong)(chong)(chong)脈(mo)虛(xu)衰(shuai),血(xue)(xue)海不足測月經(jing)(jing)量少色淡(dan),甚(shen)或(huo)(huo)經(jing)(jing)閉,不孕(yun),或(huo)(huo)初潮(chao)經(jing)(jing)遲,或(huo)(huo)絕經(jing)(jing)過早,少腹(fu)疼(teng)痛;血(xue)(xue)虛(xu)儒(ru)養功能減(jian)弱(ruo)測頭(tou)暈(yun)目眩(xuan),心(xin)悸失眠;男子沖(chong)(chong)(chong)(chong)脈(mo)傷損則(ze)陰器不用;血(xue)(xue)海不足則(ze)發(fa)育不良(liang),或(huo)(huo)須毛稀少,不能生(sheng)育;舌淡(dan),脈(mo)細弱(ruo)為虛(xu)衰(shuai)之(zhi)象。沖(chong)(chong)(chong)(chong)脈(mo)氣(qi)(qi)結(jie),氣(qi)(qi)機失于(yu)調(diao)(diao)達測經(jing)(jing)行不暢,量少或(huo)(huo)愆期,或(huo)(huo)乳房脹痛,乳汁量少,或(huo)(huo)少腹(fu)積塊,游走不定。

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