摘要
狭义的腹诊专指腹部触诊,广义的腹诊包括胸部及腹部的望闻问按触等诊疗手段。腹诊在国内外应用广泛,但心脏疾病诊疗中应用不多。通过归纳总结古今中外医学典籍及科研文献发现,腹诊在心脏疾病诊断中具有重要作用。在典型心脏疾病诊疗中可作为辅助诊疗手段应用于临床,通过局部视诊、触诊、叩诊等方法了解心脏气血、功能;在非典型心脏疾病诊疗中,腹诊可作为疾病鉴别手段,通过腹诊胸胁部和脘腹部判断心脏、肝、脾、胃、腹内压等情况,间接完善心脏诊断指导中医治疗,应将腹诊作为心脏疾病常规诊疗手段之一并使其标准化。
The narrow sense of the abdominal diagnosis is to press the belly. The broad abdominal diagnosis includes smell, ask, press, touch around chest and abdomen. Abdominal diagnosis is widely used at home and abroad, but it is not widely used in heart disease diagnosis and treatment. By summarizing the medical classics and scientific research literature of ancient and modern times, it is found that the abdominal diagnosis plays an important role in the diagnosis of heart disease. In the diagnosis and treatment of typical heart disease, the abdominal diagnosis can be used as a supplementary diagnosis and treatment method in clinical practice. It can be used to understand the blood and function of the heart. In atypical heart disease diagnosis and treatment, the abdominal diagnosis can be used as a means of disease identification. The heart, liver, spleen, stomach, and abdominal pressure can be understood by pressing chest and abdomen,which guide the treatment of traditional Chinese medicine. It should be treated as one of the routine treatment of heart disease and standardized.
作者
王宏芳
赵英强
WANG Hong-fang;ZHAO Ying-qiang(Tianjin Traditional Chinese Medicine university,Tianjin 300193,China;The community health service center of Gua Jiasi street,Tianjin 300210,China;Second affiliated hospital of Tianjin Traditional Chinese Medicine university,Tianjin 300150,China)
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2018年第10期1349-1351,1359,共4页
JOURNAL OF BASIC CHINESE MEDICINE
基金
天津市中医药管理局中医
中西医结合科研专项课题(2015114)-天麻钩藤饮通过EPC途径治疗肝阳上亢高血压的机制研究
关键词
腹诊
腹压
冠心病
Abdominal diagnosis
Abdominal pressure
Coronary heart disease
