Exploration on the Meaning and Treatment of Ge Pulse
10.16466/j.issn1005-5509.2025.09.005
- VernacularTitle:"革脉"涵义及其主证治法探析
- Author:
Hanzheng WANG
1
;
Hanlu CHEN
;
Baizhou WANG
Author Information
1. 浙江中医药大学附属第一医院(浙江省中医院) 杭州 310006
- Publication Type:Journal Article
- Keywords:
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
- From:
Journal of Zhejiang Chinese Medical University
2025;49(9):1121-1126
- CountryChina
- Language:Chinese
-
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.
