[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.

[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.

[Objective]To explore the original appearance of the Baizhu Fuzi Decoction in Jingui Yaolue and Jinxiao Zhufuzi Decoction,and to clarify the relationship between them,with a view to better carry out further related research and utilization work.[Methods]Based on the perspective of proofreading,the documentary proofreading methods of collation,self-proofreading,other-proofreading,rational-proofreading,induction and deduction were applied.Besides,the reasons for its evolution were discussed from the perspective of history.[Results]From the perspective of proofreading,the Baizhu Fuzi Decoction is not the same as the Jinxiao Zhufuzi Decoction.The dosage of the former formula should be double of that in DENG Zhen's version of Jingui Yaolue,while the latter formula is in fact identical to ZHANG Zhongjing's Gancao Fuzi Decoction.Based on the analysis of historical perspective,the two formulae were confused for three reasons:the similarity of their names,the"inadvertent"mistake made by officials of the Song Dynasty,the"assist"from DENG Zhen in Yuan Dynasty.[Conclusion]The original appearance of the Baizhu Fuzi Decoction in Jingui Yaolue and Jinxiao Zhufuzi Decoction has been clarified,which can be used as a reference for further related research and utilization work.