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黄帝道:大凡治病,必先诊察形体盛衰,气之强弱,色之润枯,脉之虚实,病之新久,然后及时治疗,不能错过时机。病人形七相称,是可治之症;面色光润鲜明,病亦易愈;脉搏与四时相适应,亦为可治;脉来弱而流利,是有胃气的现象,病亦易治,必须抓紧时间,进行治疗。形气不相称,此谓难治;面色枯槁,没有光泽,病亦难愈;脉实而坚,病必加重;脉与四时相逆,为不可治。必须审察这四种难治之证,清楚地告诉病家。

所谓脉与四时相逆,是春见到肺脉,夏见到肾脉,秋见到心脉,冬见到脾脉,其脉皆悬绝无根,或沉涩不起,这就叫做逆四时。 서귀포출장마사지 ,在春夏的时令,反见沉涩的脉象,秋冬的时令,反见浮大的脉象,这也叫做逆四时。
热病脉宜洪大而反静;泄泻脉应小而反大;脱血脉应虚而反实;病在中而脉不实坚;病在外而脉反坚实。这些都是症脉相反,皆为难治。
黄帝道:我听说根据虚实的病情可以预决死生,希望告诉我其中道理!岐伯说:五实死,五虚亦死。黄帝道:请问什麽叫做五实、五虚? 서귀포출장마사지 :脉盛是心受邪盛,皮热是肺受邪盛,腹胀是脾受邪盛,二便不通是肾受邪盛,闷瞀是肝受邪盛,这叫做五实。脉细是心气不足,皮寒是肺气不足,气少是肝气不足,泄利前后是肾气不足,饮食不入是脾气不足,这叫做五虚。黄帝道:五实、五虚,有时亦有痊愈的,又是什麽道理?岐伯说:能够吃些粥浆,慢慢地胃气恢复,大便泄泻停止,则虚者也可以痊愈。如若原来身热无汗的,而现在得汗,原来二便不通的,而现在大小便通利了,则实者也可以痊愈。这就是五虚、五实能够痊愈的机转。
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