大圣牛牛破解版

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                            中医中药网
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                            郁证望闻问切要点

                            郁证诊断时,需要医生运用高超的四诊技巧见微知著,从纷繁复杂的临床表现中发现蛛丝马迹,把握郁证的本质。郁证四诊有以下特殊之处需加注意。

                            郁证形态多样化,尤其隐性郁证之“普衣郁证”以普通的躯体症状为伪装,“花衣郁证”临床表现纷繁多彩令人眼花缭乱,“怪衣郁证”症状怪异奇特。诊断时,需要医生运用高超的四诊技巧见微知著,从纷繁复杂的临床表现中发现蛛丝马迹,把握郁证的本质。郁证四诊有以下特殊之处需加注意。

                            望诊:观察眼神与表情

                            大圣牛牛破解版 WANGZHENBENZHIWANGSHENSE、XINGTI、ZITAI,WANGSHENZHUYAOWANGSHENZHIDESHIZHENJIA。DANSHIDUIYUYUZHENGERYAN,WANGZHENZHUYAOSHIWANGYANSHENJIMIANBUBIAOQING。“WANGERZHIZHIWEIZHISHEN”XIANRANBUSHIZHIWANGCHUISIJIANGJUEZHISHENQI,GENGBUSHIZHIWANGHUANGDAN、SHUIZHONGDENGXIANXINGTIZHENG。“WANGERZHIZHI”BAOHANKANSI“SHENXINGRUHE”,DANZIXIGUANCHAHUANZHEDEYANSHEN、SHENQINGHUOSHENTAIKEYIFAXIANYUZHENGBIAOXIAN。

                            WANGYANSHEN WANGYANSHENSHIZHENDUANYUZHENGZUIWEIZHONGYAODEFANGFA。YANJINGSHIXINLINGDECHUANGHU,WULUNHUANZHEDEYOUZENYANGDEXIUYANGHEPINXING,YANSHENBUHUISHUOHUANG。YOUSHI,WANGYANSHENSHIZHENDUANYUZHENGDEWEIYIXIANSUO。JIBIANSHIYINXINGYUZHENGHUANZHE,YENANYIYANGAIQIYOUYU、AISHANG、DAIZHIDEYANSHEN,HUOYANSHENDAIYANJUNHANGUANG,HUOYANSHENANDAN,QUEFAROUHEDEGUANGLIANG。

                            大圣牛牛破解版 WANGMIANBUBIAOQING YUZHENGHUANZHEYOUYUZHANGQIYUYUGUAHUAN、QUESHAOHUANXIAO,LIANBUJIROUDUOXIANJIANGYINGERQIANROUHE,MIANSEHUIANQUEFAGUANGZE。JINZHANGJIAOLVDEYUZHENGHUANZHE,CHANGHUIYOUXIAYISHIDEQUTIQIANGPODONGZUO,RUBUZIJUEDIQIAODASHOUZHI、CUOSHOUDENGQIANGPOXINGDONGZUO。GUANCHAPEIZHENRENYUANDEBIAOQINGYEYOUZHUYUZHENDUAN。LIRU:DANGXUNWENHUANZHEYOUWUXINLIJIUJIESHI,JINGUANKENENGZAODAOHUANZHEBENRENDEFOUREN,DANPEIZHENJIASHUHUIZAIPANGDIANTOUHUOYIZHITIYUYANBIAOSHIKENDING。

                            闻诊:查知思想和性格

                            闻诊是指听声音和嗅气味。只要医生有心,从患者机械物理的声音中都能听出反映其心理精神面貌的内容。例如患者在候诊过程中的不耐烦、易激惹,如善太息,如嗳气连连非噫不快并可自主控制嗳气。《素问·宣明五气》:“五气所病,心为噫”。明确指出此“噫”并非由脾胃病引起,而是由心主神明和肝主疏泄的功能失常所致。“心为噫”的特点是患者可以自主控制,欲噫则噫欲停则停,噫则连连,噫后觉快。凡闻“心噫”,基本可以判断属于自主神经功能紊乱的郁证。

                            大圣牛牛破解版 DUIYUYUZHENGERYAN,WENZHENBUJINSHITINGYUSHENG、HUXI、KESOU、ENIJIAIQIDENGJIXIEWULIDESHENGYIN。WENZHENZUIZHONGYAODESHIYAOTINGQUNENGFANYINGHUANZHESIXIANG、XINGGEJIXINLITEZHIDEBINGQINGCHENSHU,ZHEIDUIYUZHENGDEPANDUANYOUWEIZHONGYAO。YINCIZAIZHEIZHONGQINGKUANGXIA,WENZHENNEIRONGWANGWANGXUYAOTONGGUOWENZHENERDE,WENZHENYUWENZHENNANYIJIERANHUAFEN。YOUWENDEWEN,WUWENSHIWEN;BIANWENBIANWEN,WENWENJIAOHU。WENZHENQINGTINGHUANZHEDEBIAOSHUYIBANYOUYIXIATEDIAN。

                            CONGGUOQUSHUOQI

                            JIESHAOBINGQINGSHIWANGWANGXIHUANCONGDUONIANYIQIANDEBINGQINGHEJIUZHENJINGLISHUOQI,BUYANQIXIANG。HUANZHEZIRENWEIBINGQINGYUDUONIANYIQIANDEJINGLIMIQIEYOUGUAN,SHENGPAYILOUZHONGYAOXINXI。RANER,YISHENGTINGLEBANTIANYEBUZHISUOYUN。YUCIKEYICHAZHIHUANZHEDEYUZHENGXINGXINGGE。

                            XUSHUQINGKEKUANGXIE

                            SUSHUOBINGQINGSHI,YOUYIZHONGYUZAIYOUXIANDEDANWEISHIJIANNEIJIANGHAILIANGXINXIQUANBUQINGTUCHULAIDEQINGXIANG。KANSIYOUQIANYANWANYU,DANZAIBUZHICONGHESHUOQI,SIWEITIAOYUE,XUSHUNEIRONGSUIPIANHUA,MEIYOUTIAOLI,QUEFALUOJIXING。YUCIKEYICHAZHIHUANZHEHUNLUANDESIXUHEBIAODAZHANGAI。

                            ZHONGFULAOTAOSUOSUI

                            XUXUTAOTAODIZHONGFUSUSHUOBINGQING,DIEDIEBUXIU,HUOZAISANFANFUXUNWENTONGYIJIANSHIQING。SHENZHIJIUZHENJIESHUHOURENGCHICHIBUYUANLIKAIZHENSHI,HUOLIKAIHOUYOUZAIFANHUIZHENSHIXUNWEN。YUCIKEYICHAZHIHUANZHEQIANGPO、JIAOLV、DUOYIDEXINGGETEDIAN。

                            YIBINGGUOYOU

                            大圣牛牛破解版 GUODUDANYOUJIANKANG,XIAOBINGYIDABING,LIANGBINGYIEBING,JUYOU“SANHAOHUANZHE(QUHAOYIYUAN、KANHAOYISHENG、CHIHAOYAO)”TEDIAN,YOUDUOCIPAOBIANGEDAYIYUANQIUZHENWENYIDEJINGLI,QIANLAIJIUZHENSHIWANGWANGDAILAIHOUHOUYIDATAZHONGFUJIANCHADEDANZI。GUZHIDIRENWEIZIJICUNZAIBIJIAOYANZHONGDEJIANKANGWENTI,SHENGHUOZAISHUISHENHUOREDETONGKUZHIZHONG,JUJUECHENGRENCUNZAIXINLIWENTI,BINGDUIYISHENGGAOZHIYIKENENGCUNZAIXINLIWENTIERGANDAOYICHANGFENNU。YUCIKEYICHAZHIHUANZHEDEXINLIJIANKANGWENTI。

                            DAFEISUOWEN

                            大圣牛牛破解版 BUNENGZHIJIELEDANG、JIANMINGEYAODIHUIDAYISHENGDETIWENHUOXUNWENERYANTA。TUIQIYUANYIN,YISHIKENENGHUANZHENANYILIJIEYISHENGDETIWEN;ERSHIKENENGHUANZHERENWEIXUYAOZUOCHUCHONGFENDE“PUDIAN”CAINENGQINGCHUDIHUIDATIWEN;SANSHIHUANZHEYOUWANQUANCHENJINZAIZIJIXIANGFAZHONGDEQINGXIANG。YUCIKEYICHAZHIHUANZHECUNZAIGOUTONGZHANGAIHUOBIAODAZHANGAI。

                            LINCHUANGBIAOXIANDUOYANG

                            LINCHUANGBIAOXIANGUANGFANDUOYANG,YICAIFENCHENG,QUANSHENDAOCHUDOUKENENGYOUBUSHIZHENGZHUANG,SHEJIQUANSHENGEGEXITONGJIZANGFU。ZHEIXIEFANZADEZHENGZHUANGQUEFAJIYUGONGXINGBINGJIDENEIZAILIANXI。YUCIKEYICHAZHIHUANZHECUNZAIZIZHUSHENJINGXITONGFANGMIANDEQUTIXINGSHIZHANGAI。

                            ZHENGZHUANGGUAIYI

                            MOUXIELINCHUANGBIAOXIANSHIFENGUAIYI;HUOZHENGZHUANGBENSHENBINGBUSUANGUAIYI,DANHUANZHEJIANGCIYUMOUZHONGYUANYIN“QIANGXINGGUANLIAN”,HUOZHENGZHUANGDECHIXUCUNZAINANYIYIBANZHONGXIYIXUEDEBINGLISHENGLIXUEZHISHIZUOCHUHELIDEJIESHI,BUFUHEYIXUECHANGSHIHELUOJI,DANCONGYUZHENGJIAODULAIKANBINGFEIBUKEJIESHI。LINCHUANGSUOJIANZHONGZHONGQIXINGGUAIZHUANGDE“YINANGUAIZHENG”DUOSHUYINXINGYUZHENGZHI“GUAIYIYUZHENG”,YOURUZAI“QIZHUANGYIFU”DEWEIZHUANGXIA,GUOZANGZHEYUZHENGDEZHENMIANMU。

                            ASHIZHENGZHUANG

                            如同针灸经络学的“阿是穴”没有固定的穴位部位、是被“按出来”的压痛点一样,患者纷繁多彩的临床表现也有不少是被“问出来”的。不问便罢,随医生问到何处,患者即表示何处有不适,具有多样化的不定愁诉。于此可以察知患者的易受暗示性。

                            问诊:了解内因与外因

                            大圣牛牛破解版 WENZHENBENLAISHIZHITONGGUOXUNWENLEJIEBINGQING。DANSHIDUIYUYUZHENGERYAN,《SHIWENGE》ZHONGDE“SHIWENYIN”ZUIWEIZHONGYAO,DUOKEYUCIZHAODAOYINXINGYUZHENGDEZHENDUANXIANSUO。

                            QINGZHIBINGYINJIYOUWAIYINYEYOUNEIYIN

                            陈无择《三因极一病证方论》提出“三因”学说,外因六淫邪气,内因七情不遂,不内外因指饮食劳倦、跌仆金刃及虫兽所伤。

                            YINQIYUZHENGDEQINGZHIBINGYINBUWANQUANWEINEIYIN,QINGZHIBINGYINBENKEZAIFENCHUWAIYINYUNEIYIN。

                            WAIYIN——WAIYUANXINGQINGZHIBINGYIN SHIZHIYOUZHONGZHONGKEGUANFASHENGHUOCUNZAIDEBULIANGSHENGHUOSHIJIANCIJISUOCHANSHENGDEXINUYOUSIYIYUBEIKONGDENGFUXINGQINGXU,BAOKUOYINNIDENEIXINCHONGTU、XINLIQINGJIEJICHUANGSHANGJINGLI,YOURUBEIWAIGANLIUYINQINXIYIYANG。

                            内因——内源性情志病因 是指由内在气质性格禀赋所决定,其实并无遭遇实质性外来负性生活事件侵袭。这类人天生具有气郁质体质和禀赋,表现为平素多思善虑、伤感寡欢、胆怯内向、易受暗示等人格性格特质。

                            WAIYINWANGWANGTONGGUONEIYINQIERQIZUOYONG,GUYOUSHIQINGZHIBINGYINDEWAIYINYUNEIYINJIAOHUZUOYONGERNANYIJIERANHUAFEN。MINGQUEQINGZHIBINGYINJIYOUWAIYINYOUYOUNEIYIN,ZHEIDUIWENZHENYOUDAOXIANGZUOYONG。

                            大圣牛牛破解版 NEIWAIQINGZHIBINGYINDEXUNWENYAODIAN

                            WENZHENXUYAOLEJIEHUANZHEDANGQIANDEBINGQINGSHIFOUWEIQINGZHIBINGYINSUOYINQI、YOUFA、JIAZHONG,YOUWUWEIQINGSUOSHANG,YINYUZHIBING。LEJIEFUXINGSHENGHUOSHIJIANDUIHUANZHEJINGSHENXINLIQINGXUDEYINGXIANG。QIQINGWAISHANGZUIJUZHE,MOGUOYURENJIGUANXIJUYUHUORENSHENGJIYUFASHENGDIETUOQIFUDEBIANHUA。YUESHIQINJINDEREN,YUERONGYIWEIQINGSUOSHANG。JIATINGSHIYIBANWUWAIHUGANQINGJIUGE、ZINVJIAOYUJIAOLVJICAICHANJIUFEN,DANWEISHIYIBANWUWAIHUGONGZUOYALIYURENJIGUANXI。XULEJIEBINGPANDUANQIYUBINGQINGSHIFOUCUNZAIYINGUOGUANXIHUOXIANHOUGUANXI。

                            WAIYUANXINGQINGZHIBINGYINJIAOZHINEIYUANXINGQINGZHIBINGYINGENGYIGENGDUOYINQIYUZHENG。YUZHENGYIGANRENQUNDUOJUYOUQIYUZHIXINGGEBINGFUTEXING。WENZHENGENGXUYAOLEJIE(YEKETONGGUOQIJIATINGCHENGYUAN)HUANZHEPINGSUHUOJIWANGYOUWUDUOCHOUSHANGAN、DUOSIJIAOLV、RONGYISHENGQI、AIZUANNIUJIAOJIAN、MINGANHUYI、DANQIENEIXIANG、BUNAIJINZHANGFANLAO、YIYUBEIGUANDENGBINGFUTEZHIJIGUODULIXIANGZHUYIHEWANMEIZHUYIDEXINGGETEZHENG。

                            大圣牛牛破解版 YOUYUBINGFUJUYOUMOUZHONGCHENGDUYUSHENGJULAIDEYICHUANTEXING,XUNWENJIAZUSHILEJIEHUANZHESHUANGQINJIXIONGDIJIEMEIDEXINGGERENGETEBINGJUYOUYIDINGDECANKAOJIAZHI。

                            WENZHENDUIYISHENGDEYAOQIU

                            YINGZAIYOULIYUBAOHUHUANZHEYINSIDEHUANJINGXIAJINXING。XUYAOYISHENGJUYOURENQINGLIANDASHISHITONGXIAODESHENGHUOJINGYAN、DONGCHALI、ZHIGUANLI、BIYAODEXINLIXUEZHISHIJITANHUAJIQIAO。

                            YISHENGYINGGAITAIDUHEAIYUYANQINQIE,NAIXINXIZHIJIESHIYIJIUZHENGQIRENSHIWUQU,DAXIAOBUBIYAODEGULV,JINKUAIJIANLIQILIANGHAODEYIHUANXINRENGUANXI。QINGTINGCHOUSUSHISHIDANGYOUQIANRUSHENYINDAO,SHIHUANZHEZHUJIANCHANGKAIXINFEI,JIANGXINSHIHEPANTUOCHU。

                            MINGSHANGYISHUOYINQINGNANSU。DABUFENYUZHENGYOUQISHIQUTIXINGSHIZHANGAIDEYINXINGYUZHENGHUANZHEDEQIQINGBUSUIDUOWEIQIANYISHIXINGDE,SHENZHILIANHUANZHEBENRENDUOCONGWUZHUDONGYISHIDAOGUO。XUYAOYISHENGZOUJINHUANZHENEIXINSHENCHU,FAJUEHUANZHEQIANYISHIDEXINLIWENTI。

                            切诊:脉诊按诊结合现代检查

                            大圣牛牛破解版 QIEZHENBENLAISHIZHIMAIZHENHEANZHEN。MAIZHENYOUZHUYUBANGZHUTUIDUANYUZHENGDEZHENGHOUBINGJI,WEIZHILIAOJUECETIGONGYIJU。DANSHIDUIYUYUZHENGERYAN,XUYAOYANSHENQIEZHENDEHANYI。ANZHENKEYANSHENWEIXIANDAIYIXUEDETIGEJIANCHAJISHIYANSHIJIANCHA,YIPAICHUQIZHIXINGJIBINGHUOQIZHIXINGJIBINGSUOZHILINCHUANGBIAOXIANDEKENENGXING。

                            切诊还可延伸为一系列与郁证相关的心理精神神经量表测量,如汉密尔顿抑郁和焦虑量表、抑郁和焦虑自评量表、症状自评量表、简明精神病评定量表、明尼苏达多相人格调查表以及艾森克个性问卷等。量表测量的好处是规范、量化、易评价,但由于中医大圣牛牛破解版的郁证概念除了抑郁症及焦虑症以外,更包含了许多量表所难以测量的不典型或轻中度抑郁或焦虑的状态,故量表测量对中医郁证诊断的作用是十分有限的,无法替代中医的四诊合参。

                            郁证四诊要点

                            大圣牛牛破解版 XIANGJINDESIZHENGUOCHENGHUOXUYIHUANGOUTONG1XIAOSHIYISHANG,ZHEIZAIFANZHONGDEMENZHENRENWUQINGKUANGXIATONGCHANGNANYIZUODAO。YINCI,ZUOCHENGYUZHENGSIZHENJIANYIPANDUANYAODIAN,BIANYULINCHUANGCANKAOYUNYONG。

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