脉搏波:沟通中医和西医的桥梁作者:宋相和 【摘要】 脉搏波蕴含着丰富的人体生理和病理信息,一向都受到中外医学界的重视,现已成为中西医共同的研究热点。本文从脉搏波理论的发展和应用研究出发,分析了其中存在的问题,比较了中西医对脉搏波信息提取和运用的现状,提出应对脉搏波进行更进一步的研究,使之成为一种沟通中医和西医的桥梁。【核心词】 脉搏波 模型 理论 脉诊客观化 中西医结合 Abstract: Pulse wave, a research focus in both traditional Chinese medicine and Western medicine, which contains a wealth of human physiological and pathological information, has always been the concern of medical practitioners. On the basis of the review on the development of the pulse wave theory and its applications, the existing problems in this field are discussed in this paper. On the basis of the status quo of pulse wave information extraction methods and the utilization of pulse wave in traditional Chinese and Western medicine, a more in depth study on pulse wave is proposed to make it a bridge connecting traditional Chinese medicine with Western medicine. Keywords: pulse wave; models, theoretical; objectifying pulse taking; integrative traditional Chinese and Western medicine 当心脏周期性地收缩和舒张时,左心室射入主动脉的血流冲击主动脉瓣和血管壁,产生的振动将以波的形式自主动脉根部发出,沿动脉树向外周动脉传输,此波称为向前波。当向前波受到动脉分支和外周动脉等因素的作用时,产生与之方向相反的反射波。反射波沿动脉树向心脏方向传输,与向前波叠加后形成含有不同波形特性的脉搏波。脉搏波的传输过程不仅受到心脏本身的影响,还受到沿途动脉和周边组织器官状况的影响,使脉搏波蕴藏着丰富的人体生理和病理信息。另外,由于脉搏波的检测不需要复杂而昂贵的仪器,操作简便,并且无创,因此有关脉搏波进一步细致的研究,一向都受到中外医学界的重视。 1 脉搏波理论发展 对脉搏波的理论研究,国外学者做了大量的工作,从 18 世纪初开始至今,其研究历史已长达几个世纪。而国内学者对脉搏波理论研究则始于解放后。脉...