关于仲景脉学的几点问题商榷

发布时间：2018-05-08 07:25

本文选题：仲景脉学 + 《伤寒论》　；参考：《环球中医药》2017年01期

【摘要】：本文结合《黄帝内经》《脉经》等经典著作还原《伤寒杂病论》中相关脉学内容的本来面目,从思维方法和临证实践两个方面,对仲景脉学容易曲解的某些问题进行分析论证。主要得出以下结论:(1)仲景诊脉方式:寸口诊法为主,遍身诊法为辅;(2)仲景寸口三部脉与人体对应关系:寸口三部脉与人体三焦部位对应,即仲景把寸口脉分为"寸口、关上、尺中",寸关尺三部分别相应人体上中下三焦;(3)仲景阳脉、阴脉的含义包括以下两个方面:一是脉象阴阳:阳脉多提示脉位趋于表浅、脉力强、脉势滑利、脉率快的脉象;阴脉多指示脉位趋于深下、脉力弱、脉势涩滞、脉率慢的脉象。另一方面是部位阴阳:寸关为阳,尺脉为阴。本文系统地总结了仲景的脉学思想,对于进一步深化对仲景脉学理论的认识,从而指导临床应用有着积极的意义。
[Abstract]:Combined with the classic works such as Huangdi Neijing and Mai Jing to restore the true features of the related veinology in the Theory of Typhoid and Miscellaneous Diseases, this paper analyzes and proves some problems easily misinterpreted in Zhongjing pulsology from two aspects of thinking method and clinical practice. The main conclusions are as follows: (1) Zhongjing's mode of diagnosis: the method of cun mouth diagnosis is the main method, and the method of all-body diagnosis is auxiliary. (2) the relationship between the three veins of Zhongjing's mouth and the human body is the same as that of the human body; that is, Zhongjing divides the cukou vein into "cukou, close, close". The meaning of Yin vein includes the following two aspects: one is the pulse of Yin and Yang, the other is that the pulse tends to be superficial, the pulse force is strong, the pulse potential is slippery, and the pulse rate is fast; Yin pulse indicates that the pulse position tends to be deep, the pulse force is weak, the pulse potential is astringent and the pulse rate is slow. On the other hand, the position of Yin and Yang: cun Guan Yang, ulnar vein for Yin. This paper summarizes Zhongjing's theory of pulsology systematically, which is of positive significance for further deepening the understanding of Zhongjing's theory of pulse science and guiding clinical application.
【作者单位】：北京中医药大学基础医学院;首都医科大学附属北京安贞医院综合超声科;北京中医药大学基础医学院方剂教研室;
【分类号】：R22

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