基于经脉理论讨论《黄帝内经》两种脉诊法

Disussion on the two-pulse diagnosis in the Huang Di Nei Jing based on meridian theory

关键词:  经脉  遍诊法  寸口脉法  《黄帝内经》

Key words:  meridian  general pulse diagnostic method  cunkou pulse diagnosis  Huang Di Nei Jing

摘要:

脉诊法是中医诊法中极为特色的一种，《黄帝内经》主要应用的脉诊法为遍诊法和寸口脉法，而脉诊的形成深受经脉理论的影响。在经脉理论发展中形成气血经脉和脏腑经脉两种经脉模式，并分别成为遍诊法和寸口脉法的基础。历代医家多着重于论述寸口脉法，而忽略了曾与寸口脉法并存的遍诊法，这使得脉诊的含义受限。脉与经脉的概念来自水，“经脉”一词正来源于诊脉，在经脉理论发展前后出现两种不同的经脉模式，即气血经脉和脏腑经脉。基于气血经脉的遍诊法诊察对象为十二经脉经脉的病候，基于脏腑经脉的寸口脉法诊察对象为脏腑病候。

Abstract:

Pulse diagnosis is a very characteristic of traditional Chinese medicine（TCM） diagnosis method, the main pulse diagnosis method used in the Huang Di Nei Jing is the general diagnosis method and the inch-mouth pulse method, and the formation of pulse diagnosis is deeply influenced by the meridian theory. In the development of meridian theory, two meridian modes were formed, namely qi and blood meridians and viscera meridians, which became the basis for the general diagnosis method and the cunkou pulse method respectively. Physicians in the past generations mostly focused on the inch-mouth pulse method, and ignored the general diagnosis method that once coexisted with the inch-mouth pulse method, which limited the meaning of pulse diagnosis. The concept of meridians and meridians comes from water, and the word “meridians” comes from diagnosing meridians, and two different meridian patterns appeared before and after the development of meridian theory, namely qi and blood meridians and viscera meridians. The general diagnosis method based on the qi and blood meridians was the symptoms of the twelve meridians, and the inch-mouth pulse method based on the viscera meridians was the symptoms of the viscera diseases.