《灵枢·终始篇》人迎寸口脉法几个关键问题刍议  

Discussion on Lingshu at Renying Cunkou Pulse

作　　者：张立志[1] 许能贵[1] 常乐[2] 

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510405 [2]安徽中医药大学,安徽合肥230038

出　　处：《辽宁中医杂志》2017年第3期494-495,共2页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金重点项目(81230088);广东省自然科学基金项目(9351040701000001)

摘　　要：为进一步挖掘人迎寸口脉法针灸的学术之精华,作者从临床应用的角度,提出了人迎寸口诊脉应以人迎及寸口处应指力最强的脉位进行力度对比,而不是比较两处脉管大小和宽度;浅析了"躁"脉的三个特征以及如何体会《灵枢·终始篇》所述几盛的技巧。同时指出人迎寸口脉法也有其不足性,一方面,人迎寸口脉法有严格的禁忌症,另一方面,在病位上,某些病证无虚实的变化,也没有阴阳脉的变化。因此,针灸临床不应局限于切诊人迎、寸口两个部位,有时需要结合其他诊法进行诊断,四诊合参,辨证施治,从而避免针灸取穴的盲目性,以提高针灸临床的疗效。For further mining Renying Cunkou pulse diagnostic method of acupuncture and moxibustion academic essence,the author from the perspective of clinical application proposed Renying Cunkou pulse should be the strongest pulse position of Renying and Cunkou and not compare the vessels sizes and width. It discussed the three features of Zao pulse and how to experience Sheng pulse in Lingshu. Also it pointed out that Renying Cunkou pulse diagnostic method has its shortcomings. On the one hand,Renying Cunkou pulse diagnostic method has a strict contraindication. On the other hand,some diseases have no actual situation changes or no change of the pulse of Yin and Yang. Therefore,in clinic acupuncture and moxibustion treatment should not be limited to palpation of attack. Two parts of the Cunkou,sometimes need combined with other diagnostic methods. The combination of the four diagnostic methods based on syndrome differentiation can avoid acupuncture blindness in order to improve the efficacy of clinical acupuncture and moxibustion.

关 键 词：灵枢·终始篇 人迎寸口脉法 刍议 

分 类 号：R221[医药卫生—中医基础理论]