周道红双手诊脉法与《伤寒论》“平脉辨证”少阴病脉象  

ZHOU Daohong's "Both Hands Pulse Method" and Diagnose Shaoyin Disease's Pulse by "Flat Pulse Syndrome Differentiation" in Treatise on Febrile Disease

作　　者：陈峭[1] 周娅妮[1] 周晓玲[1] 

机构地区：[1]柳州市中医院脾胃病科,广西柳州545001

出　　处：《实用中医内科杂志》2017年第5期16-19,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：广西重点研发计划项目(No:桂科AB16380317)~~

摘　　要："平脉辨证"是《伤寒论》核心思想,涵盖凭脉阐述病机及辨析症候,解释六经辨病不同病因病机层次变化,重视疾病动态变化与发展;仲景倡导"观其脉证,知犯何逆,随证治之",对后世医家影响深远。凭脉证辨别表里是应用《伤寒论》经方重要基础,应用脉法指导治疗是六经辨病精髓之一,理论联系实际,突出脉、证、方结合;少阴病篇不同病理层次脉象,具有动悉病证、辨别表里、指导治疗、判断预后等特点,涵盖决生死和辨病愈。善诊脉者,需对六部脉象详查并仔细推敲,对比各部脉象,辨出病证本质。周道红认为诊脉应先于问诊,避免对症状主观臆测影响对脉象信息客观判定,做到"恒常达变",创立双手诊脉法,"比类奇恒",由表及里、由粗到细、由浅到深,全面获取脉象的信息,特点在于左右对照,初先总按左右脉象,感受六部脉象总的脉体信息,初步了解整体情况虚实性质;其次左右对比按脉,了解机体气血阴阳盛衰,此为运用《伤寒论》指导六经辨病的关键步骤;最后分部按脉,了解各脏腑虚实寒热、五行生克,是脏腑辨证重要环节,两手持脉时需在时间、空间、维度上保持一致性,平心静气、仔细体会各部脉象的脉体变化,比较分析所候脏腑气血阴阳,指导辨证处方;周晓玲继承周道红双手诊脉理论,结合《伤寒论》六经辨病,延伸应用双手诊脉法辨识少阴病,指导经方的应用。附双手诊脉法辨治少阴寒化虚劳验案一则。＂Flat pulse syndrome differentiation＂ is the core concept in treatise on febrile disease,it includes how to analysis of pathogenesis and syndrome by pulse, and it is used to explain the disease etiology and pathogenesis of six different levels, forecast the dynamic change and development of disease. ＂according the pulse, know what inverse, then with the rule＂ which advocated by ZHANG Zhongjing has a far-reaching influence on later generations. Distinguish inside and outside by pulse condition is an important basis for application of classical prescriptions in treatise on febrile disease.h is a gem of the six meridians syndrome differentiation in the pulse diagnostic method, which linking theory with practice and emphasising the combination of pulse, syndrome and prescription. Shaoyin disease has different pathological level pulse conditions, which can found the disease, identify the exterior-interior, guide the treatment and judge the prognosis, even can decide life or death, disease or rehabilitation. The doctor who is good at pulse must diagnosis the six pulse condition on closer scrutiny, contrast each pulse condition and then distinguish disease syndrome essence. ZHOU Daohong believes that pulse-taking should be ahead of interrogation, in order to avoid the conjecture repercussions which can impact on pulse symptoms, constant variation,set up the ＂both hands pulse method＂. Hands pulse method has the characteristics on ＂than class constant＂, which has the advantage of that when the pulse and its excellent from the outside to the inside, the coarse to fine, the shallow to deep, obtain the full of pulse condition information. Its characteristic is comparing the two hands＇ pulse condition, 1st, realize the both hands＇ pulse condition, obtain the six pulse condition information,preliminary understanding the overall situation is deficiency or excess. 2d, comparing the two hands＇ pulse condition to realize the rise and fall of Qi and blood, Yin and Yang in the body, It is the key steps to guide

关 键 词：双手诊脉法 平脉辨证 六部脉象 六经辨证 周道红 周晓玲 张仲景 伤寒论 少阴病 

分 类 号：R289.5[医药卫生—方剂学]