基于整体观念的皮部理论在局部望诊中的应用  

Application of skin theory based on holistic concept in local inspection

作　　者：陈谦峰 靖媛[1] 李书楠 梁永辉 李灿东 CHEN Qian-feng;JING Yuan;LI Shu-nan;LIANG Yong-hui;LI Can-dong(Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Jiangxi University of Chinese Medicine,Nanchang 330004,China;Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]福建中医药大学,福州350122 [2]江西中医药大学,南昌330004 [3]湖南中医药大学,长沙410208 [4]福建中医药大学中医证研究基地,福州350122

出　　处：《中华中医药杂志》2021年第11期6534-6536,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金联合基金项目(No.U1705286);国家自然科学基金重点项目(No.81230087)。

摘　　要：皮部理论是中医学的重要组成部分,早在《素问·皮部论》就有专篇论述。皮部位于人体表层,是局部望诊的重要观察内容。在整体观念思维下,皮部与肺卫是有机的整体,与脏腑经络是内外的统一。皮部与气血、营卫、脏腑、经络关系密切,根据其色泽、形态、部位的局部变化,可以辨识程度、病位、病性的整体状态,使局部望诊的"司外揣内"成为可能,也为局部望诊的皮部脏腑分区提供了理论支撑。The theory of skin is an important part of traditional Chinese medicine. There has been a special discussion in Suwen · Pibu Lun. The skin is located on the surface of human body, which is an important observation content of local inspection.Under the guidance of holistic thinking, skin and lung health are an organic whole, and internal and external unity with viscera and meridians. The skin is closely related to qi and blood, nutrient qi and defensive qi, zang-fu viscera, meridian and collateral.According to the local changes of color, shape and position, the whole state of degree, disease location and disease can be identified, which makes the ‘governing exterior to infer interior’ of local inspection become reality, and also provides theoretical support for the partition of skin zang-fu viscera.

关 键 词：整体观念 皮部理论 局部望诊 辨证 诊断 

分 类 号：R241.2[医药卫生—中医诊断学]