中医脉诊起源考  

Research on the Origin of TCM Pulse Diagnosis

作　　者：李亚飞 刘寨华[1] LI Yafei;LIU Zhaihua(Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院中医基础理论研究所,北京100700

出　　处：《中医药导报》2023年第4期220-224,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：中国中医科学院科技创新工程重大攻关项目(CI2021A00202);中国中医科学院中医基础理论研究所基本科研业务费自主选题项目(YZ-202144)。

摘　　要：早期实施脉诊的主体,先后经历巫师、医官、私门医身份的3次转变,以扁鹊脉学的集成为脉诊起源期终结的标志。上古自殷商的巫师通神而通脉,视脉动不仅为神圣的启示,还蕴藏生命的信息;周朝的医官从巫师中分化而出,虽仍有巫术,但也以通天地信息而通脉理,以脉动为天地在身体的微观涌现;周秦之际,医官之术流落私门,民间的扁鹊因其脉诊兼具理性与实用,被后世认作脉诊的始祖。起源期的脉诊术虽经历主体身份的转变,但其思想并无断裂,而是具有历史的连续性。The main body of pulse diagnosis in the early stage has undergone three changes of identity as a wizard,a medical officer,and a private doctor.The integration of Bianque's pulse science is the symbol of the end of the origin of pulse diagnosis.In ancient times,the shamans from the Yin and Shang dynasties communicated with spirits and pulses,and regarded the pulse not only as a divine revelation,but also as a message of life;the medical officers of the Zhou Dynasty were differentiated from the shamans.Although there were still witchcraft,they also communicated the pulse theory by communicating the information of heaven and earth,and took pulse as the micro appearance of heaven and earth in the body;during the Zhou and Qin dynasties,the techniques of medical officials were left in private schools,and the folk Bianque was regarded as the ancestor of pulse diagnosis by later generations because of his rational and practical pulse diagnosis.Although the origin of pulse diagnosis has undergone a change in the identity of the subject,its thinking has not been broken,but has historical continuity.

关 键 词：脉诊 起源 脉动 扁鹊脉学 巫医 天官 

分 类 号：R241.1[医药卫生—中医诊断学]