人迎寸口脉法之学与用  

Theory and application of pulse diagnosis at Renying and Cunkou regions

作　　者：李奕诗 陈宣尚 李红梅 LI Yi-shi;CHEN Xuan-shang;LI Hong-mei(Department of Disease Prevention,Third Affiliated Hospital of Guangzhou University of CM,Guangzhou 510378,Guangdong Province,China;First Clinical Hospital of Guangzhou University of CM)

机构地区：[1]广州中医药大学第三附属医院治未病科,广东广州510378 [2]广州中医药大学第一临床医学院

出　　处：《中国针灸》2023年第9期1076-1080,共5页Chinese Acupuncture & Moxibustion

摘　　要：人迎寸口脉法乃《黄帝内经》脉法的重要组成部分之一,自提出至今颇有争议,本文以王叔和“关前一分,人命之主,左为人迎,右为气口”为诊断操作依据,以左右分阴阳,左手人迎脉盛则为阳病,右手寸口脉盛则为阴病,并以同手关脉与“关前一分”的盛数躁急定三阴三阳。治疗方面以《黄帝内经》主要基于人迎寸口脉法所提出的手足阴阳经脉补泻法为原则,以五输穴及原穴为针刺主穴,治疗过程重视脉象变化,以人迎寸口脉作为判断“气至”“气调”的标准。Renying and Cunkou pulse diagnostic method is one of the important parts of the pulse diagnosis in Huangdi Neijing(Inner Canon of Yellow Emperor)and has been controversial since its proposal.This article takes WANG Shu-he's diagnostic operation as the evidence,and is in reference of the statement,"Cun region(the region ahead of Guan region of Cunkou)determines the human life,that on the left hand refers to Renying,while on the right hand is Qikou".The pulse conditions on the left and right hands represent yin and yang.If Renying pulse on the left is greater,the diseases are in yang meridians,while if Cunkou pulse on the right is bustling,the diseases are in yin meridians.By comparing the pulse condition and strength,as well as the pulse beating(rapid and urgent)between Guan region and region ahead of Guan on the same side,the conditions of three yang and three yin meridians are detected.In treatment,based on the records of Renying and Cunkou pulse diagnosis in Huangdi Neijing,the principles are proposed for reinforcing and reducing methods on hand and foot meridians of yin and yang.Five-shu points and yuan-source points are taken as the main acupoints in acupuncture treatment.During treatment,the changes in pulse conditions should be emphasized specifically and those at Renying and Cunkou regions are the criteria for judging qi arrival and qi regulation.

关 键 词：人迎寸口脉 定位 关前一分 阴阳 针刺补泻 

分 类 号：R245[医药卫生—针灸推拿学]