王鸿谟望色诊治胸痹临床经验  

Experience of WANG Hongmo in diagnosis of chest impediment based on inspecting complexion

作　　者：马赟[1] 杜正光[2] MA Yun;DU Zhengguang(School of Traditional Chinese Medicine,Capital Medical University,Beijing Key Lab of TCM Collateral Disease Theory Research,Beijing 100069,China;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学中医药学院,中医络病研究北京市重点实验室,北京100069 [2]首都医科大学附属北京中医医院,北京100010

出　　处：《中华中医药杂志》2024年第2期810-813,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.30701071);第六批全国老中医药专家学术经验继承项目(2017年);北京中医药薪火传承“3+3”工程项目(No.2012-SZ-C-41)。

摘　　要：望色诊病是中医独特的诊病方法之一,全国名老中医专家王鸿谟教授致力于望色诊病的临床应用与研究,在《黄帝内经》颜面脏腑分部诊察的基础上,创立了颜面整体-自然标志分区-中心坐标定点三级色部定位法,通过察颜观色以知五脏症结。文章从临床常见的心血管疾病入手,介绍王鸿谟教授所创之中医心系色部定位及色诊要点,结合临床实例从中医胸痹入手,探讨中医色诊的临床应用,并作为望诊的一部分,与其他诊法四诊合参,在精准辨证的基础上,指导临床辨证用药。Color inspection is one of the unique diagnostic methods of traditional Chinese medicine(TCM).WANG Hongmo,a famous doctor of TCM in China,was devoted to the clinical application and research of color inspection.He created a three-level color part positioning method,namely facial integrity-natural sign zoning-central coordinate fixed point positioning mode,on the basis of Huangdi Neijing.By inspecting complexion,professor WANG Hongmo could see the problems of internal organs.Starting from the common cardiovascular diseases in clinical practice,the article introduced the positioning of the color part of the heart system and the key points of color inspection in TCM created by professor WANG Hongmo.It also discussed the clinical application of color inspection in TCM based on clinical examples of chest painful impediment in TCM.At the same time,as a part of inspection,color inspection should be combined with other four examinations together to guide clinical syndrome differentiation and medication based on accurate syndrome differentiation.

关 键 词：名医经验 王鸿谟 中医诊断学 色诊 胸痹 望诊 三级色部定位法 心血管疾病 

分 类 号：R249[医药卫生—中医临床基础] R256.22[医药卫生—中医学]