基于色彩属性浅析《金匮要略》面部色诊体系  

Analysis of Facial Color Diagnosis System in Golden Chamber Based on Color Attribute

作　　者：廖凌鑫 诸毅晖[1] 刘薪雨 成词松[2] Liao Lingxin;Zhu Yihui;Liu Xinyu;Cheng Cisong(School of Acupuncture and Tuina,Chengdu University of Traditional Chinese Medicine,Chengdu,610075,China;School of Basic Medicine,Chengdu University of Traditional Chinese Medicine,Chengdu,610075,China)

机构地区：[1]成都中医药大学针灸推拿学院,四川成都610075 [2]成都中医药大学基础医学院,四川成都611137

出　　处：《成都中医药大学学报》2024年第2期51-54,共4页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：企业合同制课题(301022027)。

摘　　要：本文从色系、色调、颜色的变化三个维度对《金匮要略》的色诊思路进行分析。色系方面,以五色为标准,对采集的面色进行归类,并将色系与病位、病因进行了对应总结;色调方面,以“赤色”的色调为要点,关注赤之浅深、明暗、浓淡、聚散等属性,在诊断过程中分辨出“赤”“正赤”“少赤”“赤斑斑如锦文”“翕然如醉”“面如醉”等多种不同的赤色,并借此分辨寒热虚实,厘清具体病机;颜色变化方面,主要描述了治疗过程中的生理变化、误治之后产生的病理变化以及与四时节气相关的面部颜色变化,并借此来判断病势顺逆、病情转归。The color diagnosis of the Golden Chamberis analyzed from three dimensions:color system,color tone,and color changes.In terms of color system,facial colors are classified based on the five colors,and the color system is summarized in correspondence with the affected area and etiology.In terms of color tone,the focus is on the “red color”,and attributes such as lightness or darkness,brightness or dullness,concentration or dispersion are used to distinguish different shades of red,such as “red”“bright red”“less red”“red spots like brocade”“flushed and intoxicated”“intoxicated appearance”,etc.,in order to differentiate between Cold and Heat syndromes,clarify the specific pathogenesis.In terms of color changes,physiological changes during treatment,pathological changes after misdiagnosis,and facial color changes related to the four seasons are mainly described,used to judge the progression of the disease and the prognosis of the condition.

关 键 词：中医诊断 张仲景 金匮要略 面部色诊 色系 色调 颜色变化 

分 类 号：R241.24[医药卫生—中医诊断学] R222.3[医药卫生—中医临床基础]