从《素问·脉要精微论》看春秋平脉  

Analysis of Normal Pulse in Spring and Autumn from Perspective of Record in Mai Yao Jing Wei Lun

作　　者：高煜勋 谢希朴 王赫 李成卫[1] GAO Yuxun;XIE Xipu;WANG He;LI Chengwei(Beijing University of Chinese Medicine,Beijing China 100029)

机构地区：[1]北京中医药大学,北京100029

出　　处：《中医学报》2024年第6期1166-1170,共5页Acta Chinese Medicine

基　　金：北京市技术开发横向课题项目(2180071720124);2017年度北京中医药大学新奥奖励基金“经典传承(文献)”类立项资助课题项目(1000062720108)。

摘　　要：《素问·玉机真脏论》中,将弦脉定为春季之平脉,将浮脉定为秋季之平脉;而在《素问·脉要精微论》中,却将春季的脉象描述为浮脉,将秋季的脉象描述为下肤。其实,“下肤”与“浮脉”可以出现在同一个季节的不同时期。弦脉为春季旺时的脉象,出现在春季的大部分时间,而浮脉则是暮春时节的脉象,此时夏季将至,气温较高,蓄积的阳气推动脉位上浮至肌表,而出现浮脉。同样的,秋季旺时的脉象为浮脉,此时的脉象由于秋气的敛降,相较于夏日之洪脉,其脉象不再宽大有力,但凭借夏日积蓄的阳气,脉位仍然浮于肌表,形成了“轻虚以浮”的脉象。而“秋日下肤”则描述的是秋季之末的脉象,此时阴气逐步积累而盛壮,夏日积蓄的阳气被消耗殆尽,脉位就下沉到皮肤之下。In Su Wen·Yu Ji Zhen Zang Lun,the string pulse is designated as the normal pulse in spring and the floating pulse is designated as the normal pulse in autumn.However,in Su Wen·Mai Yao Jing Wei Lun,the spring pulse is described as floating pulse and the autumn pulse is described as pulse under skin.In fact,"pulse under skin"and"floating pulse"can be detected at different times of the same season.The string pulse is the pulse during the vigorous spring season,appearing most of the time in spring,while the floating pulse is the pulse during the late spring season.Currently,summer is approaching,and the temperature is high.The accumulated Yang energy drives the pulse to float up to the surface of the skin,resulting in the appearance of the floating pulse.Similarly,the pulse pattern during the prosperous autumn season is a floating pulse.At this time,due to the convergence and descent of autumn Qi,the pulse pattern is no longer broad and powerful compared to the full pulse in summer.However,with the accumulated Yang Qi in summer,the pulse position still floats on the surface of the skin,forming a"light floating"pulse pattern."Autumn pulse under skin"describes the pulse at the end of autumn,during which period Yin Qi gradually accumulates and becomes strong,while the accumulated Yang Qi in summer is exhausted,causing the pulse to sink under the skin.

关 键 词：春季平脉 秋季平脉 弦脉 浮脉 下肤 《素问·脉要精微论》 《素问·玉机真脏论》 

分 类 号：R221.1[医药卫生—中医基础理论]