张世贤对张元素主客脉法的发展与应用  

ZHANG Shixian’s Development and Application of ZHANG Yuansu’s Master-Guest Pulse Method

作　　者：黄天宇 张其成 HUANG Tianyu;ZHANG Qicheng(School of Chinese Classics,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学国学院,北京100029

出　　处：《山东中医杂志》2024年第10期1068-1073,共6页Shandong Journal of Traditional Chinese Medicine

基　　金：国家社会科学基金项目(编号:16ZDA234)。

摘　　要：张元素在注解《王叔和脉诀》的过程中以“七表八里”规律为基础创立了主客脉法,用以研究人体正常生理规律所产生的脉象特点(主脉)与疾病所导致的脉象特点(客脉)之间复杂的相互作用关系。但张元素在《洁古注王叔和脉诀》中仅提出主客脉法的思路与纲领,对具体的应用方法未进行详细论述。明代张世贤专精脉诊,他结合《难经》和术数中的阴阳五行理论进一步完善了主客脉法,提出将脉象和症状配属阴阳五行,并通过阴阳五行之间的作用关系分析主脉与客脉的关系以及脉象与症状的关系,构建了一种运用阴阳五行关系分析脉象和病情的理论模型,有助于医者学习和应用主客脉法。During the process of annotating WANG Shuhe’s Pulse Classic,ZHANG Yuansu created the Master-Guest Pulse Method based on the“seven exterior and eight interior”regularities,which was used to study the complex interaction between the pulse characteristics produced by the body’s normal physiological patterns(Master Pulse)and the pulse characteristics caused by diseases(Guest Pulse).However,in JIE Gu’s Note on WANG Shuhe’s Pulse Classic,ZHANG Yuansu only presented the ideas and outlines of the Master-Guest Pulse Method,and did not discuss the specific application methods in details.ZHANG Shixian,a master of pulse diagnosis in the Ming Dynasty,further refined the Master-Guest Pulse Method by integrating the theories of yin-yang and five elements from Classic of Questioning and numerology.He proposed associating pulse conditions and symptoms with yin-yang and five elements,and analyzing the relationship between the Master Pulse and Guest Pulse,as well as the relationship between pulse conditions and symptoms,through the interactions between yin-yang and five elements.This approach established a theoretical model for analyzing pulse conditions and illnesses using yin-yang and five elements relationships,which aided medical practitioners in learning and applying the Master-Guest Pulse Method.

关 键 词：张世贤 张元素 主客脉法 《王叔和脉诀》 阴阳 五行 脉学 

分 类 号：R241.19[医药卫生—中医诊断学]