《灵枢》针灸诊脉之新解  

A New Interpretation of Pulse Diagnosis in the“Ling Shu”

作　　者：李蕴雯 洪亚群 LI Yunwen;HONG Yaqun(Hubei University of Chinese Medicine,Hubei Wuhan 430061,China;Hubei Shizhen Laboratory,Hubei Wuhan 430061,China)

机构地区：[1]湖北中医药大学针灸骨伤学院,湖北武汉430061 [2]湖北时珍实验室,湖北武汉430061

出　　处：《中医药临床杂志》2024年第11期2071-2074,共4页Clinical Journal of Traditional Chinese Medicine

摘　　要：《灵枢·九针十二原》中提到:“凡将用针,必先诊脉”,这句话揭示了用针的关键——诊脉。然而,后世医家在解释这一观点时通常局限于中医四诊之一的切脉,而忽视了经络在针灸治疗中的指导作用。经络作为中医理论中的重要概念,它承担着运行气血、联络脏腑以及沟通内外的重要功能。经络的运行状况与人体的健康密切相关,对于针刺的疗效至关重要。因此,该文旨在补充“诊脉”概念的内涵,在切脉的基础之上引入经络诊察法,通过察经、辨经、选经三个步骤全面了解患者病情,准确判断疾病性质,从而制定出最适宜的针灸治疗方案。经络诊察法的运用有助于提高针灸治疗的疗效,并为中医针灸学的发展提供新的思路和方法。It is mentioned in“Ling Shu”:Nine Needles and Twelve Origins that“when you are about to use acupuncture,you must first take the pulse.”This sentence reveals the key to using acupuncture-taking the pulse.However,later doctors usually limit their explanation of this view to taking the pulse,one of the four diagnoses in traditional Chinese medicine,and ignore the guiding role of meridians in acupuncture treatment.As an important concept in traditional Chinese medicine theory,meridians undertake the important functions of running Qi and blood,connecting internal organs,and communicating the inside and outside.The running status of meridians is closely related to the health of the human body and is crucial to the efficacy of acupuncture.Therefore,this article aims to supplement the connotation of the concept of“taking the pulse”and introduce the meridian diagnosis method on the basis of taking the pulse.Through the three steps of observing the meridians,distinguishing the meridians,and selecting the meridians,we can fully understand the patient's condition,accurately judge the nature of the disease,and thus formulate the most appropriate acupuncture treatment plan.The application of the meridian diagnosis method helps to improve the efficacy of acupuncture treatment and provide new ideas and methods for the development of traditional Chinese medicine acupuncture.

关 键 词：脉诊 灵枢 经络诊察法 针灸治疗 

分 类 号：R221.2[医药卫生—中医基础理论]