首页|《灵枢》针灸诊脉之新解

《灵枢》针灸诊脉之新解

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《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.
A New Interpretation of Pulse Diagnosis in the"Ling Shu"
It is mentioned in"Ling Shu":Nine Needles and Twelve Origins that"when you are about to use acu-puncture,you must first take the pulse."This sentence reveals the key to using acupuncture-taking the pulse.How-ever,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,connect-ing 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 acu-puncture.

Pulse diagnosisLingshuMeridian diagnosis methodAcupuncture treatment

李蕴雯、洪亚群

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湖北中医药大学针灸骨伤学院 湖北 武汉 430061

湖北时珍实验室 湖北 武汉 430061

脉诊 灵枢 经络诊察法 针灸治疗

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(11)