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身体观视域下命门脉诊的对应部位

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文章试图在身体观视域下梳理历代关于命门脉诊之诊候部位的论述,并提出笔者自己的看法.历代医家对命门位置说法不同,导致命门脉诊之诊候部位亦有差异.依藏神之所、藏精之所、藏气之所的身体观视域对命门的不同内涵所指位置进行归纳后,对其脉诊部位进行相对应的整理.属于藏神之所的:心包络为命门,于右尺诊候.属于藏精之所的:右肾为命门,于右尺诊候;女以左肾为命门,于左尺诊候;两肾为命门,于两尺诊候.属于藏气之所的:脐为命门,于关尺分界、脐间动脉诊候;子宫为命门,于右尺诊候;两肾之间为命门,于两尺诊候;丹田为命门,于右尺或两尺诊候.另有太溪脉诊候命门、脉诊不可诊得命门之说.
Corresponding location of the pulse diagnosis of mingmen under the visual threshold of the body view
This article attempts to comb the discussion on location of the pulse taking of mingmen in the past dynasties under the visual threshold of the body view and puts forward the author's own views.The doctors of past dynasties had different views on the position of mingmen,which led to the difference in the location of the pulse taking of its.According to the visual threshold of the body view,the positions of the different connotations of mingmen are summarized as:the place where the spirit is stored,the essence is stored,and the place where the qi is stored,and then the corresponding pulse location can be sorted out.Mingmen belonging to the place where the spirit is stored,when we think that the pericardium is mingmen,it is diagnosed at the right chi.Mingmen belonging to the place where essence is stored,if we conceive the right kidney or the two kidneys as mingmen,the right chi and the both chi are respectively used to diagnosis.And when we regard that women take left kidney as mingmen which is also belonging to the place where essence is stored is diagnose at left chi.Mingmen's position mentioned below are all belong to the place where the qi is stored.If we consider that the belly button is mingmen,it is diagnosed at the border of guan and chi and the interumbilical artery can also be used.When we think that the uterus is mingmen,it is diagnosed at the right chi.If we believe that mingmen is between the two kidneys,it is diagnosed at both chi.If the elixir field is mingmen,it can be diagnosed at the right chi or two chi.There is also a saying that Taixi pulse is used to diagnose mingmen,that pulse can not be used to diagnose mingmen.

MingmenPulse takingRight chiTwo chiKidney

吴培、陈永灿

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浙江中医药大学基础医学院,杭州 310053

浙江省立同德医院,杭州 310007

命门 脉诊 右尺 两尺

全国名老中医药专家传承工作室建设项目陈永灿传承工作室项目

国中医药人教函[2022]75号

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(4)
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