命门脉诊理论的源流、嬗变与争鸣
Origin,evolution and contention of the theory of life gate pulse diagnosis
刘蕴葭 1赵艳 1林明欣2
作者信息
- 1. 北京中医药大学中医学院,北京 100029
- 2. 中国中医科学院中医基础理论研究所,北京 100700
- 折叠
摘要
文章通过梳理命门脉诊理论的来源及其发展、演变过程,发现尺脉候命门理论最早来源于西汉末期形成的纬书《河图》,"右尺候命门"理论基于魏晋时期流布的五行河图术数学说而建构,在两宋时期发展出的右尺候命门、心包、三焦相火的脉诊理论在元代开始被质疑.然而,到明代命门脉证辨治体系发展到相当完善的阶段,"右尺候命门相火"之说仍未被推翻,直至清代在实证主义考据之风的影响下,该理论才被动摇.近现代,关于命门脉诊的争议达到高潮.命门脉诊理论在临床实践中,不可按图索骥,而应圆活变通,四诊合参,方能辨证无误.
Abstract
Through reviewing the origin of the theory of life gate pulse diagnosis and its development and evolution in various historical periods,the article finds that the theory of diagnosing life gate by taking chi pulse originated from the augury book Hetu,which was formed in the late Western Han dynasty.The theory of diagnosing life gate by taking right chi pulse was established based on the five elements and Hetu during the Wei and Jin dynasties.The theory of diagnosing the xiang-fire of life gate,pericardium and Sanjiao by taking right chi pulse developed during the Song dynasty was questioned in the Yuan dynasty,however,by the Ming dynasty,the diagnosis and treatment system for life gate diseases had developed to a relatively complete stage,the theory of taking right chi pulse for the xiang-fire of the life gate had not been overturned,and it was not until the Qing dynasty,influenced by the trend of positivist textual research,that this theory was shaken.In modern times,the controversy over the pulse diagnosis of life gate reached its peak.The theory of life gate pulse diagnosis in practical clinical application should not be dogmatic,but flexible,with the four diagnostic methods combined to ensure correct differentiation of symptoms and signs.
关键词
命门/脉诊/相火/源流/发展/文献研究Key words
Life gate/Pulse diagnosis/Xiang-fire/Origin/Development/Literature research引用本文复制引用
出版年
2024
NETL
NSTL
万方数据