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寸口脉诊布指之义

Theory of Arranging Fingers in Cunkou Pulse Taking

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【作者】 方奕芬王玉妹黄洁红叶穗林

【Author】 FANG Yifen;WANG Yumei;HUANG Jiehong;YE Suilin;Guangzhou Hospital of Traditional Chinese Medicine;Shenzhen Bao’an Hospital of Traditional Chinese Medicine;

【机构】 广州市中医医院深圳市宝安中医院(集团)

【摘要】 脉诊为中医辨证论治四诊之一。其中,寸口脉诊法,乃古今临床医家最推崇之脉诊法。医家诊脉之时,皆以示指号寸,中指定关,无名指按尺,究其原因,历代医家皆无详论之。考籍溯源,从三点论述布指要义:一者为"(关上)阳得寸内九分""(关下)阴得尺内一寸"之脉位宽窄学说;二者为"上竟上""下竟下"之脉位部位学说;三者为十二经脉循行、气血多少之学说,详解寸口脉诊精要,以指导中医临证,提高临床疗效。

【Abstract】 Diagnosis by feeling the pulse is one part of the therapy with syndrome differentiation. In general, traditional Chinese physician primarily makes use of the radial artery pulse at the styloid processes on both wrists, which is called cunkou or inch opening. When the practitioner takes the patient’s pulse, the guan or bar pulse is felt directly under the practitioner’s middle finger and the cun or inch pulse is felt by her or his index finger and the chi or cubit is found directly under the ring finger. But why should the Chinese physician to do like that? The passage is meant to make clear the reason by theories of "classic" and meridian and so on, in order to help with clinical application.

【关键词】 脉诊寸关尺《难经》《黄帝内经》经脉
【Key words】 pulse takingcun-guan-chiNan JingHuangdi Neijingchannel
  • 【文献出处】 长春中医药大学学报 ,Journal of Changchun University of Chinese Medicine , 编辑部邮箱 ,2018年06期
  • 【分类号】R241
  • 【下载频次】287
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