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中医五体理论中脉系统的研究OA

Study on the Pulse System of Five Body Constituents Theory in Traditional Chinese Medicine

中文摘要英文摘要

中医五体理论起源于《黄帝内经》,五体一词出于《灵枢·根结》篇.在整个五体理论所有的论述中,对于脉系统的研究一直以来都是中医学术界的热点话题.中医脉诊历史悠久,作为中医四诊中独特的诊断方式,在中医的诊疗过程中发挥着独特的作用,为历代医家所重视.中医脉系统以其内属沟通五脏六腑,外部联系四肢九窍,连贯人体上下内外,将各部组织器官搭建成一个协调统一的有机整体以发挥各部机能维护人体健康."脉"字在古代医籍中主要包含两大涵义,一者为经脉,另一者为血脉.从《黄帝内经》的遍身诊法到《脉经》中左右手"六部脉法"的成熟与应用,中医脉诊的理论认识与实践操作方式都得到了极大的革新与进步.从诊脉的具体内容来看,由诊经脉到诊血脉,中医传统脉诊内容也在经历着不断的变革.在这整个过程中最主要的诊脉内容当属诊血脉,而诊血脉中又有着诊脉气与诊脉象的不同.随着脉诊在中医四诊中地位的不断攀升,古人已经能够依靠"脉诊"阐明疾病的发生并将凭脉诊断与施治相结合,临床上可以按照"凭脉辨治""诊疗一体"的原则来诊治疾病.

The theory of five body constituents in traditional Chinese medicine(TCM)originated from Inner Canon of Huangdi.The term five body constituents came out of Lingshu·Genjie.Among all the expositions of this theory,the study on the pulse system has always been a hot topic in the academic circles of TCM.Pulse diagnosis in TCM has a long history,and as a unique diagnostic method among the four diagnostic methods of TCM,it plays a unique role in the diagnostic and treatment process of TCM and has been emphasized by medical practitioners of all generations.The TCM pulse system uses its internal part to communicate the five Zang-organs and six Fu-organs,and its external part to connect the limbs and nine orifices,connecting the upper and lower parts and the interior and exterior parts of the human body,and building various organs and tissues into a coordinated and unified organic whole to exert the functions of various parts and maintain human health.The word"pulse"mainly contains two meanings,one for the meridians,and the other for the blood.From the diagnosis of the whole body in the Inner Canon of Huangdi to the maturity and application of the"six sections of pulse"in the Pulse Classic,the theoretical understanding and practical operation mode of TCM pulse diagnosis have been greatly reformed and advanced.From the specific content of pulse diagnosis,from meridians to blood vessels diagnosis,TCM pulse diagnosis has been undergoing changes and development.In this whole process,the most important pulse diagnosis should be blood diagnosis,and blood diagnosis has the difference between pulse Qi and pulse image.Pulse diagnosis has been in an important position in the diagnosis and treatment of diseases in TCM,and it can be diagnosed and treated according to the principle of"differentiation and treatment by pulse"and"integrated diagnosis and treatment".

王超;孙志波;吴美玲;邓品;吴琼;杨金生

中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700中国中医科学院中医基础理论研究所,北京 100700

医药卫生

五体理论中医脉诊经脉血脉脉系统

Five body constituents theoryPulse diagnosis of traditional Chinese medicineMeridiansBlood vesselPulse system

《中国中医基础医学杂志》 2026 (1)

17-21,5

国家重点研发计划项目(2023YFC3502704)中央级公益性科研院所基本科研业务费项目(YZX-202345,ZZ18-XRZ-072)中国中医科学院科技创新工程项目(CI2021B001)

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