浅析"人迎一盛,病在少阳"的理论内涵及辨治思路OA
Theoretical Interpretation and Diagnostic-Therapeutic Approach to"The Renying Pulse Being Slightly Stronger,Indicating a Disorder in the Shaoyang"
人迎寸口脉法起源于《黄帝内经》,是其脉学体系中以人迎与寸口脉势比较为基础的诊脉方法,可用于判断阴阳盛衰、经气偏胜,从而指导临床辨治.本文基于《黄帝内经》相关论述,对"人迎一盛,病在少阳"的理论及临床意义进行探析.从脉法溯源入手,阐释"人迎候阳"的生理基础及"一盛属少阳"所体现的阳气初动、枢机不利的病机特点;以"脉静""脉躁"辨别病位在足少阳或手少阳,并明确其证候特点.在中药与针刺治疗中,强调以和解少阳、调畅枢机为核心治法,并遵循补虚泻实的原则,旨在阐明"人迎一盛"脉证机理及辨证思路,为少阳证的临床诊治提供参考.
The Renying-Cunkou pulse method,originating from the Yellow Emperor's Canon of Medicine,is a diagnostic system distinct from modern syndrome differentiation.As an early technique focused on assessing yin-yang balance,it does not depend on Zang-Fu interpretation or clinical symptoms.Instead,it evaluates the relative pulse strength between Renying and Cunkou,and employs acupuncture to restore their balance when disharmony is present.Within this system,"The Renying Pulse Being Slightly Stronger,Indicating a Disorder in the Shaoyang"denotes that the Renying pulse is slightly-about one degree-stronger than the Cunkou pulse.According to the Yellow Emperor's Canon of Medicine,this mild excess reflects a pathological inclination toward the Shaoyang,marked by the initial stirring of yang and disturbance of the body's pivotal mechanism.Assessment of this comparative pulse relationship enables practitioners to judge yin-yang predominance independent of symptom-based analysis.Drawing on classical texts,this study clarifies the original intent of the Renying-Cunkou method and refines the diagnostic rationale behind the principle that"when the Renying pulse is slightly in excess,the disorder lies in the Shaoyang".Differentiating"quiet"from"restless"pulse qualities further distinguishes between disorders of the Foot Shaoyang Gallbladder Channel and the Hand Shaoyang Triple Energizer Channel.Clinically,treatment-whether herbal or acupuncture-focuses on harmonizing the Shaoyang and regulating the pivot,following the principle of supplementing deficiency and draining excess.By systematizing this classical pulse method,the study enhances its relevance in modern practice and enriches the theoretical framework of TCM pulse diagnostics.
郝栟;于嘉祥;戴俭宇
辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847||辽宁省教育厅针灸生物学重点实验室,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847||辽宁省教育厅针灸生物学重点实验室,辽宁 沈阳 110847
医药卫生
人迎一盛少阳足少阳胆经手少阳三焦经人迎寸口脉法
Renying pulse slightly in excessShaoyangFoot Shaoyang Gallbladder ChannelHand Shaoyang Triple Energizer Channelthe Renying-Cunkou pulse method
《中医康复》 2026 (6)
68-73,6
辽宁省自然科学基金计划项目(2024-MS-120)
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