主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2015, Vol. 38 ›› Issue (10): 661-664.doi: 10.3969/j.issn.1006-2157.2015.10.003

• 理论研究 • 上一篇    下一篇

论“司揣内外”的内涵及诊断学意义

林丽1,卜文超1#,郑进2,杨梅1,王雪梅1,何丹1,王寅1   

  1. 1.云南中医学院 云南 650500;
    2.云南省卫生和计划生育委员会
  • 收稿日期:2015-04-12 出版日期:2015-10-30 发布日期:2015-10-30
  • 通讯作者: 卜文超,男,副教授,硕士生导师,主要研究方向:中医眼科学及中西医结合方法学,E-mail:1393260396@qq.com
  • 作者简介:林丽,女,副教授,硕士生导师

Inspecting and conjecturing the exterior and interior: interpretation and diagnostic significance

Lin Li1, BU Wenchao1#, Zheng Jin2, Yang Mei1, Wang Xuemei1, He Dan1, Wang Yin1   

  1. 1.Yunnan College of TCM, Yunnan 650500;
    2.Health and Family Planning Commission of Yunnan Province
  • Received:2015-04-12 Online:2015-10-30 Published:2015-10-30

摘要: “司揣内外”是《灵枢·外揣》省略(隐含)的关键内容,具有新的内涵,即在认识疾病的过程中,可通过“司外揣内”“司内揣外”而“司内外”,并在此基础上“司内外揣内外”,以全面、准确地把握疾病本质和现象。这是《内经》的科学思想,并与科学原理及中医学的发展事实相符合,能弥补“司外揣内”的不足,因而提出了“司揣内外”是中医诊断学基本原理之一的新观点。

关键词: 司揣内外, 司外揣内, 司内揣外, 内经, 诊断原理

Abstract: Inspecting and conjecturing the interior and exterior of diseases is a key concept implied in the chapter titled External Conjecture in The Spiritual Pivot (Líng Shū, 灵枢). It can be interpreted with a new connotation. In the process of understanding diseases, we can conjecture the nature of diseases by inspecting the external manifestations or the other way around, in this dual direction of inspecting and conjecturing of the interior and exterior, we could have a more comprehensive and accurate knowledge of the disorder. This is a scientific idea of the The Inner Classic (Nèi Jīng, 内经) which matches both the scientific principle and development of TCM theory. This is supplementary to the traditional one direction of conjecturing the interior nature of disease by observing the external manifestations. Therefore a novel idea of inspecting and conjecturing both the interior and exterior could serve as a fundamental principle for TCM diagnosis.

Key words: inspecting and conjecturing the interior and exterior, inspecting the exterior to conjecture the interior, inspecting the interior to conjecture the exterior, Neijing, diagnostic principle

中图分类号: 

  • R221.2