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 ›› 2016, Vol. 39 ›› Issue (10): 797-801.doi: 10.3969/j.issn.1006-2157.2016.10.001

• 理论研究 •    下一篇

中医脉诊起源——“脉”的医学知识衍生与脉诊学源流考

陈欣然,王天芳#   

  1. 北京中医药大学 北京 100029
  • 收稿日期:2016-05-13 出版日期:2016-10-30 发布日期:2016-10-30
  • 通讯作者: 王天芳,女,教授,主任医师,博士生导师,研究方向:诊法与辨证的规范化、标准化,E-mail:tianfangwang2000@163.com
  • 作者简介:陈欣然,女,在读博士生
  • 基金资助:
    *北京中医药大学新奥奖励基金资助项目(No.1000062720037/001)

Origin of TCM pulse diagnosis——medical knowledge derivation of “pulse” and origin of textual research of pulse sphygmology*

CHEN Xinran, WANG Tianfang#   

  1. Beijing University of Chinese Medicine, Beijing 100029
  • Received:2016-05-13 Online:2016-10-30 Published:2016-10-30

摘要: 以《说文》为工具,通过对“脉”原字字形的解析,分析该字本义原指自然环境水系流布的道路,引申于中医学概念中用以描述人体气血循环的器官,体现了中医学“天人相应”“取类比象”的概念。系统整理古代史书以及先秦传世医学文献、出土文献中相关脉的内容,分析血脉、脉气、经脉、脉象、切脉不同概念在早期中医理论范畴的衍生与运用,综合比较,互证条目,指出“脉”字最早见于战国初期的《国语》,古人通过对自然宇宙与人体的观察、认识,逐渐出现“血脉”的概念,而医学文献中该词始见于出土的张家山《脉书》、马王堆《足臂经》,分析其内容可知当时中医脉学理论已建立了以脉统病、凭脉辨病理论体系,并贯穿着经脉理论的内容,其中“相脉之道”内容体现了我国早期脉诊技术雏形。

关键词: 中医脉诊, 脉诊起源, 脉学文献, 经脉, 脉象, 脉, 文字考据

Abstract: According to Chinese character pattern analysis of “pulse”(Chinese: 脉) in Shuo Wen Jie Zi, its original meaning referred to the road of drainage in the natural environment, and it was extended to the TCM concept of organ of blood circulation of human body. The original meaning and extended meaning implied the TCM concept of “correspondence between man and nature” and “analogy by classification”. And throughout ancient historical books as well as the pre-Qin ancient medical literature and unearthed literature related to the content of the vein, the analysis of blood, qi, meridians of arteries and veins, pulse condition, pulse-taking in the early days of TCM theory of derivative and application, comprehensive comparison and each card entries, we found “pulse” was first recorded in Guo Yu in the early Warring States period. Through observation of the natural universe and the human body, the concept of “blood pulse” (Chinese: 血脉) began to emerge, in the medical literature Zhangjiashan Bamboo Slips Mai Shu and Mawangdui Silk Texts Zu Bi Jing. The theoretical system of classification of diseases by pulse and diagnosis of diseases by pulse was established, ran through the whole meridian theory, in which “distinguish based on different pulse conditions” showed the embryonic form of pulse diagnosis in early China.

Key words: pulse diagnosis, origin of pulse examination, ancient literature of TCM sphygmology, meridian, pulse condition, pulse, textual criticism

中图分类号: 

  • R241.1