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[关于经络发现与脉诊关系的我们的观点]

[Our viewpoints on relationship between discovery of meridians and pulse-feeling diagnosis].

作者信息

Lin Lei, Tu Ya

机构信息

Department of Acupuncture and Massage, Beijing Hospital, Beijing 100730, China.

出版信息

Zhen Ci Yan Jiu. 2011 Oct;36(5):380-2.

Abstract

Some scholars believe that the ancient Chinese physicians found meridian phenomena on the basis of pulse-feeling diagnosis. But the authors of the present paper don't think so, and that the relationship between the discovery of meridian phenomena and pulse-feeling diagnosis is not so simple. In the present paper, the authors analyze their correlation from the following 6 points. (1) In ancient China, the difference between the pulse-feeling locations on the human body and the number of clinical disorders is huge, which is very difficult to make them to be corresponding. (2) Shenmen (HT 7), one acupoint of the Heart Meridian of Hand-Shaoyin and one of the positions for pulse-feeling diagnosis, is not identical to the running course of meridians described in the early historic stage of China. (3) Taking the corresponding correlation between the upper-lower parts of the Meridian of Hand-Yangming to make a deduction on other meridians is definitely jug-handled. (4) It is logically unreasonable to demonstrate the relationship between the meridian and pulse-feeling diagnosis by taking the Luomai (collaterals of meridian) as the example. (5) The running pathways of the Eight Extra-meridians which also belong to the meridian system are not identical to the regularities of "Biao" "Ben" pulses. (6) In the ethnic traditional medicine, there exists an upper-lower corresponding pulse diagnosis, but, no similar text descriptions have been found in the medical works on meridians. Therefore, the meridian system is not found by means of pulse-feeling diagnosis, and rather, the meridian theory promotes the development of pulse-feeling diagnosis in clinical practice.

摘要

一些学者认为,中国古代医家是在脉诊的基础上发现经络现象的。但本文作者并不这样认为,且经络现象的发现与脉诊之间的关系并非如此简单。在本文中,作者从以下6点分析了它们之间的相关性。(1)在中国古代,人体脉诊部位与临床病症数量之间差异巨大,很难使其对应。(2)手少阴心经的穴位神门(HT 7)是脉诊部位之一,但与中国早期历史阶段所描述的经络循行路线并不相同。(3)以手阳明经上下部的对应关系来推断其他经络是绝对错误的。(4)以络脉为例来论证经络与脉诊之间的关系在逻辑上是不合理的。(5)同样属于经络系统的奇经八脉的循行路线与“标”“本”脉的规律并不相同。(6)在民族传统医学中存在上下对应的脉诊,但在经络医学著作中未发现类似的文字描述。因此,经络系统并非通过脉诊发现,相反,经络理论在临床实践中推动了脉诊的发展。

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