Mao Jun-Hui, Chu Jia-Mei, Bao Ye-Hua
Department of Acupuncture and Tuina, The Second People's Hospital of Tonglu, Tonglu 311519, Zhejiang Province, China.
Guangxing Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou 310007.
Zhen Ci Yan Jiu. 2020 Dec 25;45(12):1023-5. doi: 10.13702/j.1000-0607.190552.
Through collecting the relative records about "Nishun" (contradiction and consistency between pulse conditions and severity of illness) in pulse taking for acupuncture treatment in ancient literature of traditional Chinese medicine, and combining with the understanding about pulse taking in Lingshujing (Miraculous Pivot) and later generations' clinical application, the different meanings of "Nishun" are analyzed in the present article. It is concluded that pulse taking during acupuncture treatment is considered the fundamental principle in the age of Lingshujing, and if the pulse conditions are contradicted to the illness, acupuncture treatment is prohibited. The practitioners of the later generations also emphasized that only by ensuring no contradiction between the pulse conditions and illness, could we operate acupuncture treatment. These greatly expand the contents of "Nishun" when taking pulse conditions for acupuncture treatment. All of these have a positive significance to the further research on pulse taking for acupuncture treatment.
通过收集中医古代文献中针刺治疗脉诊时“逆顺”（脉象与病情的逆与顺）的相关记载，并结合对《灵枢经》中脉诊的认识及后世临床应用，分析了“逆顺”的不同含义。得出结论：针刺治疗时脉诊在《灵枢经》时代被视为基本原则，若脉象与病情相悖则禁止针刺治疗。后世医者也强调，只有确保脉象与病情不相逆，才能进行针刺治疗。这些极大地拓展了针刺治疗脉诊时“逆顺”的内涵。所有这些对针刺治疗脉诊的进一步研究都具有积极意义。
