1.北京中医药大学,北京100029
2.首都医科大学附属北京中医医院,北京100010
石雨昕,男,27岁,硕士研究生。研究方向:中医内科学心血管方向。
刘红旭,E-mail:liuhongxu@bjzhongyi.com
收稿:2025-01-07,
纸质出版:2025-10-25
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石雨昕,刘红旭,李享,等.王叔和《脉经》心脉脉象探析[J].北京中医药,2025,44(10):1241-1244.
SHI Yuxin,LIU Hongxu,LI Xiang,et al.An exploration of pulse manifestation of heart vessels in WANG Shuhe's Pulse Classic[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(10):1241-1244.
石雨昕,刘红旭,李享,等.王叔和《脉经》心脉脉象探析[J].北京中医药,2025,44(10):1241-1244. DOI: 10.16025/j.1674-1307.2025.10.003.
SHI Yuxin,LIU Hongxu,LI Xiang,et al.An exploration of pulse manifestation of heart vessels in WANG Shuhe's Pulse Classic[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(10):1241-1244. DOI: 10.16025/j.1674-1307.2025.10.003.
五脏脉、四时脉为《黄帝内经》重要脉诊内容,心脉则是其中重要一部分,《脉经》将其定位于“左寸”,即左手腕桡骨茎突至大鱼际之间一寸内,桡动脉搏动处,后世医家脉法多以此为基础。心脉脉象上以“钩”为平,太过不及均为病脉,反映了心脏的阴阳盛衰及其病机,在临床诊疗中具有重要意义。笔者于《黄帝内经》《难经》《脉经》《伤寒论》《千金方》中搜列并探究部分心脉的内容,以期为后学者提供一些参考。
The
Wuzang
organs pulse and the four-seasons pulse are important components of pulse diagnosis in
Huangdi Neijing
, with the heart vessel pulse being a key part. According to the
Pulse Classic
(
Maijing
), it is located at the "left inch" position, that is, within one inch between the radial tuberosity of the left wrist and the thenar eminence along the radial artery. Later physicians largely based their pulse-taking methods on this position. In terms of pulse characteristics, a "hooked" heart vessel pulse is considered normal, whereas excess or deficiency indicates pathology, reflecting the state of exuberance and decline of
yin
and
yang
in the heart and its pathomechanisms, and carrying important significance for clinical diagnosis and treatment. This article collects and explores content related to the heart vessel pulse from t
he
Huangdi Neijing
,
Classic of Difficulties
(
Nanjing
),
Pulse Classic
,
Treatise on Cold Damage
(
Shanghanlun
), and
Important Formulas Worth a Thousand Gold Pieces
(
Qianjinfang
), aiming to provide a reference for future scholars.
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王佳佳 , 周杰 , 冯建春 , 等 . 《黄帝内经》脉诊刍议 [J ] . 北京中医药 , 2018 , 37 ( 3 ): 243 - 245 .
樊伟铭 , 邱模炎 . 古籍文献中尺脉浮象所主病证初探 [J ] . 北京中医药 , 2024 , 43 ( 10 ): 1189 - 1191 .
郑文龙 , 祝光礼 . 《黄帝内经》“真脏脉”理论探讨 [J ] . 北京中医药 , 2014 , 33 ( 11 ): 831 - 833 .
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