寸口脉的脏腑定位

Brief introduction to the viscera positioning of the Cunkou pulse

脉象信息具有多元性和复杂性,寸口脉的脏腑定位最早可追溯到《黄帝内经》,之后《难经》确立了寸口脉与人体上焦、下焦及中焦的对应关系,《脉经》进一步提出脏腑表里与寸口脉定位的关系等。现代医家对寸口脉脏腑定位的认识有2个方面:一是微观脉学的精确性认识,认为寸口脉应依据神经分布、血液供应来确定;二是辨证脉学的系统性认识,认为寸口脉的脏腑定位是其功能系统的投射定位。然寸口脉的脏腑定位并不是一个恒常态,而是一个动变态,与医者对前人理论的接受程度、个人的指下感觉和认知水平有关,因人而异。

With its diversity and complexity,Cunkou pulse viscera positioning has always been a subject issue,which can be traced back to Huang Di＇s Canon of Internal Medicine. The Classic on Medical Problems confirmed the correspondence between Cunkou pulse and upper energizer,lower energizer and middle energizer of spleen and stomach.Maijing further proposed the relatedness between？ interior and exterior viscera and Cunkou pulse position. Modern doctors generally hold two kinds of cognition about viscera position of Cunkou pulse; one is the accurate understanding of micro sphygmology,the other is systematic understanding of dialectical sphygmology. The former holds that Cunkou Pulse should be positioned by the distribution of nerves and the supply of blood; the latter holds that the viscera position of Cunkou pulse is the cast of functional system of Cunkou pulse. However,the position of Cunkou pulse is never static but dynamic which varies from person to person,with reference to the doctor＇s understanding of former theory,the touch of the finger,and the cognitive level of the doctor.