“仲景论十二脉”阐释

Interpretation of ZHANG Zhong-jing's discussion on twelve pulses

纵、横、逆、顺、反、覆、高、章、纲、惵、卑、损,这12种特殊脉的称呼最早出现于张仲景《伤寒论·平脉法》里,明代李中梓在《诊家正眼·脉法总论》里将他们统称为仲景十二脉。现代邓铁涛等主编的《中医大辞典》中将"仲景论十二脉"作为一个独立的词目。这十二脉作为《伤寒论》的组成部分,后世学者对其讨论较少。文章结合中医的基本理论,参照张仲景《伤寒论》中的相关条文,参考前辈诸位医家著作中对仲景十二脉的诠释,对其从字面含义到实际内涵进行了阐释。

The names of twelve special pulses as Zong, Heng, Ni, Shun, Fan, Fu, Gao, Zhang, Gang, Die, Bei and Sun were first appeared in Treatise on Cold Pathogenic Diseases · Normal Pulse written by ZHANG Zhong-jing, and which was categorized as twelve pulses by LI Zhong-zhi in Zhen Jia Zheng Yan · Mai Fa Zong Lun in Ming dynasty. ‘ZHANG Zhong-jing＇s discussion on twelve pulses＂ was regarded as an independent lemma by DENG Tie-tao in Zhong Guo Yi Xue Da Ci Dian. Twelve pulses as a part of Treatise on Cold Pathogenic Diseases was less discussed by the later scholars. This paper explained the literal meaning and connotation of twelve pulses based on the basic theory of traditional Chinese medicine and referenced on relevant clauses of Treatise on Cold Pathogenic Diseases and interpretation of ‘ZHANG Zhong-jing＇s discussion on twelve pulses＇ explained by predecessors.