气贯针脉:《黄帝内经》针刺诊治“气”思想钩沉

Qi Runs Through Acupuncture Needle Stimulation and Pulse Diagnosis:Our Considerations About Connotations of Qi in Acupuncture-Diagnosis-Treatment Scriptures in Yellow Emperor's Inner Canon

《黄帝内经》中有丰富的针刺与脉诊关联的论述,因为现代诊疗技术的发展,以及经典医籍理解的断层,这方面内容的传承相对薄弱。而"气"作为该论述中的核心概念,其内涵远未得到透彻解读。针对《黄帝内经》以"气"论述针刺诊治的相关内容,基于语境,结合各注家之论,对"气"的内涵进行阐释,从"气口"概念、代称脉象、与诊络脉的关系以及联结针刺与脉诊之论等4个方面,深入探讨"气"于其中体现的重要意义,由此探析与针刺远治作用的关联以及所投射的古人思想特点,对针灸理论研究有重要意义。

The ancient classic work Yellow Emperor＇s Inner Canon has abundant expositions about the relationship between the acupuncture needle manipulation and pulse diagnosis.However,the relevant imparting and inheritance situations are relatively weaker nowadays probably due to the rapid development of modern diagnosis-therapeutic techniques and some faults or careless omission in understanding classical medical works.Qi,a core concept of the abundant expositions in Inner Canon,has seldom been thoroughly interpreted about its connotations.For this reason,in the present paper,the authors make a careful explanation about the connotations of Qi in Inner Canonfrom 1）the concept of Qikou（a superficial window of the body reflecting the functional state of internal organs）,2）pulse conditions,3）its relationship with meridian-collateral diagnosis,and 4）the link between acupuncture needle stimulation and pulse diagnosis based on the scriptures and words description in combination with many scholars＇ doctrines,trying to explore its profound significance.In addition,the authors also expound its association with the effectiveness of distant treatment of acupuncture and the characteristics in relation to ancient medical scholars＇ thoughts.