李时珍《濒湖脉学》对中医脉学的传承与发展

Inheritance And Development of Li Shizhen's Pinhu Maixue in Traditional Chinese Medicine Pulse Taking

脉诊是中医四诊的重要组成部分,是在历代医家不断的临床实践中逐步形成的独具中医学特色的诊断方法,是中医认识和判断病和证的重要手段。中国杰出的医药学家李时珍继承了前人传统的脉学思想,结合自身的临床实践经验,在明·嘉靖甲子年间著成《濒湖脉学》一书,成为中医脉学的经典著作,为中医脉学的继承与发展做出重要贡献。本文通过归纳和总结《濒湖脉学》对《黄帝内经》、《难经》和《脉经》中脉学思想的继承与发展,对《濒湖脉学》形成的自身学术特点进行系统性阐述,分析《濒湖脉学》对后世中医脉学思想的影响及对当代中医临床的指导意义,为全面了解中医脉学的发展历程提供思路,对研究和解读《濒湖脉学》涵盖的学术思想和价值具有一定的参考意义。

Pulse taking, with the unique characteristics of traditional Chinese medicine （TCM）, is one of the important parts of TCM diagnostic methods. It was formed in the clinical practice of TCM famous doctors during the past dynasties. Also, it is an important means of understanding and determining disease and syndrome for TCM practitioners. Pinhu Maixue, a TCM classic of pulse taking which inheriting the traditional pulse taking theory and combining with clinical experience, was written by famous doctor Li Shizhen in the flaring Jiazi period of the Ming Dynasty. It has made an important contribution to the inheritance and development of TCM pulse taking. In this article, in order to provide ideas for a comprehensive understanding of the development process of TCM pulse taking, the inheritance and development of Pinhu Maixue from the academic thought of Huangdi Neijing, Nan Jing and Mai Jing was summarized, the academic characteristics of Pinhu Maixue were systematically elaborated, the influence of Pinhu Maixue on the thought of pulse taking and guiding significance of contemporary Chinese medicine clinical practice were analyzed. Thus, it has certain significance to study the academic thought and value of Pinhu Maixue.