切诊概述

Summary of Palpation

本文通过对《黄帝内经》相关篇章内容的整理,并参考历代医家著述,整理了切诊的起源和发展,指出切诊中脉诊和按诊实为同出一源,发前人所未发。从机体整体与部分之关系、体表局部脏腑分候和气血津液随经络循行之规律等三个方面,论述了切诊的原理和意义。文章最后指出了切诊的方法与注意事项。本文弥补了既往《中医诊断学》教材将脉诊和按诊割裂开来之不足,从整体上概述切诊这一诊法,可作为教材之有益补充。

By sorting out the relevant chapters of Huangdi Neijing and referring to the discourses of medical experts in past dynasties,this paper has sorted out the origin and development of palpation,and pointed out that pulse diagnosis and body palpation in palpation actually come from the same source,which has never been found before.The principle and significance of palpation are discussed from three aspects:the relationship between the whole and the parts of the body,the division of the zang-fu organs on the body surface,and the law of qi,blood and body fluid following the meridians.Finally,the methods and precautions of palpation are pointed out.This paper makes up for the deficiency of separating pulse diagnosis from press diagnosis in the previous textbooks of TCM diagnostics,and it can be a useful supplement to the teaching materials to summarize the method of palpation on the whole.