《黄帝内经》阙部面诊思想初探

Facial diagnosis in the que section in Huangdi Neijing

根据《黄帝内经》原文及后世与阙部面诊相关的论述,从辨体质、别风痹、候脏腑、察五色4个方面探讨了《黄帝内经》阙部面诊思想的主要内容,发现此部以丰隆为体质强,所别之风乃外感病邪袭于皮毛肺表之病机,痹乃经络气血凝滞之病机,所候脏腑有肺、心、肝3种说法,五色察病可有阴阳寒热与五行生克2种模式,并列举了阙部五色常见病证,以期为《黄帝内经》理论研究和分部面诊学说研究提供新思路。

According to the original text of the Huangdi’s Internal Classic(Huangdi Neijing)and the related statements of the later generations, this paper discusses the main contents of facial diagnosis in the que section from four aspects: evaluating the physique, identifying wind or blockage, viscera, and five colors. Firstly, wide and bulging glabella usually means strong physique. Secondly, wind means exogenous pathogenic factors attacking on the skin, hair and lung, while blockage refers to the blockage of meridians, qi and blood. Thirdly, the attribution for viscera can be lung, heart or liver. Lastly, five colors in the que Section can be divided into two modes: Yin-Yang and five elements. Commonly-seen five color diseases are also listed to provide new ideas for the theoretical research of Neijing and divisional facial diagnosis, and provide reference for the clinical application of the theory of Neijing and divisional facial diagnosis.