兰茂《医门揽要》脉诊刍议

Discussion on Pulse Diagnosis in LAN Mao’s Yimen Lanyao

通过分析兰茂《医门揽要》中脉论原文,结合文献与临床资料,归纳总结兰茂脉诊特点及原理。兰茂重视"浮沉迟数"四大主脉,体现脉应四时规律,突显人迎、气口、妊娠等以脉论病之法,并将脉诊与八纲、脏腑、营卫、六经等辨证方法融会贯通,临证中又重视脉诊在脾肾理论中的应用。兰茂脉诊融合脉象、脉理、主病及治法方药来辨治疾病,为脉学理论的临床运用提供了重要的指导和范例。

This paper analyzes the original text of pulse theory in LAN Mao’s Yimen Lanyao, combined with literature and clinical data, to sum up the characteristics and principle of LAN Mao’s pulse diagnosis. LAN Mao attached importance to the four major arteries of "floating, sinking, delaying and multiple", embodied the law of pulse responding to four seasons, highlighted the method of treating diseases by pulse, such as Renying,Qikou and pregnancy, and andintegrated the pulse diagnosis with the syndrome differentiation methods of the eight cardinal principles, zang-fu organs, ying-wei and the six meridians. In clinical practice, LAN Mao also attach importance to the application of pulse diagnosis in the theory of spleen and kidney. LAN Mao combined pulse condition, pulse, main disease and treatment methods to treat disease, which provides important guidance and example for the clinical application of pulse theory.