《灵枢·外揣》之“近者,司内揣外”的释义

The Interpretation of“for the Proximal,Governing Interior to Infer Exterior”in Lingshu·Waichuai

《灵枢·外揣》载有“司外揣内”和“司内揣外”。与在中医诊断学应用较为普遍的“司外揣内”相比,“近者,司内揣外”古今多有歧义。结合《黄帝内经》中多篇含有的“远近”“内外”,并借鉴古今对“司内揣外”的释义与理解,试图从传统视角以及结合《黄帝内经》中“司”“揣”含义的视角来探讨“近者,司内揣外”的多角度含义,从而为《黄帝内经》理论更好地服务于临床实践做铺垫。

The Lingshu·Waichuai contains“governing exterior to infer interior”and“governing interior to infer exterior”.Compared with the commonly used method of“governing exterior to infer interior”in the diagnosis of traditional Chinese medicine,there are many ambiguities between ancient and modern in Lingshu·Waichuai.Combining the“distal-proximal”and“interior and exterior”contained in many articles of Huangdi Neijing,and drawing on the interpretation and understanding of“interior and exterior”from ancient and modern times,this paper attempts to explore the multi-angle meaning of“distal-proximal”and“interior and exterior”from the traditional perspective as well as the meaning of“interior and exterior”in Huangdi Neijing,so as to pave the way for the theory of Huangdi Neijing to better serve clinical practice."inside and outside"in Huangdi Neijing,so as to pave the way for the theory of Huangdi Neijing to better serve clinical practice.