《黄帝内经》络脉病诊治与尺肤诊关联性研究

Study on the Relationship between the Diagnosis and Treatment ofCollateral Diseases and Skin of Forearm Diagnosis in Huangdi Neijing

络脉病的诊治一直是临床的难点,而传世经典提示其与尺肤诊关系密切。成熟于秦汉时期的古典中医尺肤诊散落在经典文献里,为古代切诊的内容之一,包括诊察肌肤的润泽、粗糙、冷热等情况以判断人体疾病,其术却因为历史原因未能传承下来。文章通过整理经典文献,还原尺肤诊的方法及原理,同时论证其如何指导络脉病的诊断,从而为临床诊断提供新思路,为进一步研究络脉病的治疗提供一定启示和研究基础。

The diagnosis and treatment of collaterals disease has always been a clinical difficulty,and the handed down classic litera-ture suggests that there is a close relationship between collaterals disease and skin of forearm diagnosis.The classical Chinese medi-cine skin of forearm diagnosis,which was mature in the Qin and Han Dynasties,is scattered in the classical literature.It is one of the contents of ancient palpation,including examining the moisture,roughness,cold and heat of the skin,so as to diagnose human dis-eases.However,its technique has not been inherited due to historical reasons.This paper restored the method and principle of skin of forearm diagnosis through the collation of classical literature,At the same time,it demonstrated how the skin of forearm diagnosis can guide the diagnosis of collaterals,which provides a new idea for the diagnosis of collaterals,and provided some enlightenment and re-search basis for the further study of the treatment of collaterals.