脉诊在针刺治疗中的现状及研究进展
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国家自然科学基金项目青年基金项目(8150150842);校级青年教师课题(2017-JYB-JS-027)


Literature Study on the Current Situation of Pulse Diagnosis in Acupuncture Treatment
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    摘要:

    脉诊是中医诊断中的重要手段,针刺是中医治疗里的重要方法,为了解脉诊在近代针刺治疗中的运用情况,并了解近代临床针刺运用脉诊的适应范围及临床意义,检索“针刺+脉诊”相关文献后发现近代针刺治疗中配合诊脉的文献较少,然而诊脉对临床针刺的指导意义有理论依据可循,脉诊对针刺得气的重要性确有依据,脉诊指导针刺的原则多源于《黄帝内经》,针刺运用的脉法丰富多样,未涉及临床实践内容的文献占近1/3;针刺治疗配合诊脉有理论依据并具有临床意义,目前现代针刺治疗中诊脉不受重视是事实,《灵枢·九针十二原》所言之“凡将用针,必先诊脉”,是目前中医传承中被忽视的珍贵内容,亟需继续传承发展,利用现代科研技术与先进的设备,期望可促进脉诊的中医科学研究。

    Abstract:

    Pulse diagnosis is an important mean to diagnose diseases in traditional Chinese medicine(TCM).Acupuncture is an important treatment method of traditional Chinese medicine.In order to find out the application of pulse diagnosis in modern acupuncture treatment,and understand the adaptation range and clinical significance of pulse diagnosis in modern clinical acupuncture,the literature related to“Acupuncture+Pulse Diagnosis”was retrieved.It was found that there was few literature on cooperating with pulse diagnosis in modern acupuncture treatment.However,there is a theoretical basis for the clinical significance of pulse diagnosis on clinical acupuncture.There were importance evidences of pulse diagnosis for gaining qi for acupuncture.The guiding principle of pulse diagnosis is mostly derived from Huangdi's Canon of Medicine.Acupuncture uses a variety of pulse methods,and the literature that does not involve clinical practice accounts for nearly 1/3;Acupuncture treatment combined with pulse diagnosis have theoretical basis and has clinical significance.At present,it is a fact that the diagnosis of pulses in modern acupuncture treatment is not paid attention to.In Lingshu·Nine Needles and Twelve Originals,it is said that“when a needle will be used,the pulse must be diagnosed”,which is currently neglected in traditional Chinese medicine inheritance.The precious content needs to continue to be inherited and developed.Using modern scientific research technology and advanced equipment,it is expected to promote research on pulse diagnosis of TCM.

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伍怀芝,杨佳.脉诊在针刺治疗中的现状及研究进展[J].世界中医药,2021,(02).

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  • 收稿日期:2019-03-04
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  • 在线发布日期: 2021-02-20
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