寸口脉的脏腑配位研究中脉搏波理论的局限性
Limitations of the Pulse Wave Theory in the Study of the Pulse-Viscera Correspondence at Cunkou

DOI: 10.12677/TCM.2020.96069, PP. 457-462

Keywords: 脉搏波，脉诊，脉象，寸口，脏腑配位
Pulse Wave, Pulse Taking, Pulse Manifestation, Cunkou, Pulse-Viscera Correspondence

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Abstract:

现代脉诊学运用脉搏波理论对桡动脉寸口处的脉象响应进行客观化研究，极大地丰富和促进了中医脉诊理论和实践的发展，但是还不能解释中医理论所描述的所有重要脉象特征，例如寸口脉的脏腑配位关系。本研究从脉搏波的波长与桡动脉寸口处长度的对比、脉搏波的行波而非驻波特性、以及脉搏波的频谱分析几个方面，探讨了脉搏波理论和传统脉诊实践两者对于寸口处脏腑配位关系的认识差异，讨论了脉搏波理论在该应用情况下所存在的局限性，并指出综合考虑气与血的运行才能实现更全面更符合传统中医理论原意的脉诊和脉象研究。
Modern sphygmology uses the pulse wave theory to objectively analyse the pulse manifestation at the Cunkou position of the radial artery, which enormously enriches and promotes the development of the theory and the practice of pulse taking in the Traditional Chinese Medicine (TCM). However, modern sphygmology still cannot explain other important features in the pulse manifestation described in the TCM theory, for example, the pulse-viscera correspondence at Cunkou. This study addresses the difference in the understanding to the pulse-viscera correspondence at Cunkou between the modern sphygmology using the pulse wave theory and the TCM based on the pulse taking practice, from the aspects of: comparison of the wavelength of the pulse wave with the length scale of Cunkou; the nature of the pulse wave being a traveling wave rather than a standing wave; and the spectrum analysis of the pulse wave. The study also briefed on the limitations of the pulse wave theory in explaining the pulse-viscera correspondence at Cunkou, and suggested that in future research the analysis of the qi should be explored and integrated into the blood flow study, to improve the research and better match the doctrine on pulse taking and pulse manifestation in the TCM theory.

References

[1]	费兆馥. 现代中医脉诊学[M]. 北京: 人民卫生出版社, 2003.
[2]	徐迪华, 徐剑秋, 徐丽敏. 中华脉诊的奥秘[M]. 第2版. 南京: 江苏科学技术出版社, 2009.
[3]	胡光强. 浅析脉象产生机制及其解剖生理学基础[J]. 现代中西医结合杂志, 2004, 13(11): 1447-1448.
[4]	祁晓民. 浅议疾病、血流动力学改变与中医脉象的关系[J]. 现代中西医结合杂志, 2006, 15(19): 2600+2602.
[5]	杨洪明, 杨绍戊. 脉理探邃[M]. 北京: 中医古籍出版社, 2007.
[6]	范建忠. 一脉诊病[M]. 太原: 山西科学技术出版社, 2013.
[7]	王光宇. 王光宇精准脉诊带教录[M]. 第2版. 北京: 中国科学技术出版社, 2016.
[8]	许跃远. 大医脉神[M]. 太原: 山西科学技术出版社, 2010.
[9]	刘静波. 试论脉诊与人体的对应关系及指导意义[J]. 中国中医基础医学杂志, 2003(12): 59-61.
[10]	Levick, R.J. (2009) An Introduction to Cardiovascular Physiology. 5th Edition, CRC Press, London. https://doi.org/10.1201/b13366
[11]	Asmar, R., 王宏宇. 动脉僵硬度和脉搏波速度的临床应用[M]. 北京: 人民军医出版社, 2005.
[12]	费兆馥, 顾亦棣. 新编中医诊法图谱[M]. 上海: 上海中医药大学出版社, 1995.
[13]	邢玉瑞, 牛溪苑. 寸口脉脏腑配位推演方法研究[J]. 中医杂志, 2013, 54(12): 991-993.
[14]	王东生, 周衡. 脉诊中的一些力学现象[J]. 国医论坛, 1993, 41(5): 25-28.
[15]	柯学尧, 欧阳华甫, 王洪图, 等. 用驻波观点研究脉和脉象的产生机制[J]. 中国中医药信息杂志, 2006, 13(6): 3-5.
[16]	Vlachopoulos, C., O’Rourke, M. and Nichols, W.W. (2011) McDonald’s Blood Flow in Arteries: Theoretical, Experimental and Clinical Principles. 6th Edition, CRC Press, London. https://doi.org/10.1201/b13568
[17]	Hamilton, W. and Dow, P. (1939) An Experimental Study of the Standing Waves in the Pulse Propagated through the Aorta. American Journal of Physiology, 125, 48-59. https://doi.org/10.1152/ajplegacy.1938.125.1.48
[18]	McDonald, D.A. (1974) Blood Flow in Arteries. Edward Arnold, London.
[19]	王强, 陈迎春. “驻波”与脉象无关——评王东生《试论“驻波”对中医脉象的影响》[J]. 安徽中医学院学报, 2003, 22(6): 9-11.
[20]	王唯工. 气的乐章[M]. 北京: 中国人民大学出版社, 2006.
[21]	O’Rourke, M.F. (1982) Vascular Impedance in Studies of Arterial and Cardiac Function. Physiological Reviews, 62, 570-623. https://doi.org/10.1152/physrev.1982.62.2.570
[22]	Rao, S.S. (2016) Mechanical Vibrations. 6th Edition, Pearson, Hoboken.

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