基于五行之形再论五脏之脉

一直以来，历代医家对《黄帝内经》中有关五脏脉形经文的解读争论不一。五脏脉形的构建，与四时五行系统紧密相连。五行学说采用取类比象的方法，囊括世间万物，“形”根据自身特性也被赋予了五行的内涵。采用文献考据研究方法，依据五行之形重新论述《黄帝内经》五脏平脉之形，论证脉之五形“木直、土方、金圆、火尖、水曲”与“春弦、夏钩、脾代、秋毛、冬石”的关系，从而还原古典中医五脏脉有关脉形的真实内涵，并拓展五行之形在四诊中的应用，以丰富四时五行哲学系统的内容，更好地服务临床。

Further Discussion on the Pulse of the Five Internal Organs Based on the Forms of the Five Elements

For a long time, Traditional Chinese Medicine (TCM) practitioners of successive dynasties have different opinions on the interpretation of the pulse manifestations of the five internal organs in Huangdi's Classic of Internal Medicine. The pulse manifestation of the five internal organs is closely related to the four seasons and the five elements theory. The five elements theory adopts the method of analogy to encompass all things in the world, and the "form" is also endowed with the connotation of the five elements according to its own characteristics. Based on the forms of the five elements, this study adopts the research methods of literature textual research and re-discusses to reconfirm moderate pulse of the five internal organs proposed by Huangdi's Classic of Internal Medicine and demonstrate the relationship between the five types of pulses", namely, wood straight, earth square, metal circle, fire tip, water curve" and "taut pulse in spring, hooking-pulse in summer, dai-pulse in spleen, feathery-pulse in autumn, and stony-pulse in winter", so as to restore the true connotation of the pulse shape related to the five zang meridians in classical TCM, and expand the application of the five elements form in the four diagnosis, in order to enrich the content of the four seasons and five elements philosophical system and better serve clinical practice.