| 引用本文: |
朱思佳, 李玲秀, 周雪梅.浅析《望色启微》学术特色及对中医望诊的贡献[J].湖南中医药大学学报,2025,45(6):1132-1137[点击复制] |
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| 浅析《望色启微》学术特色及对中医望诊的贡献 |
| 朱思佳,李玲秀,周雪梅 |
| (安徽中医药大学中医学院, 安徽 合肥 230012) |
| 摘要: |
| 中医望诊作为四诊之首，起源于春秋战国时期。本文聚焦清初1671年蒋示吉所著《望色启微》，该书首次系统整理《黄帝内经》望诊理论，实为中医望诊首部专著。研究通过文献溯源、图例比对，从4个方面评析其学术贡献：发明《灵枢》脏腑肢节面部图；阐释《黄帝内经》“明堂五色”机制；首创“望色行走”理论；多维丰富《黄帝内经》望色内容（包括正间色与十等色阶、望色随人与色分三因辨识）。本研究归纳了《望色启微》对中医望诊源流与发展所产生的深远影响，以期为其在现代临床诊疗中提供参考。 |
| 关键词: 《望色启微》 中医望诊 蒋示吉 《黄帝内经》 望色行走 |
| DOI：10.3969/j.issn.1674-070X.2025.06.023 |
| 投稿时间：2024-09-28 |
| 基金项目:河南省中医药科学研究专项课题（2024ZY2097）；河南省中医学“双一流”创建科学研究专项（HSRP-DFCTCM-2023-1-09）。 |
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| Academic characteristics of Wang Se Qi Wei (Subtle Insights into Inspection of Complexion) and its contributions to inspection diagnosis of TCM |
| ZHU Sijia, LI Lingxiu, ZHOU Xuemei |
| (College of Chinese Medicine, Anhui University of Chinese Medicine, Hefei, Anhui 230012, China) |
| Abstract: |
| As the foremost among the four diagnostic Methods in Chinese medicine, inspection originated during the Spring and Autumn and Warring States periods. This paper focuses on Wang Se Qi Wei (Subtle Insights into Inspection of Complexions), written by JIANG Shiji in 1671 during the early Qing Dynasty. As the first monograph to systematically collate and organize the inspection theories from Huang Di Nei Jing (Huangdi's Classic of Medicine), it stands as a pioneering work in the field of TCM inspection. Through literature review, comparative analysis of illustrations, and clinical case studies, the research evaluates its academic contributions from four perspectives: the invention of facial distribution map of zang-fu organs, limbs, and joints based on Ling Shu (The Spiritual Pivot); the elucidation of the mechanism underlying the "five colors of the Mingtang area (the nose and its surrounding regions on the face)" in Huang Di Nei Jing (Huangdi's Classic of Medicine); the pioneering establishment of the "Wang Se Xing Zou (the inspection of color changes in relation to the disease's course)"; and the multi-dimensional enrichment of the complexion inspection content in Huang Di Nei Jing (Huangdi's Classic of Medicine), encompassing the differentiation between primary and secondary colors, a ten-tier color classification system, and the identification of color variations based on individuals and three causative factors. The research summarizes the profound influence and contributions of Wang Se Qi Wei (Subtle Insights into Inspection of Complexions) to the origin, development, and progression of TCM inspection, aiming to provide references for its application in modern clinical diagnosis and treatment of diseases. |
| Key words: Wang Se Qi Wei (Subtle Insights into Inspection of Complexions) inspection diagnosis of TCM JIANG Shiji Huang Di Nei Jing (Huangdi's Classic of Medicine) Wang Se Xing Zou (the inspection of color changes in relation to the disease's course) |
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