發(fā)布時(shí)間：2018-04-02 22:18

  本文選題：藏醫(yī)學(xué)　切入點(diǎn)：中醫(yī)學(xué)　出處：《青海大學(xué)》2017年碩士論文

【摘要】：研究目的:脈診是藏中醫(yī)診斷疾病的重要手段,也是共同研究的精髓。藏醫(yī)歷史悠久的經(jīng)典著作《月王藥診》、《四部醫(yī)典》中都有詳細(xì)的脈診方法記載;而中醫(yī)現(xiàn)存記載最早有《黃帝內(nèi)經(jīng)》、《脈經(jīng)》等,其兩大傳統(tǒng)醫(yī)學(xué)的脈診都具有系統(tǒng)化的理論體系和有效的臨床價(jià)值。因此,在中華醫(yī)學(xué)寶庫(kù)中脈診是一顆璀璨的明珠,為世界傳統(tǒng)醫(yī)學(xué)界所矚目。藏中醫(yī)脈診方法比較研究不但有歷史文獻(xiàn)意義,而且也有改進(jìn)各自缺點(diǎn),提高診療水平,也更好地服務(wù)于人類。但在進(jìn)一步學(xué)習(xí)脈診方法的過(guò)程中,兩者對(duì)“脈”的認(rèn)知、“沖”“甘”“恰”下臟腑的歸納、脈診部位、時(shí)間、輕重法等存在著差異,這也是本文研究的核心目的。對(duì)此,本文分為三個(gè)方面逐一進(jìn)行分析:1、對(duì)兩大傳統(tǒng)醫(yī)學(xué)體系中脈診方法相對(duì)應(yīng)的內(nèi)容進(jìn)行對(duì)照,比較其異同,分析其含義,探討其關(guān)系;2、按時(shí)間先后的順序,研究藏醫(yī)醫(yī)學(xué)體系中脈診方法理論知識(shí)的發(fā)展軌跡;3、通過(guò)探討各自獨(dú)特的理論體系發(fā)現(xiàn)各自不同的特點(diǎn);同時(shí)分析中醫(yī)脈診方法的特長(zhǎng)之處,以不斷改進(jìn)和提高藏醫(yī)脈診方法的理論體系和實(shí)用價(jià)值。研究方法:本文主要采用了文獻(xiàn)研究和文獻(xiàn)比較法;1、縱向文獻(xiàn)比較法:查閱藏醫(yī)經(jīng)典古籍自公元八世紀(jì)的《月王藥診》至二十一世紀(jì)的《香扎·尕布藏臨床經(jīng)驗(yàn)匯總》,搜集藏醫(yī)脈診方法理論知識(shí)的相關(guān)資料;2、橫向文獻(xiàn)比較法:對(duì)藏中醫(yī)脈診方法的文獻(xiàn)內(nèi)容進(jìn)行對(duì)比,分析各自獨(dú)特的特點(diǎn)。研究結(jié)論:兩大脈診醫(yī)學(xué)體系存在著不同地域差異,又根基于不同的文化背景,決定了二者必然具有脈診方法的差異;二者對(duì)“脈”認(rèn)知基本相似,但是藏醫(yī)用“五元學(xué)”原理來(lái)闡述形成的主要原因;而中醫(yī)脈診則沒(méi)有;另外藏醫(yī)脈的分類有動(dòng)脈、靜脈、神經(jīng)三種,符合現(xiàn)代醫(yī)學(xué)的分類,分類明確,對(duì)此具有更深的研究?jī)r(jià)值。而中醫(yī)學(xué)根據(jù)腧穴分經(jīng)脈和絡(luò)脈,也統(tǒng)稱為經(jīng)絡(luò)系統(tǒng)。藏中醫(yī)脈診方法中“男左女右”觀點(diǎn)不同,前者認(rèn)為據(jù)藏醫(yī)《深?yuàn)W醫(yī)道》心臟的尖部有一孔竅,女子的該竅略朝右側(cè),男子的孔竅略朝左側(cè),又引用著名藏醫(yī)藥學(xué)家帝瑪爾丹增平措的觀點(diǎn)證明了女性的“沖”脈與男性反而侯之與上述“男左女右”觀點(diǎn)一致,這也是藏醫(yī)脈診方法的一大特點(diǎn)。而后者認(rèn)為先診“男左女右”觀點(diǎn)是據(jù)中醫(yī)陰陽(yáng)學(xué)說(shuō)原理形成的,但現(xiàn)在一般無(wú)男女之別。藏醫(yī)脈診中的“沖”“甘”“恰”三詞是分別指人的食指、中指、無(wú)名指肚,腕后第一橫紋處,向下量一寸,于骨頭突起邊,用食指指肚(沖)按診命名為“沖”;二寸處用無(wú)名指指肚(恰)按診命名為“恰”;食指與無(wú)名指之間用中指指肚(甘)按診命名為“甘”;這三個(gè)詞也有各自單層面的意思,至今在藏族牧區(qū)日常生活中非常常用。中醫(yī)把寸口分寸關(guān)尺三部,且指患者的脈。俗話說(shuō)“發(fā)展是第一要義”,同樣藏醫(yī)脈診理論也符合歷史發(fā)展的規(guī)律。如藏醫(yī)脈診方法中按脈手法輕重的發(fā)展軌跡,從現(xiàn)存最早的《月王藥診》中三指平坦放置并壓;后《四部醫(yī)典》中脈由淺漸深、肌肉由薄漸厚,“沖”輕按皮膚、“甘”適按肌肉、“恰”重按至骨面,三指梯次按之;后吉沃邁拉繼承按診前提中對(duì)沉脈、空脈、浮脈等不同脈象進(jìn)行舉診。之后西熱尼瑪華、居米旁在《四部醫(yī)典》的精華加以各自菽重按脈的秘訣,將按脈法深入細(xì)化;最后釋迦大師洛藏丹巴切排將前面的按脈法進(jìn)行總結(jié),如“知脈象和脈數(shù),則按脈手法無(wú)別”,從而形成了這部名副其實(shí)的脈診方法,也為豐富我國(guó)傳統(tǒng)醫(yī)學(xué)的研究領(lǐng)域作出了巨大的貢獻(xiàn)。
[Abstract]:Objective: To study the pulse diagnosis of traditional Chinese medicine is an important means to hide the disease, but also the common research. The essence of Tibetan medicine has a long history of classic Yuewangyaozhen < < > >, four medical Tantras have records with the diagnostic method of TCM; and the existing record of the earliest "Neijing maijing >, < >. The theoretical system of the two traditional medicine pulse has a systematic and effective clinical value. Therefore, the Chinese medicine pulse diagnosis is a bright pearl, attracted the attention of the world traditional medicine. Tibet TCM comparative research method not only has the historical significance of literature, but also improve their shortcomings, improve the level of diagnosis and treatment, also to better serve human beings. But in the process of further study the pulse method, their perception of" pulse "," red "and" sweet "" just "viscera induction, pulse position, time, degree of law have difference, this is also this article The core purpose of the study. Therefore, this paper is divided into three aspects: 1, to analyze the diagnostic method of two traditional medicine system corresponding to the contents of the control, and compare their similarities and differences, analysis of its meaning, and explore their relationship; 2, according to the time sequence, the diagnostic method of development of knowledge theory research of Tibetan medicine medical system; 3, through the discussion of their own theoretical system found different characteristics; at the same time analysis methods of pulse in Chinese medicine specialty, so as to continuously improve and improve the diagnostic method of Tibetan medicine theory system and practical value. This paper mainly adopts literature research and literature comparison; 1 longitudinal comparison method, literature refer to: Tibetan classics since the eighth Century < Yuewangyaozhen > < to twenty-first Century - Xiangzha Garbo clinical experience summary > Tibet, Tibetan medicine diagnostic method of theoretical knowledge to collect relevant information; 2, the transverse With comparison method, literature content of Tibetan TCM method were compared, analysis of their unique characteristics. Conclusion: different regional differences exist two pulse medical system, and based on different cultural background determines the difference between the two is bound to the pulse method; two to the "pulse" cognitive similar. But the main reason for Tibetan medical "five yuan" principle to explain the formation of TCM; and there is no other Tibetan; veins classification of arteries, veins, nerves of three, in line with modern medical classification, classification clear, this has more deep research value. But the traditional Chinese medicine according to the acupoints of channels and collaterals are divided. Referred to as the meridian system. Tibet TCM Method "Nanzuonvyou" point of view is different, the former that according to the tip of the Tibetan esoteric medical < a > cardiac orifice, the woman body slightly toward the right, the hole man slightly towards the left, and With the famous Tibetan medicine expert Te Mardana Kapinto that women and men instead of "red" pulse and the Hou "Nanzuonvyou" view, which is a major feature of Tibetan medicine diagnostic method. The latter think that the first diagnosis "Nanzuonvyou" view is formed according to the principle of yin and yang theory, but now generally no gender. Tibetan medicine diagnosis and the "red" "sweet" and "just" three words are respectively refers to the index finger, middle finger, ring finger belly, wrist stripes at first, down to one inch, bone protruding edge, with the index finger belly (red) named palpation "red"; ring finger stomach with two inches (exactly) palpation named "just"; index finger and ring finger between the middle finger belly (Gansu) palpation named "sweet"; these three words have their own single meanings, so far in the Tibetan areas in daily life is very common. In medicine the Cunkou Guan Chi. Three, and refers to patients with pulse. As the saying goes "development is the first prerequisite", the same pulsology in Tibetan medicine theory also comply with the law of historical development. As the development track of Tibetan medicine diagnostic method in the severity of the massage technique, from < Yuewangyaozhen > the earliest extant in three refers to the flat position and press < four; after code > midrib from shallow to deep, thin muscle by gradually thick, red light according to the skin, "Gan". According to the muscles, "just" according to the bone surface, according to the three echelon; after palpation of the premise Jiwomaila inherited deep pulse, empty pulse, floating pulse pulse for different diagnosis. After Sige Nima Hua, the secret Jumi beside the essence of < > to each of the four medical Tantras Shu heavy sphygmopalpation sphygmopalpation, will further refine; finally, master Luo Tibet Danba Sakyamuni cutting will sphygmopalpation front were summarized, such as "knowledge of pulse and pulse number, pulse technique is no different, thus forming a" this is the deputy party pulse The law has also made great contributions to the research field of traditional medicine in China.

【學(xué)位授予單位】：青海大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R29

【相似文獻(xiàn)】

相關(guān)期刊論文 前5條

1 甄艷;蔡景峰;;藏醫(yī)脈診“沖、甘、恰”實(shí)質(zhì)的探討[J];西藏研究;2006年01期

2 甄艷;蔡景峰;;再論藏醫(yī)“沖甘恰”為脈診的部位名稱[J];中國(guó)藏學(xué);2006年02期

3 黃福開;蒙藏醫(yī)脈診與中醫(yī)脈診之異同試析[J];中國(guó)藏學(xué);1999年02期

4 甄艷;論中醫(yī)與藏醫(yī)脈診的異同[J];中華醫(yī)史雜志;2000年04期

5 格西曲承;嘉曲董珠;;藏醫(yī)脈診簡(jiǎn)述[J];青海醫(yī)藥;1980年04期

相關(guān)碩士學(xué)位論文 前1條

1 索南鬧熱;藏中醫(yī)脈診方法比較研究[D];青海大學(xué);2017年

，

本文編號(hào)：1702373