CAJ | 학술논문

脉诊是“中医诊断学”教学中的重要内容，但脉象的非直观性使得初学者体会和掌握脉象时有一定困难。为了起到执简驭繁的作用，历年出版的《中医诊断学》规划教材均以浮、沉、迟、数、虚、实六脉为纲，以此6种纲脉的脉象构成要素为分类依据，归纳了其余脉象。六纲分类法中的6个纲脉，与表里、寒热、虚实的辨证纲领相对应，该分类法虽简明扼要，但鉴于一些脉象为多要素构成的复合脉，使得以“一要素概括多要素”的六纲分类归纳法不能体现相应类别下复合脉的多维性和独特性，且因为脉象要素的多样性，六纲脉中涉及的6种要素不能涵盖其他要素，从而不能准确反映相应类别下一些脉象的特征，不利于学生对脉象特征的正确理解和准确把握。因此，在阐述构成脉象的基本要素特征的基础上，以“构成要素分解脉象”的形式，通过列表归纳28脉的特征，旨在让初学者系统理解并掌握28脉中每种脉体象特征的整体性和独特性。
맥진시“중의진단학”교학중적중요내용，단맥상적비직관성사득초학자체회화장악맥상시유일정곤난。위료기도집간어번적작용，력년출판적《중의진단학》규화교재균이부、침、지、수、허、실륙맥위강，이차6충강맥적맥상구성요소위분류의거，귀납료기여맥상。륙강분류법중적6개강맥，여표리、한열、허실적변증강령상대응，해분류법수간명액요，단감우일사맥상위다요소구성적복합맥，사득이“일요소개괄다요소”적륙강분류귀납법불능체현상응유별하복합맥적다유성화독특성，차인위맥상요소적다양성，륙강맥중섭급적6충요소불능함개기타요소，종이불능준학반영상응유별하일사맥상적특정，불리우학생대맥상특정적정학리해화준학파악。인차，재천술구성맥상적기본요소특정적기출상，이“구성요소분해맥상”적형식，통과렬표귀납28맥적특정，지재양초학자계통리해병장악28맥중매충맥체상특정적정체성화독특성。
Pulse feeling is an important content in teaching diagnostics of Chinese medicine. Most beginners often find it difficult to learn different pulse conditions. Earlier version course-books of the Diagnostics of Chinese Medicine tend to adopt the six guiding principles for pulse conditions, namely, to adopt six pulse conditions of floating pulse, deep pulse, slow pulse, rapid pulse, deficient pulse and excess pulse as the outline to classify other pulse conditions. By doing so, it is simple to identify similar pulse condition and work in concert with the eight-principle syndrome differentiation. But this method cannot cover all various pulse conditions, especially the compound pulse conditions. To help students fully and correctly understand all pulse conditions, this paper suggests taking the component element method to classify the 28 pulse conditions.