梁世杰主任五行脉法纪要：探寻中医脉诊的奥秘

在浩瀚的中医殿堂中，脉诊作为“望闻问切”四诊之一，占据着举足轻重的地位。而梁世杰主任的五行脉法，更是将这一古老技艺推向了一个新的高度。今天，让我们一同走进梁世杰主任的五行脉法世界，探寻中医脉诊的奥秘。

五行脉法，顾名思义，是以五行理论为基础，将人体的五脏六腑与脉象紧密联系起来的一种脉诊方法。梁世杰主任深知五行相生相克之道，他将这一理论巧妙地应用于脉诊之中，形成了独具特色的五行脉法。

在五行脉法中，梁世杰主任首先强调了五脏本脉的重要性。他指出，正常脉象应该具备“有胃、有神、有根”的特点，即脉象柔和有力，节奏均匀，且能反映出人体气血的盛衰。而五脏本脉，则是判断人体脏腑功能是否正常的重要依据。

以肺脉为例，肺属金，其脉象应为浮脉。浮脉的特点是轻按即得，重按稍减而不空。梁世杰主任解释说，这是因为肺主气，气行则血行，肺气充足则脉象浮而有力。反之，如果肺气虚弱，脉象则会显得无力而沉。

同样地，肾脉属水，应为沉脉；脾脉属土，应为迟、涩脉；心脉属火，应为滑、数脉；肝（胆）脉属木，应为弦脉。这些脉象特点，都是五脏功能状态的直接反映。

然而，梁世杰主任也指出，脉象并非一成不变。当人体受到外邪侵袭或脏腑功能失调时，脉象也会发生相应的变化。这种变化，就是“他脏来乘”的表现。比如，如果心火过旺，克伐肺金，那么肺脉就会出现滑数之象，而非正常的浮脉。这时，就需要根据脉象的变化，推断出病因病机，并采取相应的治疗措施。

张璐是清代著名的医家，他对五行脉法有着深入的研究。梁世杰主任在继承张璐理论的基础上，进一步发扬了五行脉法的精髓。他强调，诊脉不仅要掌握五行脏腑与脉象的对应关系，更要注重体悟脉象的变化和内在规律。

张璐曾提出“心空为宗”的诊脉理念，认为诊脉时应心无杂念，以空灵之心去感受脉象的微妙变化。梁世杰主任对此深表赞同，并指出这是诊脉的最高境界。他强调，诊脉不仅是一项技术活，更是一门艺术。只有用心去感受、去体悟，才能真正领悟脉中的奥旨。

为了更好地说明五行脉法的应用，梁世杰主任还举了一个生动的例子。有一次，他接诊了一位长期咳嗽的患者。经过仔细诊脉，他发现患者的肺脉虽然浮而有力，但其中夹杂着滑数之象。根据五行脉法的理论，他推断出患者体内有热邪蕴伏，灼伤肺津，导致肺气上逆而咳。于是，他采用了清热润肺、化痰止咳的方剂进行治疗，取得了显著的疗效。

这个例子生动地展示了五行脉法在中医临床中的应用价值。它不仅能够准确地判断出病因病机，还能为治疗提供有力的依据。这正是中医脉诊的魅力所在。

梁世杰主任的五行脉法，不仅继承了中医脉诊的精髓，更融入了现代科学的理念和方法。他强调，中医脉诊并非神秘莫测的技艺，而是一门有着深厚理论基础和丰富实践经验的科学。通过不断学习和实践，我们完全可以掌握这门技艺，为人类的健康事业贡献自己的力量。

总之，梁世杰主任的五行脉法为我们打开了一扇了解中医脉诊的窗口。它让我们看到了中医脉诊的博大精深和独特魅力。在未来的日子里，让我们携手共进，共同探索中医脉诊的奥秘，为人类的健康事业贡献更多的智慧和力量。

作者简介：梁世杰 中医高年资主治医师，本科学历，从事中医临床工作24年，积累了较丰富的临床经验。师从首都医科大学附属北京中医院肝病科主任医师、著名老中医陈勇，侍诊多载，深得器重，尽得真传！擅用“商汤经方分类疗法”、专病专方结合“焦树德学术思想”“关幼波十纲辨证”学术思想治疗疑难杂症为特色。现任北京树德堂中医研究院研究员，北京中医药薪火传承新3+3工程—焦树德门人（陈勇）传承工作站研究员，国际易联易学与养生专委会常务理事，中国中医药研究促进会焦树德学术传承专业委员会委员，中国药文化研究会中医药慢病防治分会首批癌症领域入库专家。荣获2020年中国中医药研究促进会仲景医学分会举办的第八届医圣仲景南阳论坛“经方名医”荣誉称号。2023年首届京津冀“扁鹊杯”燕赵医学研究主题征文优秀奖获得者。事迹入选《当代科学家》杂志、《中华英才》杂志。

Director Liang Shijie: A Chronicle of the Five Elements of Pulse Law: Exploring the Mystery of Traditional Chinese Acupuncture

In the vast temple of Chinese medicine, pulse diagnosis occupies a pivotal position as one of the four diagnoses of 'seeing, hearing and asking questions.' Director Liang Shijie's five-line meridian method has taken this ancient technique to a new level. Today, let us step into the world of the five-line meridians practiced by Director Liang Shijie and explore the mysteries of traditional Chinese medicine.

The five-line pulse method, as the name suggests, is a pulse diagnosis method based on the five-line theories, which closely ties the human body's internal organs and pulse images. Director Liang Shijie is well aware of the mutual generation of five phases and restriction of five phases. He skillfully applies this theory to pulse diagnosis and forms the unique five phases pulse method.

In the five-line meridian method, Dr. Liang Shijie first emphasized the importance of the meridians of the five bodies. He pointed out that the normal pulse should have the characteristics of 'having a stomach, a god and a root,' i.e., the pulse is soft and strong, the rhythm is even, and it can reflect the rise and fall of the human qi and blood. The arteries of the five hearts are an important basis for determining whether the function of the human heart is normal.

Take the pulmonary vein as an example. The lung is of gold, and its pulse should be floating. The floating pulse is characterized by a light press immediately and a slightly reduced heavy press without empty space. Director Liang Shijie explained that this is because the lung governing qi, qi line blood line, lung qi sufficient pulse floating and powerful. Conversely, if the lungs are weak, the pulse appears weak and heavy.

Likewise, the kidneys are water and should be sedimentary; The spleen vein is soil and should be late and shallow; The heart is of fire and should be slippery and numbered. The liver (chole) pulse is of wood and should be a string pulse. These signs and symptoms are a direct reflection of the functional status of the five organs.

However, Director Leung Shijie also pointed out that the pulse is not static. When the human body is invaded by external evils or the internal organs are dysfunctional, the pulse will also change accordingly. This change is a sign of 'his dirty work.' For example, if the heart fire is too strong and depletes the lung gold, the lung pulse will appear as a slippery number instead of a normal floating pulse. At this time, it is necessary to infer the cause and mechanism of the disease based on the changes in the pulse and take corresponding treatment measures.

Zhang Lu was a famous medical practitioner in the Qing Dynasty who had an in-depth study of the five branches of the meridian. Director Liang Shijie further developed the essence of the five-line chakra method on the basis of inheriting Zhang Lu's theory. He emphasized that diagnosing the pulse not only needs to master the correspondence between the five chakras and the pulse, but also needs to focus on the changes and internal laws of the pulse.

Zhang Lu has proposed the concept of 'empty mind for purpose' of consultation of the pulse, believing that when consulting the pulse should be mindless and feel the subtle changes of the Pulse with an empty mind. Director Liang Shijie strongly endorsed this and pointed out that this is the highest level of medical practice. He emphasized that acupuncture is not only a technical task, but also an art. Only by feeling and understanding with your heart can you truly grasp the essence of the heart.

In order to better illustrate the application of the five-line meridian method, Director Liang Shijie also gave a vivid example. On one occasion, he treated a patient with a long-term cough. After careful examination of the veins, he found that although the patient's veins were floating and strong, they were mixed with sloppiness. Based on the theory of the five chakras, he deduced that the patient had a hot evil in his body, burning the lungs, causing an upside-down cough. Therefore, he used a prescription to clear the fever and lubricate the lungs, and to cure the cough, which achieved significant results.

This example vividly demonstrates the value of the application of the five-line meridian method in traditional Chinese medicine. It can not only accurately determine the cause and mechanism of the disease, but also provides a strong basis for treatment. This is the charm of traditional Chinese traditional acupuncture.

Director Liang Shijie's five-line pulse method not only inherits the essence of traditional Chinese medicine pulse diagnosis, but also incorporates the concepts and methods of modern science. He emphasized that traditional Chinese medicine acupuncture is not a mysterious skill, but a science with deep theoretical foundation and rich practical experience. Through continuous learning and practice, we can master this skill and contribute our own strength to the cause of human health.

In short, Director Liang Shijie's five-line meridian method has opened up a window for us to understand traditional Chinese meridian medicine. It shows us the depth and unique charm of traditional Chinese medicine consultation. In the days ahead, let us work together to explore the mysteries of traditional Chinese medicine and contribute more wisdom and strength to the cause of human health.

Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using 'conversational traditional therapy' and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo's ten-level diagnosis.He is currently a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation of Jiao Shude's protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum 'Classic Prescription Famous Doctor' honorary title. The winner of the first Beijing-Tianjin-Hebei 'Pingui Cup' Yanzhao Medical Research Essay Award in 2023. His work was featured in the journal Current Scientist and the journal Chinese Talent.