浅析《望色启微》学术特色及对中医望诊的贡献
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本文引用：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.
[关键词］《望色启微》；中医望诊；蒋示吉；《黄帝内经》；望色行走 [中图分类号]R22 [文献标志码]A [文章编号]doi：10.3969/j.issn.1674-070X.2025.06.023
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 23OO12，China
[Abstract]As the foremost among the four diagnostic methods in Chinese medicine，inspection originated during the Spring andAutumnandWaring States periods.This paperfocuseson WangSe Qi Wei （Subtle Insightsinto Inspectionof Complexions） writenbyJIANGShijiin1671during theearlyQingDynasty.Asthefirstmonographtosystematicallcolateandorganizethe inspectiontheoriesfromHuangDiNeiJing（Huangdi'sClassicof Medicine），itstandsasapionering workinthefieldofTCM inspection.Through literaturereview，comparativeanalysisofilustrations，andclinicalcasestudies，theresearchevaluatesits academiccontributionsfromfourperspectives：theinventionoffacialdistributionmapofzang-fuorgans，limbs，andjointsbasedon LingShu（The SpiritudlPivot）;theelucidationof themechanismunderlyingthe"fivecolorsoftheMingtangarea （thenoseandits suroundingregionsontheface）"in Huang DiNeiJing （Hungdi's Clasicof Medicine）； tepioneeringestablishmentof the"Wang SeXing Zou（theispectionofcolorchangesinrelationtothedisease'scourse）"；andthemulti-dimensionalenrichmentof the complexioninspectioncontentinHuagDNeiJing（Huangdi'slasicofMedicine），encompassingthediferentiationbetwen primaryandsecondarycolors，aten-tiercolorclasificationsystem，andtheidentifcationofcolorvariationsbasedonindividuals andthreecausativefactors.Theresearch summarizestheprofoundinfluenceandcontributionsof Wang Se Qi Wei （Subtle Insights intoInspectioofoleios）toivelotdpresiofsptioigtrovideeeo applicationin modern clinical diagnosis and treatment of diseases.
[Keywords]WangSeQiWei （Subtle Insightsinto InspectionofComplexions）;inspectiondiagnosisofTCM;JANGShij; HuangDiNeiJing （Huangdi'sClasicofMedicine）;WangSeXing Zou （theinspectionofcolorchangesinrelationtothedisease's course）
中医望诊起源久远，《史记·扁鹊仓公列传》中已有对当时中医望诊水平的记载：“越人之为方也，不待切脉、望色、听声、写形，言病之所在”《黄帝内经》（以下简称《内经》）中望诊的理论初步形成，相关论述散见于《灵枢》的《五阅五使》《五色》《经脉》及《素问》的《脉要精微论》《经络论》《平人气象论》等篇，其中涉及色诊内容多达22篇，奠定了中医望诊理论基础。（剩余7782字）