编辑荐读丨《天回医简》中蕴含的中医诊断智慧之谜

摘要：1Institute of Science, Technology and Humanities, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China

The Mystery of Diagnostic Wisdom of Traditional Chinese Medicine Contained in Tian Hui Yi Jian

LI Yitian1, YAN Shiyun1, CHEN Liyun1, LI Guochen2,*

李以湉1，严世芸1，陈丽云1，李国臣2,*

1 Institute of Science, Technology and Humanities, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China

2 College of Sinology, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, China

1 上海中医药大学科技人文研究院，上海 201203，中国

2 成都中医药大学国学院，成都 610075，中国

李以湉

LI Yitian

李以湉，上海中医药大学科技人文研究院博士研究生。研究方向为中医医史文献、中医药国际标准化、中医药术语英译标准化。在《中华中医药杂志》、《中国中西医结合医学杂志》、《中国中医基础医学杂志》、Pharmacological Research等刊物发表论文十余篇，参加国家社会科学基金4项，国际课题2项。

严世芸

YAN Shiyun

严世芸，国医大师，上海中医药大学终身教授，博士生导师，国家级教学名师，首批全国100位名中医之一。曾任上海中医药大学校长、上海市中医药研究院院长、上海中医药学会会长等职。担任WHO-ICTM（WHO传统医学国际疾病分类项目）中国专家顾问组组长、ISO/TC 249 国际标准化组织/中医药技术委员会专家顾问。主要从事中医各家学说、中医学术发展史、中医历代医家学术思想及学术经验、藏象辨证论治体系、中医学方法论和人才培养规律，中医标准化等研究。主编专著和教材近30部，发表论文100余篇，获得各级各类奖项20余项。

Excavated from the Western Han tomb in Tianhui Town (天回镇), Jinniu District (金牛区), Chengdu, China, Tian Hui Yi Jian (《天回医简》 Tianhui Medical Slips) were penned during the Warring States period by the renowned physician Bian Que (扁鹊) and his students. Since their discovery, the medical, historical, and archaeological communities have given them considerable attention. This paper sorts out the diagnostic content of Tian Hui Yi Jian from various aspects of inspection, palpation, inquiry, listening and smelling examination and provides a summary and analysis of four features: the concept of the correspondence between heaven and man is the foundation, the idea of the five elements throughout the whole process, extremely focus on pulse diagnosis, emphasize a comprehensive analysis of four examinations. These analyses can investigate the value and significance of Tian Hui Yi Jian in developing traditional Chinese medicine (TCM) diagnosis history. In this way, we aim to reproduce the overview and level of TCM diagnostics at that time, clear up some ambiguous understanding of its development history, and provide a reference for further research on the origin and development of TCM.
摘要：

成都市金牛区天回镇西汉墓出土的《天回医简》为战国时名医扁鹊及其弟子所著，自发掘开始就引起了历史学界、考古学界、医学界的重大关注。本文从望、闻、问、切四方面整理分析《天回医简》的中医诊断内容、归纳医简中以天人相应思想为基础，五行理论贯穿始终，极其注重脉诊，以及强调“四诊合参”的诊断特色，探讨医简在中医诊断史上的价值意义，期以再现当时中医诊断学概况与水平，厘清其发展历史中的模糊认识，为进一步研究中国医药源流及其发展提供参考借鉴。

Keywords: Tian Hui Yi Jian (《天回医简》 Tianhui Medical Slips); Traditional Chinese medicine; Diagnostics; Bian Que (扁鹊)

关键词：《天回医简》；中医药；诊断；扁鹊引用格式：Li YT, Yan SY, Chen LY, Li GC. The mystery of diagnostic wisdom of traditional Chinese medicine contained in Tian Hui Yi Jian. Chinese Medicine and Culture. 2025;8(1):61-67.DOI: 10.1097/MC9.0000000000000131阅读全文链接：https://journals.lww.com/cmc/fulltext/2025/03000/the_mystery_of_diagnostic_wisdom_in_traditional.7.aspx