Qi dynamic pulse study： systematization of Zhang Xijian's theoretical framework and exploration of its academic value

Qiu Xinrui; Zhang Qian; Li Luxia; Wang Fuyou; Zhang Xijian; Jiang Xiaoji

doi:10.16305/j.1007-1334.2026.z20251016008

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Qi dynamic pulse study： systematization of Zhang Xijian's theoretical framework and exploration of its academic value

更新时间：2026-08-03

- Qi dynamic pulse study： systematization of Zhang Xijian's theoretical framework and exploration of its academic value
- Shanghai Journal of Traditional Chinese Medicine Vol. 60, Issue 8, Pages: 49-53(2026)
- 作者机构：
  
  1.中国人民解放军陆军第九五八医院中医康复科（重庆 400038）
  2.重庆市中医院内分泌代谢病科（重庆 400013）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2026.z20251016008
  CLC：
- Received：16 October 2025，
  
  Online First：03 August 2026，
  
  Published：10 August 2026
- 稿件说明：
移动端阅览
邱馨锐,张倩,李露霞,等.张西俭气性脉学理论体系梳理与学术价值探析[J].上海中医药杂志,2026,60(8):49-53.

Qiu Xinrui,Zhang Qian,Li Luxia,et al.Qi dynamic pulse study： systematization of Zhang Xijian's theoretical framework and exploration of its academic value[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(8):49-53.
邱馨锐,张倩,李露霞,等.张西俭气性脉学理论体系梳理与学术价值探析[J].上海中医药杂志,2026,60(8):49-53. DOI： 10.16305/j.1007-1334.2026.z20251016008.

Qiu Xinrui,Zhang Qian,Li Luxia,et al.Qi dynamic pulse study： systematization of Zhang Xijian's theoretical framework and exploration of its academic value[J].Shanghai Journal of Traditional Chinese Medicine,2026,60(8):49-53. DOI： 10.16305/j.1007-1334.2026.z20251016008.

摘要

气性脉学理论源于《黄帝内经》，经历代发展，由张西俭教授基于气能气质分析、气机病机理论及临证体悟总结提出并不断发展完善。该学说视脉象为人体气机动态变化的全息反映，强调应从气机动态变化中把握脉象本质。核心理论包括：以气能气质为纲统摄诸脉；以气机变化为基点，构建“脉象-气能气质-病机”认知链；将寸口脉视为全身气机三维动态缩影；打破脏腑机械对应观，主张三焦、表里、上下动态定位；强调脉诊在四诊中的先行与导向作用。

Abstract

The theory of qi dynamic pulse study originated from

the Huangdi Neijing

， and through development by successive generations， was summarized and proposed by Professor Zhang Xijian based on the analysis of qi-energy and qi-quality， the theory of qi movement pathogenesis， and his clinical insights. This theory regards pulse manifestations as a holographic reflection of the dynamic changes of the body's qi movement， emphasizing that the essence of the pulse should be grasped through the dynamic changes of qi. Its core tenets inc

lude： using qi-energy and qi-quality as the guiding principles to categorize all pulse types； taking changes in qi movement as the fundamental point to construct a cognitive chain of "pulse manifestation—qi-energy

qi-quality—pathogenesis"； viewing the Cunkou pulse as a three-dimensional microcosm of the body's qi movement； breaking away from the rigid mechanical correspondence with the viscera， advocating instead for dynamic positioning based on the Sanjiao， exterior-interior， and upper-lower relationships； and emphasizing the leading and guiding role of pulse diagnosis within the four diagnostic methods.

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