心悟與觀視：《察病指南》古今怪脈儀圖析解

Mind-enlightenment and observation: Analysis of ancient and modern weird pulse diagrams in '' Guidelines for Disease Detection ''

脈診，是中醫重要的診斷方法。醫者手觸脈動引發主觀的判讀，因抽象體會難以言說，故歷來做了許多努力。早期以文字譬喻為主描述脈象，至宋代施發《察病指南》增見具象的脈象圖示。文章以七怪脈為主，比對古脈圖與現代脈儀圖，尋其特點與限制，或能為新世代的診斷尋找更合宜的時代範式。研究發現，古脈圖是傳統脈診心象運思的表徵，有輔助文字的重要作用。科技脈儀圖，則以心臟或血液動力學為基礎，如實記錄脈搏的波動訊號，從時域到高低頻譜以揭露生理病理的訊息。比較兩者，可各見特點與限制：古圖提供他人藉以揣摩，難以盡言的脈覺體會，其譬喻文圖的運用所載意義更為豐富固是優勢所在；然也因非邏輯性的傳訊而形成多樣的表達，這非客觀化的限制，正是當代醫家的修正努力與科診儀器強調的優處。另一方面，儀器診察雖有客觀、標準化的特點，但其測值是否能涵蓋生命的整體現象亦有質疑聲音。故兩者該並行析究：在傳統理論與現代儀器之間，嘗試建構一套能銜接古今的替代理論，或許能為新世代的脈診量測，提供一個較為周全的診斷依據。而中醫的脈圖分析能進入當代，參與W.J.T.Mitchell圖像轉向中，生物圖像研究的子題是無疑的。

This article mainly focuses on the seven weird pulses, compares ancient pulse diagrams and modern pulse diagrams, and seeks out their characteristics and limitations, hoping to find a more suitable paradigm for the diagnosis of the new generation. Research has found that ancient pulse diagrams are representations of mental images and thoughts in traditional pulse diagnosis, and play an important role in supporting text. The technological pulse chart is based on heart or hemodynamics and faithfully records pulse fluctuation signals from time domain to high and low frequency spectrum to reveal physiological and pathological information. Comparing the two, we can see the characteristics and limitations of each: the ancient pictures provide others with an indescribable pulse-sensing experience, and the use of metaphors and pictures contains richer meanings, which is an advantage; however, it is also illogical Forming diverse expressions through communication, this non-objectification limitation is exactly the advantage emphasized by the revision efforts of contemporary doctors and medical diagnostic equipment. On the other hand, although instrumental diagnosis has the characteristics of being objective and standardized, there are also doubts about whether its measured values can cover the overall phenomenon of life. Therefore, the two should be analyzed in parallel: between traditional theory and modern instruments, trying to construct an alternative theory that can connect ancient and modern times may provide a more comprehensive diagnostic basis for pulse diagnosis and measurement in the new generation. The pulse diagram analysis of TCM can enter the contemporary era and participate in W.J.T. Mitchell's pictorial turn. There is no doubt that it is a sub-topic of biological image research.