中医杂志

“搏”概念源于《黄帝内经》，本义多指结聚、攻击，脉学方面则反映交争之势而于脏腑取脉法、阴阳取脉法中多有应用。对“搏”的概念内涵进行考释，总结其搏击、交结、停聚、变化、相附、脉搏、病理脉象七种含义；对“搏”的病机进行考释，归纳其四种特征，即搏争从化、兼化、伏留结聚、变动化气；总结“搏”病机病位包含脏腑、经络、五体、气分、血分等多个层面，涉及开宣、托补、调衡等诸多治法。以此系统考究完善“搏”的概念内涵，以期为诸多现代难治性疾病提供新的诊疗视角与思路。

The concept of "Bo" （搏） originates from The Inner Canon of Yellow Emperor （《黄帝内经》）. Its original meaning mostly refers to gathering and attacking, but in pulseology it reflects the potential of conflict and was widely used in the methods of taking pulse from zang-fu organs and yin and yang. This paper conducted a literature research on the concept and connotation of "Bo" （搏）, and summarized the seven meanings of it, including contention, intersection, stop, change, attachment, pulse, and pathological pulse. At the same time, the pathomechanism of "Bo"（搏） was explained and its four characteristics are summarized, including contention to transformation, concurrent transformation, latent pathogen gathering, and changes transforming to qi; the pathomechanism and locations of "Bo"（搏） were also summarized, including zang-fu organs, channels and collaterals, five body constituents, qi level, blood level, and other aspects, involving therapeutic methods like the opening and diffusing, expressing and tonifying, regulating balance. The concept and connotation of "Bo" （搏） were systematically studied and improved to provide new perspectives and ideas for the diagnosis and treatment of many modern intractable diseases.