在浩瀚的中医殿堂中，脉法如同一盏明灯，照亮了医者探索人体奥秘的道路。梁世杰主任，作为中医领域的杰出代表，他对于中医脉法的理解与运用，不仅体现了深厚的学术功底，更彰显了天人合一的哲学思想。今天，让我们一同走进梁世杰主任的中医世界，探索中医脉法背后的智慧与实践。

一、五脏本脉相乘脉法：天人合一的微观体现

梁世杰主任的五脏本脉相乘脉法，是中医脉法中的瑰宝。他强调寸口单取，三部九候，通过左寸（心、肝、肾）、右寸（肺、脾、命）的脉象变化，判断人体气血的运行状态。五行五脏本脉的划分，更是将中医理论与自然界的五行相对应，肺金浮脉、肾水沉脉、脾土迟涩脉、心火滑数脉、肝胆弦脉，每一脉都蕴含着天地之间的奥秘。

在梁主任看来，脉象的变化不仅是人体内部生理病理的反映，更是人与自然相互作用的结果。当脉象出现非其位而现其脉时，即他脏来乘，这不仅是疾病的信号，更是人体与自然失衡的体现。因此，治疗时不仅要针对病脏，更要追溯脉象的来源，随脏治之，实现天人合一的和谐统一。

二、张璐脉法：五行脏腑与天地星宿的交响

清代医家张璐的脉法，更是将天人合一的思想推向了一个新的高度。他根据五行理论，将脏腑与天地方位、星宿相对应，不仅深化了中医脏腑理论，更赋予了脉法以宇宙观的高度。在张璐的笔下，心居左寸如火旺于南，肝居左关如木旺于东，肺居右寸如金旺于西，脾胃居于右关如土旺于中而寄位西南，两尺则主肾如水旺于北。这种将人体脏腑与自然界的五行、方位、星宿紧密相连的思维方式，不仅展现了中医理论的博大精深，更体现了古人对于天人合一的深刻理解。

尤为值得一提的是，张璐对于命门相火的阐述，更是将中医脉法与天人合一的思想推向了一个新的境界。他认为命门相火源于肾，寄于右尺，与两肾之水火功能相辅相成，共同维持着人体的阴阳平衡。这种将人体内部脏腑功能与自然界的天文现象相结合的思维方式，不仅丰富了中医脉法的内涵，更为我们提供了一种全新的视角来审视和理解人体的生理病理变化。

三、心空为宗：体悟脉中的天人合一

张璐提倡入手搭脉，“心空为宗”，强调诊脉时应心无杂念，掌握要领，对脉象加以认真体会。这种注重自身对脉象的体悟与思考的诊疗方式，不仅是对医者医术的考验，更是对医者心性的修炼。在梁世杰主任看来，诊脉不仅是技术活，更是心性的体现。医者只有做到心空无碍，才能真正领悟脉中的奥旨，触类旁通，实现对人体生理病理变化的精准把握。

梁主任常常以自身为例，讲述他在诊脉过程中的心得体会。他强调，每一次搭脉都是一次与患者的深度对话，通过脉象的变化，他能够感受到患者的情绪波动、体质差异以及疾病的发展趋势。这种将脉象与人体、自然紧密相连的诊疗方式，不仅提高了临床诊疗的准确性，更让患者在治疗过程中感受到了医者的人文关怀和温暖。

结语：天人合一的中医智慧

梁世杰主任的中医脉法，不仅是对中医理论的深刻理解和灵活运用，更是天人合一哲学思想的生动体现。他通过五脏本脉相乘脉法、张璐脉法以及心空为宗的诊疗方式，将人体与自然紧密相连，展现了中医脉法的博大精深和独特魅力。在当下这个快节奏、高压力的社会环境中，梁世杰主任的中医脉法为我们提供了一种全新的视角和方式来审视和理解人体的健康与疾病，让我们在忙碌的生活中找到了回归自然、和谐共生的智慧之路。

作者简介：梁世杰 中医高年资主治医师，本科学历，从事中医临床工作24年，积累了较丰富的临床经验。师从首都医科大学附属北京中医院肝病科主任医师、著名老中医陈勇，侍诊多载，深得器重，尽得真传！擅用“商汤经方分类疗法”、专病专方结合“焦树德学术思想”“关幼波十纲辨证”学术思想治疗疑难杂症为特色。现任北京树德堂中医研究院研究员，北京中医药薪火传承新3+3工程—焦树德门人（陈勇）传承工作站研究员，国际易联易学与养生专委会常务理事，中国中医药研究促进会焦树德学术传承专业委员会委员，中国药文化研究会中医药慢病防治分会首批癌症领域入库专家。荣获2020年中国中医药研究促进会仲景医学分会举办的第八届医圣仲景南阳论坛“经方名医”荣誉称号。2023年首届京津冀“扁鹊杯”燕赵医学研究主题征文优秀奖获得者。事迹入选《当代科学家》杂志、《中华英才》杂志。

Director Liang Shijie on Chinese traditional acupuncture: the wisdom and practice of unity between man and nature

In the vast Chinese medicine temple, pulse therapy is like a bright light that illuminates the path of the healer to explore the mysteries of the human body. Director Liang Shijie, as an outstanding representative in the field of Chinese medicine, his understanding and application of Chinese traditional meridians not only reflects deep academic foundation, but also demonstrates the philosophical idea of unity between man and nature. Today, let us step into the world of traditional Chinese medicine, led by Director Liang Shijie, and explore the wisdom and practice behind traditional Chinese traditional meridian healing.

I. The method of multiplying the meridians of the five organs: microrepresentation of the unity of nature and man

Dr. Liang Shijie's method of combining the meridians of the five organs is a treasure in Chinese traditional meridians. He emphasized that the state in service of qi and blood in the body can be judged by the pulse condition of the left inch (heart, liver, kidney) and the right inch (lung, spleen, life). The division of the five branches of the five organs corresponds even more to Chinese medicine theory and the natural five branches. The pulse of the lungs is gold, the pulse of kidneys is water, the Pulse of spleen and earth is weak, the circulation of heart and fire is smooth, the liver and bilestrings are strings, each of which contains the mystery between the earth and the earth.

In the view of Director Liang, the change of pulse is not only a reflection of internal physiological pathology of the human body, but also the result of the interaction between man and nature. When the pulse appears instead of its position and presents its pulse, it is the transit of other sicknesses, which is not only a sign of disease, but also the manifestation of the imbalance between the human body and nature. Therefore, when treating, we must not only target the sick sliver, but also trace the source of the pulse, cure the sliver with it, and achieve the harmonious unity of the unity of nature and man.

II. Zhang Lu's Pulse Method: The symphony of the five chakras and the heavens and the stars

The pulse method of Zhang Lu, a Qing Dynasty physician, pushed the idea of unity between man and nature to a new level. According to the theory of the five branches, he corresponded the inner lining with the heavenly places and the stars, not only deepening the theory on the inner rynx of Chinese medicine, but also giving the pulse a heightened cosmic view. In Zhang Lu's writing, the heart occupies the left inch like fire is strong in the south, the liver occupies the right hand like wood is strong in east, the lung occupies the correct inch like gold is strong in west, the spleen occupies the proper chin like earth is strong in mid and sits in the southwest, and the two feet are the main kidneys like water are strong in the north. This way of thinking, which closely connects the human inner being with the five branches, positions, and stars and places of nature, not only demonstrates the great depth of traditional Chinese medicine theory, but also reflects the ancient people's profound understanding of the unity of nature and man.

Especially worth mentioning is that Zhang Lu's elaboration of the concept of yin and yang pushed the idea of traditional Chinese meridian therapy and the unity of nature and man into a new realm. He believes that the yin-yang fire originates from the kidney, is located in the right foot, and the water and fire functions of the two kidneys complement each other, jointly maintaining the yin- yang balance of the human body. This way of thinking, which combines the internal organ function of the human body with the astronomical phenomena of nature, not only enriches the meaning of traditional Chinese traditional meridians, but also provides a new perspective to examine and understand the physiological changes of the human being.

III. The Heart and Space Belong to God: The Oneness of Heaven and Man in the Understanding of the Mind

Zhang Lu advocates starting a pulse and "empty mind is the purpose," stressing that when diagnosing pulse, you should be mindless, master the gist, and carefully experience the pulse signs. This method of diagnosis and treatment, which focuses on the knowledge and reflection of the pulse, is not only a test of the medical skill of the doctor, but also a spiritual training of the doctor. In the view of Director Liang Shijie, acupuncture is not only a technical work, but also a manifestation of spirituality. Only if the practitioner is empty of mind can he truly grasp the essence of the pulse, reach out to all kinds of people, and achieve an accurate grasp of the pathological changes of human physiology.

Dr. Liang often uses himself as an example to share his lessons learned during the consultation process. He emphasized that each ping is a deep dialogue with the patient, and through changes in the pulse, he can feel the patient's mood swings, physical differences, and the trends of the disease. This diagnostic and treatment method that closely connects pulse to the human body and nature not only improves the accuracy of clinical diagnosis and treatment, but also allows patients to feel the human care and warmth of the doctor during treatment.

Conclusion: The Wisdom of Traditional Chinese Medicine in the Oneness of Nature and Man

Director Liang Shijie's traditional Chinese medicine meridian method is not only a profound understanding and flexible application of Chinese medicine theory, but also a vivid embodiment of the philosophy of unity between man and nature. He has connected the human body to nature through the method of acupuncture of the five basic meridians, Zhang Lu meridian, and heart and soul healing, demonstrating the depth and unique charm of traditional Chinese meridians. In today's fast-paced, high-pressure social environment, Dr. Liang Shijie's traditional Chinese medicine meridian method provides us with a new perspective and way to view and understand human health and diseases, and allows us to find the wisdom of returning to nature and harmonious coexistence in our busy lives.

Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo's ten-level diagnosis.He is currently a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation of Jiao Shude's protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023. His work was featured in the journal Current Scientist and the journal Chinese Talent.