伤寒论评话 第2章 医论皇遑承古今,热病繁泛贯六经——“六经”的由来  

Discussion of Shanghanlun Chapter 2 Discussion on the Inheritance of Ancient and Modern Medicine;Exploration onFebrile Diseases with Six Meridians Throughout——Origin of the Six Meridians

作　　者：梁华龙[1] 

机构地区：[1]河南中医学院,河南郑州450008

出　　处：《中医学报》2012年第2期153-155,共3页Acta Chinese Medicine

基　　金：河南省科技厅资金项目(编号:496060303);国家中医药管理局专项课题(编号:2004-0001)

摘　　要：目的:为使初学者更好地理解伤寒论原文的含义,探讨《伤寒论》六经的由来。方法:以建筑物内管网作比喻,简要分析与伤寒理论有关的一些概念,比如脏腑、阴阳、经络,同时也指出了伤寒六经的概念及形成的名、名形结合、名形用像结合的三个阶段;指出六经辨证的内涵是对疾病因、性、位、时、量、势六因素的分析,而其外延则是后世中医所有辨证方法的基础。同时也提出了伤寒传变的条件和方式。结果:认为十二条正经是以阴、阳、手、足、脏、腑分别命名而来的,若不分左右和手足就合并为六经。六经传变、六经辨证即依此而来。结论:六经辨证是从《黄帝内经》发展而来,又成为后代八纲辨证、脏腑辨证、三焦辨证等方法的基础。Objective：To explore the origin of six meridians in Shanghanlun in order to enable beginners to have a better understanding of the meanings of the original texts in the book.Methods：With pipe network in the building as an analogy,a brief analysis of some concepts related with Shanghan theory,such as zang and fu,yin and yang,meridians and collaterals was conducted and the concept of six meridians as well as the three stages of naming,combination with name and form and combination of name and form with image were pointed out.It was indicated that the essence of syndrome differentiation of six meridians was the analysis of six factors,such as the cause,property,location,time,quantity and tendency and its extension was the basis of all later dialectical approaches of traditional Chinese medicine.The conditions and manners of the transmission and changes of Shanghan were also proposed.Results：The twelve regular meridians were regarded to be named according to the yin,yang,hand,foot,zang and fu respectively.If right-left and hand-foot were not differentiated,then there were six meridians.Transmission and change as well as syndrome differentiation of six meridians were brought forth accordingly.Conclusion：The syndrome differentiation of six meridians is evolved from Huangdi Neijing,but also has become the basis for the methods created by future generations such as syndrome differentiation of eight principals,syndrome differentiation of zang and fu and syndrome differentiation of triple energizer etc.

关 键 词：黄帝内经 经络 十二正经 六经传变 六经辨证 阴阳 手足 脏腑 八纲 三焦 

分 类 号：R222[医药卫生—中医基础理论]