从“正邪交争”谈胡希恕论治伤寒的顺势思维特征  

Features of HU Xi-shu's cognitive pattern of ‘Following the Flow' based on the conception of ‘Zheng Xie Jiao Zheng'

作　　者：张牧川[1] 张其成[1] 

机构地区：[1]北京中医药大学,北京100029

出　　处：《中华中医药杂志》2012年第4期874-878,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划(973计划)项目(No.2011CB505402);北京中医药文化研究基地项目;北京市教委重点交叉学科"中医人文学"项目;北京中医药大学创新团队发展计划~~

摘　　要：胡希恕是中国近代著名中医医家。文章通过对其强调的"正邪交争"概念的阐述,提炼出胡希恕论治伤寒中具有的顺势思维及其特征。"正邪交争"是古人对人体本能排除疾病过程的描述方式,是一组变化的证的集合。贯穿此过程的是中人体排除疾病的"势"。"势"是病程中各个截面状态的证型依次排列而形成"正邪交争"集合的内在原因。胡希恕的顺势思维体现为论治伤寒中时时注重落实"正邪交争"的具体状态,强调熟悉和把握"正邪交争"过程中具有客观规律性的"势",而非进行主观推断。"势"的存在是内因和外因同时作用的结果,是客观存在的,有重复性,并可通过对"证"的干预进行验证。HU Xi-shu is one of the most accomplished Chinese medicine doctors in modern time.This article focuses on the conception of ＇Zheng Xie Jiao Zheng（anti-evil reaction）＇ HU Xi-shu emphasized in his research on＇treatise on febrile diseases＇,he possessed a cognitive pattern of ＇Following the Flow＇.＇Zheng Xie Jiao Zheng＇,from the ancient chinese medicine practioners＇ view,is the expression of the Flow,which is the dynamic status in the process of illness.The description of the Flow is already revealed in the ＇treatise on febrile diseases＇.The specific treatments on the symptoms with the principle following the flow,as objective experiences,have been tested for centuries.With the thought ＇Following the Flow＇ HU Xi-shu put focus on inheritance of these priceless experiences in order to better comprehend diseases.

关 键 词：胡希恕 正邪交争 顺势思维 伤寒 

分 类 号：R249[医药卫生—中医临床基础]