中医寒热概念的本质及相关问题辨析  

Analysis on the nature of the concept of cold and heat and related issues in TCM

作　　者：王正山[1] 张其成[1] 

机构地区：[1]北京中医药大学,北京100029

出　　处：《吉林中医药》2014年第8期757-760,共4页Jilin Journal of Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)(2011CB505402);2012年度教育部人文社会科学研究规划基金项目(12YJAZH195)

摘　　要：寒热是中医"八纲辨证"中非常重要的两纲,也是中医临床最关注的症状之一。中医学中的寒热,主要包括气候的寒热、症状的寒热和药性的寒热。而这些"寒热"概念,有时候是客观的温度冷热(如气温高低,体温高低),而更多的时候则是指医者或病者的主观感觉。在分析症状时,因为有客观温度和主观感觉的不一致,才导致中医所谓"寒热真假"的问题。在判断药性寒热时,因为主体之间感觉的不一致,所以才会有所谓的"药性悖论"问题。中医治病,利用药性的主观寒热感觉,来调整患者的寒热症状,并不存在逻辑上的问题。客观寒热可以度量,主观感觉的寒热也可以度量,药性的寒热也可以度量。Cold and heat are two important syndromes of ＂eight principal syndromes＂ in TCM,and they are the most impor- tant two syndromes for TCM doctors in their clinical practice. The meaning of cold and heat in TCM theory includes the tem- porature of climate,cold and heat of the syndromes,as well as the cold and heat of the drugs. Cold and heat sometimes refer to as the objective temperature, but in most cases, they are subjective feelings of the patients or the doctors. The differences between the objective temperature of the patients and their feelings lead to the problems of true-false of cold and heat in TCM theory. The differences between the feelings of different people lead to the paradox on Traditional Chinese Herbalism theory. TCM theory uses subjective feelings of cold and heat of drugs to adjust the subjective cold and heat feelings of the patients. Objective temperature could be measured. Subjective cold and heat feelings of the patients can be measured. The cold and heat feelings on the drugs also can be measured.

关 键 词：阴阳 寒热本质 寒热真假 药性悖论 客观温度 体感温度 温度测量 

分 类 号：R241.3[医药卫生—中医诊断学]