《内经》厥证发微  

Discussion on syncope in “Yellow Emperor's Inner Canon”

作　　者：许国振[1] 

机构地区：[1]湖北省武汉市中医医院,湖北武汉430014

出　　处：《湖南中医杂志》2015年第6期16-18,共3页Hunan Journal of Traditional Chinese Medicine

摘　　要：从含义与范畴、病因病机、分类、临床表现及脉象与转归5个方面对《内经》厥证进行探讨。《内经》厥证包括以下4类病症,一是泛指突然昏倒,不省人事,四肢厥冷,但不久能逐渐苏醒的一类病症,二是以四肢厥冷为主症的一类病症,三是特指六经不和的一类病症,四是特指癃闭、关格之重症;将其病因病机概括为劳伤,虚损,饮酒,饱入房,风邪,寒邪,血凝,大怒,烦劳,清浊相干致阴阳、气血逆乱,阳气不能温达,筋脉失养,以及六经经气不利;并从寒热(阴阳)、七情、六淫、缓急与六经对厥证进行分类;指出厥证因病因、轻重的不同,其临床表现和转归各异。In this paper, syncope in Yellow Emperor＇s Inner Canon is discussed from the following five aspects ： meaning and scope, etiology and pathogenesis, classification, clinical manifestation, and pulse manifestation and prognosis. The syncope includes four symptoms：（ 1 ）sudden fainting, unconsciousness, cold limbs, and waking up soon ; （ 2 ） cold limbs ; （ 3 ） discomfort in six channels ; （4） severe uroschesis and dysuria/vomiting. The etiology and pathogenesis are explained as internal lesion caused by overexertion, deficiency, drinking, fullness, wind evil, cold e- vil, blood clotting, great anger, troubles, disorders of yin/yang and qi/blood induced by interference of clear qi and turbid qi, yang qi unable to go to four limbs, tendon and vessel malnutrition, and disorder of six channel - qi. And the syncope is classified from cold and heat （yin and yang） , seven emotions, six climate exopathogens, being slow and acute, and six channels. It is pointed out that the clinical manifestations and prognosis of syncope vary due to different causes and severities of syncope.

关 键 词：《内经》 厥证 理论探讨 

分 类 号：R221[医药卫生—中医基础理论]