“是动病”“所生病”各学说探讨  

Discussion the Difference Between Disease due to Invasion of Pathogenic Factors into the Meridian "the Disease that Has Occurred in a Certain Viscus" and "Consequently Affects the Meridian of That Viscus"

作　　者：胡成想 林宝城[1] 李知行[1] 陈小砖[1] HU Cheng-xiang;LIN Bao-cheng;LI Zhi-xing;CHEN Xiao-zhuan(Shenzhen City TCM Hospital,Shenzhen,Guangdong,China,518000)

机构地区：[1]深圳市中医院,广东深圳518000

出　　处：《河南中医》2018年第10期1469-1472,共4页Henan Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:81473756);深圳市三名工程项目(编号:SZSM20181206)

摘　　要：古人从不同角度出发,解释"是动病""所生病",为后世医家的理解提供了很多思路,但也有其理论缺陷。如《难经》的气血说理论依据与经文原文有较大差异;张志聪从辨证的角度出发,并未将"是动病""所生病"孤立开来,而是可相互影响,但此种说法相对笼统,缺乏事实依据。徐灵胎的"本经他经说"与冈本一抱的"经络脏腑说"存在同样的缺陷,与部分原文记载相悖。而现代医家在汲取了古人各家学说之长后也提出了不同的观点。现代各家学说均从整体观或辨证观角度出发,各理论学说均有其特点,但多数为一家之言。要正确理解"是动病""所生病",必须从《黄帝内经》整体观出发,"所生病"不单见于经络病,亦可见于脏腑病,所以"所生病"应为经络或脏腑生理功能在体表的反应。如果单从文献研究角度出发,"变动、主治说"最为学术界所接受,也是针灸学教材所采用的,而李子孺、赵京生、曹昺焱等的批注沿袭观点较其他学说更贴近实际,直观、简洁,也更容易为读者理解,对于治疗、诊断的指导也比较贴近临床。From different perspectives,the ancients explained the disease due to invasion of pathogenic factors into the meridian and the disease that has occurred in a certain viscus and consequently affects the meridian of that viscus,which has provided a lot of ideas for later generations of physicians to understand,but also has theoretical defects. For example,the theory basis of qi and blood in Classic of Difficulties is quite different from the original text. Zhang Zhi-cong,from the perspective of dialectics,did not isolate the above from each other,but thought both can influence each other. However,this statement is relatively general and lacks factual basis. Xu Ling-tai＇s ＂ Benjing Tajing Shuo＂ and Gangben Yi-bao＇s ＂ Jingluo Zangfu Shuo＂ have the same defect,which is contrary to some original records. Modern doctors have also drawn different views after drawing on the theories of the ancients.Modern theories are all from the perspective of holism or dialectics. Each theory has its own characteristics,but most of them have shortcomings. To correctly understand the above two kinds of diseases,we must proceed from the wholism of Huangdi＇s Classics of Medicine. ＂ The disease that has occurred in a certain viscus and consequently affects the meridian of that viscus＂ is not only seen in meridians,but also in viscera,so it should be the reaction of the meridians or viscera physiological functions on the body surface. If only from the point of view of literature research, ＂ change,and the major functions of a drug theory＂ are most accepted by academia,but are also used in acupuncture teaching materials. The annotations and perspectives of Li Zi-ru,Zhao Jing-sheng and Cao Tiao-yan and other people are more practical,intuitive and concise than other theories. They are easier for readers to understand,and the guidance of treatment and diagnosis is closer to clinical practice.

关 键 词：“是动病” “所生病” 《难经》 《黄帝内经》 

分 类 号：R228[医药卫生—中医基础理论]