湿痹证治源流及差异分析  

Analysis on Difference,Origin and Development of Syndrome and Treatment of Dampness Impediment

作　　者：李明 吕翠霞 LI Ming;LV Cuixia(School of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学中医学院,山东济南250355

出　　处：《山东中医药大学学报》2020年第3期328-332,共5页Journal of Shandong University of Traditional Chinese Medicine

基　　金：山东省名老中医药专家传承工作室建设计划项目(编号:2018-5)。

摘　　要：通过对历代主要文献的梳理及纵向比较,发现湿痹古代病名规范性较差,病因由外湿向内湿转变,病机由实证向虚证转变,治疗由辛温解表为主向健脾除湿为主转变。促进其转变的原因与中医概念多相性、中医病因理论的隐喻性以及中医理论模型的转变密不可分。Through sorting and longitudinal comparison of the main literature of the past dynasties,it was found that the name of dampness impediment was not standardized,the etiology changed from external dampness to internal dampness,the pathogenesis changed from excess syndrome to deficiency syndrome,and the treatment was mainly from releasing exterior with pungent-warm to invigorating spleen and removing dampness.The reasons for its transformation are inseparable from the heterogeneity of concepts in traditional Chinese medicine(TCM),the metaphorical nature of etiology theory in TCM and the transformation of TCM theoretical models.

关 键 词：湿痹 辛温解表 健脾除湿 多相性 隐喻性 天人相应 中医理论模型 

分 类 号：R255.6[医药卫生—中医内科学]