从矛盾论之内外因关系视域探析《黄帝内经》营卫之气致痹理论  被引量:12

Exploration on Qi of Ying-Wei Inducing Bi Syndrome in Huangdi Neijing From Internal and External Causes of Contradiction Theory

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作  者:赵用[1] 鞠宝兆[1] 唐哲[1] 赵畅[1] ZHAO Yong;JU Baozhao;TANG Zhe;ZHAO Chang(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)

机构地区:[1]辽宁中医药大学,辽宁沈阳110847

出  处:《中华中医药学刊》2020年第6期62-65,共4页Chinese Archives of Traditional Chinese Medicine

基  金:国家中医药管理局国家公共卫生事业专项(2010GJ08);教育部人文社会科学研究青年基金(19YJC710109);辽宁经济社会发展项目(2017lslktqn-83);辽宁省社会科学规划基金(L18BLW029)。

摘  要:内外因是哲学中的一对范畴,内外因之间的辨证关系科学地揭示了事物的变化与发展缘由,将以内外因辨证关系的视角来解读和阐释我国传统医学医家之宗的《黄帝内经》中对疾病的认识,尤其是对"痹"病的认识。营卫不和致痹理论首见于《素问·痹论》,篇中言"逆其气则病,从其气则愈,不与风寒湿气合,故不为痹",该篇对营卫之气致痹只用寥寥10余字给了简单扼要的描述,因而常常被后世诸多医家所忽视。为更好地探求其致病机制,指导临床,通过查阅文献,对营卫致痹理论进行深入探究后,认为营卫不和是导致痹病的发生和缠绵难愈的根本内在原因。同时营卫不和病机的发生,与气血相关,和肺脾肾三脏关系更为密切。Internal and external causes are a pair of categories in philosophy.The dialectical relationship between internal and external causes reveals the cause of change and development of things scientifically.This paper interpreted and explained the understanding of diseases,especially Bi syndrome in Huangdi Neijing which is a traditional Chinese medicine doctor’s clan,from the perspective of the dialectical relationship between internal and external causes.The theory of Ying-Wei disharmony leading to Bi syndrome was first seen in Suwen Discussion on Bi Syndrome.In the article,it is said that"if the Qi is contrary,the disease would be healed,and it would not be combined with wind,cold or dampness,and so it would not lead to Bi syndrome".This article only gave a simple and concise description of Ying-Wei causing Bi syndrome in more than ten words,often overlooked by many doctors in later generations.In order to better explore its pathogenic mechanism and guide clinical practice,after consulting literature and deeply exploring the theory of Ying-Wei causing Bi syndrome,it is believed that Ying-Wei disharmony is the fundamental internal cause leading to the occurrence and the lingering difficulty in healing.At the same time,Ying-Wei disharmony is closely related to pathogenesis,Qi and blood,lung,spleen and kidney.

关 键 词:黄帝内经 营卫之气 痹病 内外因 

分 类 号:R221[医药卫生—中医基础理论]

 

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