运用气血津液与玄府学说阐释热毒瘀之间的病机演变  

Explaination on the evolution of pathogenesis between heat,toxin and blood stasis in qi-blood-body fluid and Xuanfu theory

作　　者：彭超群 黄岩杰 翟盼盼[1] 丁雪颖 李相珍 PENG Chao-qun;HUANG Yan-jie;ZHAI Pan-pan;DING Xue-ying;LI Xiang-zhen(The First Clinical School of Henan University of Chinese Medicine,Zhengzhou 450046,China;Department of Pediatrics,The First Affiliated Hospital of Henan University of CM,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一临床医学院,郑州450046 [2]河南中医药大学第一附属医院儿科,郑州450000

出　　处：《中华中医药杂志》2020年第10期4873-4876,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：2018年河南省自然科学基金项目(No.182300410346);2018河南省高校科技创新团队支持计划(No.18IRTSTHNO28);2018年度河南省中医药科学研究重大专项课题(No.2018ZYZD05)。

摘　　要：热、毒、瘀是多种疾病的重要病因病机特点,单纯用气血津液之间的关联,或玄府学说都很难系统地阐释三者之间相互作用的实质。文章将气血津液和玄府学说相结合构建起完整的气血津液运行理论,旨在阐明脉络和玄府是气血津液在脉内脉外运行的通道,也是产生热、毒、瘀的病位。热邪最能扰动气血,热能耗液滞血,热能郁闭玄府,热能灼伤络脉、迫血妄行,形成瘀血。瘀也能致热,互为因果,加重病机演变。内外诸因,若能致气血形质失常皆可成毒。毒邪亦贯穿热、瘀相互转化之中。因此,文章从宏观和微观的角度解析了热、毒、瘀的发生机理和三者之间的病机演变,以期基于病机指导临床准确施治。Heat,toxin and blood stasis are the important etiology and pathogenesis characteristics of many diseases.It is difficult to explain the essence of the interaction among them by simply using the relationship between qi-blood-body luid or Xuanfu theory.Therefore,a complete theory of qi-blood-body fluid movement was constructed by combining the theory of qiblood-body fluid with the theory of Xuanfu.The aim is to clarify that the vessels and Xuanfu are the channels of qi-blood-body fluid running inside and outside the vessels,as well as the locations of heat,toxin and blood stasis.Heat pathogen can disturb qi and blood most,heat can consume liquid and stagnate blood,heat can block Xuanfu,heat can burn vessels,force blood flow outside of arteries and veins,and forms blood stasis.Blood stasis can also cause heat,interacts as both cause and effect,and aggravates the evolution of pathogenesis.All internal and external factors can be toxic if they can cause qi and blood disorder.Toxin also run through the mutual transformation of heat and blood stasis.Therefore,this article analyzes the occurrence mechanism and the pathogenesis of heat,toxin,and blood stasis from the macro and micro perspectives,in the hope of guiding the clinical treatment accurately based on the pathogenesis.

关 键 词：气血津液 玄府学说 热 毒 瘀 热能致瘀 瘀能致热 邪盛成毒 

分 类 号：R228[医药卫生—中医基础理论]