基于顺势思维探讨《黄帝内经》中痈疽的治疗  

Treatment of Carbuncles in Huangdi’s Internal Classic Based on Thinking of Following Nature

作　　者：赵连政 王小平 ZHAO Lianzheng;WANG Xiaoping(College 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》2021年第3期317-321,共5页Journal of Shandong University of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(编号:“973计划”2013CB532002)。

摘　　要：顺势思维来源于中国古代哲学,是“天人合一”世界观下“因循天道”的具体方法论。顺势思维被引入《黄帝内经》(《内经》)后形成了顺势而治的治疗思想,《内经》顺势思维借鉴中国古代哲学理论,在中医学整体观念与辨证论治思想的指导下,判断疾病的发展趋势,从而采取相应治疗手段。顺势思维贯穿于整个《内经》治疗学,如对痈疽顺邪气外出之势选择治疗手段或顺正气恢复之势施以调补,具体来说,前者包括顺病势轻重选择祛邪方式、顺病位所在选择祛邪通路、顺邪气性质选择祛邪手段;后者包括扶助阳气和调补脾胃。此为后世医家治疗痈疽提供了重要指引。Thinking of following nature comes from ancient Chinese philosophy,and is a specific methodology of“following natural law”under the world outlook of“harmony of human and nature”.Thinking of following nature is introduced into Huangdi’s Internal Classic(The Inner Classic)to form the treatment thinking of following nature.Thinking of following nature in The Inner Classic use ancient Chinese philosophical theories for reference,under the guidance of holism in Chinese medicine,syndrome differentiation and treatment,the development trend of diseases is judged so as to generalize and standardize the corresponding treatment means.Thinking of following nature runs through the entire therapeutics of The Inner Classic.For example,when treating carbuncles,therapeutic means should be selected to follow the trend of pathogenic qi to go out,or to follow the recovery trend of healthy qi,specifically,the former includes:selecting the method to expel pathogens according to the severity of the disease,selecting the pathway to expel pathogens according to the disease location,selecting the means to expel pathogens,the latter includes reinforcing yang qi,regulating/replenishing spleen/stomach according to the pathogenic nature.This provides important guidelines for later generations to treat carbuncles.

关 键 词：《黄帝内经》 顺势思维 痈疽 扶助阳气 调补脾胃 邪气外出 正气恢复 

分 类 号：R221[医药卫生—中医基础理论]