《黄帝内经》治未病之“微病”探讨  

Discussion on the“micro diseases”of preventive treatment of disease in Inner Canon of Yellow Emperor

作　　者：康鹏飞 秦明臻 孟佳 沈一凡 李冰[1] 秦建国[1] KANG Pengfei;QIN Mingzhen;MENG Jia;SHEN Yifan;LI Bing;QIN Jianguo(Department of Nephrology,Dongfang Hospital of Beijing University of Chinese Medicine,Beijing 100078,China;Institute of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学东方医院肾病科,北京100078 [2]北京中医药大学中医学院,北京100029

出　　处：《中国医药导报》2021年第18期155-159,共5页China Medical Herald

基　　金：北京市中医管理局北京中医药“薪火传承3+3工程”建设项目(2011-SZ-A-27)。

摘　　要：治未病的概念包含未病先防、防微杜渐、防止传变、病后防复等几项,如今文献对防微杜渐等单独论述较少。因此阅读分析《黄帝内经》原文,对“微病”的防治等概念加以探讨。通过对《黄帝内经》原文的整理得知,微病邪微正瑕,病位浅且病势轻,且症状不显容易被忽略,但可转为重病,需要高超的医技方可识别。以五脏为基础,可以把微病分为“神之微”“白气微泄”“留血”“微风”“骨节动”五类,各发病于毫毛、皮肤腠理、络脉、肌肉、骨节等部位,其表现为体表感觉异常、皮腠不适微汗、瘀血、肌肉骨节异动等。在治疗时针对五脏特点和病位,以调畅气血、通络驱邪为原则,使用药食调养、针刺、导引按摩、情志疏导等方法配合使用进行调理,从而使人体气血通达,经络通畅,五脏安定,微病向愈,不再为患。The concept of preventive treatment of disease includes several items such as prevention before disease onset,prevention of microscopic disease,prevention of transmission,and prevention of relapse after disease.But nowadays,the literature has few separate discussions on the prevention of microscopic disease.Therefore,through reading and analyzing the original text of Inner Canon of Yellow Emperor,the concept of“micro diseases”prevention and control is discussed.After sorting out the original text of Inner Canon of Yellow Emperor,it is known that the micro diseases is not serious,the healthy qi is slightly damaged,the disease position is shallow and the disease is light,and the symptoms are not obvious,which is easy to be ignored,but it can be turned into a serious illness,and it needs excellent medical skills to identify.On the basis of the five zang viscera,micro diseases can be divided into five categories,“Shenzhiwei”,“Baiqiweixie”,“Liuxue”,“Weifeng”and“Gujiedong”,which can be found in the vellus hair,skin texture,collaterals,muscles,joints and other parts.Its manifestations include abnormal body surface sensation,skin discomfort and micro sweat,blood stasis,abnormal movement of muscle and bone segments,etc.In the treatment,according to the characteristics and diseases of the five zang viscera,regulating qi and blood,unblocking collaterals and expelling pathogenic factors is taken as the principle.The use of medicine and food recuperation,acupuncture,guided massage,emotional counseling and other methods with the use of conditioning,so that the human body qi and blood,meridians unobtrusional,five zang viscera stability,micro diseases to recover,no longer trouble.

关 键 词：微病 治未病 黄帝内经 气血 

分 类 号：R2[医药卫生—中医学]