从太阴中风理论探讨血痹病传虚劳  

Discussion on the mechanism of blood arthralgia developing into consumptive disease from Taiyin disease with wind affection theory

作　　者：刘佳佳 曹灵勇[1] 许家栋[1] 林树元[1] LIU Jia-jia;CAO Ling-yong;XU Jia-dong;LIN Shu-yuan(School of Basic Medical Sciences,Zhejiang Chinese Medical University,Hangzhou 310053,China)

机构地区：[1]浙江中医药大学基础医学院,杭州310053

出　　处：《中华中医药杂志》2021年第8期4504-4507,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：浙江中医药大学中青年科研创新基金(No.KC201907);浙江中医药大学横向(涉企)项目(No.2020-HT-161)。

摘　　要：文章基于《伤寒论》与《金匮要略》理法及原文,从六经病传规律的角度,参考历代医家注解,探讨血痹病传虚劳的理法。认为血痹和虚劳,是太阴病的两个方面,血痹属太阴中风的范畴,虚劳属太阴血证范畴。太阴病在里虚的病机基础上,当中风偏表、津亏较轻之时,表现为血痹;当中风耗伤津血、病传入里、津亏较重之时,表现为虚劳。二者有共同的病理基础,病位、病机、症状又有表里和轻重程度上的差异,故为病传提供了可能。Based on the theories and the original text of Shanghan Lun and Jingui Yaolue,this paper discusses the theories of blood arthralgia developing into consumptive disease from the perspective of disease transmission of the six channels,and referring to the annotations of medical experts in past dynasties.It is considered that blood arthralgia and consumptive disease are two aspects of Taiyin disease,blood arthralgia belongs to the category of Taiyin disease with wind affection,as well as consumptive disease belongs to the category of blood syndrome of Taiyin.On the basis of the pathogenesis of Taiyin disease,when the pathogenic wind attacking the superficies and the body fluid and blood loss less,it is manifested as blood arthralgia;when the body fluid and blood loss serious,the disease is passed from exterior to interior,and the deficiency is severe,it is manifested as consumptive disease.The two have the same pathological basis,while the pathogenesis,the disease location,and the symptom are in different degrees,so it provides the possibility for the transmission of the disease.

关 键 词：太阴中风 血痹 虚劳 病传规律 伤寒论 金匮要略 

分 类 号：R255[医药卫生—中医内科学]