《黄帝内经》合邪发病观辨析  

Analysis on view of combining pathogenic factors in Huangdi Neijing

作　　者：周嘉培 王小平 ZHOU Jia-pei;WANG Xiao-ping(School 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,济南250355 [2]山东中医药大学中医学院内经教研室,济南250355

出　　处：《中华中医药杂志》2021年第9期5233-5236,共4页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：合邪发病观为《黄帝内经》所论重要发病观之一,通过"因加而发""外内合邪""两感于寒""风寒湿三气杂至"等内容体现出来。文章分析了合邪发病的各种类型,总结出其具有感邪不确定性,一邪主导性,正虚必然性和病机复杂性四方面的规律。提示临床须辨明发病主因与次因,以决定治疗的主次先后,时时重视固护正气以防止疾病过程中的次生病因的侵袭;同时针对合邪发病的不确定性及病机复杂性,全面慎护养生。As one of the important pathogenic views in Huangdi Neijing, the concept of combined pathogenic factors is embodied by the contents of ‘disease due to addition’, ‘combined exopathogens and endopathogens’, ‘twice affection by pathogenic cold’ and ‘wind, cold and damp, three kinds of mixed’. This paper analyzes the various types of the combining pathogenic factors, and sums up four laws of uncertainty of pathogenic factors, dominance of one pathogenic factor,inevitability of positive deficiency, and complexity of pathogenesis. It is suggested that the primary and secondary causes of the disease should be identified in order to determine the primary and secondary order of treatment, and attention should be paid to strengthening and protecting vital energy to prevent the invasion of secondary causes in the process of the disease;meanwhile,in view of the uncertainty and complexity of the pathogenesis of the disease, comprehensive care and health preservation should be taken.

关 键 词：合邪发病 黄帝内经 因加而发 外内合邪 两感于寒 

分 类 号：R221[医药卫生—中医基础理论]