“热胜则肿”之病机演变特点探赜  

Discussion on the characteristics of pathogenesis evolution of‘excessive heat leads to swelling’

作　　者：彭超群 黄岩杰 刘福贵[3] 翟盼盼 李相珍 丁雪颖 李佳佳 PENG Chao-qun;HUANG Yan-jie;LIU Fu-gui;ZHAI Pan-pan;LI Xiang-zhen;DING Xue-ying;LI Jia-jia(The First Clinical Medical College of Henan University of Chinese Medicine,Zhengzhou 450046,China;Department of Pediatrics,The First Affiliated Hospital of Henan University of TCM,Zhengzhou 450000,China;Hubei University of Chinese Medicine,Wuhan 430000,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 [3]湖北中医药大学,武汉430000

出　　处：《中华中医药杂志》2022年第7期3825-3828,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年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：为深入研究《黄帝内经》中“热胜则肿”的内涵,解析热胜为什么导致“肿”证的理论问题,文章结合玄府气液学说,阐释了“热胜则肿”的病机演变过程。热伤玄府是“肿”证的主要病因,玄府郁闭、热气怫郁、水湿泛滥是“肿”证的核心病机特点。以“风水”“阳水”的诊治为例,进一步论证了“热胜则肿”理论的临床应用价值。In order to explore the profound connotation of the theory of ‘excessive heat leads to swelling’ in the Huangdi Neijing, and to answer the theoretical question why excessive heat leads to ‘swelling’, Based on the theory of Xuanfuqi-liquid, the pathogenesis evolution of ‘excessive heat leads to swelling’ was explained. The direct pathogenic factor of ‘swell’syndrome is that heat impairs Xuanfu-qi-liquid, the pathogenesis evolution of ‘excessive heat leads to swelling’ was explained.The direct pathogenic factor of ‘swell’ syndrome is that heat impairs Xuanfu, and the core pathogenesis characteristics of ‘swell’syndrome is that Xuanfu closing, heat qi depression and water dampness flooding. Taking the diagnosis and treatment of ‘Feng Shui’ and ‘yang-edema’ as examples, the clinical application value of the theory of ‘excessive heat leads to swelling’ was further demonstrated.

关 键 词：热胜则肿 玄府气液学说 阳水 微观病位 病机演变 

分 类 号：R228[医药卫生—中医基础理论]