非“胃家实”者不可以阳明病论治  

Non-"Stomach Excessiveness" Disease Should not Be Treated from Perspective of Yangming Disease

作　　者：刘潇蔚 张欣[1] 蒋谦 王宁 LIU Xiaowei;ZHANG Xin;JIANG Qian;WANG Ning(Shandong University of Traditional Chinese Medicine,Ji′nan Shandong China 250355;Qingdao Traditional Chinese Medicine Hospital,Qingdao Shandong China 266033)

机构地区：[1]山东中医药大学,山东济南250355 [2]青岛市中医医院,山东青岛266033

出　　处：《中医学报》2022年第10期2092-2095,共4页Acta Chinese Medicine

摘　　要：《伤寒论》论述的阳明病与《黄帝内经》中阳明经主凉、主燥的特点相符。阳明病的提纲证为“胃家实”,然而现代教材和部分医家将仅具有“身热,汗自出,不恶寒反恶热”的阳明病外证表现,但不具备“胃家实”表现的病证认为是阳明病,这是错误的观点。诊断阳明病需要具备“胃家实”的症状表现,“胃家实”无论是“寒实”还是“热实”皆可。正确认识阳明病对现代外感热病的诊治具有重要的指导意义。The Yangming disease discussed in Shang Han Lun is consistent with the characteristics of the Yangming meridian in the Huang Di Nei Jing,which are mainly cool and dry.The outline syndrome of Yangming disease is "Stomach excessiveness",however, in modern textbooks and according to some medical practitioners at present time will only have the manifestations of external syndromes of "hot body, sweating spontaneously, not aversion to cold but aversion to heat",but without the manifestations of "Stomach excessiveness" as Yangming disease, which is a wrong.Diagnosis of Yangming disease requires the symptoms of "Stomach excessiveness",which can be either "Cold excessiveness" or "Heat excessiveness".Therefore, correct understanding of Yangming disease has important guiding significance for the diagnosis and treatment of exogenous fever in modern times.

关 键 词：“胃家实” 阳明病 外感热病 《伤寒论》 《黄帝内经》 

分 类 号：R222.19[医药卫生—中医基础理论]