从“白马非马”浅析叶天士的卫分证非表证  

Analysis of YE Tian-shi’s Weifen syndrome is not exterior syndrome from ‘white horse is not a horse’

作　　者：孙玉洁 吕文亮 SUN Yu-jie;LYU Wen-liang(Clinical College of TCM,Hubei University of Chinese Medicine,Wuhan 430065,China)

机构地区：[1]湖北中医药大学中医临床学院,武汉430065

出　　处：《中华中医药杂志》2022年第9期5291-5293,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划“公共安全风险防控与应急技术装备”重点专项(No.2020YFC0845300);湖北中医药大学青苗计划(No.2020ZZX014)。

摘　　要：卫气营血辨证是由温病学家叶天士创立用于辨治外感热病的主要辨证体系之一,临床亦可在内伤杂病中拓展运用。相对于气营血分证均属里证而言,卫分证虽见于外感热病初起阶段,但是否是表证仍然界定不清,以致因失治误治而变坏证的情况不胜枚举。针对卫分证研究的误区,从哲学角度围绕“卫气循行”“卫分证非表证”类似“白马非马”,卫分证的“病理实质”类似“白马是马”。探讨卫分证和表证的区别与联系,以期明确两者的界限,为临床治疗提供理论依据。Wei Qi Ying Xue differentiation of symptoms is one of the main syndrome differentiation systems established by YE Tian-shi, a febrile disease scientist, to differentiate and treat exogenous fever. It can also be used clinically in internal injuries and miscellaneous diseases. Compared with the Qi, Ying and Xue, all syndromes belong to the interal syndrome, although the Weifen syndrome is seen in the initial stage of exogenous fever, it is still unclear whether it is exterior syndrome, so that there are many cases of deterioration due to inadequate treatment and incorrect treatment.Aiming at the misunderstandings in the study of Weifen symptoms, from a philosophical point of view, ‘circulation of defensive Qi’, ‘Weifen syndrome is not exterior syndrome’ is similar to ‘white horse is not horse’, and the ‘pathological essence’ of Weifen symptoms is similar to ‘white horse is horse’. Discuss the difference and connection between the Weifen syndrome and the interal syndrome, in order to clarify the boundary between the two, and provide a theoretical basis for clinical treatment.

关 键 词：叶天士 卫分证 表证 白马非马 

分 类 号：R254[医药卫生—中医内科学]