《伤寒论》“胃家实”探讨  

Discussion on “Stomach Excess” in Treatise on Exogenous Febrile Disease

作　　者：尹笑玉 陈明[1] YIN Xiaoyu;CHEN Ming(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《辽宁中医药大学学报》2022年第10期173-177,共5页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：北京中医药大学重点攻关项目(2020-JYB-ZDGG-002)。

摘　　要：“阳明之为病,胃家实是也”作为“阳明病篇”提纲证,其解读历来存在争议,争议点主要围绕“胃家”的代指及“实”字的含义两点展开。由于“胃家实”作为提纲证统摄“阳明病篇”全篇,是准确把握阳明病证之机要与理解“阳明病篇”立法处方的切入点,因此有必要对“胃家实”的概念进行考据并结合临床情况阐发其实践应用。该文从训诂学及中医经典理论角度出发,结合临床阐释“阳明之为病,胃家实是也”的内涵,并由此展开针对“阳明病篇”第179~181条的讨论,概括总结“阳明病篇”的方证主治以及主要的治法思路,以期对经方之理论研究及临床应用作有益探讨。As the outline syndrome of Yang-ming disease,the interpretation of“Yang-ming disease is stomach excess”has always been controversial,mainly around the meaning of“stomach”and the meaning of“excess”. Since“stomach excess”is the key to accurately grasp the pathogenesis of Yang-ming disease and to understand the legislative prescriptions of Yang-ming disease,it is necessary to study the concept of“stomach excess”and elucidate its practical application in combination with clinical situations. In this paper,interpretation of“Yang-ming disease is stomach excess”starts from the perspective of exegetics and classical theory of traditional Chinese medicine,combined with clinical application,and expand to the discussion on article 179-181 in the Yang-ming Disease chapter. We summarized the contents and the main ideas of Yang-ming disease,intending to be useful for the theoretical research and clinical application of classical prescriptions.

关 键 词：胃家实 阳明病 六经提纲证 伤寒论 经典理论 

分 类 号：R222.2[医药卫生—中医基础理论]