“肉极”源流考释  

The meaning and indication of"Rou Ji"

作　　者：金芳芳 蔡永敏[1,3] 王梦婷 张云飞[2] Jin Fangfang;Cai Yongmin;Wang mengting;Zhang yunfei(Institute of literature,Nanjing University of traditional Chinese Medicine,Nanjing210023,China;Third Affiliated Hospital Of Henan University of Chinese Medicine,Zhengzhou 450003,China;College of Traditional Chinese Medicine,Henan University of traditional Chinese Medicine zhengzhou 450046,China)

机构地区：[1]南京中医药大学文献研究所,南京210023 [2]河南中医药大学第三附属医院急诊科,郑州450003 [3]河南中医药大学中医学院,郑州450046

出　　处：《中华医史杂志》2022年第6期343-346,共4页Chinese Journal of Medical History

摘　　要："肉极"作为病证名, 其相关理论曾在历史文献中占有重要地位, 但现代文献对此论述较少, 有关"肉极"的临证经验亦不为医家所重视。"肉极"的概念萌芽于春秋战国, 其名最早见于南北朝时期《删繁方》。关于该病的症状, 最初主要指肢体软弱无力, 此后逐渐扩展为:①消瘦或者肌肉萎缩;②乏力;③皮肤色泽改变, 干黑或者枯槁;④皮肤感觉异常;⑤脾胃消化吸收机能较差。病因亦从外感转变为内伤, 再转变为母气不足。随着对疾病认识的转变, 治疗方法也随之变化。古医籍中有关肉极的辨证施治或对当前临床诊疗有一定参考价值。"Rou Ji",as a name of disease syndrome,played an important role with its relevant theories and clinical experiences in historical recordings.However,it was treasured neither in modern archives nor by clinical physicians.The concept of"Rou Ji"started in the Spring and Autumn Period and the Warring States Period(770 B.C.-221 B.C.),and its name was first found in Shan Fan Fang in the Southern and Northern Dynasties(420-589).The symptoms of this disease mainly suggested weakness of limbs caused by exogenous factors.It was gradually developed into following symptoms,such like emaciation or muscle atrophy,fatigue,skin color change,abnormal skin sensation,poor digestion and absorption function of spleen and stomach.Its etiology was changed from exogenous factors into internal injuries and deficiency of congenital Qi.Its treatment was also changed with the change of the understanding of diseases.The dialectical thinking in its treatment in ancient medical materials may have reference value for current clinical diagnosis and treatment.

关 键 词：肉极 肌极 源流考释 

分 类 号：R228[医药卫生—中医基础理论]