伏邪的源流、发展及临床应用  

The origin,development and clinical application of latent pathogen

作　　者：孙君阳[1] 肖静静 李蒋凤 何东初 汪宇[3] SUN Junyang;XIAO Jingjing;LI Jiangfeng;HE Dongchu;WANG Yu(Hubei University of Traditional Chinese Medicine,Wuhan 430070,China)

机构地区：[1]湖北中医药大学,武汉430070 [2]中国人民解放军中部战区总医院 [3]十堰市太和医院康复中心

出　　处：《环球中医药》2023年第2期336-342,共7页Global Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81873153、81273905)。

摘　　要：伏邪理论萌芽于先秦时期,奠基于汉晋,发展于隋唐宋金元时期,鼎盛于明清并逐渐臻于完善。伏邪概念有狭义和广义之分。狭义的伏邪被称为伏气温病,邪气伏匿,或伏藏于膜原,或伏藏于经中,或伏藏于肌肤,或伏于少阴、或伏藏于脂膜,待时而发病;广义的伏邪,指的是伏藏于体内不立即发病的致病因素、病理产物或者代谢产物,如病原微生物、肿瘤、结石等。伏邪具有隐匿性、动态时空、自我积累等特性,所致疾病具有伏而不发、伏邪自发、新感引发、反复发作、伏邪易从火化等特点。伏邪理论有助于从新的维度来探究疾病的本质,为临床中一些病因未明、反复发作的疾病提供新的临床治疗思路。The theory of venting evil was sprouted in the prE-Qin period,founded in the Han and Jin dynasties,developed in the Sui,Tang,Song,Jin and Yuan dynasties,flourished in the Ming and Qing dynasties and gradually perfected.The concept of latent pathogen can be divided into a narrow sense or a broad sense.In a narrow sense,latent pathogen is called latent-qi warm disease,evil qi is hidden,or hidden in the membrane,meridian,skin,Shaoyin or lipid membrane,waiting for a process to be sick;in a broad sense,the latent pathogen refers to pathogenic factors,pathological products or metabolites hidden in the body without immediate onset,such as pathogenic microorganisms,tumors,stones,etc.Latent pathogen has the characteristics of concealment,dynamic time and space,self-accumulation.The diseases caused by latent pathogens have the characteristics of volt or not,spontaneity,new sensation,repeated attacks,easy cremation and so on.The theory of latent pathogen is helpful to explore the disease from a new dimension,and to propose new clinical treatment solutions for diseases with unknown etiology and recurrent attacks.

关 键 词：伏邪 伏邪理论 伏邪概念 源流 临床应用 

分 类 号：R285.5[医药卫生—中药学]