中医黄汗病源流考略  

Research on origin and development of yellowish sweating in traditional Chinese medicine

作　　者：王一竹 陈仁寿[1] WANG Yi-zhu;CHEN Ren-shou(Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学,南京210023

出　　处：《中华中医药杂志》2023年第4期1740-1743,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：江苏省研究生科研与实践创新计划(No.KYCX21_1618)。

摘　　要：对于黄汗的记载在中医古籍中最早出现于《金匮要略》。其中黄汗二字既以病名形式出现,也以症状形式出现,较易混淆。黄汗病主要与脾脏有关,病位在于营卫之间,病因病机总体应以邪实正虚为主,多由营卫不和,寒湿侵袭所致。《金匮要略》中对黄汗的阐述最具体,此后历代医家对其治疗亦有发挥及方剂创立,注重患者个体差异,辨证论治;虚实兼顾,养清并用,颇具特色。文章整理古代中医文献中有关黄汗的记载,对易混淆之处作出鉴别,区分古代黄汗与现代黄汗,以期为临床提供理论及诊疗参考。The records of yellowish sweating appeared earlier in ancient books of traditional Chinese medicine:Jingui Yaolue.The word yellowish sweating appeared not only in the form of disease name,but also in the form of symptoms,which is easy to be confused.Yellowish sweating is mainly related to the spleen.The disease is located between Ying and Wei.The overall etiology and pathogenesis should be mainly evil excess and deficiency,mostly caused by the disharmony between Ying and Wei and the invasion of cold and dampness.Yellowish sweating is described most concretely in the Jingui Yaolue.Since then,doctors of all dynasties have also played a role in its treatment and created prescriptions,paying attention to individual differences of patients and treating them according to syndrome differentiation.The combination of deficiency and reality,nourishing and clearing,is quite characteristic.This paper sorts out the records of yellowish sweating in ancient Chinese medicine literature,distinguishes its confusing parts,and distinguishes ancient yellowish sweating from modern yellowish sweating,in order to provide theoretical and diagnostic reference for clinic.

关 键 词：黄汗 金匮要略 黄疸 中医古籍 源流 

分 类 号：R255.9[医药卫生—中医内科学]