基于五运六气气化理论辨析少阳病  

Differentiation and Analysis of Shaoyang Xianghuo Disease Based on the Qi Transformation Theory of Five Yun and Six Qi

作　　者：郑晓红[1] 唐心浩 ZHENG Xiao-hong;TANG Xin-hao(Institute of Literature in Chinese Medicine,Nanjing University of Chinese Medicine,Nanjing 210023,China;School of Medicine&Holistic Integrative Medicine,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学中医药文献研究院,江苏南京210023 [2]南京中医药大学医学院·整合医学学院,江苏南京210023

出　　处：《南京中医药大学学报》2023年第12期1165-1173,共9页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：国家社会科学基金重大项目(18ZDA322);江苏省卫生健康委2022年度医学科研重点项目(ZD2022068);江苏省中医药科技发展计划委托研究项目(2022WTZX02);国家级大学生创新训练项目(202210315128Z);南京中医药大学2023年人工智能“揭榜挂帅”项目。

摘　　要：基于《黄帝内经》与《伤寒论》,结合历代医家学术思想与临床经验,辨析少阳病。认为《黄帝内经》为《伤寒论》的主要学术渊源之一,《黄帝内经》少阳相火病与《伤寒论》少阳病有相似之处,但《黄帝内经》少阳相火病所涉及范围更为广泛,而《伤寒论》对其少阳病的论述更为精详。并且论述了基于五运六气气化理论对少阳病的辨证,提出少阳病分为经证、腑证、热化证、寒化证。天地少阳相火气化异常,可以影响人身少阳经气运行及其所络属脏腑的气化,从而引发少阳病,其病症特点随少阳相火与其余运气因素相临的不同情况而不同。人身少阳相火气化异常,多引动太阴、阳明、少阴等气化异常。少阳病病性多为火热、湿热、实证,亦可兼寒化等证,病位多在少阳经及其所络属之脏腑。少阳病往往经证与腑证并见,易气郁化火,与阳明燥金、太阴湿土、少阴君火相搏结,生痰、生饮、生水,亦有少阳寒化证及寒热错杂证存在。Based on The Yellow Emperor's Inner Classic and Treatise on Cold Damage,combined with the academic ideas and clinical experience of traditional Chinese medicine,this study distinguishes and analyzes Shaoyang disease.The Yellow Emperor's Inner Classic is one of the main academic sources of Treatise on Cold Damage.Therefore,there are similarities between the Shaoyang Xianghuo disease in The Yellow Emperor's Inner Classic and the Shaoyang Xianghuo disease in Treatise on Cold Damage.However,the scope of the Shaoyang Xianghuo disease in The Yellow Emperor's Inner Classic is broader,and the Shaoyang disease in Treatise on Cold Damage is more refined and auspicious,but it still falls within the category of Shaoyang Xianghuo disease in The Yellow Emperor's Inner Classic.And it discusses the differentiation of Shaoyang disease based on the qi transformation theory of five yun and six qi,and proposes that Shaoyang disease can be divided into meridian syndrome,visceral syndrome,heat transformation syndrome,and cold transformation syndrome.Abnormal qi transformation of the Shaoyang Xianghuo of the heaven and earth can affect the movement of Shaoyang meridian qi in the human body and the movement of the organs connected to it,thus causing Shaoyang disease.The characteristics of the disease vary depending on the combination of the Shaoyang Xianghuo and other Yunqi factors.Abnormality in the body's Shaoyang Xianghuo qi transformation often causes abnormal transformation of Taiyin,Yangming,Shaoyin,and other factors.Shaoyang disease is mostly characterized by fire heat,dampness heat,and excess syndrome,as well as concurrent cold transformation,mixed cold and heat,and deficiency syndrome.The disease is mostly located in the Shaoyang meridian and its affiliated organs.Shaoyang disease often occurs in combination with the meridian syndrome and the visceral syndrome,and is prone to qi stagnation and fire transformation.It fights with the Yangming dry gold,Taiyin damp soil,and Shaoyin monarch fire,resulting in the production of phlegm

关 键 词：少阳病 少阳相火 黄帝内经 伤寒论 五运六气 气化 

分 类 号：R226[医药卫生—中医基础理论]