基于中医状态学的《素问玄机原病式》“热结”理论探微  

Exploration on the theory of‘heat stagnation'in Plain Questions Mystery Original based on the state theory of traditional Chinese medicine

作　　者：任朝莹 杨朝阳[2] 李灿东 REN Zhaoying;YANG Zhaoyang;LI Candong(School of Basic Medical Sciences,Guangzhou University of Chinese Medicine,Guangzhou 510006,China;School of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China)

机构地区：[1]广州中医药大学基础医学院,广州510006 [2]福建中医药大学中医学院,福州350122

出　　处：《中华中医药杂志》2024年第3期1102-1106,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金海峡联合基金项目(No.U1705286);福建中医药大学横项科研项目(No.HX2022012)。

摘　　要：通过对刘完素《素问玄机原病式》进行溯源,强调“结”类疾病的“热结”状态,并进行理论分析。“结”类疾病病性各异,但其邪正交争的极期或病情发展危重阶段常呈现火热之象,是此类疾病的重要转折点。文章从刘完素火热论出发,从“六气皆从火化”“五志过极皆为火”病机变化承古创新,融合中医状态学相关理论,探索“热结”状态特点、要素及病机变化,从辨“态”论治、防止误诊误治和对“热结”状态的治未病预防进行临床意义阐释,以期更好地理解中医经典中的理论内涵,准确探索疾病防治规律。From re-exploration to the book of Plain Questions Mystery Original which composed by LIU Wansu,theoretical analysis of‘heat stagnation'state in knot type diseases were emphasized.Knot type diseases had vary characteristics,but in their critical stages or dangerous period of pathogenesis development,heat signs were always appeared,which was an important turning point in such diseases.Based on LIU Wansu's fire and heat theory,this article made the exploration and innovation from the combination to the pathogenesis changes of‘six qi will developed into heat'and five extreme emotions are all lead to fire syndrome'with the state theory of traditional Chinese medicine,characteristics,elements,pathogenesis changes of heat stagnation'were explored,then gave the clinical meaning explanation from the state differentiation treatment,misdiagnosis and mistreatment and disease preventive theory,which hoping to better understand the theoretical connotations in traditional Chinese medicine classics and accurately explore the laws of disease prevention and treatment.

关 键 词：热结 中医状态学 “热结”状态 

分 类 号：R228[医药卫生—中医基础理论]