浅论“燥湿同源”理论内涵及其临床应用  

Discussion on the connotation and clinical application of the "homogeny of dryness and dampness"

作　　者：宋振 李崇超[1] SONG Zhen;LI Chongchao(Institute of Literature in Chinese 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

出　　处：《北京中医药大学学报》2024年第7期924-928,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：教育部人文社会科学研究基金项目(No.23YJA720006)。

摘　　要：在中医学理论体系中,“同源”学说内容丰富,历代医家多有论述,诸如“肝肾同源”“血水同源”“营卫同源”等。其中,燥与湿两者在中医学理论中关系尤为密切,诸多现代疾病的发病均与两者相关,因此,全面理解燥与湿的关系在临床实践中具有重要意义。本文深入梳理相关文献,从《黄帝内经》等经典著作中挖掘“燥湿同源”的理论依据,认为该理论的核心内涵包括“燥可生湿”与“湿可化燥”2个方面。在临床实践中,医者需灵活运用此理论,既要见燥防湿,又要遇湿防燥。针对以湿或燥为主要特征的疾病,医者从湿与燥的同源性、共存性及相互转化的角度进行辨证和治疗。这一理论不仅深化了对中医病因病机的认识,也为现代临床实践提供了有力的理论指导。随着对“燥湿同源”理论研究的深入,其在现代临床中的应用价值将愈发突显。In the theoretical system of traditional Chinese medicine(TCM),the theory of "homogeny" is rich in content and has been extensively discussed by medical scholars throughout history.Various relationships,such as "homogeny of liver and kidney","homogeny of blood and water",and "homology of ying and wei",have been explored.One relationship that is particularly relevant to the theoretical system of TCM is the connection between dryness and dampness,which is associated with the pathogenesis of many modern diseases.Understanding the relationship between dryness and dampness is crucial in clinical practice.This article examines relevant literature,including classic works like the Huangdi Neijing to explore the theoretical basis for the concept of "homogeny of dryness and dampness".The core connotation of this theory includes the ideas that dryness can generate dampness and dampness can transform into dryness.In clinical practice,it is important for doctors to apply this theory flexibly,addressing dampness when dryness is present and vice versa.For diseases characterized by dampness or dryness pathogens,doctors should consider the coexistence,homology,and mutual transformation of dampness and dryness when conducting syndrome differentiation and treatment.The theory of "homogeny of dryness and dampness" not only enhances the understanding of the etiology and pathogenesis of TCM,but also provides valuable theoretical guidance for modern clinical practice.Further research on this theory will continue to highlight its value in modern clinical applications.

关 键 词：“同源”学说 燥湿同源 理论依据 内涵 临床应用 

分 类 号：R221[医药卫生—中医基础理论]