基于“气血水”学说探析《腹证奇览(全)》腹证  

Analysis of abdominal syndromes in Japanese book Fukusho⁃Kiran(Complete)based on the theory of qi,blood and fluids

作　　者：李敏 王小荣 刘洪颖 李凤 马秀兰 黄振海 LI Min;WANG Xiaorong;LIU Hongying;LI Feng;MA Xiulan;HUANG Zhenhai(Gansu University of Traditional Chinese Medicine,Lanzhou,Gansu 730000,China)

机构地区：[1]甘肃中医药大学基础医学院,甘肃兰州730000

出　　处：《上海中医药杂志》2024年第9期32-35,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81360556);国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函〔2022〕239号);敦煌医学与转化教育部重点实验室项目(DHYX19-02);甘肃中医药大学“岐黄英才”导师专项基金项目(2022-14)。

摘　　要：气、血、水是人体生命活动的基础物质,正常循环时可荣养全身,病理状态下停滞而成“毒”。腹证乃疾病发展中的重要征象,《腹证奇览(全)》为日本伤寒派腹诊集大成之巨著。为增强腹证与经方间的衔接性,以“气血水”学说辨析书中各类腹证得出:胸胁部、腹部腹证以气毒、水毒所致者为主;少腹部腹证成因以血毒、水毒更为多见。Qi,blood and fluids are fundamental substances vital for human life activities,nourishing the body when circulating normally but becoming toxins when stagnation occurs in pathological states.Abdominal syndromes are critical indicators in the progression of diseases.Fukusho-Kiran(The Complete Medical Book Focusing on Abdominal Palpation)is a seminal work within the Japanese Shanghan(cold damage)school's tradition of abdominal diagnosis,covering extensive knowledge to enhance the integration of abdominal syndromes with Jingfang(classic formulas).Based on the theory of qi,blood and fluids,the analysis of various abdominal syndromes in Fukusho-Kirans reveals that those affecting the chest,flank,and abdomen predominantly involve qi toxins and fluid toxins,while syndromes in the lower abdomen are more often associated with blood toxins and fluid toxins.

关 键 词：《伤寒论》 腹诊 腹证 经方中医药理论 

分 类 号：R241.26[医药卫生—中医诊断学]