基于《黄帝内经》“五脏五臭”理论的嗅觉障碍病机探讨  

Discussion on the pathogenesis of olfactory dysfunction based on‘five Zang five Xiu'theory recorded in Huangdi Neijing

作　　者：晋瑜霞 晋献春 李全鑫 杜旭勤 张希 黄学宽 JIN Yuxia;JIN Xianchun;LI Quanxin;DU Xuqin;ZHANG Xi;HUANG Xuekuan(Chongqing College of Tradional Chinese Medicine,Chongqing 402760,China;Chongqing Traditional Chinese Medicine Hospital,Chongqing 400021,China;The Second Affliated Hospital of Army Medical University,Chongqing 400037,China)

机构地区：[1]重庆中医药学院,重庆402760 [2]重庆市中医院,重庆400021 [3]重庆市陆军军医大学第二附属医院,重庆400037

出　　处：《中华中医药杂志》2024年第9期4718-4721,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：重庆市中医药发展专项(重庆市名中医工作室建设,晋献春名医工作室)。

摘　　要：嗅觉障碍是对气味感知异常的一种疾病,目前其相关研究较少,中医也缺乏对此病的认识。笔者从《黄帝内经》“五脏五臭”理论出发,通过梳理历代古籍文献,提出嗅觉产生与宗气上达和“心主臭”相关,而辨别气味不同则是因为“五脏之气”不同。并根据《黄帝内经》中“五脏五臭”的相关论述及历代医家对其经文的阐释,进一步提出嗅觉障碍的病机可能为宗气不能上达,或心肺有病,或脏腑病变导致鼻闻病变脏腑所主之气。Olfactory dysfunction is a disease of abnormal perception of smell.There are few related studies on it,and there is a lack of understanding of this disease in traditional Chinese medicine.We performed literature study about olfactory dysfunction based on the theory of five Zang five Xiu'in Huangdi Neijing and puts forward that the generation of smell is related to the Zongqi and the heart,while the difference in distinguishing smell is due to the difference in‘qi of five Zang'.According to the relevant elaboration,we present the pathogenesis of olfactory dysfunction may be that Zongqi cannot be reached,or the heart and lungs are sick,or the diseases of viscera cause the nose to smell the qi dominated by the diseased viscera.

关 键 词：嗅觉障碍 五脏五臭 宗气 《黄帝内经》 《难经》 

分 类 号：R276.1[医药卫生—中医五官科学]