《伤寒论》“正虚”内因观探析  

Analysis of Internal Etiology of Insufficient Righteousness in Shanghanlun

作　　者：刘庚鑫 张格第 晏子友[2] LIU Gengxin;ZHANG Gedi;YAN Ziyou(Jiangxi University of Chinese Medicine,Nanchang 330004,Jiangxi,China;Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330000,Jiangxi,China)

机构地区：[1]江西中医药大学,江西南昌330004 [2]江西中医药大学附属医院,江西南昌330000

出　　处：《辽宁中医杂志》2024年第11期37-40,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82260908)。

摘　　要：《伤寒论》一书的病因思想不同于现代狭义的“致病因素”,而是承自《黄帝内经》“正虚邪客”的发病通则,具有内外相参,整体联系的特点。该文从“正虚”角度,探析了张仲景的内因观及其在《伤寒论》六经病理体系的体现,首从阴阳、气血、表里三端概述六经发病正气亏虚之大体,认为“正虚”是六经病传化、预后的主要内因,并阐明了经方论治中祛邪兼以护正原则,攻邪法之治禁原则等皆源于张仲景对“正虚”内因的注重。以期通过该文之研究,更全面地彰示《伤寒论》之病因与发病规律内涵及临床应用价值,有助于伤寒学之争鸣与发展。The etiological thought of is Shanghanlun different from the modern narrow sense of“pathogenic factors”,but is inherited from general principles of pathogenesis which is vital Qi deficiency and evils attacking in Huangdi Neijing,which have the characteristics of internal and external participation and overall connection.From the perspective of“vital Qi deficiency”,this paper analyzed ZHANG Zhongjing′s view of internal causes and its embodiment in the pathological system of six meridians disease in Shanghanlun.First,it outlined the general principles of six meridians diseases from Yin and Yang,Qi and blood,and the interior and the exterior.It is believed that“vital Qi deficiency”is the main internal cause of the transmission and prognosis of six meridians diseases and it clarified the principle of dispelling evil while protecting vital Qi of classical prescription theory and the principle of attacking evils derived from ZHANG Zhongjing′s attention to the internal causes of“vital Qi deficiency”.It is hoped that through the research of this article,the etiology and pathogenesis,the connotation and clinical application value of Shanghanlun would be more comprehensively demonstrated,and it would contribute to the controversy and development of the theory on exogenous febrile disease.

关 键 词：伤寒论 张仲景 正气亏虚 病因 六经病 

分 类 号：R222[医药卫生—中医基础理论]