“主客交”“主客浑受”理论内涵探析  

Analysis of the Theoretical Connotation of"Interaction between Host and Guest"and"Muddy between Host and Guest"

作　　者：李威 岳冬辉[1] LI Wei;YUE Donghui(College of Basic Medicine,Changchun University of Traditional Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学基础医学院,长春130117

出　　处：《中国中医基础医学杂志》2024年第12期1989-1992,共4页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：国家自然科学基金项目(81302947);吉林省科技厅中青年科技创新卓越人才专项(20210509004RQ);吉林省自然科学基金面上项目(YDZJ202201ZYTS174)。

摘　　要：“主客交”理论出自吴又可《温疫论》,后世医家薛生白在其启发下提出了“主客浑受”理论,在形成上皆因正气亏虚、气血困顿,正气与客邪胶锢于血脉,用药上运用灵动攻走之物消除血脉之痼疾。但二者各有不同,吴氏认为“主客交”病机为邪火独存,胶锢客邪于十二经之血脉,病位在表,用药在消瘀剔邪的基础上,更注重补益人体气血偏虚;而薛氏继承了吴氏对于“主客交”理论内涵的认识,将“主客交”由疫病扩大到湿热性质疾病,认为“主客浑受”为脾虚复感湿热之邪,继而邪气深入厥阴血脉,病位在里,用药注重化瘀通络,更针对厥阴血脉瘀结之证。The theory of"Interaction between Host and Guest"originated from Wu Youke's Wen Yi Lun.Inspired by it,later medical scholar Xue Shengbai proposed the theory of"Muddy between Host and Guest",which was formed due to the deficiency of healthy Qi and the stagnation of Qi and blood.The healthy Qi and guest evil were glued to the blood vessels,and the use of agile attacking substances in medication eliminated the obstruction of blood vessels.But the two have their own differences.Wu believes that the evil fire of"Interaction between Host and Guest"only exists in the blood vessels of the twelve meridians,and the disease is located on the surface.Medication is based on the elimination of blood stasis and evil,and pays more attention to tonifying the deficiency of Qi and blood in the human body.Xue inherited Wu's understanding of the theoretical connotation of"Interaction between Host and Guest"expanding it from an epidemic to a damp heat disease.He believed that"Muddy between Host and Guest"was due to spleen deficiency and the deepening of dampness heat in the Jueyin meridian.The disease was located inside,and medication focused on resolving blood stasis and unblocking collaterals,especially targeting the syndrome of Jueyin meridian stasis.

关 键 词：主客交 主客浑受 吴又可 薛生白 三甲散 

分 类 号：R229[医药卫生—中医基础理论]