追流溯源简析“内风”  

A Brief Exploration of Endogenous Wind (内风) by Tracing Its Origin and Development

作　　者：邱小金 李敏[2] 于斐 束睿莹 丁丹丹[2] QIU Xiaojin;LI Min;YU Fei;SHU Ruiying;DING Dandan(Beijing University of Chinese Medicine,Beijing,100029;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University)

机构地区：[1]北京中医药大学,北京市100029 [2]首都医科大学附属北京中医医院

出　　处：《中医杂志》2025年第2期197-200,共4页Journal of Traditional Chinese Medicine

基　　金：北京中医药薪火传承“新3+3”工程(京中医科字[2023]126号);国家中医药管理局全国中医临床优秀人才研修项目(国中医药办人教函[2021]271号)。

摘　　要：以时间为线索,基于病证、病因、病机等方面的发展,对内风的历史源流进行梳理,并对其内涵进行挖掘。认为风证之说起源于《黄帝内经》,包括内风证和外风证。外风证在发展中逐渐被分为轻证与重证,而内风证则脱胎于外风重证,具有病证、病邪两种属性,其理论体系渐趋完善。在古今医家各学说基础上,结合整体观及象思维,提出内风有生理与病理之别。生理之内风为肝的疏泄正常,以敷布气血津液;而病理之内风则为肝的疏泄失常,临床可根据病机虚实之不同施以滋补、疏通、清降、温化等不同治法。The historical development of endogenous wind(内风)is traced with time as the thread,based on the progression of factors such as syndromes,causes of disease,and pathogenesis.It is believed that the concept of wind syndrome originated in The Inner Canon of Yellow Emperor(《黄帝内经》),encompassing both exogenous wind(外风)and endogenous wind syndrome.Over time,exogenous wind syndrome gradually evolved into mild syndromes and severe syndromes,while endogenous wind syndrome emerged from severe syndromes of exogenous wind.Endogenous wind syndrome has both syndrome and pathogenic attributes,and its theoretical system has gradually become more refined.Based on the theories of ancient and modern medical practitioners,and combining the holistic perspectives with Xiang(象)thinking,it is proposed that endogenous wind has both physiological and pathological distinctions.The physiological endogenous wind refers to the liver's moderate dispersing and regulating function,which helps to distribute qi(气),blood,and body fluids,while pathological endogenous wind arises from abnormal liver dispersal.Therefore,in clinical practice,different treatment methods,such as tonifying,unblocking,and warming,can be applied according to the differentiation of deficiency and excess in the pathogenesis.

关 键 词：内风 外风 历史源流 疏泄 

分 类 号：R242[医药卫生—中医临床基础]