从天人合一论太阳中风与伤寒之异同  

Discussion on the Similarities and Differences between Taiyang Wind-stroke and Taiyang Cold Damage from the Perspective of the Unity of Heaven and Man

作　　者：王惠平 李书成 方晗语 魏玉龙[1] WANG Huiping;LI Shucheng;FANG Hanyu;WEI Yulong(School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 102488,China;Zhongjing College,Henan University of Chinese Medicine,Zhengzhou Henan 450046,China;Beijing University of Chinese Medicine,Beijing 100029,China;National Medical Respiratory Center,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]北京中医药大学针灸推拿学院,北京102488 [2]河南中医药大学仲景学院,河南郑州450046 [3]北京中医药大学,北京100029 [4]中日友好医院国家医学呼吸中心,北京100029

出　　处：《中医药导报》2025年第2期184-187,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(82074514)。

摘　　要：太阳中风、伤寒是在感受寒邪之后表现为性质和症状不同的太阳病的两种基本证型,要充分认识两者的差异,需将其纳入天人合一的视角下。本文通过《伤寒论》天人合一思想对太阳中风和伤寒进行剖析,以《黄帝内经》所载的寒暑观为引,认为中风和伤寒的发病时间因四时节气而定,而症状表现则因外界的寒暑而产生发热汗出和恶寒无汗之不同,其病机本质由阴阳气机升降所决定,内外气机相互推动进而呈现出太阳中风和伤寒两种发病过程。The conditions of Taiyang wind-stroke and Taiyang cold damage are two fundamental patterns of Taiyang diseases,which present different characteristics and symptoms after being affected by cold pathogens.To fully understand the differences between these two conditions,it is essential to view them through the perspective of the unity of heaven and man.This article analyzes Taiyang wind-stroke and Taiyang cold damage from the viewpoint of the unity of heaven and man as presented in Shang Han Lun,using the concept of cold and heat from Huangdi Neijing as a reference.It posits that the timing of the onset of wind-stroke and cold damage is determined by the four seasons and solar terms,while the symptomatic manifestations vary due to external cold and heat,leading to different presentations such as fever with sweating and aversion to cold without sweating.The underlying pathogenesis is determined by the ascending and descending of Yin and Yang energies,and the disease process is characterized by the interplay of internal and external energies,resulting in the distinct clinical courses of Taiyang wind-stroke and Taiyang cold damage.

关 键 词：太阳中风 太阳伤寒 气机 差异 天人合一 

分 类 号：R222[医药卫生—中医基础理论]