《黄帝内经》疝病的病因病机探析
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摘要
疝之病名早在《汉书·艺文志》中便有提及,在《黄帝内经》中也有近20篇论及疝病。但由于论述较为杂乱,以致后世对疝病的认识诊治不一,证名繁多。但若仔细梳理《黄帝内经》原文,则可发现疝病其特点为:疝之为病,病位多在肝肾二经;疝病病机主要有二,一是气乱而内结,二是寒邪凝滞。因此,治疗疝病应益火之源、调补肝肾,或疏肝理气,或温里散寒、行气除湿。
Hernia's name was recorded as early as in Hanshu Yiwenzhi,and also in Huangdi Neijing,there are nearly 20 articles about the disease. Because the discussions were very messy,they have resulted in different understandings,diagnoses and therapies to hernia in later generations. However,if carefully combing the original text of Huangdi Neijing,the characteristics of hernia can be found as follows: the locations of hernia are commonly in the liver meridian and kidney meridian. There are two main pathogeneses of hernia,one is qi derangement resulting in internal stagnation,and another is cold congealing. Therefore the therapeutic methods for hernia should include replenishing fire origin,and regulating and tonifying liver and kidney,or soothing liver and regulating qi,or warming the interior and dissipating cold,and moving qi and eliminating dampness.
Hernia's name was recorded as early as in Hanshu Yiwenzhi,and also in Huangdi Neijing,there are nearly 20 articles about the disease. Because the discussions were very messy,they have resulted in different understandings,diagnoses and therapies to hernia in later generations. However,if carefully combing the original text of Huangdi Neijing,the characteristics of hernia can be found as follows: the locations of hernia are commonly in the liver meridian and kidney meridian. There are two main pathogeneses of hernia,one is qi derangement resulting in internal stagnation,and another is cold congealing. Therefore the therapeutic methods for hernia should include replenishing fire origin,and regulating and tonifying liver and kidney,or soothing liver and regulating qi,or warming the interior and dissipating cold,and moving qi and eliminating dampness.
引文
[1]朱星,王明强.金元四大家对疝气的认识[J].吉林中医药,2012,32(02):111-112.
[2]岳广欣,陈家旭,王竹风.肝主疏泄的生理学基础探讨[J].北京中医药大学学报,2005,28(2):1-4.
[3]张庆祥.论《内经》“百病皆生于气”的内涵及其临床意义[J].山东中医药大学学报,2013,37(2):141-142.
[4]冯兴中,王永炎.论“百病生于气也”[J].北京中医药大学学报,2014,37(1):5-14.
[5]张晨.中医病因之“寒”的概念分类与辨析[J].中国中医基础医学杂志,2011,17(4):355-356.
[6]刘国胜.对《素问·举痛论》寒邪致痛的认识[J].天津中医药,2007,24(6):497-498.
[7]侯勇谋,张国泰,赵法新,等.张子和论治疝病浅析[J].中国中医基础医学杂志,2001,7(7):551-552.
[8]易瑶玲.“寒疝”治验1则[J].中医杂志,2010,51(2):148.
[9]蒋健.消疝汤治疗成人疝气[J].中华中医药杂志,2015,30(11):3933-3936.
[2]岳广欣,陈家旭,王竹风.肝主疏泄的生理学基础探讨[J].北京中医药大学学报,2005,28(2):1-4.
[3]张庆祥.论《内经》“百病皆生于气”的内涵及其临床意义[J].山东中医药大学学报,2013,37(2):141-142.
[4]冯兴中,王永炎.论“百病生于气也”[J].北京中医药大学学报,2014,37(1):5-14.
[5]张晨.中医病因之“寒”的概念分类与辨析[J].中国中医基础医学杂志,2011,17(4):355-356.
[6]刘国胜.对《素问·举痛论》寒邪致痛的认识[J].天津中医药,2007,24(6):497-498.
[7]侯勇谋,张国泰,赵法新,等.张子和论治疝病浅析[J].中国中医基础医学杂志,2001,7(7):551-552.
[8]易瑶玲.“寒疝”治验1则[J].中医杂志,2010,51(2):148.
[9]蒋健.消疝汤治疗成人疝气[J].中华中医药杂志,2015,30(11):3933-3936.