摘要
通过梳理《黄帝内经》散见于各章节中有关湿热证的内容,认为病因上,《黄帝内经》对湿热证病因记载了感受湿热(暑湿)之邪、感受湿邪蕴而化热、水谷内蕴以及脏腑功能紊乱引起的内生湿热四种情况;病机上,"诸转反戾,水液浑浊,皆属于热""诸呕吐酸,暴注下迫,皆属于热"蕴含着湿热证的病机;治则治法上,"开鬼门、洁净府"的治则为后世薛生白湿热在表用六一散加薄荷发汗和叶天士"通阳不在温,而在利小便"的思路奠定了基础;方药上,治疗湿热证的泽泻汤和兰草汤后世所借鉴。
By sorting out the contents of damp-heat syndrome scattered in various chapters in Huangdi Neijing, it is considered that the etiology of damp-heat syndrome in Huangdi Neijing records four kinds of conditions: the pathogenic factors of feeling damp-heat(summer-dampness), the pathogenic factors of feeling damp-heat, the pathogenic factors of removing heat from damp-heat accumulation, the inner contents of water valley and the endogenous damp-heat caused by the disorder of viscera function. The pathogenesis of damp-heat syndrome is contained in "all kinds of vomiting acid, forced by heavy injection". The treatment principle of "opening ghost gates and cleaning house" is that XUE Shengbai’s damp-heat is sweating on the surface with Liuyi dispersions of peppermint and YE Tianshi’s thought of "Tongyang is not warm, but urination is beneficial". Zexie decoction and Lancao decoction for the treatment of damp-heat syndrome can be used for reference by later generations.
作者
李耀辉
许建秦
LI Yaohui;XU Jianqin(Shaanxi Institute of Traditional Chinese Medicine,Shaanxi Hospital of Traditional Chinese Medicine,Xi’an 710000,China)
出处
《吉林中医药》
2020年第10期1286-1288,共3页
Jilin Journal of Chinese Medicine
基金
国家重点研发计划(2018YFC1704201)。
关键词
《黄帝内经》
湿热证
病机
认识
影响
Huangdi Neijing
damp-heat syndrome
pathogenesis
understanding
influence
