摘要
基于文献研究,结合临床实际和理论研究,推断"湿胜则濡"较"湿胜则濡泻"更接近《黄帝内经》原貌,同时依据"湿""濡"均含有迟滞缓慢的字义解释,对湿性濡滞的特征以及行气为主的治法特点进行分析,认为"湿胜则濡"是指"迟滞之邪导致迟缓之证"。并通过取象比类法说明"湿"乃证候概念,气滞才是湿邪致病的根源,不能将湿看作是水液代谢失常的病理产物,容易导致"湿性属阴而趋下"、"治湿不远温"或"治湿之法不利小便非其治也"的误解,造成过用温药或利尿药而耗气伤津,并提出"治湿不妄养阴的观点"。以此说明掌握"湿胜则濡"的内在含义具有重要的临床指导意义。
Based on literature review, clinical practice and theoretical research, it is concluded that "湿胜则濡"(literally, excessive dampness causing sluggishness) is more likely to be the original text in Huangdi Neijing(Huangdi’s Internal Classic) than "湿胜则濡泻"(literally, excessive dampness causing diarrhea). At the same time, since both "湿" and "濡" can mean literally sluggishness and slowness, dampness is soggy and stagnant in nature, and it’s treated by promoting the flow of qi, it is concluded that "湿胜则濡" means "pathogenic stagnation leads to the pattern of stagnation". By analogy, it is explained that "湿"(literally, dampness) denotes the concept of pattern while qi stagnation is its root cause. Therefore, dampness cannot be regarded as the pathological product of abnormal metabolism of body fluid because it may easily lead to misunderstandings like "dampness is yin in nature and moves downward", "dampness is often treated with warming method" and "dampness must be treated by promoting urination", which may cause excessive use of medicinal herbs warm in nature or diuretics, leading to consumption of qi and damage to fluid. It is proposed that "dampness should not be treated with unjustifiably nourishing yin". Therefore, it is of great clinical significance to understand the underlying meaning of "湿胜则濡".
作者
贾志新
Jia Zhixin(Shanxi University of Chinese Medicine,Shanxi 030619,China)
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2020年第9期785-788,共4页
Journal of Beijing University of Traditional Chinese Medicine
基金
山西省卫生健康委卫生健康科研项目(No.201601118)。
关键词
湿胜则濡
湿
气滞
行气
养阴
excessive dampness causing sluggishness
dampness
qi stagnation
promoting the circulation of qi
nourishing yin
