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从《温热经纬》探析温热病伤阴中医病机

Analysis of Traditional Chinese Medicine Pathogenesis of Yin Injury in Warm-Heat Diseases from the Perspective of Wen Re Jing Wei
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摘要 王士雄是中国近代颇具影响力的温病理论学者,其编纂的《温热经纬》汇集了清代关于温病学说的精髓,集中体现了当时医学界对温病理论的学术观点。通过对《温热经纬》中有关温热疾病导致阴液损伤的论述进行系统梳理,阐明温热疾病损害人体阴液的中医病机,这些病机涉及:温热燥邪,直伤脏腑阴液;通过脏腑联系,间接伤阴;失治误治,误伤阴液;少阴伏寒,化热伤阴;素体阴虚,外受温邪,更伤阴液。 WANG Shixiong was a highly influential scholar in warm-heat disease theory in modern Chinese history.His compiled work,Wen Re Jing Wei(Warp and Woof of Warm-Heat Diseases),assembles the essence of warm-heat disease doctrine in the Qing Dynasty and reflects the academic perspectives of the traditional Chinese medicine(TCM)practitioners at that time on warm-heat disease theory.Through a systematic review of the discussions in Wen Re Jing Wei on yin-fluid injury caused by warm-heat diseases,this article elucidates the TCM pathogenesis of how warm-heat diseases damage human yin fluids.These pathogenetic mechanisms include:warm-heat and dryness pathogens directly damaging the yin fluid of the zang-fu organs;indirect damage to yin through interconnections between zang-fu organs;damage to yin fluid due to mistreatment or erroneous therapies;latent cold in the Shaoyin transforming into heat and injuring yin;and constitutional yin deficiency being further affected by external warm pathogens,thereby exacerbating yin fluid injury.
作者 陈思曌 曲振 陈俊榕 孙志佳 CHEN Sizhao;QU Zhen;CHEN Junrong;SUN Zhijia(The Third Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510380,China)
出处 《新中医》 2025年第22期175-178,共4页 New Chinese Medicine
基金 数字中医药文化研究与传播创新重点实验室2022-2023年度中医药文化研究与传播创新专项课题(SSZ202213) 全国中医药高等教育“十四五”规划2021年度教育科研课题(ZC-20-04) 中医药高等教育学会临床教育研究会临床教学科学研究课题(2021-010) 广东省中医药局中医药科研项目(科研平台专项)立项项目(20254082)。
关键词 《温热经纬》 王士雄 热病伤阴证 中医病机 Wen Re Jing Wei WANG Shixiong Yin injury syndrome in warm-heat diseases Traditional Chinese medicine pathogenesis
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