《黄帝内经》疾病预测理论研究
发布时间：2018-07-25 07:14
【摘要】：疾病预测是中医学的固有部分,历史上常以能准确的预测疾病作为医者医术高明的指征。在实际生活中,准确的预测疾病可以为有效的预防争取时机,有目的地规避不利因素,从而减轻疾病带来的痛苦和损失。尤其是准确的传染病预测,可以有效避免社会财富的损失,其价值尤为重大。《黄帝内经》作为中医学的重要典籍,记载了大量与疾病预测相关的文献,是我们研究中医疾病预测的理论和方法的第一手资料。研究《黄帝内经》的疾病预测理论,有助于我们继承古人在疾病预测领域的成就,理解古人的思维方法,继而为现代的疾病预测提供材料和思路。与现代的数据研究的方法相结合,还有助于验证《黄帝内经》疾病预测理论的科学性,发现其中的新价值,解决中医理论中存在的旧问题。本论文从文献、理论和数据验证三个方面对《黄帝内经》记载的疾病预测理论进行了探讨。第一部分文献研究,对《黄帝内经》中丰富的疾病预测内容进行了整理。文章从预测的思维方法和预测的内容两个方面进行了文献整理。从思维方法的角度,可以归纳出常态预测、异态预测、占卜预测和运气预测四方面的内容;从预测的内容上可以归纳出疾病发生的预测、疾病转归的预测和死亡预测三个部分,并且根据预测所针对的对象可以分为群体性的预测和个体性的预测。在正文部分以"提要"的形式进行了阐述,完整的文献见于附录部分。第二部分是理论研究,探讨了《黄帝内经》疾病预测的理论依据和思维方法,总结出气主论和周期论两个主要的理论依据。《黄帝内经》的疾病预测建立在气主论的思想基础之上,其疾病预测的基本思路是通过推算气的属性、作用,然后依据气与形的依存关系,做出相应的预测。推算气的属性和作用是疾病预测的关键步骤。阴阳(包括三阴三阳)和五行是把握气的属性的理论工具,阴阳的消长变化、五行的生克制化是气之间相互作用的主要形式。周期论是气主论的深化和演绎,气的周期性运动造成了万物循环往复的变化。《黄帝内经》论述的周期包含自然界的周期和人体的周期,人体的周期也可以称之为"生物节律",两者往往同步,这体现了中医"天人合一"的思想。对于疾病来说,它同时受到多种自然周期和人体生物节律的影响,理想情况下的疾病预测是将所有的周期性因素均考虑进来,但实际上不可能也没必要,只需要根据疾病的特点,将关系密切的因素考虑进来就可以达到预测的目的。寻找与具体疾病显著相关的周期性因素是当代中医疾病预测的重要研究内容。《黄帝内经》中运用了日周期、10日周期、月周期、年周期、60年周期等多种周期进行了预测,但每一种周期的论述都是单独开展的,应用中应当综合运用各种规律。理论部分还对《黄帝内经》中的占卜预测进行了整理,《九宫八风》建立了一个通过观察风向来预测疾病的模型,属于古代式占的范畴,《岁露论》中对这一模型进行了补充和完善。占卜预测也体现了气主论和周期论的思想。第三部分是数据研究,包括两个小节。第一小节是历史上流感大流行的运气学分析,结果发现历史上5次世界范围的流感大流行均具有运气同化的背景(1918年、1968年运气同化为火,1957年运气同化为金,1977年运气同化为木,2009年运气同化为土),这个结果提示运气同化是流感最大规模流行的一个必要而不充分条件。第二小节是北京地区46年流感流行的数据研究,研究发现属火之主气和主运是流感的抑制因素,属水之主气和主运是流感的促进因素,属火之客运是非季节性流感(冬季之外的流感)的抑制因素,同时是季节性流感的促进因素,太阴之客气是非季节性流感的抑制因素——流感是禀"水"气而生的传染病,影响"水"的气机的因素会抑制流感的发生。研究还发现,某一时刻下,客气和客运的关系对流感的发生有所影响,"客运生客气"和"客运客气相同"这两种运气条件是流感月发生的抑制因素,"客气生客运"和"客气克客运"的运气条件是流感月发生的促进因素。关于流感的的数据研究体现出《黄帝内经》的疾病预测理论具有重要价值,也反映了气主论和周期论指导下的疾病预测有一定的现实意义。
[Abstract]:Disease prediction is an inherent part of traditional Chinese medicine. Historically, it is often used to accurately predict disease as an indication of medical skill. In real life, accurate prediction of disease can effectively prevent and avoid adverse factors, and thus reduce the pain and loss caused by the disease, especially the accurate prediction of infectious diseases. It can effectively avoid the loss of social wealth, which is of great value. "Huangdi Neijing", as an important book of traditional Chinese medicine, records a large number of literature related to the prediction of disease. It is the first hand of the theory and method of the study of the prediction of the disease of traditional Chinese medicine. The achievements in the field of disease prediction, the understanding of the way of thinking of the ancients, and then the materials and ideas for the prediction of modern disease. Combined with the modern data research method, it is also helpful to verify the scientific nature of the theory of the prediction of the Yellow Emperor's internal classics, find the new value and solve the old problems in the Chinese medical theory. The theory of disease prediction recorded in Huangdi Nei Jing was discussed in three aspects. The first part of the literature study, the content of the rich disease prediction in the Huangdi Neijing was sorted. The article collated the literature from the two aspects of the thinking method and the content of the prediction. The content of four aspects: normal prediction, heteromorphic prediction, divination prediction and luck prediction; from the content of the prediction, the prediction of the occurrence of disease, the prediction of the prognosis of the disease and the prediction of death can be divided into three parts, and the target of the prediction can be divided into group pretest and individual prediction. The second part is the theoretical study, the theoretical basis and the thinking method of the disease prediction of the Huangdi Neijing, and the two main theoretical bases of the gas main theory and the periodic theory. The disease prediction of the Huangdi Neijing is based on the ideology of the Qi main theory and the basis of its disease prediction. This idea is to calculate the attribute and function of gas, and then make the corresponding prediction according to the dependence of gas and shape. Calculation of the attribute and function of gas is the key step of the disease prediction. Yin and Yang (including three yin and three yang) and five lines are the theoretical tools to grasp the property of the gas, the change of yin and Yang, and the five rows of production and restraint is the interaction between Qi and Qi. The periodic theory is the deepening and deduction of the theory of Qi. The periodic movement of Qi has caused the change of all things in the circle. The period of the Yellow Emperor's internal classics includes the cycle of the nature and the cycle of the human body, and the cycle of the human body can also be called the "biological rhythm", and the two often synchronize, which embodies the thought of the "harmony of heaven and man" in traditional Chinese medicine. For disease, it is affected by a variety of natural cycles and human biological rhythms. The ideal condition for disease prediction is to take all the cyclical factors into consideration, but in fact, it is not possible and unnecessary. Only according to the characteristics of the disease, a close relation of factors can be taken into consideration. The periodic factors which are closely related to the specific diseases are the important research contents of the disease prediction in Contemporary Chinese medicine. In the Yellow Emperor's internal classics, the periodicity, the 10 day period, the monthly cycle, the annual cycle and the 60 year cycle have been predicted, but each period is carried out separately, and the various laws should be used in the application. In addition, the prediction of the divination in the Huangdi Nei Jing was also arranged, and the model of the prediction of the disease by observing the wind direction was established, which belonged to the category of ancient occupation. The model was supplemented and perfected in "the old theory of age". The prediction of divination also reflected the thought of the theory of Qi and the theory of periodicity. The third part was the data study, It includes two sections. The first section is the historical analysis of the historical influenza pandemic. The results found that the 5 worldwide influenza pandemic has the background of the assimilation of luck (1918, 1968 luck assimilation fire, 1957 luck assimilation gold, 1977 luck assimilating wood, 2009 luck assimilating soil). Gas assimilation is a necessary and inadequate condition for the largest pandemic of influenza. The second section is a data study of the influenza epidemic in Beijing for 46 years. It is found that the main gas and main transport of the fire are the restraining factors of influenza. The restraining factors, as well as the promotive factors of seasonal influenza, are the factors that inhibit the non seasonal influenza, the flu is an infectious disease with "water" gas, and the factors affecting the "water" air engine will inhibit the occurrence of influenza. The two kinds of luck conditions are the restraining factors of the month of influenza. The luck condition of the passenger transport and the passenger transport is the factor of promoting the flu month. The research on the influenza's data shows that the theory of disease prediction of the Huangdi Neijing is of great value, and it also reflects the theory of Qi and the Zhou Zhou. The prediction of disease under the guidance of the theory of phase has certain practical significance.
【学位授予单位】：北京中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R221
本文编号：2143045
[Abstract]:Disease prediction is an inherent part of traditional Chinese medicine. Historically, it is often used to accurately predict disease as an indication of medical skill. In real life, accurate prediction of disease can effectively prevent and avoid adverse factors, and thus reduce the pain and loss caused by the disease, especially the accurate prediction of infectious diseases. It can effectively avoid the loss of social wealth, which is of great value. "Huangdi Neijing", as an important book of traditional Chinese medicine, records a large number of literature related to the prediction of disease. It is the first hand of the theory and method of the study of the prediction of the disease of traditional Chinese medicine. The achievements in the field of disease prediction, the understanding of the way of thinking of the ancients, and then the materials and ideas for the prediction of modern disease. Combined with the modern data research method, it is also helpful to verify the scientific nature of the theory of the prediction of the Yellow Emperor's internal classics, find the new value and solve the old problems in the Chinese medical theory. The theory of disease prediction recorded in Huangdi Nei Jing was discussed in three aspects. The first part of the literature study, the content of the rich disease prediction in the Huangdi Neijing was sorted. The article collated the literature from the two aspects of the thinking method and the content of the prediction. The content of four aspects: normal prediction, heteromorphic prediction, divination prediction and luck prediction; from the content of the prediction, the prediction of the occurrence of disease, the prediction of the prognosis of the disease and the prediction of death can be divided into three parts, and the target of the prediction can be divided into group pretest and individual prediction. The second part is the theoretical study, the theoretical basis and the thinking method of the disease prediction of the Huangdi Neijing, and the two main theoretical bases of the gas main theory and the periodic theory. The disease prediction of the Huangdi Neijing is based on the ideology of the Qi main theory and the basis of its disease prediction. This idea is to calculate the attribute and function of gas, and then make the corresponding prediction according to the dependence of gas and shape. Calculation of the attribute and function of gas is the key step of the disease prediction. Yin and Yang (including three yin and three yang) and five lines are the theoretical tools to grasp the property of the gas, the change of yin and Yang, and the five rows of production and restraint is the interaction between Qi and Qi. The periodic theory is the deepening and deduction of the theory of Qi. The periodic movement of Qi has caused the change of all things in the circle. The period of the Yellow Emperor's internal classics includes the cycle of the nature and the cycle of the human body, and the cycle of the human body can also be called the "biological rhythm", and the two often synchronize, which embodies the thought of the "harmony of heaven and man" in traditional Chinese medicine. For disease, it is affected by a variety of natural cycles and human biological rhythms. The ideal condition for disease prediction is to take all the cyclical factors into consideration, but in fact, it is not possible and unnecessary. Only according to the characteristics of the disease, a close relation of factors can be taken into consideration. The periodic factors which are closely related to the specific diseases are the important research contents of the disease prediction in Contemporary Chinese medicine. In the Yellow Emperor's internal classics, the periodicity, the 10 day period, the monthly cycle, the annual cycle and the 60 year cycle have been predicted, but each period is carried out separately, and the various laws should be used in the application. In addition, the prediction of the divination in the Huangdi Nei Jing was also arranged, and the model of the prediction of the disease by observing the wind direction was established, which belonged to the category of ancient occupation. The model was supplemented and perfected in "the old theory of age". The prediction of divination also reflected the thought of the theory of Qi and the theory of periodicity. The third part was the data study, It includes two sections. The first section is the historical analysis of the historical influenza pandemic. The results found that the 5 worldwide influenza pandemic has the background of the assimilation of luck (1918, 1968 luck assimilation fire, 1957 luck assimilation gold, 1977 luck assimilating wood, 2009 luck assimilating soil). Gas assimilation is a necessary and inadequate condition for the largest pandemic of influenza. The second section is a data study of the influenza epidemic in Beijing for 46 years. It is found that the main gas and main transport of the fire are the restraining factors of influenza. The restraining factors, as well as the promotive factors of seasonal influenza, are the factors that inhibit the non seasonal influenza, the flu is an infectious disease with "water" gas, and the factors affecting the "water" air engine will inhibit the occurrence of influenza. The two kinds of luck conditions are the restraining factors of the month of influenza. The luck condition of the passenger transport and the passenger transport is the factor of promoting the flu month. The research on the influenza's data shows that the theory of disease prediction of the Huangdi Neijing is of great value, and it also reflects the theory of Qi and the Zhou Zhou. The prediction of disease under the guidance of the theory of phase has certain practical significance.
【学位授予单位】：北京中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R221
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