《金匮要略》水液代谢异常疾病的研究

发布时间：2017-12-27 19:18

本文关键词：《金匮要略》水液代谢异常疾病的研究　出处：《长春中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：《金匮要略》(以下简称《金匮》)中多篇论述了湿、水、饮所致的疾病。这些疾病相互之间存在着联系,都属于水液代谢异常引起的疾病。纵观《黄帝内经》、,对水液代谢的论述可分为生理和病理两方面。在生理方面,脾、胃、肺、膀胱、三焦等脏腑的功能相互协助共同调节水液代谢的运行。在病理方面,湿邪、饮食不当是导致人体水液代谢发生异常的原因,人体阴阳是否和谐及脏腑功能是否正常决定着人体是否发病。《黄帝内经》中明确提出了风水、涌水、石水、溢饮、水胀、黄疸等水液代谢异常的疾病。《黄帝内经》中关于水液代谢的认识,影响着《金匮》对湿、饮、水所致疾病的认识。《金匮》中虽然没有明确提出水液代谢异常疾病,但综合分析原文不难看出,书中多处论述的疾病是由水液代谢异常引起。外感是导致机体内水液运行输布发生异常的原因。人体感受外邪,机体阴阳不相协调,脏腑功能失常,导致体内水液代谢发生异常而发生病变。根据水液代谢异常疾病的不同病机,而采用汗法、利小便法、攻下逐水法。偏于表、偏于上的水湿之邪,治疗上应该发汗以祛除邪气;偏于里、偏于下的水湿之邪,治疗应该以和法来恢复机体正常功能。《金匮》治疗水液代谢异常疾病时,并不忌讳使用甘草。书中甘草的应用十分有特点。通过研究这些疾病,探索《金匮》水液代谢异常疾病的病因病机、证治及方药,为今后临床治疗开辟新思路。《金匮》中水液代谢异常疾病的认识影响了后世医家。后世医家在对湿病、痰饮、水气、黄疸等水液代谢异常所致疾病进行研究时有所侧重:湿病分为Qg湿、外湿,痰饮多论述痰,水气称为水肿,黄疸分为阴黄、阳黄。
[Abstract]:"Golden Chamber" (hereinafter referred to as the "golden") in the paper, the wet water, drinking caused by the disease. These diseases are linked to each other, all of which are caused by abnormal water metabolism. In the "Huangdi Neijing", the discussion of water metabolism can be divided into two aspects of physiology and pathology. In the physical aspects, mutual assistance, lung, spleen and stomach, bladder and other organs function together to regulate the water metabolism of the operation. In terms of Pathology, dampness and improper diet are the causes of abnormal metabolism of water and fluid. Whether human Yin and yang are harmonious and whether the function of viscera is normal determines whether the human body is infected. In the Huangdi Neijing, the abnormal metabolic diseases such as geomantic water, water gushing, stone water, overflow, water swelling and jaundice have been put forward. The "Yellow Emperor" in the understanding of water metabolism, affect the understanding of the "golden" wet, drink, water related diseases. "Golden" although no disease abnormal water metabolism is clear, but the comprehensive analysis is not difficult to see, in the book discusses many diseases are caused by abnormal water metabolism. Exogenous is the cause of abnormality in the body fluid circulation occurs. The body feels outside evil, the body Yin and yang are not coordinated, the function of the viscera is abnormal, resulting in abnormal metabolism of water in the body. According to the different pathogenesis of the abnormal metabolism of water, the method of perspiration, the method of urination, and the method of water by water are used. Partial to the table, is the water dampness, treatment should be sweating to dispel evil; partial to, in the water dampness, treatment should be to restore normal function of the body and method. "Golden" treatment of the disease of abnormal water metabolism, the use of licorice is not taboo. The application of licorice in the book is very characteristic. Through the study of these diseases, to explore the "golden" water metabolism disorders pathogenesis, syndrome treatment and prescription, to open up new ideas for the future clinical treatment. "Understanding" golden fluid metabolic disorders affect physicians. Doctors later has been focused on the study of dampness, phlegm, moisture, jaundice and other water metabolism caused by the abnormal disease: rheumatism is divided into Qg wet, wet, phlegm elaborates phlegm, moisture called edema, jaundice is divided into Yin Huang, Huang yang.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R222.3

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