《黄帝内经》中“汗”的内涵简析

发布时间：2018-02-04 00:56

本文关键词： 《黄帝内经》汗内涵　出处：《中国中医基础医学杂志》2017年09期 　论文类型：期刊论文

【摘要】：为在教学和临床实践中更好地运用"汗"的相关理论,系统梳理、分析《黄帝内经》(以下简称《内经》)中有关"汗"的记载,归纳了"汗"的5种内涵,分别是人体生理、病理产物、病因、预后依据及治法。作为生理、病理产物,影响汗出量多少的原因很多(其中病理性汗出的病因包括表、里、寒、热、虚、实等),但从发生机制来看,都影响了汗出来源津液、动力阳气、通路腠理三要素。相较于表里,以三要素为纲目归类病理性汗出的病因更符合临床诊断思路。因此,后人将《内经》中描述脉象及汗出表现的"阳加于阴谓之汗"赋予汗出机制的新内涵。另外《内经》非常重视汗出动态变化对疾病发展的影响,并作为诊断、预后的重要依据,而这部分现今很少被提及,值得今人重视。
[Abstract]:In order to make better use of the relevant theories of "sweat" in teaching and clinical practice, this paper systematically analyzes the records of "sweat" in the "Yellow Emperor's Internal Classic" (hereinafter referred to as "the Internal Classic"), and sums up the five connotations of "sweat". As a physiological and pathological product, there are many reasons that affect the amount of sweating (the etiology of pathological sweating includes surface, internal, cold, heat, deficiency). In fact, but from the mechanism of occurrence, they all affect the source of sweating fluid, dynamic Yangqi, pathway striae three elements, compared to the inside of the surface. To classify the etiology of pathological sweating with three elements is more suitable for clinical diagnosis. Later generations will describe the pulse and sweat manifestations in the "Yang added to the Yin sweat" to give new meaning to the sweating mechanism. In addition, the "Internal Classic" attaches great importance to the dynamic changes of sweating on the development of the disease, and as a diagnosis. The important basis for prognosis, which is rarely mentioned today, deserves our attention.
【作者单位】：滨州医学院中西医结合学院;
【基金】：山东省2015-2016年度中医药科技发展计划项目(2015-269) 滨州医学院博士科研启动基金(BY2014KYQD14) 2015年山东省本科高校教学改革研究项目(2015M028)
【分类号】：R221
【正文快照】： 现行《中医诊断学》[1]国家统编教材引用《素问·阴阳别论》“阳加于阴谓之汗”概括汗出机理,将汗出分为生理与病理两类,并以表证、里证为纲目辨别病理性汗出的病因病机。那么“阳加于阴谓之汗”在《内经》原文中的含义如何?是否如教材所载论述了汗出机理?以表证、里证为纲目

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