从阳气升降出入看“日晡所潮热”之机理

发布时间：2018-05-26 14:29

本文选题：日晡所 + 潮热　；参考：《中国中医基础医学杂志》2017年08期

【摘要】：古今医家对"日晡所潮热"的理解多承袭成无己,认为日晡为申时、申酉或申酉戌,此时阳明经气旺盛,发热如潮水之有定时。虽影响甚广但难经推敲,只有还原"日晡所"与"潮热"的本义才能合理解释其机理。通过研究十六时制,日晡所为14∶15~17∶15前后大致的一个时间段,不应与十二地支纪时法简单对应,日晡所发病也与阳明病无必然联系;潮热为一种特殊热型,即如潮水上涌般的烘热感,为阳明病所特有,不具有时间性。日晡时分,人之阳气顺应天阳下降入里,遇腑实与热邪相合阻滞阳气顺降,二阳相搏则产生"日晡所潮热"的特殊现象。
[Abstract]:In ancient and modern times, doctors have inherited the idea of "hot day", believing that it is a time of Shen you Xu or Shen you Xu. At this time, Yangming meridian is exuberant, and the fever is as regular as the tide. Although it has a wide influence, it is difficult to be examined. Only by reducing the original meaning of "Ribu" and "hot tide" can the mechanism be reasonably explained. By studying the 16:00 system, the approximate time period around 14: 15 or 17: 15 should not be a simple correspondence with the chronological method of the twelve local branches, and the incidence of the epidemic in the village should not necessarily be related to Yangming's disease; the hot tide is a special type of fever. That is, as hot as the tide surge, unique to Yangming disease, no time. At the time of nursing, people's Yang Qi obeys the Tianyang and enters the interior, and the combination of the inside body and the heat evil blocks the descending of the Yang Qi, and the struggle of the two yang results in the special phenomenon of "the hot tide of the day."
【作者单位】：南京中医药大学基础医学院;
【分类号】：R222.2

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