基于仲景正邪观的六经病证研究

发布时间：2018-06-22 11:33

本文选题：伤寒论 + 正邪　；参考：《成都中医药大学》2016年硕士论文

【摘要】：研究目的：通过探讨正邪斗争在六经病中的不同态势,明确正邪盛衰变化对于六经病证的发生传变预后的相应影响,确定随机应变的治疗办法,为学习《伤寒论》提供一条新思路,从正邪相争的角度更简单而深刻地理解六经辨证,以冀更好地指导临床工作。研究方法：本研究采用原著学习、文献检索和理论研究的方法,归纳、整理和探讨《伤寒论》中相关条文。首先,从文献角度,总结《黄帝内经》《难经》以及《伤寒论》《金匮要略》中对于正邪概念的阐述,探究仲景眼中的正邪为何。其次,立足于《伤寒论》《金匮要略》原文总结仲景认为对于邪正盛衰变化有影响的各种因素,再次,立足于《伤寒论》原文,探析因为正邪相争的不同态势和结果对于六经病证的发生以及传变产生的相应不同影响之间的关联性。研究结果：通过以上研究发现仲景的正邪观继承了《内经》《难经》等前人的观点并有所发扬,而将其正邪观贯穿在了六经病证始终,如太阳病主要病机为正邪相争于表,阳明病是正邪剧争于里,少阳病是正邪分争于里,三阴病病机则是正不胜邪,邪气入阴,以正气不足为主。研究结论：正邪盛衰消长的不断变化直接影响疾病阴阳的相应变动,从而决定着六经病的发生与进退,并指导着医者在治疗疾病时对于扶正和祛邪原则的把握。
[Abstract]:Objective: to explore the different situations of the struggle of good and evil in the six meridians disease, to determine the corresponding influence of the rise and fall of the good and evil on the prognosis of the occurrence and transmission of the six meridians' disease, and to determine the treatment method of contingency. In order to provide a new way of thinking for the study of febrile fever, it is easier and deeper to understand the syndrome differentiation of six meridians from the angle of the argument between good and evil, so as to guide the clinical work better. Methods: this study adopts the methods of original study, literature retrieval and theoretical research to summarize, sort out and discuss the relevant articles in Treatise of febrile Disease. First of all, from the perspective of literature, this paper summarizes the explanation of the concept of good and evil in the Book of Internal Classics of Huangdi and the synopsis of Golden Chamber, and probes into the reasons of good and evil in Zhongjing's eyes. Secondly, based on the original text of synopsis of the Golden Chamber, the author summarizes the factors that Zhongjing thinks has an influence on the rise and fall of evil spirits, and, again, based on the original text of the Theory of febrile Diseases. This paper explores the relationship between the different situations and results of the debate between good and evil on the occurrence and transmission of syndrome of six meridians. Results: through the above study, we found that Zhongjing's view of good and evil inherits and develops the views of the predecessors, such as "Internal Classic", "difficult Sutra", and so on, while the view of "good and evil" runs through the six meridian diseases and syndromes, such as the main pathogenesis of the sun disease is the main pathogenesis of the disease. Yang Ming disease is fighting for good and evil play, Shaoyang disease is divided between good and evil, the pathogenesis of three yin disease is good and evil, evil qi into Yin, mainly due to deficiency of qi. Conclusion: the constant changes of the rise and fall of good and evil directly affect the corresponding changes of disease yin and yang, thus determine the occurrence, advance and retreat of six meridian diseases, and guide the doctors to grasp the principles of strengthening the right and dispelling evil in the treatment of diseases.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R222

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