基于《伤寒论》太阴病与六经病关联问题研究
发布时间：2018-11-13 12:14
【摘要】：目的太阴病是《伤寒论》六经辨证之中的重要部分,古往今来,许多医家对太阴病问题从脏腑经络、气化、现代研究等多角度做了大量相关讨论,对理论和临床作出了重要贡献。在这些讨论中,大多数的内容是单纯围绕太阴病的理论来源、病机认识、分型证治展开的,是对太阴病理论进行纵向深入的认识。笔者在理论学习与跟师临证的过程中意识到太阴病涉及病种广泛,又极易在六经病中夹杂为病,而仅从其本证研究,可能尚显不足,故拟从太阴病与六经病的关系入手,对太阴病与六经的关系及其是如何在六经病的发生与传变中起作用的,进行更深入、完善的讨论,帮助认识太阴病在六经中的意义。方法伤寒六经是以阴阳五行、脏腑经络气血学说为指导,用阴阳分类法对人体功能活动所做的分类概括,是认识疾病的需要。首先对单纯太阴病的研究结果进行纵向挖掘,学习各医家对六经病相关问题的分别阐述,以太阴病为认识的重心,分析其与太阳、阳明、少阳、少阴、厥阴病的之间的联系,明确其在六经病生理、发病、证治中的特点,以前辈医家的临床病案加以说明,并归纳、总结出研究太阴病与六经病关系的意义。结果通过对太阴病与其他五经病的生理、病理关系的讨论,分析出太阴病与其他五经病的证治联系,在三阳病出现虚损的过程中会首先引起太阴的变化,三阴病中均兼太阴病。结论1、三阳病病理演变的选择与太阴所处的状态有极其密切的关系：在太阳病中,太阴之气是太阳营卫之气的重要支撑,对太阳病的发病过程及预后有重要影响；阳明病中病邪入里,阳气奋起抗邪,正邪斗争剧烈,由太阴与阳明之气相互配合,保证营卫气血在中焦脾胃的升降运动中相互转化、进而敷布全身；少阳病中正气已显疲惫,需通过太阴外为疏解、内降阳明调整整体状态；2、三阴病中人体正气已不足,呈现正不胜邪,邪气内入,太阴受邪首当其冲,反应人体虚损的初期阶段；正气继续衰减,将发展至此心肾机能衰惫,呈现人体根本元气不足的少阴病阶段：若在太阴基础上阳气虚损进一步加重,厥阴气化失调,肝失疏泄,少火转出不利无以温煦太阴反生邪热：故太阴病是三阴病的开始,三阴病中必含太阴病,太阴病为诸虚之本,在治疗上三阴病辨治应以太阴为基础。
[Abstract]:Objective Taiyin disease is an important part of the syndrome differentiation of the six meridians. From ancient to modern times, many doctors have done a lot of relevant discussions on the problem of Taiyin disease from the aspects of the viscera and meridian, gasification, modern research, etc. Has made the important contribution to the theory and the clinical. In these discussions, most of the content is simply around the theoretical source of Taiyin disease, the pathogenesis of the disease, the classification of the spread of syndrome and treatment, is to the theory of Taiyin disease longitudinal in-depth understanding. In the course of theoretical study and clinical diagnosis, the author realized that Taiyin disease is involved in a wide range of diseases, and is easy to be mixed in six meridians diseases. However, the study of Taiyin disease and six meridian diseases may not be sufficient only from the study of this syndrome, so I intend to start with the relationship between Taiyin disease and six meridian diseases. The relationship between Taiyin disease and six meridians and how to play a role in the occurrence and transmission of six meridians disease are discussed in order to help understand the significance of Taiyin disease in the six meridians. Methods based on the theory of yin and yang five elements and zang-fu meridian qi and blood the classification and generalization of human functional activities by the method of yin and yang is the need to recognize diseases. First of all, the research results of pure Taiyin disease were excavated longitudinally, and the doctors were studying the related problems of Six-meridian disease, and taking Taiyin disease as the focus of understanding, analyzed its relationship with the Sun, Yangming, Shaoyang, Shaoyin, Jueyin disease, and analyzed the relationship between it and Sun, Yangming, Shaoyang, Shaoyin and Jueyin. The characteristics of its physiology, pathogenesis, syndrome and treatment in six meridian diseases were clarified, and the clinical records of the previous physicians were explained, and the significance of studying the relationship between Taiyin disease and six meridian diseases was summarized. Results by discussing the physiological and pathological relationship between Taiyin disease and other five meridian diseases, the relationship between Taiyin disease and other five meridian diseases was analyzed. Conclusion 1. The choice of pathological evolution of Sanyang disease is closely related to the state of Taiyin: in the sun disease, Taiyin Qi is the important support of the Sun Ying-Wei Qi, which has an important influence on the pathogenesis and prognosis of the Sun disease; Yang Ming disease in the disease into the evil, Yang Qi rose up to resist evil, fierce struggle, from Taiyin and Yang Ming Qi to cooperate with each other, to ensure that Ying Wei Qi and blood in the rising and falling movement of the spleen and stomach, and then spread the whole body; Shaoyang disease in the Zhengqi has been tired, need to pass through the Taiyin for the dredging, internal Yangming adjustment of the overall state; (2) the deficiency of human body's vital qi in the disease of three yin, showing the inexorable evil and evil, the first to bear the brunt of the evil in Taiyin, and the initial stage of reflecting the deficiency of the human body; The decaying of the positive qi will develop to the point where the heart and kidney function is exhausted, presenting the stage of Shaoyin disease with the deficiency of the basic vitality of the human body: if the deficiency of yang qi is further aggravated on the basis of Taiyin, the Gasification of Jueyin is disordered, and the liver is lost and dissipated, So Taiyin disease is the beginning of Sanyin disease, which must contain Taiyin disease, Taiyin disease is the foundation of deficiency, in the treatment of Sanyin disease, it should be based on Taiyin.
【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】：R222.2
[Abstract]:Objective Taiyin disease is an important part of the syndrome differentiation of the six meridians. From ancient to modern times, many doctors have done a lot of relevant discussions on the problem of Taiyin disease from the aspects of the viscera and meridian, gasification, modern research, etc. Has made the important contribution to the theory and the clinical. In these discussions, most of the content is simply around the theoretical source of Taiyin disease, the pathogenesis of the disease, the classification of the spread of syndrome and treatment, is to the theory of Taiyin disease longitudinal in-depth understanding. In the course of theoretical study and clinical diagnosis, the author realized that Taiyin disease is involved in a wide range of diseases, and is easy to be mixed in six meridians diseases. However, the study of Taiyin disease and six meridian diseases may not be sufficient only from the study of this syndrome, so I intend to start with the relationship between Taiyin disease and six meridian diseases. The relationship between Taiyin disease and six meridians and how to play a role in the occurrence and transmission of six meridians disease are discussed in order to help understand the significance of Taiyin disease in the six meridians. Methods based on the theory of yin and yang five elements and zang-fu meridian qi and blood the classification and generalization of human functional activities by the method of yin and yang is the need to recognize diseases. First of all, the research results of pure Taiyin disease were excavated longitudinally, and the doctors were studying the related problems of Six-meridian disease, and taking Taiyin disease as the focus of understanding, analyzed its relationship with the Sun, Yangming, Shaoyang, Shaoyin, Jueyin disease, and analyzed the relationship between it and Sun, Yangming, Shaoyang, Shaoyin and Jueyin. The characteristics of its physiology, pathogenesis, syndrome and treatment in six meridian diseases were clarified, and the clinical records of the previous physicians were explained, and the significance of studying the relationship between Taiyin disease and six meridian diseases was summarized. Results by discussing the physiological and pathological relationship between Taiyin disease and other five meridian diseases, the relationship between Taiyin disease and other five meridian diseases was analyzed. Conclusion 1. The choice of pathological evolution of Sanyang disease is closely related to the state of Taiyin: in the sun disease, Taiyin Qi is the important support of the Sun Ying-Wei Qi, which has an important influence on the pathogenesis and prognosis of the Sun disease; Yang Ming disease in the disease into the evil, Yang Qi rose up to resist evil, fierce struggle, from Taiyin and Yang Ming Qi to cooperate with each other, to ensure that Ying Wei Qi and blood in the rising and falling movement of the spleen and stomach, and then spread the whole body; Shaoyang disease in the Zhengqi has been tired, need to pass through the Taiyin for the dredging, internal Yangming adjustment of the overall state; (2) the deficiency of human body's vital qi in the disease of three yin, showing the inexorable evil and evil, the first to bear the brunt of the evil in Taiyin, and the initial stage of reflecting the deficiency of the human body; The decaying of the positive qi will develop to the point where the heart and kidney function is exhausted, presenting the stage of Shaoyin disease with the deficiency of the basic vitality of the human body: if the deficiency of yang qi is further aggravated on the basis of Taiyin, the Gasification of Jueyin is disordered, and the liver is lost and dissipated, So Taiyin disease is the beginning of Sanyin disease, which must contain Taiyin disease, Taiyin disease is the foundation of deficiency, in the treatment of Sanyin disease, it should be based on Taiyin.
【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】：R222.2
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