肺消源流考略
发布时间：2019-05-15 19:01
【摘要】：肺消古病名,首见于《黄帝内经》(以下简称《内经》)。《素问·气厥论》中明确指出其病机为"心移寒于肺",但仍有诸多医家认为其病机为热,故将其归于上消膈消。为探讨其中原因,经系统梳理清代及以前的文献,关于肺消的认识可归纳为5个阶段:第一阶段《内经》中提出肺消因寒而致,第二阶段隋唐时期肺消寒郁而热的理论产生,第三阶段宋金元时期提出肺消补肺金平心火的治疗原则与方剂及肺消从火论断的观点,第四阶段明清时期虚寒所致肺消的理论形成。分析上述4个阶段的认识特点,我们有理由认为肺消之病因病机主要为虚寒,与上消、膈消有本质的不同;就肺消"饮一溲二"及"死不治"的特点来看,其与现代所谓"下消"的末期(阴损及阳)相近。
[Abstract]:The name of lung elimination is first found in Huangdi Neijing (hereinafter referred to as Internal Classic). It is clearly pointed out in Suwen Qi Jue that its pathogenesis is "heart shift cold to lung", but many doctors still think that its pathogenesis is heat, so it is attributed to Shangxiaozhexiao. In order to explore the causes, after systematically combing the literature of Qing Dynasty and before, the understanding of lung elimination can be summarized into five stages: in the first stage, the theory of lung elimination caused by cold and heat was put forward in the first stage, and the theory of lung depression and heat in the second stage of Sui and Tang dynasties was put forward. In the third stage, Song Jin and Yuan dynasties put forward the treatment principle and prescription of lung eliminating lung Jinping heart fire and the viewpoint of lung elimination from fire, and the theory formation of lung elimination caused by deficiency cold in the fourth stage of Ming and Qing dynasties. By analyzing the cognitive characteristics of the above four stages, we have reason to think that the etiology and pathogenesis of lung elimination should be due to deficiency cold, which is essentially different from that of upper elimination and diaphragm elimination. From the point of view of the characteristics of "drinking" and "dying", it is similar to the late stage (negative damage and yang) of the so-called "Xixiao" in modern times.
【作者单位】： 辽宁中医药大学;
【基金】：教育部人文社科基金项目(09YJAZH039)-《黄帝内经》常用医学术语的人文要素研究
【分类号】：R221
本文编号：2477733
[Abstract]:The name of lung elimination is first found in Huangdi Neijing (hereinafter referred to as Internal Classic). It is clearly pointed out in Suwen Qi Jue that its pathogenesis is "heart shift cold to lung", but many doctors still think that its pathogenesis is heat, so it is attributed to Shangxiaozhexiao. In order to explore the causes, after systematically combing the literature of Qing Dynasty and before, the understanding of lung elimination can be summarized into five stages: in the first stage, the theory of lung elimination caused by cold and heat was put forward in the first stage, and the theory of lung depression and heat in the second stage of Sui and Tang dynasties was put forward. In the third stage, Song Jin and Yuan dynasties put forward the treatment principle and prescription of lung eliminating lung Jinping heart fire and the viewpoint of lung elimination from fire, and the theory formation of lung elimination caused by deficiency cold in the fourth stage of Ming and Qing dynasties. By analyzing the cognitive characteristics of the above four stages, we have reason to think that the etiology and pathogenesis of lung elimination should be due to deficiency cold, which is essentially different from that of upper elimination and diaphragm elimination. From the point of view of the characteristics of "drinking" and "dying", it is similar to the late stage (negative damage and yang) of the so-called "Xixiao" in modern times.
【作者单位】： 辽宁中医药大学;
【基金】：教育部人文社科基金项目(09YJAZH039)-《黄帝内经》常用医学术语的人文要素研究
【分类号】：R221
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1 陆平升,吴成江;益气清肺消汤治疗小儿肺炎后期17例[J];新中医;2001年07期
2 王忠全;;清肺消蛾汤治疗乳蛾34例[J];云南中医杂志;1991年04期
3 李福厚;;自拟补肺消咳饮治疗慢性咳嗽虚证48例[J];现代中医药;2010年03期
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