《黄帝内经》口齿咽喉病症理论研究

发布时间：2019-05-30 07:44

【摘要】：本文主要以《黄帝内经》(不含素问两遗篇)中口、齿、唇、舌、咽、喉的生理和相关病症为研究对象,采用文献研究与理论研究相结合的方法,根据其时代背景阐明其具体内涵,把握经中所载的病因病机及其治疗原则和方法,希望为中医口腔咽喉科学的理论和临床应用提供理论依据。全文主要分为两大部分:第一部分是对《黄帝内经》中口齿唇舌咽喉的解剖、生理、经络循行的整体阐述,大致了解相关的理论记载,有助于对其含义、病因病机及治疗的把握。第二部分是对口齿唇舌咽喉病症的整理,其中口的病症名15个,包括口疮、口疡、口糜(口麋)、口干、口中干、口燥、口热、口中热、口苦、口甘、口爽、口?、卒口僻、口目为噼、口目动作;齿的病症名12个,包括齿痛、齿唇寒痛、齿槁、齿长、齿寒、上齿寒、龋、龋齿痛、齿龋、下齿龋、上齿龋、齿干;唇的病症名7个,包括唇胗、唇揭、唇槁、唇槁腊、唇反、唇青、唇黄;舌的病症名13个,包括舌干、舌本干、舌焦、舌卷、舌卷短、舌卷卵上缩、舌痿、舌纵、重舌、舌上黄、舌本强、舌本痛、舌本烂;喉的病症名6个,包括喉痹、喉塞、喉T$、喉嗌中鸣、喉咽干燥、v;咽的病症名9个,包括咽肿、嗌肿、嗌中肿、嗌干、嗌燥、嗌痛、嗌塞、陷咽、猛疽。对经文所载的相关病症进行探究,以期得到更深一层的认识。理论研究的主要相关结论:1.口糜较口疮、口疡病变范围广、病情重,三者均类似现代医学的口腔溃疡一病;口干、口燥、口热、口苦、口甘均非独立疾病,其发生与热密切相关;口爽乃口中味觉失常的病症;口?、卒口僻、口目为噼属风病的范畴。2.《内经》中所记载牙齿的病症均用齿字。其所提出的阳明经气不利、热邪、外寒、肾虚致齿痛为后世治疗本病的立论产生了深远的影响;齿槁、齿长属牙宣病的范畴;齿寒为清浅小疾,多归属于牙齿敏感的范畴;龋病的发生与阳明经密切相关。3.唇胗、唇揭、唇槁、唇槁腊均归属于现代唇风病的范畴;唇反和舌萎为足太阴脉气将绝的外候;唇青为足厥阴脉气将绝的外候;唇黄为脾经外候。4.舌干、舌本干、舌焦的发生与火热、咸耗伤津液密切相关;舌卷、舌卷短、舌卷卵缩、舌纵的发生与心、肝、肾关系密切;5.嗌在《内经》中指病症时其含义与咽相同。《内经》中咽、喉的解剖位置大多数情况下已经做出明确区分,同现代解剖学所指的咽喉极其类似,与大多数古医籍咽喉所指含义模糊不清不同。
[Abstract]:In this paper, the physiological and related diseases of mouth, teeth, lip, tongue, pharynx and larynx in Huangdi Neijing (excluding the two articles) were taken as the research objects, and the method of combining literature research with theoretical research was adopted. According to the background of the times, this paper expounds its concrete connotation, grasps the etiology and pathogenesis contained in the meridians and its treatment principles and methods, and hopes to provide theoretical basis for the theory and clinical application of oral pharyngology in traditional Chinese medicine. The full text is mainly divided into two parts: the first part is the anatomy, physiology and meridians of mouth, tongue, throat and throat in Huangdi Internal Classic, and a general understanding of the relevant theoretical records, which is helpful to its meaning. Grasp the etiology, pathogenesis and treatment. The second part is the collation of mouth, tongue, throat and throat diseases, in which the name of the mouth is 15, including mouth sore, mouth selection, choral moose (moose), dry mouth, hot mouth, bitter mouth, sweet mouth, good mouth, remote mouth, dry mouth, hot mouth, bitter mouth, sweet mouth, good mouth, mouth. Mouth for the beep, mouth movement; The name of teeth is 12, including toothache, lip cold pain, haggard teeth, long teeth, cold teeth, upper teeth cold, caries pain, teeth caries, lower teeth caries, upper teeth caries, dry teeth. Lip disease name 7, including lip gizzard, lip open, lip wax, lip reverse, lip green, lip yellow; There are 13 names of tongue diseases, including dry tongue, focal tongue, short curl of tongue, contraction of egg of tongue roll, impotence of tongue, longitudinal tongue, heavy tongue, yellow tongue, strong tongue, pain of tongue and rotten tongue. There are 6 names of laryngeal diseases, including laryngeal arthralgia, laryngeal plugs, larynx, throat, dry throat, 9 throat diseases, including pharynx swelling, moderate swelling, dry throat, dryness, pain, obstruction, trapping pharynx, and gangrene. The name of pharynx is dry, dry. Explore the related symptoms contained in the scriptures in order to get a deeper understanding. The main conclusions of theoretical research are as follows: 1. Compared with mouth sore, mouth ulcer has a wide range of lesions and serious illness, all of which are similar to one disease of oral ulcer in modern medicine, and dry mouth, hot mouth, bitter mouth and sweet mouth are not independent diseases, the occurrence of which is closely related to heat. Mouth cool is a disorder of taste in the mouth; mouth is remote and the mouth is crackling in the category of wind disease. 2. Tooth characters are used in the teeth recorded in the Internal Classic. The theory that Yangming meridians and qi are disadvantageous, heat evil, external cold and toothache caused by kidney deficiency has a profound influence on the treatment of this disease in later generations, the haggard teeth and the tooth length belong to the category of tooth propaganda disease, and the tooth cold belongs to the category of tooth sensitivity, and the tooth cold belongs to the category of tooth sensitivity, which belongs to the category of tooth sensitivity, which belongs to the category of tooth sensitivity, and the tooth cold belongs to the category of tooth sensitivity. The occurrence of caries is closely related to Yangming Meridian. Lip gizzard, lip open, lip wax all belong to the category of modern lip wind disease; lip reverse and tongue wilting are the external symptoms of foot Taiyin pulse qi will be cut off; lip green is the external symptom of foot syncope yin pulse qi; lip yellow is spleen meridians external syndrome. 4. The occurrence of dry tongue, dry tongue and focal tongue is closely related to heat and salty consumption of body fluid; tongue roll, tongue curl is short, tongue curl egg contraction, tongue longitudinal occurrence is closely related to heart, liver and kidney; 5. In the Internal Classic, the meaning of the middle finger disease is the same as that of the pharynx. In the Internal Classic, the anatomical position of the pharynx and larynx has been clearly distinguished, which is very similar to that of the pharynx and larynx referred to in modern anatomy. The meaning of throat is different from that of most ancient medical books.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R221

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