摘要
"病机"的概念出自《黄帝内经》,在当代将其定义为"疾病发生、发展和变化的机理(机制)",这一表述未能准确传递病机概念的内涵。文章从文字、文献和临床3个角度分析了病机的内涵。病机概念的提出可能来源于以弓喻人的比拟方法,其中特别强调人体的自愈能力,蕴含了正邪观念、整体观念;在《黄帝内经》中,病机和气宜是相对等的两个概念,两者是相反的思维过程,认识病机是依据症状归纳出疾病治疗之关键的过程;在临床中,病机是在证的基础上,参考人体正气的作用趋势而归纳出的关键治疗点。基于此,病机的本意是指"患病机体未能恢复健康的核心矛盾"。
The concept of‘pathogenesis’comes from Huangdi Neijing,which is defined as‘the mechanism of disease occurrence,development and change’.This expression fails to accurately convey the connotation of the concept of pathogenesis.This paper analysed the connotation of pathogenesis from three angles:text,literature and clinical.The concept of pathogenesis may originate from the analogy of bow and human body,which emphasizes the self-healing ability of human body and contains the concepts of vital qi and pathogenic qi in Huangdi Neijing,pathogenesis and qiyi are two concepts of relative equality,which are opposite thinking processes.Recognizing pathogenesis is the key process to induce disease treatment based on symptoms.In clinic,the pathogenesis is the key point of treatment based on syndrome and referring to the action trend of human body’s vital qi.Based on this,the original meaning of pathogenesis refers to‘the core contradiction that the sick body fails to recover its health’.
作者
张天星
ZHANG Tian-xing(College of Basic Medical Sciences,Zhejiang Chinese Medical University,Hangzhou 310053,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2019年第12期5578-5581,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
浙江中医药大学校级科研基金项目(No.2018SR03).
关键词
病机
气宜
概念
黄帝内经
内涵
Pathogenesis
Qiyi
Concept
Huangdi Neijing
Connotation
