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《素问·阴阳别论》之“风厥”考辨 被引量:6

Textual Research on "Fengjue" in the Yin-Yang Bielun Chapter of Plain Question
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摘要 "风厥"乃《黄帝内经》(以下简称《内经》)中的古病名之一。通常认为此病在《内经》多个篇章中的病证描述存在着不一致的情况,这对学习、传承和临床运用都会带来许多困难。试以《素问·阴阳别论》之"风厥"为切入点,通过对原文中包含的病因病机、证候信息进行深入解读,认为此"风厥"之病因可能与外感风邪有关;其病机初为阳明与厥阴二经受邪,子母相传而累及于心,其主要症状"惊骇、背痛、善噫、善欠"四者皆为心病的相关表征,说明本病与心的关联极为密切,因而有理由认为"风厥"或为心病的一种。 "Feng Jue" is one of the ancient diseases recorded in "The Inner Canon of Huangdi", which is generally believed that there are inconsistencies in the description of the disease in different chapters of the book, and it would bring many difficulties to study and clinical application. This paper tries to collect and explore the connation of the "Feng Jue" which is recoded in "Yin Yang Bie Lun" Chapter of "Plain Questions", and find out some points in the etiology, pathogenesis and syndrome. The cause of the disease seems to be related to wind evil caused by exogenous pathogenic factors. The pathogenesis, in early time, appears to be the affected of both Yangming and Jueyin meridians. But the evil will be transmitted from mother organ to son organ, and finally can affect the heart. The syndromes including fright, backache, easy to belching and yawning, all of which are related to heart disease. We hold that the disease is closely related to the heart. In that case, "Feng Jue" might be a kind of heart diseases.
作者 张序文 陈晓 ZHANG Xu-wen;CHEN Xiao(Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处 《中国中医基础医学杂志》 CAS CSCD 北大核心 2018年第12期1658-1660,1706,共4页 JOURNAL OF BASIC CHINESE MEDICINE
基金 上海市"高峰高原学科"高水平创新团队项目(A1-Z17302510202)
关键词 《黄帝内经》 风厥 心病 The Canon ofHuangdi Feng Jue Heart disease
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