摘要
对《难经·五十八难》中“阳虚阴盛”“阳盛阴虚”含义的注释历来具有争议。笔者认为这两个证候是外感病的两种极端的特殊情况,而非常见的伤寒病证。汗法和下法是这两个证候的针对性的治法。汗法的原理是引气出表,下法的原理是引气入里。若在“阳虚阴盛”“阳盛阴虚”这两种证候中颠倒这两种治法很容易致人死亡。这两种证候和治法的提出立足于汉唐时期医学作品中常见的表里阴阳平衡的观念之上。用表里平衡观能更好解释“阳虚阴盛”“阳盛阴虚”的含义。
There has always been a dispute on the meaning of ‘yang deficiency and yin excessiveness’ and ‘yang excessiveness and yin deficiency’ in the Nanjing · Fifty-eight Question. This paper considers these two syndromes are two extreme special cases of exogenous diseases. Diaphoresis and purgation method are the targeted treatment of these two syndromes.The effect of diaphoresis is to draw the qi out of the body, the effect of the purgation is to draw the qi into the body. If the two syndromes of ‘yang deficiency and yin excessiveness’ and ‘yang excessiveness and yin deficiency’ are reversed, the two treatments will easily lead to death. These two syndromes and treatment methods are based on the concept of balance between yin and yang commonly seen in medical works of the Han and Tang dynasties, which can better explain the meaning of ‘yang deficiency and yin excessiveness’ and ‘yang excessiveness and yin deficiency’.
作者
王佳恒
郑洪
WANG Jia-heng;ZHENG Hong(Zhejiang Chinese Medical University,Hangzhou 310053,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2022年第7期3822-3825,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家社会科学基金重大项目(No.18ZDA175)。
关键词
难经
阳虚阴盛
阳盛阴虚
汗法
下法
Nanjing
Yang deficiency and yin excessiveness
Yang excessiveness and yin deficiency
Diaphoresis
Purgation
