摘要
内毒不只是附生于火、痰、湿、瘀等邪气之毒,更是独立而客观存在的邪气。内毒据其毒源不同可分为附生之毒和本原之毒,从病性上分为阴毒和阳毒,其生成与其他邪气一样,为基础物质在特定条件和环境作用下形成。因此,内毒不仅是病因学概念,也是客观存在的病理产物,并演变为中医学认识疾病的一种思维方式。本原之毒是当今内毒之疾病谱由急危重症转向慢性病证之基础,其病机演变具有由浊致毒、由内而外、循气-血-脉络传变之规律,故其病变当以气、血、脉络辨证为基础结合脏腑辨证施治。内毒蓄损已逐渐成为现代病证的核心病机之一,深入研究以界定其科学内涵,并探索建立系统的内毒之辨证论治体系具有重要学术价值和临床意义。
Internal toxin not only arises along with pathogenic Qi such as fire, phlegm, dampness and stasis, but also is an independent and objective pathogenic Qi itself. According to different sources, internal toxin can be divided into attached toxin and original toxin, while according to characteristics it can be derided into Yin toxin and Yang toxin. Just like other pathogenic Qi, it develops from basic substances under specific conditions and environment, so internal toxin is not only an etiology concept, but also an objective pathological product, evolving into a way of thinking about disease. Original toxin is the basis of emergency and severe diseases transforming into chronic disease in present disease spectrum of internal toxin. Its pathogenesis evolution has following principles ： turbid turning into toxin, direc- ting from inside to outside, as well as transmitting and changing along with the Qi, blood, vessels and collaterals. As a result, the lesions should be treated with Qi, blood, channel and collateral differentiation combined with Zang-Fu organ differentiation. Internal toxin accumulation and damage has gradually become the core pathogenesis of modern disease, so it is of vital academic and clinical importance to study further to define its scientific connotation and establish system- atic internal toxin differentiation system.
作者
吴深涛
WU Shentao(South Area of First Affiliated Hospital to Tianjin University of Chinese Medicine, Tianjin, 300381)
出处
《中医杂志》
CSCD
北大核心
2017年第15期1265-1269,共5页
Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81273710
30973728)
关键词
内毒
本原之毒
由浊致毒
气血脉络辨证
internal toxin
original toxin
turbid turning into toxin
Qi-blood-channel-collateral differentiation
