摘要
脏躁之病名最早见于《金匮要略》,对其描述可追溯至《黄帝内经》时期。但《金匮要略》中仅记载病名、症状及处方,对脏躁具体病位、病因及病机并未详述。历代医家多有发挥,认识不一,以明清为最。综合分析古代医家重要典籍,考镜源流,考辨单"脏"与多"脏""躁"与"燥",明确脏躁病位、病因与病机认识,"脏"即病位,泛指五脏,"躁/燥"言病机,以"躁"为宜。
Hysteria,as a disease name,is first recorded in the Synopsis of the Golden Chamber.The description of the disease can be traced back to Inner Canon of Huangdi.However,the Synopsis of the Golden Chamber only records the name,symptoms and prescriptions,and this book does not discuss in detial about the location of disease,etiology and pathogenesis.Doctors of all generations made many comments and did not have a unified understanding.Doctors in the Ming and Qing Dynasties discussed the most,so we should comprehensively analyze the important classics of ancient doctors,examine the academic origins,distinguish single"viscera"from multiple"viscera","restlessness"from"dryness",and make clear the understanding of the location,etiology and pathogenesis of hysteria."Viscera"refers to the five viscera,and"manic/dryness"refers to the pathogenesis of the disease.It is more appropriate to provide more ideas and methods for clinical understanding,diagnosis and treatment of this diseases.
作者
姜德友
任鹏鹏
李文昊
韩洁茹
JIANG Deyou;REN Pengpeng;LI Wenhao;HAN Jieru(Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《吉林中医药》
2020年第7期880-884,共5页
Jilin Journal of Chinese Medicine
基金
国家中医药管理局:龙江医学流派传承工作室(LPGZS2012-14)
国家中医药管理局:姜德友全国名老中医药专家传承工作室
黑龙江省中医药管理局:龙江医派研究(ZHY12-Z095)
黑龙江省哲学社会科学研究规划项目(17SHC131)
黑龙江中医药大学科研基金项目(201816)。
关键词
脏躁
病位
燥
源流
hysteria
location of disease
dryness
origin and development
