摘要
一切外感病邪,在人体汗出之时侵袭腠理均可视为汗出当风。平人生理性汗出后当风,一般不会导致疾病发生。若素体阳虚之人汗出当风,则有寒邪流于肌肤、深入腠理之虞。邪实而热盛迫津外泄为汗者,受风,则风气流于腠理;受寒,则寒邪收束腠理,内邪不得透达,邪热难从汗解。此时应视表寒及里热的相对程度使用麻杏石甘汤、大青龙汤等。若汗出不注重调护,当风后邪热不得外泄而内耗真阴,则成"坏病"。汗出当风致病之机理为风、寒、湿三气杂至,或合于皮肉筋骨,或合于脏腑血脉,或合于季节时令,正因诸多条件的组合,才会发生各类不同的病证。
That all exogenous pathogenic factors invade human striae and interstice when people are sweating can be regarded as exposure to wind after sweating.After the physiological sweating,a healthy person generally will not lead to related diseases if exposed to wind.If a person with constant yang deficiency exposed to wind after sweating,cold pathogen will go through skin and muscles and enter into striae and interstice.However,if a person with excess pathogen sweats due to excessive heat forcing fluid to leak and is attacked by wind,sweating is actually the manifestation of dispersing pathogenic heat.If attacked by cold,cold pathogen will restrain striae and interstice,then Ephedra and Apricot Kernel and Gypsum and Licorice Decoction,Major Green Dragon Decoction,etc.will be adopted according to according to the relative degree of external cold and internal heat.If pathogenic heat can′t be released out consuming genuine yin,"deteriorated disease"will occur.The pathogenic mechanism of exposure to wind after sweating is the mixture of wind,cold and dampness,which can be stagnated in skin,muscles and tendons and bones,or viscera and blood vessels,or different seasons.It is because of the combination of many conditions that different kinds of diseases occur.
作者
邹天远
陈萌
陆瑞敏
ZOU Tian-yuan;CHEN Meng;LU Rui-min(Beijing University of Chinese Medicine,Beijing,China,100029)
出处
《河南中医》
2021年第3期335-338,共4页
Henan Traditional Chinese Medicine
基金
国家自然科学基金面上项目(81673869)。
关键词
汗出当风
汗法
《黄帝内经》
《金匮要略》
张仲景
exposure to wind after sweating
sweating method
Huangdi′s Internal Classic
Synopsis of the Golden Chamber
Zhang Zhong-jing