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命门“水火相亲”视域下《伤寒论》少阴病探源 被引量:3

Exploration on shaoyin disease in Treatise on Febrile Diseases based on‘fire adjacent to water’of life-gate
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摘要 考察命门学说流变,除关切命门本质与部位界定外,还应重视其临床价值。基于经典文献分析发现,命门学说将本体功能聚焦于“精、气、神”合一为“体”,借阴阳、水火分二为“用”。该理论演化趋势有助于提升命门学说学术层次,开拓命门学说实践路径,启迪命门“水火相亲”临证思路。从上述认识出发分析《伤寒论》少阴病“因机证治”,认为少阴病本在“命门水火皆衰”,由此导致阴阳失衡,寒热象现,张仲景论治少阴病重视温扶命门真火,亦未忽视滋养命门真水,少阴病须着眼寒热两端,系统治疗。命门“水火相亲”既为融会少阴病寒热互现提供了理论依据,又可深化少阴病相关方药证治认识,旨在拓展少阴病辨治思路,提升临床疗效。 To investigate the evolution of life-gate theory,how to exert the clinical value of life-gate should be paid attention to,besides the definition of its essence and location.Based on the analysis of classical literature,it is found that lifegate theory focuses on the intrinsic function of the unity of‘essence,qi and spirit’,yin-yang(water-fire)are borrowed during the practice.This trend is helpful to improve the academic level of life-gate theory,explore the practice path of life-gate theory,and enlighten the clinical thinking of‘fire adjacent to water’of life-gate.Viewing from the above understanding,this paper analyzes the pathogenesis,syndrome and treatment of shaoyin disease in Treatise on Febrile Diseases,and holds that the mechanism of shaoyin disease lies in the failure of both water and fire from life-gate,which leads to the imbalance of yin-yang and the appearance a sign of cold and heat.ZHANG Zhong-jing put the emphasis on strengthening real fire and did not ignore real water.Long-term systemic therapies of shaoyin disease should follow changes of both cold and heat.‘Fire adjacent to water’of lifegate provides a theoretical basis for the concurrent syndrome of cold and heat,which is helpful to deepen the understanding of prescriptions and syndromes related to shaoyin disease and expand the thoughts for the treatment of shaoyin disease.
作者 张萌 袁媛 许强 林明欣 ZHANG Meng;YUAN Yuan;XU Qiang;LIN Ming-xin(School of Basic Medical Sciences,Guangxi University of Chinese Medicine,Nanning 530200,China;Institute of Basic Theory,China Academy of Chinese Medical Sciences,Beijing 100700,China)
出处 《中华中医药杂志》 CAS CSCD 北大核心 2022年第11期6372-6375,共4页 China Journal of Traditional Chinese Medicine and Pharmacy
基金 广西中医药大学博士科研启动基金(No.2020BS010,No.2020BS023) 中央级公益性科研院所基本科研业务费专项资金(No.YZ-202136) 中国中医科学院优秀青年科技人才培养专项(No.ZZ15-YQ-071)。
关键词 命门学说 水火相亲 少阴病 伤寒论 Life-gate theory Fire adjacent to water Shaoyin disease Treatise on Febrile Diseases
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