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《温热论》第一条探幽
Exploring mysteries on first clause of Treatise on Warm-Heat Diseases
投稿时间:2019-04-21  修订日期:2019-06-14
DOI:
中文关键词:  《温热论》  温邪  上受  逆传心包  营卫气血
英文关键词:Treatise on Warm-Heat Diseases  warm evil  upper receiving  inverse transmission to pericardium  yingwei qixue
基金项目:350种传统医籍整理与深度加工·伤寒金匮类31种古籍整理(科技部科技基础性工作专项)
作者单位E-mail
郭选贤 河南中医药大学 guoxuanxian@163.com 
邵文雪 河南中医药大学  
蔡永敏 河南中医药大学 caiym0629@163.com 
摘要点击次数: 93
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中文摘要:
      寒温对比是《温热论》的写作亮点之一,其目的是为了彰显温病。该文以《温热论》第1条为例,以剖析伤寒、温病有关基本概念的区别为切入点,按条中内容的顺序,明晰并强调了该条中所包括的4个温病重要概念的深刻含义。“温邪”是温病总病因的称谓,以与伤寒的病因即寒邪相区别。“上受”是温邪侵袭人体的途径,而寒邪侵袭人体的途径则可称下受。“逆传”特指温病中手太阴肺传至手厥阴心包的病变,是与伤寒中足太阳膀胱传至足阳明胃的病变相比较而言的,故“逆传”与顺传是基于温病与伤寒这两大类外感热病的特有传变特点的比较而言的,不能仅限于温病范围内进行解释。“营卫气血”绝对不能等同于“卫气营血”,前者主要侧重于物质基础和生理功能,而后者则代表温病发生发展的四个阶段、四大证候群和治则方药,侧重于病理,故人体的物质基础和生理功能是相同的,但患温病和伤寒后的病机转归及治疗是不同的。该文尊重原著,探幽析微,还原了《温热论》这一经典原著第1条的原旨本意,厘正了某些业内人士的模糊认识。
英文摘要:
      The contrast of cold and warm is one of the writing bright spots of Treatise on Warm-Heat Diseases,which is to highlight the warm disease.The paper takes clause 1 of Treatise on Warm-Heat Diseases as an example,taking the analysis of the differences of basic concepts of cold damage and warm disease as the breakthrough point,according to the order of the contents of the clause, clarifying and emphasizing the profound meanings of four important concepts of warm disease included in this article."warm evil" is the name of the total etiology of warm disease, distinguishing from cold evil of cold damage."Upper receive" is the way that warm evil invades human body, while cold evil’s can be called under receive.Inverse transmission particularly refers to the disease transmission that from the meridian and viscera of hand taiyin lung to the hand jueyin pericardium in warm disease, which is compared with the disease transmission from the foot taiyang bladder to the foot yangming stomach in cold damage.Therefore, inverse transmission and sequential transmission are based on the transmission property comparison about cold damage and warm disease those two categories of exogenous febrile disease,they cannot be only interpreted limiting the scope of warm disease."yingwei qixue "cannot be equated with"weiqi yingxue",the former mainly focuses on physical bases and physiological functions,while the latter represents the four stages,four major syndrome groups,four treatment principles and prescriptions for the occurrence and development of warm disease,which emphasizes the pathology.Therefore,the physical bases and physiological functions of the human body are same,but the pathogenesis transmission and treatment of warm disease and cold damage are different.The paper respects the original work, explores and analyzes it, restores the original meaning of the first clause of the classic Treatise on Warm-Heat Diseases , and corrects certain insider’s vague understanding.
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