摘要
"外内合邪"的发病观首见于《黄帝内经》,现今"外内合邪"的内涵已与《内经》本义有所差别。在理论研究中,学者普遍将"外内合邪"的含义阐释为外来邪气与人体内在因素——或指内生之邪、或指体质偏颇与正气不足——相合而发病。在关注外内邪气致病的前提下认知、论治疾病,并且人群调研和动物造模也倾向于对外邪与内邪、外邪与体质、外邪与正虚关系的探讨与研究。如此就偏离了《内经》人体之气本为一气、强调正气在发病中起主导作用的本义。在《内经》中,"外内合邪"实则体现出人体之气"阴阳俱感""中外皆伤"的发病观。结合近5年的相关文献进行梳理,从《内经》原文解读与临床启示分析着手,阐发"外内合邪"发病观的内涵。
Pathogenesis theory of combined exopathogens and endopathogens first appeared in Inner Canon of Huangdi has a profound effect on later generations.But nowadays,the connotations of combined exopathogens and endopathogens have been different from the original connotations in Inner Canon.In the related theoretic study,scholars generally interpreted the connotation of combined exopathogens and endopathogens as the attack by the combination of exopathogens with internal factors of human body,which referred to the endopathogens or biased constitution or deficient healthy qi.Diseases were cognized and treated under the theory of combined exopathogens and endopathogens.And the population survey and animal model tended to concentrate on the relations between exopathogens and endopathogens,exopathogens and the constitutions,exopathogens and deficient healthy qi.So it deviated from the original intention in Inner Canon that qi of the human body is an integrated qi and healthy qi plays a leading role in the pathogenesis.Pathogenesis theory of combined exopathogens and endopathogens in Inner Canon actually showed the pathogenesis view of ＂attacking both yin and yang＂ and ＂impairing both the exterior and interior＂.This paper,based on the relevant literatures of the past five years,analyzed the original information and clinical implications to elucidate the connotation of pathogenesis theory of combined exopathogens and endopathogens.
作者
鲍林杨
鲁明源
BAO Linyang;LU Mingyuan(Shandong University of Traditional Chinese Medicine,Jinan 250355 ,Chin)
出处
《山东中医药大学学报》
2017年第6期496-499,共4页
Journal of Shandong University of Traditional Chinese Medicine
基金
国家中医药管理局全国名老中医药专家传承工作室(编号:520786)
关键词
外内合邪
发病观
研究现状
理论探讨
combined exopathogens and endopathogens
viewpoint of pathogenesis
research status
theoretical discussion
