从“病机十九条”探讨中医水液代谢理论.docVIP

从“病机十九条”探讨中医水液代谢理论 　　[摘要] 《内经》“病机十九条”中部分条文对水液代谢疾病的治疗与辨证颇具现实意义，其以五脏为纲，将病症进行归类分析的条文为水液代谢病从脏腑辨证在理论上奠定了基础。“病机十九条”虽不能包罗万象，但能给临床探求病机提供一种很好的思路，学习运用时只有领会其精神实质，触类旁通，才能学以致用。通过对《内经》中人体水液代谢理论的研究，阐述“病机十九条”中人体水液代谢理论及其独特之处，得出肺、脾、肾在人体水液代谢中的作用等均来源于《内经》理论。 　　[关键词] 中医；病机十九条；水液代谢理论 　　[中图分类号] R221 [文献标识码] A [文章编号] 1674-4721（2013）11（a）-0111-03 　　Discussion on theory of water metabolism in traditional Chinese medicine from nineteen items of pathogenesis 　　DOU Xiao-ni1 ZHENG Yu-qin1 ZHANG Zhao-yuan2 ZHANG Zheng-zhong2 　　1.Department of Traditional Chinese Medicine，Shijingshan Hospital of Beijing City Shijingshan Teaching Hospital of Capital Medical University，Beijing 100043，China；2.Department of Internal Medicine，Traditional Chinese Medicine Hospital of Shijingshan District in BeijingCity，Beijing 100043，China 　　[Abstract] Partial articles of “nineteen items of pathogenesis” of Internal classic has practical significance on treatment and syndrome differentiation of water metabolism，articles as the key link of five zang-organs and that the disease being classified and analyzed laid the foundation of theory for water metabolism from syndrome differentiation of zang and fu organs.“Nineteen items of pathogenesis” can not cover and contain everying，but can provide a good idea for clinical exploring pathogenesis，we only comprehendits spirit essence and by analogy when learning and applying then to learn in order to practise.To state watermetabolism theory of body from “nineteen items of pathogenesis” and its unique by studying watermetabolism theory of body from Internal classic，thus it can be seen that the role of lung， spleen，kidney in the water metabolism of human body and so on were derived from the theory of Internal classic. 　　[Key words] Traditional Chinese medicine；Nineteen items of pathogenesis；Theory of water metabolism 　　“病机十九条”源出于《素问·至真要大论》，是前人以临床常见的一些病症为研究对象，总结的一般病机演变规律，它为处理复杂的病情，指导临床治疗起到了执简驭繁的作用。“病机十九条”是辨证求因，审因施治的准则。今就其中的肺脾肾病机，加以阐发，以期能知常达变，便于其在临床水液代谢疾病方面的运用。 　　《素问·至真要大