大肠腑气不畅温病发病中的理论探讨.pdfVIP

提 要 本论文通过对文献挖掘及深层次分析，以大肠的生理病理为切入点，系统探讨了 温病发病与大肠的相关性。认为大肠不再是传统意义上单纯传导糟粕的脏腑，而在内 容上有其更丰富的内涵，在温病的发病中凸显其地位和临床价值。大肠腑与人体气机 的运行密切相关。五脏之浊赖其传导，腑气畅则脾升胃降、肺主治节、肝能疏泄。温 邪从口鼻、皮毛而入，虽由上受，但终归阳明。热毒炽盛，阳热郁结，阴伤津亏，大 肠腑气不畅，邪无出路，始上焦，终下焦。然大肠腑气不通，传导失常，又会影响全 身气机的正常运行，既可使五脏六腑功能失调，又易招致温邪侵袭人体，导致温病发 生，可见大肠腑气通畅与否在温病发病过程中至关重要。通畅肠腑，顿挫热势，荡涤 胃肠，调整气机，给邪出路，则腑通脏和，邪去正安。通畅大肠腑气之法，还应与其 它治法如宣肺、开窍、扶正、活血等法灵活配伍运用，方能彰显通腑之功。 关键词 大肠腑气；温病发病；相关性；理论研究 Theoretical Study on Obstruction of the Large Intestine Qi in Seasonal Febrile Diseases Speciality: the clinical and basic subject of T.C.M Author: Zhang Yimin Tutor: Prof. Zhang Sichao Abstract Through the literature excavation and the deep analysis, the topic took large intestine physiological pathology as a breakthrough point, explored correlation of seasonal febrile diseases and large intestine pathology. Thought large intestine no longer was traditional organ in conduction draffy way, but also it was very rich in some connect, especially in seasonal febrile diseases. Large intestine related to human body qi. Turbidity-qi of five-zang was excreted by large intestine, then the spleen ascended and the stomach descended, the lung regularized and the liver bore the dispersion. Warm evils always entered yang-ming through the mouth, nose and skin. From shangjiao to xiajiao, toxic heat flourished, body fluid injured, constipation and accumulation of Yang-heat failed to go out. While obstruction of large intestine qi hindered the qi movement of body, which both aggravated other internal organs functionality and caused warm evils invade. It was important that large intestine qi were unobstructed or not in seasonal febrile diseases. The methods of t