1.脏腑经络先后病脉证 金匮要略课件.ppt

脏腑经络先后病脉证第一;“脏腑经络先后病”的含义：

经络脏腑

先后

是杂病的总称;基本内容;第2条;NO2;本条从人与自然密切相关的整体观念出发，论述疾病发生的原因、病因分类、和疾病的预防与早期治疗的措施。

;杂病的发病机理

－天人合一;;仲景三条与无择三因之别;若人能养慎，不令邪风干忤经络；适中经络，未流传脏腑，即医治之。四肢才觉重滞，即导引、吐纳、针灸、膏摩，勿令九窍闭塞；更能无犯王法、禽兽灾伤，房室勿令竭乏，服食节其冷、热、苦、酸、辛、甘，不遗形体有衰，病则无由入其腠理。腠者，是三焦通会元真之处，为血气所注；理者，是皮肤脏腑之文理也。;Diseaseshouldbetreatedimmediatelybeforethemeridiansareinvolvedandthevisceraharmed.TheimmediatepracticeofQiguidanceexercises,tuina,acupunctureandmoxibustion,andunguentmassagepreventsobstructionoftheninecavitiesandthusrelievefeelingofheavinessandtorpidity.Oneshouldbehavesoasnottoviolatethelawortoincurinjuriesfromanimals.Oneshouldnotexhaustoneselfinsexualindulgence,andoneshould?alwayswearproperclothing,soanottobecometoohotortoocold.Finally,oneshouldcultivatepropereatinghabitsandbalancetheeatingofsweet,bitter,andsourfoods.;仲景预防学观点;仲景预防学观点;仲景预防学观点;问曰：有未至而至，有至而不至，有至而不去，有至而太过，何谓也？师曰：冬至之后，甲子夜半少阳起，少阳之时，阳始生，天得温和。以未得甲子，天因温和，此为未至而至也；以得甲子，而天未温和，为至而不至也；以得甲子，而天大寒不解，此为至而不去也；以得甲子，而天温如盛夏五六月时，此为至而太过也。;Thedisciplesasked:“Telluswhytheseasonsarriveatvarioustimes;sometimesaseasonarrivesbeforethecalendardate,sometimesafter;orsometimesthecalendardatearrivesbuttheprecedingseasonremains;orsometimestheseasonarrivesbeforeitstime.”

Themasterreplied:“Exactlyatmidnightonthewintersolstice,thelesseryangperiodbegins,thatis,theyangphaseissettingin;thencetheweathergraduallywarms.Iftheweatherbecomeswarmbeforethewintersolstice,itisthefirstcondition.Ifthewintersolsticearrivesbuttheweatherhasnotturnedwarm,itisthesecondcondition.Ifthewintersolsticearrivesbuttheweatherremainesextremelychillyandthereisnosignofwarmweather,itisthethirdcondition.Ifthecalendricalwintersolsticearrives,butitisashotasmidsummer,itisthefourt