基于"病传—方证"的《金匮要略》杂病病传理论探讨OA
Exploring the theory of disease progression in miscellaneous disorders in Synopsis of Golden Chamber from the perspective of"Disease Transmission—Formula Patterns"
《金匮要略》作为仲景医学杂病诊治的专著,蕴含了深刻的仲景杂病病传思想和相关理论,但仲景医学研究历来有重《伤寒论》而弱《金匮要略》的现象,研究者多重视六经传变,而对杂病传变较为模糊,透过病症(证)方药的主线,研究《金匮要略》中疾病合篇、分篇及治法、方药等内容,可以大致勾勒出仲景对于杂病病位、病性、病病之间的传变关系,以及疾病传变(病传)与方药证治之间的有效结合.本文从病传的源流出发,结合《金匮要略》相关条文,从"病传—方证"角度出发,讨论仲景杂病病传理论的基本形式和相关内容.
As a specialized medical text by Zhang Zhongjing on the diagnosis and treatment of miscellaneous diseases,Synopsis of Golden Chamber embodies profound theories and insights on disease progression within Zhang's medical system.However,research on Zhang Zhongjing's medicine has historically prioritized Treatise on Febrile Diseases over Synopsis of Golden Chamber,with scholars placing greater emphasis on the transmission of the Six Meridians while remaining relatively vague on the progression of miscellaneous diseases.By examining the framework of"disease-pattern-formula-herbs",this study explores the compilation logic,therapeutic principles,and formula herbs in Synopsis of Golden Chamber to outline Zhang Zhongjing's understanding of disease location,nature,and inter-disease progression—as well as the effective integration of disease progression with pattern-treatment based on formulas.This paper traces the origins of disease progression theory and analyzes relevant passages in Synopsis of Golden Chamber from the perspective of"Disease Transmission-Formula Patterns",aiming to systematically investigate the fundamental principles and key aspects of Zhang Zhongjing's theory on miscellaneous disease progression.
胡天祥;高燕翔;毛炜;黎创;周登威
广州中医药大学第二临床医学院/广东省中医院,广东 广州 510120广州中医药大学第二临床医学院/广东省中医院,广东 广州 510120广州中医药大学第二临床医学院/广东省中医院,广东 广州 510120广州中医药大学第二临床医学院/广东省中医院,广东 广州 510120广州中医药大学第二临床医学院/广东省中医院,广东 广州 510120
医药卫生
《金匮要略》病传理论经方医学方证
Synopsis of Golden ChamberTheory of disease transmissionJingfang medicineFormula patterns
《四川中医》 2026 (3)
31-35,5
广州市科技计划项目(2024A04J2927)广东省中医药局科研项目(20254056,20254055)广东省中医院优秀中医临床人才研修项目(中医二院[2024]88号)广州中医药大学2024年度人文社会科学培育项目(2024ZXPY13).
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