论伤寒病机理论的起源、形成与发展演变OA

Medical practitioners throughout history have attached great importance to the study of cold damage,yet there remains disagreement on the understanding of its pathogenesis theory.This article concludes through analysis and review that the pathogenesis theory of cold damage originated in the Qin and Han dynasties,was initially constructed in the Sui and Tang dynasties,took shape in the Song,Jin,and Yuan dynasties,and evolved in the Ming and Qing dynasties.From the earliest theory of wind-cold entering the skin and muscle,competing with vital Qi,causing the circulation of the Ying(nutrient)and Wei(defense)to be obstructed,with pathogenic Qi accumulating in the upper energizer for more than three days and in the Zang-Fu organs for more than five days;it developed into theories such as cold stagnation turning into heat,cold injuring the Ying and Wei,extreme cold generating heat,and Yin syndrome cold damage;later,it gradually evolved into theories of wind injuring the Wei,cold injuring the Ying,wind and cold injuring both the Ying and Wei,the six Qi theory,and the theory of root,branch,and middle Qi.Since the Ming and Qing dynasties,medical practitioners have paid more attention to theoretical discussions based on the text of Treatise on Febrile Diseases in studying the pathogenesis of cold damage.Future research urgently needs to break through the limitations of textual research and construct a systematic theoretical system of cold damage pathogenesis.