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王冰学术思想索隐:玄府、天真与怫热OA

Wang Bing's Academic Thoughts:Xuanfu(Xuan Fu),Tianzhen(Innate Essence)and Fure(Stagnant Heat)

中文摘要英文摘要

王冰论"玄府",已明确其性质为统摄气门与鬼门、侧重于行气之肌表精微结构,指出其具"发泄经脉营卫之气"之功能,且用之分析皶、酒风等病候病机达11 处.论"天真",已明确其系人身及世界本源,肯定其实质为气,由形神共同影响.论"怫热",已明确其系与里热有别之具特殊表里关系的病态,以之分析具体病候病机 16 处.并且,王冰论及了三者关系:天真损耗导致怫热,玄府为怫热郁生之结构基础,并提出"解表已""大甚,焫出之"等怫热治疗思路.其上述认识在继承与发挥《黄帝内经》中产生,除已熟知受道家影响外,佛家及禅家思想亦有一定渗透体现.

Wang Bing's discussion of"Xuanfu"clarified its nature as governing the acupuncture points and Xuan Fu,focusing on the subtle structures of the muscle surface that move Qi,pointing out its function of"venting the Qi of the meridians and defensive system",and used it to analyze 11 disease conditions including facial acne and chronic alcoholic hyperhidrosis.Regarding"Tianzhen",he clarified that it constitutes the origin of the human body and the world,affirming that its essence is Qi,which is influenced by both physical form and spirit.Regarding"Fure",he clarified that it is a pathological state with a special interior-exterior relationship distinct from interior heat,and used it to analyze 16 specific disease conditions.Wang Bing also discussed the relationship among these three:depletion of innate essence leads to stagnant heat,with Xuan Fu serving as the structural basis for heat stagnation.He proposed treatment approaches such as"relieving the exterior"and"pricking to drain when severe".These understandings arose from inheriting and developing Inner Canon of Huangdi.In addition to the well-known Taoist influence,Buddhist and Zen thought also permeate and manifest in Wang Bing's ideas.

江昀峰;贺娟

北京中医药大学中医学院,北京 100029北京中医药大学中医学院,北京 100029

医药卫生

王冰玄府天真怫热

Wang BingXuanfuTianzhenFure

《中国中医基础医学杂志》 2026 (4)

725-729,5

国家社会科学基金重大项目(21&ZD349)

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