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试论《黄帝内经》"古今异病"思想OA

Diseases Differences of"Past and Present Discussed"in Huang Di Nei Jing

中文摘要英文摘要

疾病的变迁是医学研究较为关注的话题,而早在《黄帝内经》中便有对"古今异病"现象的深入探讨,认为疾病随着时代变化变得愈发复杂.虽然现今社会整体生活、医疗、卫生水平都在提高,但疾病并未简化,新挑战不断出现.通过分析论述《黄帝内经》中"古今异病"的经典原文,探讨该现象的表现、成因及对策可知,"古今异病"之"异"体现在病症、病因、病程、病史等方面,原因则涉及思想、行为、身体、社会等多个层面.通过该研究可使我们重新审视疾病的病因和治疗方法,为现代临床疾病研究提供宝贵借鉴,并为现代中医学临床实践提供指导与反思.

The evolution of diseases is a topic of considerable interest in medical research.As early as in Huang Di Nei Jing,there was an in-depth discussion on the phenomenon of"disease difference of past and present",suggesting that diseases have become increas-ingly complex over time.Although overall living conditions,medical care,and hygiene levels in modern society are improving,diseases have not become simpler,and new challenges continue to emerge,aligning with the"increasing complexity of diseases"described in Huang Di Nei Jing.Through the analysis and discussion of the classical texts on"diseases of past and present"in Huang Di Nei Jing,this study explores the manifestations,causes,and countermeasures of this phenomenon.The"difference"in"diseases of past and pres-ent"is reflected in symptoms,etiology,disease course,and medical history,while the causes involve multiple levels,including ideology,be-havior,physical condition,and society.This research allows us to re-examine the causes and treatments of diseases,providing valuable references for modern clinical disease research and offering guidance and reflection for contemporary Chinese medicine clinical practice.

姚盛元;张其成

北京中医药大学国学院,北京 100029北京中医药大学国学院,北京 100029

医药卫生

"古今异病"《黄帝内经》杂合以治病症病因病程病史内格

"disease differences of past and present"Huang Di Nei Jingtreatment with combined methodsymptomsetiologydisease coursemedical historyNei Ge

《中医学报》 2026 (6)

1170-1174,5

国家社会科学重大基金项目(16ZDA234)

10.16368/j.issn.1674-8999.2026.06.174

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