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基于《素问·风论》辨“中风”病名之内涵
Distinguish the connotation of the name “stroke” and the pathogenesis based on the Su Wen-Theory of Wind
【摘要】 “中风”是中医学的重要疾病概念,从《素问·风论》到《伤寒论》之太阳中风证,《金匮要略》之中风历节病,再到现代之脑中风,虽临床表现完全不同,但其本质病机存在着密切关联。《素问·风论》之风包含了“邪气之总称”及“汗出恶风”症状两个方面的基本内涵,容纳着人体真气虚的核心病机。《伤寒杂病论》和《金匮要略》继承《素问·风论》对疾病命名的方式及对其核心病机的认识。但今之脑中风的概念则是后世医家在前三者基础上,以相似症状为依据对“中风”病名内涵的进一步扩展。
【Abstract】 “Stroke” is an important disease concept in Chinese medicine, from the “Su Wen-Theory of Wind” to the syndrome of affection of Tai Yang by wind of “Shang Han Lun”, the Wind of “Jin Kui Yao Lue” to the modern Stroke, although the clinical manifestations are completely different, their essential pathogenesis is closely related. The wind in Su Wen-Theory of Wind contains the basic connotation of “the general term of evil qi” and “sweating and aversion to wind” symptoms, and contains the core pathogenesis of the deficiency of Zhen Qi. The “ Shang Han Lun” and the “ Jin Kui Yao Lue ” inherited the naming of diseases and the understanding of their core pathogenesis from the “Su Wen-Theory of Wind”. However, the present-day concept of cerebral stroke is a further expansion of the connotation of the disease name “stroke” by later medical practitioners based on the first three, with similar symptoms.
【Key words】 Su Wen-Theory of Wind; stroke; cerebral stroke; connotation of disease name;
- 【文献出处】 四川中医 ,Journal of Sichuan of Traditional Chinese Medicine , 编辑部邮箱 ,2023年12期
- 【分类号】R255.2
- 【下载频次】87