谈阳明病本证的证候分类

Syndrome Classification in Basic Syndrome of Yingming Disease

关键词:  《伤寒论》  阳明病  证候  分类

Key words:  Treaatise on Fibrile Disease  yangming disease  syndrome classification

摘要:

阳明病的分类问题,受注家的学术思想影响,或以经证与腑证分类,或以热证与实证分类。张仲景于原文中并未提经腑两字,也未言热证、实证,实乃后世为便于归纳而有所阐发。明确阳明病的发病、性质、证候分类,对于理解《伤寒论》辨证论治体系,正确指导临床,至关重要。

Abstract:

Influenced by the ideas of the authors in different generations the doctors usually classified yangming disease into meniclian synclnome and fu-synclnome on pyretic synclnome and sthenic synclrome. Actually, ZHANG Zhong jing has never mentioned the two words: meridian and fu or pyretic synclrome and sthenic syndrome. That is an elucidation made by the scholars in succeeding generations for the convenient conclusion indeed. For this kind of classification, although there are cliffenences in the viewpoints and recognition, the scholars have still accepted it. The author thinks that the general characteristic of yangming disease is gasttlc sthenia, the principal syndrome of which is constipation or without stool. When dry heat going into blood, there are dry heat causing nosebleed, yangming accumulating blood, heat attacking the room of blood, blood stasis in intestine, stool with pus and bloocl. To clarify the pathogenesis characteristic and classification of the syndrome of yangming disease is very important for us to unclerstancl the system of treatment ivth syndrome differentiation of treatise on febrile Disease and guide clinic correctly.