从“五脏阳以竭”论内伤水肿

Discussion on the internal injury edema from “the failure and suppression of yang qi in the five zang-organs”

关键词:  黄帝内经》  内伤水肿  五脏阳以竭

Key words:  Neijing  internal injury edema  the failure and suppression of yang qi in the five zang-organs

摘要:

《素问·汤液醪醴论》提出“内伤水肿”概念，此处内伤水肿的主要病机为“五脏阳以竭”，综合历代诸家注释及医理分析，解释有二：一则为五脏阳气衰竭，二则为五脏阳气阻遏。文章从五脏角度出发进行分析，认为与阳气衰竭相关的脏腑责之于心、肝、脾、肺、肾；与阳气阻遏相关的脏腑多为肝、脾、肺。治疗上强调以五脏为中心，根据病性虚实、病位所在择其具体治法。

Abstract:

Suwen Tangye Laoli Lun records that “Some diseases，instead of starting from the skin and hair” puts forward the concept of “internal injury edema”. The main pathogenesis of internal injury edema are the failure and suppression of yang qi in the five zang-organs. From the perspective of the five zang-organs，the author believes that both the failure and suppression of yang qi in the five zang-organs can lead to the internal injury edema. The failure of yang qi is related to the heart，liver，spleen，lung and kidney. The suppression of yang qi is related to the liver， spleen and lung. The treatment principles are “kai guimen”，“jie jingfu” and “quyu chencuo”. Under its guidance， the author looks for specific therapy methods of internal injury edema from the perspective of the five zang-organs based on the character and location of the disease.