从《伤寒论》急下证探讨阳明病和少阴病内在联系.pdf

成都中医药大学硕士学位论文
摘要

目的:从生理、病理角度深入探讨阳明病、少阴病的关键因素,通过对阳明、
少阴“三急下证”的分析,并结合温病学派的理论和临床经验,发掘两经病证之
间的内在联系。扩展伤寒六经病之间的联系,丰富《伤寒学》的学术内容。为外
感热病的治疗提供新的思路,也为预见疾病的传变提供新的理论依据。
方法:本文以《黄帝内经》相关脏腑经络的经典论述,以及历代医家对阳明、
少阴相关生理病理认识为基础,通过分析阳明、少阴“三急下证”,吸收历代医家,
尤其是温热病大家的对温热病的证治思想以及治验,回溯《伤寒论》阳明病、少
阴病立法本旨,发掘他们的内在联系,形成本课题研究的理论成果。
结论:阳明、少阴皆以津液为本,以气机通畅为用。津液的消耗,气机升降
的阻塞就是阳明病和少阴病(热化证)之间的共同病机,也是他们的内在联系。
因此,阳明病和少阴病(热化证)之间有相互传变的可能。《伤寒论》中的六个急
下证,从不同的见症展现了二者相互传变的可能和趋势。仲景著《伤寒论》,并不
是只为风、寒之邪立法,也为温热治病立法。阳明和少阴病篇提出的许多辨证和
治疗方法,就是为温热病确立的。

关键词:三急下阳明病少阴病津液气机
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成都中医药大学硕士学位论文
Abstract
Objective: From the physiological and pathological point of depth key factors of
Yangming and Shaoyin disease, by three urgently purgative syndrome of Yang Ming,
Shao Yin disease are analyzed, combined with febrile faction theory and clinical
experience, to explore internal relations between the two disease. Expand Shanghan
six-channel disease connection between, rich “shanghan study” academic content. For
the treatment of exogenous febrile disease to provide a new thinking for foresee disease,
also provides a new theory basis handed change.

Methods: The paper takes the huangdineijing related the zang-ans and meridians,
and the traditional classic discussion of Yang Ming, Shao Yin related physiological
pathology know as the foundation. Through the analysis of the three urgently purgative
syndrome of Yang Ming, Shao Yin disease, absorb the traditional, especially to warm
disease everybody’s treatment ideas and experience, looking back upon on shanghanlun
Shaoyin and Yangming disease’s writing purpose, to explore internal connection
between the two diseases, forming the topic theoretical results.

Conclusion: Body fluids is the basis of Yang Ming and Shao Yin, and unobstructed qi
movement is the necessary conditions. Fluid consumption and obstruction of qi are
Yangming disease and Shaoyin disease’mon pathogenesis, also their internal
connections. Therefore, Yangming di