主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2020, Vol. 43 ›› Issue (1): 17-20.doi: 10.3969/j.issn.1006-2157.2020.01.004

• 理论研究 • 上一篇    下一篇

《黄帝内经》“重阴必阳,重阳必阴”新解*

张天星   

  1. 浙江中医药大学基础医学院 浙江 310053
  • 收稿日期:2019-10-12 发布日期:2020-02-21
  • 作者简介:张天星,男,博士,讲师
  • 基金资助:
    *浙江中医药大学校级教改资助项目(No.YB17024)

A new interpretation of “extreme yin turning into yang, extreme yang turning into yin” in Huangdi Neijing*

Zhang Tianxing   

  1. School of Basic Medicine, Zhejiang Chinese Medical University, Zhejiang 310053, China
  • Received:2019-10-12 Published:2020-02-21
  • Contact: Zhang Tianxing, Lecturer, Ph.D. School of Basic Medicine, Zhejiang Chinese Medical University, No.548, Binwen Road, Binjiang District, Hangzhou City, Zhejiang 310053, China. E-mail: ztxl@163.com

摘要: 《素问·阴阳应象大论篇》中有“重阴必阳”“重阳必阴”一说,本文在古代医家注解基础上,提出了从表里解读阴阳的观点。“重阳必阴”是指外感之邪太甚,或反复伤于六淫,疾病会由表及里,伤及五脏气机;“重阴必阳”是指内伤之邪太甚,里气不守,疾病也会由里及表,反复出现外感病。“喜怒伤气,寒暑伤形”言外感和内伤二类邪气伤人之常规规律,“重阴必阳,重阳必阴”则言其易于变。“重阴必阳”“重阳必阴”本质上阐释的是外感与内伤之间的关系,该思想是临床上认识病因、分析病理、审证求机的理论基础,值得挖掘、继承和发扬。

关键词: 重阴必阳, 重阳必阴, 表里, 阴阳应象大论, 生气通天论

Abstract: The statement of “extreme yin turning into yang, extreme yang turning into yin” came from the chapter entitled Yinyang Yingxiang Dalun (Major Discussion on the Theory of Yin and Yang and the Corresponding Relationships Among All the Things in Nature) in Suwen (Plain Questions). Based on the annotations of ancient doctors, this paper put forward the viewpoint of interpreting yin and yang from the aspect of interior and exterior. “Extreme yang turning into yin” means that when the exogenous pathogens are too strong or the exterior is repeatedly influenced by six pathogenic factors, the disease will transmit from the exterior to the interior, injuring qi movement of five zang-organs. “Extreme yin turning into yang” means that when the internal injury is too severe, which leads to deficiency or disorder of internal qi, the exterior will also be involved, resulting in the recurrence of exogenous diseases. The statement that “happiness and anger injure the qi, while heat and cold injure the appearance” describes the law of how endogenous and exogeous pathogens cause diseases, while “extreme yin turning into yang, extreme yang turning into yin” describes the valatility of diseases. The essence of “extreme yin turning into yang, extreme yang turning into yin” is to explain the relationship between exogenous and endogenous disorders. This idea is the theoretical basis for clinical understanding of the causes, analysis of pathogenesis, and pattern differentiation, and it merits forther exploring and developing.

Key words: extreme yin turning into yang, extreme yang turning into yin, exterior and interior, Yinyang Yingxiang Dalun, Shengqi Tongtian Lun

中图分类号: 

  • R221