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 (7): 557-560.doi: 10.3969/j.issn.1006-2157.2020.07.006

• 理论研究 • 上一篇    下一篇

《黄帝内经》中“伏梁”病证探析*

王仁平, 张庆祥#   

  1. 山东中医药大学中医学院 山东 250355
  • 收稿日期:2019-08-18 发布日期:2020-08-11
  • 通讯作者: #张庆祥,男,博士,教授,博士生导师,主要研究方向:藏象学说的理论与临床应用研究,E-mail:sdzqx2828@126.com
  • 作者简介:王仁平,女,在读硕士生
  • 基金资助:
    *国家自然科学基金面上项目(No.81470189)

Analysis of “fuliang" disorder in Huangdi Neijing*

Wang Renping, Zhang Qingxiang#   

  1. School of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Shandong 250355, China
  • Received:2019-08-18 Published:2020-08-11
  • Contact: Prof.Zhang Qingxiang,Ph.D.,Doctoral Supervisor, 16369 Jingshi Road, Lixia District, Jinan, Shandong 250355, China. School of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine.E-mail: sdzqx2828@126.com
  • Supported by:
    National Natural Science Foundation of China (No.81470189)

摘要: “伏梁”一词是古代病名,属于积聚的一种,最早见于《黄帝内经》,散见于《灵枢·邪气脏腑病形》《灵枢·经筋》《素问·奇病论篇》《素问·腹中论篇》中,故通过对《黄帝内经》关于伏梁病病名及病因病机分析,发现其病症却并非古代所仅有。伏梁病为脘腹痈肿、心下积块、脐下水肿三者,相当于当代腹部肿瘤、肿块和一些水肿病,其病因病机特点为邪气郁闭,气血凝滞,导致内生积证,抓住病机,具体而治。

关键词: 黄帝内经, 伏梁病, 心下积, 少腹痈, 水肿, 腹部肿瘤

Abstract: The term"fuliang"is an ancient disease name, and refers to epigastric and abdominal mass.It was first documented in four chapters of Huangdi Neijing(Huangdi's Internal Classic),including the chapters of Symptoms of Zangfu-Organs due to Attack of Pathogenic Factors and Muscles of the Meridians in Lingshu(Spiritual Pivot), and Discussion on Special Diseases and Discussion on the Abdominal Disorders in Suwen(Plain Questions).Through analysis of the name, etiology and pathogenesis of "fuliang" disorder in Huangdi Nejing, it was found that this disease has been present not only in ancient times.It is believed that "fuliang" is an umbrella term for abdominal abscess and swelling,mass below the heart, and edema below the navel, which are equivalent to abdominal tumors,masses and edema in modem medical terms."Fuliang" is caused by pathogenic qi accumulation leading to stagnation of qi and blood, which results in internal accumulation. Treatment should be given on the basis of correct analysis of pathogenesis.

Key words: Huangdi Neijing, fuliang, accumulation below the heart, abscess in lesser abdomen, edema, abdominal tumor

中图分类号: 

  • R221.3