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 (11): 885-891.doi: 10.3969/j.issn.1006-2157.2020.11.001

• 理论研究 •    下一篇

中医学六淫之“风”辨疑*

贺娟   

  1. 北京中医药大学 北京 100029
  • 收稿日期:2020-06-12 出版日期:2020-11-30 发布日期:2020-12-08
  • 作者简介:贺娟,女,博士,教授,博士生导师,主要研究方向:《黄帝内经》哲学与理论研究,E-mail:hejuan6428@sina.com
  • 基金资助:
    *北京市自然科学基金项目(No.7182094)

Discussion on the TCM concept of pathogenic“wind”*

He Juan   

  1. Beijing University of Chinese Medicine,Beijing 100029,China
  • Received:2020-06-12 Online:2020-11-30 Published:2020-12-08
  • Contact: He Juan,Doctoral Supervisor.Beijing University of Chinese Medicine,No.11 Beisanhuan Donglu Road,Chaoyang District,Beijing 100029.E-mail:hejuan6428@sina.com

摘要: 在中医病因学理论中,风为六淫之一,在外感气候性致病因素——风寒暑湿燥火中据首位且地位至关重要。基于《黄帝内经》与“风”相关的经文,后世赋予气候之风邪诸多属性与特质。然而,《黄帝内经》之“风”,实则是多层概念的混合,不仅有广义、狭义之别,而且有气化、气候之分。风为百病之始、风为百病之长、风为阳邪故先伤上等文字之“风”,皆是外在邪气之总称;“风胜则动”,则是运气之气化概念,属于病机学范畴。后世望文生义,将诸多层面的“风”的内涵混杂于作为气候要素的六淫之一“风”的概念之中,存在概念的玄化,理论的混乱,以及与临床客观实际脱节之嫌。

关键词: 黄帝内经, 病因, 六淫, 风邪

Abstract: In the TCM etiology theory,wind serves as the first of the six pathogenic factors.Based on the original sentences related to “wind” in Huangdi Neijing (The Yellow Emperor’s Inner Classic),later generations have endowed the “wind”,a climatic phenomenon with many attributes and characteristics.However,the concept of “wind” in Huangdi Neijing (The Yellow Emperor’s Inner Classic) is actually a mixture of multi-layer concepts,which not only could be interpreted in both broad and narrow senses,but also could be classified into being related to either qi transformation or climate.Frequently,“wind” is a general concept for external pathogenic factors,like “wind is the source and leading cause for all diseases”,and “wind is a yang pathogenic factor,thus damaging the upper part of the body first”.While in “if wind dominates,it’s manifested as shaking or tremoring of the body,or constant changing of the condition”,“wind” is a pathological concept indicating qi transformation in Yunqi Theory.In later generations,apart from the connotation of “wind” as one of the six pathogenic factors,the other layers of the concept have been mixed to enlarge the concept of pathogenic wind.It has led to the mystification of the concept,confusion of theory and disconnection from clinical practice.

Key words: Huangdi Neijing (The Yellow Emperor’s Inner Classic), etiology, six pathogenic factors, wind pathogenic factor

中图分类号: 

  • R228