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 ›› 2021, Vol. 44 ›› Issue (3): 209-214.doi: 10.3969/j.issn.1006-2157.2021.03.003

• 理论研究 • 上一篇    下一篇

从气化角度看“斑出阳明,疹出太阴”*

吴重德, 朱星#   

  1. 贵州中医药大学研究生院 贵州 550025
  • 收稿日期:2020-11-20 出版日期:2021-03-30 发布日期:2021-03-30
  • 通讯作者: #朱星,男,博士,教授,硕士生导师,主要研究方向:中医医史文献,E-mail:11863362@qq.com
  • 作者简介:吴重德,男,在读硕士生
  • 基金资助:
    *国家自然科学基金项目(No.81960830)

Discussion of “macules out of yangming and papules out of taiyin” from the perspective of qi transformation*

Wu Zhongde, Zhu Xing#   

  1. Graduate School, Guizhou University Of Traditional Chinese Medicine, Guizhou 550025, China
  • Received:2020-11-20 Online:2021-03-30 Published:2021-03-30
  • Contact: Prof. Zhu Xing, M.D., Master's Supervisor. Guizhou University of Traditional Chinese Medicine. Dongqing South Road, Huaxi University Town, Gui'an New District, Guizhou 550025. E-mail:11863362@qq.com
  • Supported by:
    National Natural Science Foundation of China (No. 81960830)

摘要: “斑出阳明,疹出太阴”是后世对清代医家陆子贤“斑为阳明热毒,疹为太阴风热”观点的概括。但后世在认识阳明太阴时多局限于“肺主皮毛,胃主肌肉”的层次,而忽略了阳明太阴作为六经的意义。本文从气化的角度来分析斑疹的发生及证治,并结合前人医案加以分析讨论,认为邪犯阳明太阴及二经脏腑本气虚弱均可导致二经的气化失常,从而形成斑疹。同时,阳明太阴互为表里,斑疹在一定程度上又可相互转化。因此,在临床中应从整体出发,认真辨明疾病的寒热虚实,以期能为治疗斑疹寻求更好的方案。

关键词: 斑疹, 阳明, 太阴, 气化

Abstract: “Macules out of yangming and papules out of taiyin” is a summary of the view that “macules are caused by heat toxin in yangming and papules are caused by wind heat in taiyin” proposed by Lu Zixian, a physician in the Qing Dynasty. However, the understanding of yangming and taiyin in later generations was mostly limited to the idea that “the lung governs the skin and body hair, and the stomach governs the muscles”, but neglected the meaning of yangming and taiyin in terms of the six meridians. This paper analyzes the occurrence and treatment of macules and papules from the perspective of qi transformation. Based on analysis and discussion of related previous medical cases, it is believed that both the invasion of yangming and taiyin by pathogens and the deficiency of the two meridians can lead to qi transformation disorder, forming macules and papules. Meanwhile, due to the exterior-interior relationship between yangming and taiyin, macules and papules can be transformed into each other to a certain extent. Therefore, it is necessary to differentiate whether the disease is of cold or heat, deficiency or excess pattern on the whole in clinical practice, so as to seek a better treatment plan for macules and papules.

Key words: macules and papules, yangming, taiyin, qi transformation

中图分类号: 

  • R254