《黄帝内经》“两感于寒”与《伤寒论》“两感”辨析

马俊杰

doi:10.14148/j.issn.1672-0482.2023.0407

《黄帝内经》“两感于寒”与《伤寒论》“两感”辨析

doi: 10.14148/j.issn.1672-0482.2023.0407

马俊杰^,

南京中医药大学中医学院·中西医结合学院，江苏南京 210023

基金项目:

江苏省中医药科技发展计划项目 MS2021007

国家中医药考试2022年度科研课题 TB2022014

江苏省研究生教育教学改革课题 JGKT22_C039

江苏省教育科学“十四五”规划2021年度重点课题 B/2021/01/59

详细信息

通讯作者:
马俊杰，男，副教授，副主任中医师，主要从事《伤寒论》理法方药及中医流派研究, E-mail：290407@njucm.edu.cn

中图分类号: R222.19
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- 被引次数: 0
出版历程
- 收稿日期: 2022-12-31
- 网络出版日期: 2023-05-19
- 发布日期: 2023-05-10

Analysis of the Syndrome of "Two Infected with Cold Pathogen" in The Yellow Emperor's Inner Classic and "Two Infected with Pathogen" in Treatise on Cold Damage

MA Jun-jie^,

School of Chinese Medicine & Integrated Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China

摘要

摘要: 梳理《黄帝内经》“两感于寒”内涵的历史演变，提出《黄帝内经》“两感于寒”证实为少阴虚衰情况下太阳、少阴两经同时感受寒邪, 属于一种危重证候，与《伤寒论》太阳、少阴两感证有明显的区别。《伤寒论》“两感”证有“狭义两感”与“广义两感”之分。“狭义两感”即特指表里两经之感邪；而“广义两感”则认为，只要是两经感邪，不管疾病是如何发病及传变，皆为“两感”之范畴，不仅涉及互为表里两经的合病，而且亦包括其他两经合病及并病的相关内容，甚至同一经的经腑同病亦可被纳入“两感”。参照《伤寒论》对“两感”的治法，提出《黄帝内经》“两感于寒”可先用四逆汤或通脉四逆汤救里，根据病情决定是否再用桂枝汤等解表。
- 黄帝内经 /
- 两感于寒 /
- 伤寒论 /
- 两感证
Abstract: Summarize the historical evolution of the connotation of "two infected with cold pathogen" in The Yellow Emperor's Inner Classic, and propose that the "two infected with cold pathogen" in The Yellow Emperor's Inner Classic is the condition where Taiyang and Shaoyin meridians simultaneously infect cold pathogen when Shaoyin is deficient. This belongs to a critical syndrome, and is significantly different from the "two infected with pathogen" syndromes of Taiyang and Shaoyin meridians proposed in Treatise on Cold Damage. The "two infected with pathogen" in Treatise on Cold Damage has narrow meaning and broad meaning. The narrow meaning specifically refers to the infection of pathogen in both the external and internal meridians; while the broad meaning proposes that despite how the disease occurs and spreads, as long as the two meridians are infected with pathogen, it belongs to the category of "two infected with pathogen". The broad meaning not only involves complex diseases of both the external and internal meridians, but also includes related contents of complex and combination diseases of other two meridians, and even the same meridian-mediated meridian-organ diseases. Referring to the treatment of "two infected with pathogen" in Treatise on Cold Damage, it is proposed that the "two infected with cold pathogen" in The Yellow Emperor's Inner Classic can be first treated with Sini decoction or Tongmai Sini decoction for the interior, and then decide whether to use Guizhi decoction, etc, to relieve external symptoms based on the condition.
- The Yellow Emperor's Inner Classic /
- two infected with cold pathogen /
- Treatise on Cold Damage /
- two infected with pathogen

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参考文献(12)

[1]	姜建国. 新世纪全国高等中医药院校七年制规划教材: 伤寒论[M]. 北京: 中国中医药出版社, 2004: 275. JIANG JG. Textbook for the Seven Year Plan of National Higher Traditional Chinese Medicine Colleges in the New Century: Treatise on Cold Damage[M]. Beijing: China medical science and technology press, 2004: 275.
[2]	黄帝内经·素问[M]. 北京: 人民卫生出版社, 2005. The Yellow Emperor's Inner Classic: Basic Questions[M]. Beijing: People's health publishing house, 2005.
[3]	王长瀛. 王叔和与《伤寒例》[J]. 国医论坛, 1992(2): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-GYLT199202000.htm WANG CY. Wang Shuhe and Cases of Treatise on Cold Damage[J]. Nat Med Forum, 1992(2): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-GYLT199202000.htm
[4]	张仲景. 伤寒论[M]. 北京: 人民卫生出版社, 2005. ZHANG ZJ. Treatise on Cold Damage[M]. Beijing: People's health publishing house, 2005.
[5]	成无己. 注解伤寒论[M]. 北京: 人民卫生出版社, 1956: 34. CHENG WJ. The Treatise on Cold Damage Annotated and Explained[M]. Beijing: People's health publishing house, 1956: 34.
[6]	张景岳. 景岳全书系列·伤寒典[M]. 北京: 中国医药科技出版社, 2017: 13. ZHANG JY. The Complete Works of Zhang Jing-yue Series-Treatise on Cold Damage Principles[M]. Beijing: China medical science and technology press, 2017: 13.
[7]	许叔微. 伤寒九十论[M]. 上海: 上海科学技术出版社, 1990: 30. XU SW. Ninety Treatises on Cold Damage[M]. Shanghai: Shanghai science and technology press, 1990: 30.
[8]	宋郭雍. 仲景伤寒补亡论[M]. 上海: 上海科学技术出版社, 1959: 99-100. SONG GY. Supplement to What had been Lost from the Treatise on Cold Damage[M]. Shanghai: Shanghai science and technology press, 1959: 99-100.
[9]	杨金萍. 丁甘仁医著大成[M]. 北京: 中国中医药出版社, 2019: 557. YANG JP. Ding Ganren's Great Achievements in Medical Literature[M]. Beijing: China traditional chinese medicine press, 2019: 557.
[10]	徐东亚, 彭焕清, 曾莺. 曾莺基于《伤寒论》"太少两感"辨治小儿慢性湿性咳嗽经验[J]. 湖南中医杂志, 2021, 37(10): 33-35. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZO202110015.htm XU DY, PENG HQ, ZENG Y. Zeng Ying's experience in differentiating and treating chronic damp cough in children based on "infection in Taiyang and Shaoyang" in Treatise on Cold Damage[J]. Hunan J Tradit Chin Med, 2021, 37(10): 33-35. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZO202110015.htm
[11]	刘浩, 崔光福, 杜晶晶, 等. 基于"两感邪气"论治外感病浅议[J]. 中西医结合心血管病电子杂志, 2020, 8(1): 13, 21. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXJH202001007.htm LIU H, CUI GF, DU JJ, et al. Discussion on the treatment of exogenous diseases based on the theory of "two infected with pathogen"[J]. Electr J Integr Tradit Chin West Med Cardiov Dis, 2020, 8(1): 13, 21. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXJH202001007.htm
[12]	柯琴. 伤寒来苏集[M]. 上海: 上海科学技术出版社, 1959: 15. KE Q. Collected Writings on the Renewal of the Treatise on Cold Damage[M]. Shanghai: Shanghai science and technology press, 1959: 15.