肺痹病因病机认识的衍化
Derivatization of the Understanding of the Pathogenesis of Pulmonary Impediment
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摘要: 论述了肺痹病因病机在不同历史时期的发展特点。肺痹病因病机理论以《内经》为源，为五脏痹之一，后世阐发多宗于此；两晋隋唐时期，医家多从气极论述肺痹，并强调脏腑内虚在肺痹发生发展的作用；宋金元时期，发挥了《内经》多种肺痹病因病机的理论，强调其虚劳性特点；明清两代，除了继承前代理论外，温病医家对肺痹病因病机的理论有了新的发展，或以肺痹为肺气痹阻，或以其为病机一环，扩大了肺痹的外延。Abstract: This paper discussed the development characteristics of the pulmonary impediment theory in different historical periods. The theory of the etiology and pathogenesis of pulmonary impediment originated in the Internal Classic as one of the five zang-organs impediment， from which the majority of the later generations' illustration have analyzed. In Jin， Sui and Tang dynasties， the healers discussed the pulmonary impediment almost from the perspective of air exhaustion and put an emphasis on the internal deficiency of zang-fu organs role in the occurrence and development of pulmonary impediment. In Song， Jin and Yuan dynasties， various theories of the etiology and pathogenesis of pulmonary impediment sprung up and consumptive disease was emphasized as its main symptom. In Ming and Qing dynasties， in addition to inheritance of the previous generations' theories， warm disease healers also had some innovations， who either viewed pulmonary impediment as pulmonary obstruction， or regarded pulmonary impediment as one of the pathogenesis， which have expanded its denotation.
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Keywords:
- pulmonary impediment /
- etiology and pathogenesis /
- derivatization
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