病络与络病对比研究

Comparison of abnormal collateral and diseases in collaterals

系统介绍了络脉研究概况,提出了病络的概念。认为病络作为一种病理状态与过程,标志着疾病的演变;作为病位病机与病势,是认识疾病变化、确定治疗方案的一个理论工具。从病机看病络可理解为各种病理因素以络脉为幕布的病变的影射;病络作为一种病理过程,包含着复杂的动态病位变化,具体体现为各种病理因素的空间特性的演化;病络作为络脉的一种非正常状态,标识着络脉的种种结构或功能的改变。初步研讨了病络与络病内涵的异同,前者属于中医学的病机范畴,后者则限定为泛指发生于以络脉为主要病位、以络脉的功能和或结构失常为主要病机的一类疾病。强调深入分析病络机制,对寻求共性的证候病机、确定治法遣药组方指导治疗、判断预后,具有重要的意义。

To introduce the study of collaterals and put forward the concept of abnormal collateral.The abnormal collateral,as a pathological satate and course,indicates the disease development;as the location,pathogenesis and state of disease,it is a theoretic tool for recognizing disease changes and determining treatment plan.It can be thought as a pathological reflection of different factors with collateral as a curtain.As a pathological course,it contains the complicated,dynamic changes of disease location,which reflect the evolution of different pathological factors;as an abnormal state of collateral,it marks various changes in structres and functions of collaterals.The similarities and differences between the concepts of the abnormal collateral and the diseases in collaterals were discussed in this paper.The abnormal collateral was part of pathogenesis of Chinese medicine and the diseases in collaterals were those with location,abnormal structures and functions in collaterals as their main pathogenesis.It is significant to finding out the common pathogenesis,deciding therapies,using drugs and forming prescriptions,guiding treatment,and assessing prognosis on the basis of a thorough analysis of the mechanism of the abnormal collateral.