脱疽病病因病机理论框架结构研究

Research on Framework of Etiology and Pathogenesis Theory of Gangrene

[目的]构建脱疽病因病机的框架结构,并探讨其内涵与外延。[方法]以时间轴为导向,以《中华医典》为检索工具,以"脱疽"为关键词检索秦汉至清末时期各医家的医集著作,并与图书馆书籍进行校对,将文献中有关脱疽病因病机的文段进行串联,对其进行梳理和探析。[结果]脱疽病因病机理论框架大略分为四个时期:始于秦汉时期,发展于魏晋,丰富于宋元,完善充实于明清;凝练其病因病机为:阴阳失衡,寒凝致瘀;热毒蕴结,灼伤精气;气阴耗损,脉络瘀阻。[结论]通过对脱疽病因病机框架结构的分析,不仅加深了对该病的认识,还为现代医学疾病的发展提供理论基础和治疗思路,并为广大临床工作者及科学研究者尽一份绵薄之力。

[Objective] Build gangrene etiology and pathogenesis of frame structure, this paper discusses the etiology and pathogenesis theory. [Methods]Based on the time axis oriented, taking ＂Chinese Medical Code＂ as a search tool, ＂gangrene＂ as the key word, search Qin and Han Dynasties to the late Qing Dynasty physician medical books, and with the library books proofreading,this paper will be of the ancient literature about etiology and pathogenesis of clips in series, and carries on the combation and analysis.[Result]To sum up gangrene of etiology and pathogenesis, theory framework is divided into four periods： Begin in the Qin and Han Dynasties, the development in the Wei and Jin Dynasties, rich in Song and Yuan Dynasties, perfect and enrich in the Ming-Qing Dynasty. Its etiology and pathogenesis are concise：yin-yang disharmony, cold coagulation to stasis; toxic heat accumulation. burns essence;Qi and Yin waste, blood stasis inchannels. [Conclusion] Through the gangrene of etiology and pathogenesis of frame structure building, not only can deepen the understanding of the disease, also provide a theoretical basis and ideas for the treatment of the diseases associated with modern medicine.In order to make a modest contribution to the majority of clinical work and scientific researchers.