中医之“表”新论

A new interpretation of the exterior concept in traditional Chinese medicine

关于"表",通常都认为其实体在肌表。表其实可根据人体组织部位的深浅及与外界的沟通情况,进一步细化为"表之表""表之里""里之表"。皮毛、肌腠与外界直接接触,人体最外层为"表之表";经脉、筋骨、血脉位置较表之表部位深,而又不与外界直接相通,故为人体"表之里",人体内部脏器与外界直接相通的内膜部分为人体的"里之表"。"表"的防御作用即"卫气"功能的体现,"卫气"的功能体现依赖于有形实体的"表"。这种"表"实体性划分可拓展解表法、拓宽风药的应用范围,丰富外治理论。

With regard to ＂exterior＂,it is generally considered that this entity refers to the muscle and surface of human body. In fact,according to the depth of human tissue and the connection with the outside world,the exterior can be further refined into ＂the surface of exterior＂,＂the lining of exterior＂,＂the surface of interior＂. The skin,hair and muscle are in direct contact with the outside world. The outermost layer of the human body is ＂the surface of exterior＂; the meridians,bones,and blood vessels is deeper than the surface of the exterior,and it is not directly connected with the outside world. So it is the human body ＂the lining of exterior＂; human internal organs that communicate directly with the outside world are the＂the surface of interior＂. The defensive function of the＂exterior＂is the embodiment of the defensive qi（ weiqi） function,and the function of the defensive qi depends on the ＂exterior＂of the tangible entity. This ＂exterior＂entity division can broaden the scope of application of exterior-resolving method and wind-expelling medicinals,and enrich the theory of external treatment.