《伤寒论》伤寒结证演变规律

Evolution of stagnation syndrome in Shanghanlun

张仲景对气机不畅所形成的病证,大多强调其"结"。"结"字用于医学多指病邪结聚,代表一种病理结果,与临床证候更加吻合。但"结证"一词更为准确。仲景的结证理论不仅清晰,而且更为完备。仲景在《黄帝内经.素问》论"结"基础上,扩大了"结"的使用范围。《伤寒论》中的"结"遍及六经,全文共有50处论及"结"。《金匮要略》中,仲景提出了最为著名的论断:"若五藏元真通畅,人即安和",把气机通畅与否作为判断人体生理与病理状态的最高标准。针对伤寒结证阳郁的病理特点,仲景将《黄帝内经》"结者散之"理论加以拓展,构建了一个完整的散结法体系。

Shanghanlun contains the theory of stagnation,though which is concealed among the treating system.This theory is great important to clinical practice.When we have a whole understanding to the theory of stagnation,it is easy to analyze the obstruction-removing therapy.Though this principle hasn＇t clearly definition,it is connected closely with other regular treating methods.Based on it,the dissertation analyzes all kinds of obstruction-removing therapy in Shanghanlun.That will be very helpful for readers to understand this theory and its significance in clinical practice.