钱乙五脏法五行互藏思想初探

Explore the Method of Five Organs and Five Element Hide with Each Other of QIAN Yi

钱乙是宋代著名的儿科医家,反映其学术思想的《小儿药证直诀》中蕴藏着丰富的五行思想,其中颇具代表性的思想便是"五脏法五行互藏"。钱乙深禀《内经》五行学说大义,首创儿科五脏辨证纲领,将风、惊、困、喘、虚归纳为肝、心、脾、肺、肾的主要证候,用虚、实、寒、热判断脏腑的病理变化。但是钱乙并非孤立地从五脏分五证,而是强调中医的整体观念,运用五行互藏理论来指导五脏兼证的辨证及治疗,富有很强的五行思想特色,值得我们研究。

QIAN Yi is the pediatrics of Sung generation Chao , and reflect its cademic thought ofXiao Er Yao Zheng Zhi Jue contains abundant five elements thought. ＂Five Organs and Five Elements hide with each other ＂ is representative of Xiao Er Yao Zheng Zhi Jue . QIAN Yi deeply learnt Five Elements of Yellow Emperor＇s Classic of Internal Medicine , and invented the outline of five organs syndrome differentiation. He thought Feng, Jing,Kun,Chuan,Xu, was the main syndrome of the liver, heart, Pi, lung, kidney. And jugded pathologic variety of syndrome with Han , Re , Xu , Shi. But QIAN Yi didnt stand alone ground to divide five syndrome from the five Organs. The whole idea which emphasizes Chinese medicine, made use of ＂Five Elements hide with each other＂ to guide Five Organs and syndrome. It is rich with Five Elements of very strong thoughts and special features, and worth of our research.