对《金匮要略》黄汗的个人体会

Experience of Yellow Sweat Disease in Synopsis of Golden Chamber

文章以《金匮要略.水气病脉证并治》为基础,通过黄汗病的隶属、性质、形成以及简要联系现代医学这四方面的探讨,认为:黄汗病应归为水气病一类;通过八纲辨证得出其性质为阴、在里(发病之时表里具虚)、属寒、本虚;其形成虽与脾肺心有关,但作者从其他角度提出黄汗一病与血液有关及应重视肝脏;血液内胆红素浓度增高时,经循环代谢,汗出见黄。

With Synopsis of Golden Chamber·Hydrosphere Pulse License and Cure Disease,this article discussed yellow sweat disease through the membership,nature,formation and brief contact with modern medicine,showing that yellow sweat disease should be categorized as water Qi disease;through the eight principles differentiation the nature of skin water is Yin,locating in the interior,belonging to cold and deficiency of Ben.Its formation mechanism has relations with heart,spleen and lung but from the perspective of the other aspects,the author puts forward that yellow sweat disease and blood are concerned and should be attached importance to the liver.When the bilirubin concentration of the bloodstream is increased,the yellowish sweating will be seen.