论痰为瘀之先

Discussion on Phlegm Produced before Blood Stasis

作为具有特殊性质的两种病理产物,痰、瘀同属阴津为病,二者均可成为新的致病因素而引起疾病或导致疾病加重。同时,这两种致病因素以其胶着、黏滞之性而缠延难去,并易于或先或后相继产生而成为致病因素共同作用于机体。历代对此多有论述。多数医家根据其性质、致病特点,认为痰瘀同源、痰瘀同病,且痰瘀可以同治。文章从文献、临床症状、舌苔脉象以及治疗原则、方剂等方面对痰、瘀进行论述,提出痰之产生在瘀之前,即痰为瘀之先。

Phlegm and blood stasis are the two special pathological production and both of them result from the disorder of yin body fluid and both of them can be the new pathogenic factors to induce the other diseases or aggravate the diseases.These two pathogenic factors are characterized as stickiness and lingering.They are produced successively and co-act on the human body.There are many discussions by the scholars in the different dynasties.Many medical scholars believed that phlegm and blood stasis were from the same origin,resulted in diseases interactively and could be treated simultaneously in terms of their properties and pathogenesis characters.The paper stated phlegm and blood stasis in the aspects of literatures,clinical symptoms,tongue and pulse conditions,treating principles and formulas.The paper proposed that phlegm is produced before blood stasis.