《伤寒杂病论》中对不仁的辨治探析

Exploration and Analysis on TCM Syndrome Differentiation and Treatment of Insensitivity in Treatise on Cold Pathogenic and Miscellaneous Diseases

不仁,即麻木不仁,指感觉功能迟钝或丧失。早在《内经》即对不仁有所论述,仲景对不仁虽然没有专篇论述,但已明确提出气虚感邪、风中经络、血瘀、寒邪、久病历节等均会引起机体麻木不仁,并根据不同的病因,提出了一些辨证论治的方药,如黄芪桂枝五物汤、乌头桂枝汤等,对于目前麻木不仁的临床治疗仍具有重要指导意义。本文从"不荣则不仁"和"不通则不仁"两端对《伤寒杂病论》中涉及不仁辨治的内容进行梳理、探析。

Insensitivity, the symptom in Chinese medicine, defined as numbness refers to dysesthesia and sensory loss. It has been discussed in Yellow Emperor＇s Canon of Medicine. Although reviewing is not so systematic and specialized, Zhongjing has definitely come up with Qi deficiency complicated with exogenous evil attack, meridians attacked by wind, blood stasis, pathogenic cold, arthralgia, In addition, according to varied etiology relative prescription has been formulated, such as Huangqi Guizhi Wuwu Decoction, Wotou Guizhi Decoction, which still remains significant guideline to present clinical treatment. This article hackled these related statements and analyzed it from obstruction and deficiency, respectively.