《内经》胀病理论探讨

Theoretic Discussion on Distending Disease in“Internal Classics”

[目的]探讨《内经》胀病的理论内涵与辨证论治思想,阐述其对临床实践的指导意义。[方法]对《内经》胀病病名、病因病机、病症分类、临床表现、诊断、治疗及预后转归等进行较全面整理论述。[结果]《内经》对胀病已有专门论述,其病因病机可概括为外邪侵犯、情志失调、饮食不节、病理产物积聚、脏腑亏虚等;根据其临床表现,胀病可分为五脏六腑胀和肤胀、水胀与臌胀;《内经》对胀病的治疗提倡以针刺治疗为主,兼用刺络放血,也用单方药物。[结论]《内经》已构建了胀病理论的基本框架,对后世具有深远影响,其理论内涵与辨证论治思想,对临床实践应用具有重要指导意义。

[Objective] To discuss the theoretic thought and thought of treatment based on differentiation of signs of distending disease in＂Internal Classics＂,expounding its guiding meaning to clinical practice. [Method] It makes complete systemized statement on the disease name, causa morbi and mechanism,types, clinical demonstrations, diagnosis, treatment and prognosis, etc. [Result]＂Internal Classics＂has special statement of distending disease, its causa morbi and mechanism can be summarized as： exogenous evil invasion, disordered sensation, improper diet, accumulation of pathological products and deficient organs; under its clinical symptoms, it can be divided into： distending viscera, distending skin, water distending and tympanites; meanwhile, ＂Internal Classics＂sponsors acupuncture for treating distending disease mainly, combined with blood-bleeding puncture, as well as home remedy. [Conclusion]＂Internal Classics＂has constructed basic frame of distending theory, which has deep influence on later generations of doctors, whose theoretic connotation and thought of treatment based on differentiation of signs has important guiding meaning to clinical practice and application.