论《金匮要略》因、风气与元真之意

Discussion on Meaning of Cause,Wind Qi and Yuanzhen in Synopsis of Prescriptions of the Golden Chamber

《金匮要略》一篇2条"入脏腑为内所因也"一句,其中的"因"字本为"原因"之意,但常被误解作"承袭";"风气虽能生万物,亦能害万物"一句常被误解为"六气太过则成六淫",实际上风气何时转化为邪气,决定于五脏元真是否通畅;"若五脏元真通畅,人即安和"一句中,"元真"一词是指"元气"与"真气",即人身上中下三焦所通行之气血,其气与"风气"相通,元真实即人体正气,与邪气相对。纵观全条经文,多次强调正气亏损才是导致邪气入内的决定条件,全文首尾紧密呼应,具有深刻的发病学思想。

In the first chapter of Synopsis of Prescriptions of the Golden Chamber,the second clause said ＂transmitted into Viscera and Bowels is caused by internal factor＂,the＂cause＂in this sentence means＂reason＂originally,but it is usually misunderstood as ＂inherited＂. Another sentence ＂The Wind Qi can give birth to all creatures,but may also injure and hurt these creatures＂,is usually misunderstood as＂the Excessive of Six Qi can change to Six Excesses＂,in fact,when would the wind Qi change to pathogen,it is decided by the Qi flow of five viscera and Yuanzhen. In the sentence＂If the Five Viscera and Yuan Zhen Qi flow normally,health comes to normal＂,＂the Yuan Zhen＂means＂Original Qi＂and＂Genuine Qi＂,that is the Qi in the upper middle and lower parts of body,the Qi and blood flow in triple energizers,these Qi is connected with wind Qi. In fact,Yuanzhen is equal to healthy Qi in the body,in opposite to pathogenic Qi. Throughout the clause,it repeatedly emphasizes on the insufficiency of health Qi is the cause of pathogenic Qi transmitted inside to body,the whole clause closely echoes with ending and beginning,showing profound meaning on pathogenic philosophy.