《金匮要略·妇人杂病脉证并治》第八条浅析

Analyze the Eighth Item of Pulse Syndrome Complex and Treatment of Miscellaneous Gynecological Diseases from Jinkui Yaolve

[目的]探析《金匮要略》"妇人杂病脉证并治"篇第八条原文旨意。[方法]通过对《金匮要略》"妇人杂病脉证并治"篇的仔细研读、思考,并参阅历代医家对第八条条文的注解,围绕妇人杂病的因机证治对本条原文进行分析、阐释。[结果]《金匮要略》"妇人杂病脉证并治"篇第八条为妇女诸病纲领,"因虚、积冷、结气"六字为其病因机要,而"因虚"居六字之首;第2句"久成肺痈"之"痈"字当是"痿"字之误;病证"凝坚在上"、"在中盘结",男女均可出现,非女子独有,"肺痿"、"寒疝"、"胁腹痛"、"脐下关元痛"、"劳热"、"肌肤甲错"等证在《金匮要略》其它篇章各有专述及记载;病证"在下"则专属妇人杂病,以经带诸病为主,证属虚寒夹瘀(郁)型。[结论]《金匮要略》妇人杂病脉证并治,开后世辨治妇人杂病之先河,随人类社会之发展,时代之更替,仲景对妇科杂病的认识至今仍具借鉴意义。

[Objeetive]To explore and analyze its original implication of the eighth article in Chapter 22 from Jinkui Yaolve.[Methods]Throug）l learning the Jinkui Yaolve closely and referring to the explanations of masters of generations,base on the original text to analyze and elaborate the etiology, pathogenesis, syndromes and therapeutic principles with regard to miscellaneous gynecological diseases.[Results] The eighth item is the general program of miscellaneous gynecological diseases,its principal pathogenic factors include deficiency, stale chills and stagnation of Qi.Moreover,the deficiency plays a leading role in the pathogenesis.Through exploring deeply,/hdd that the pulmonary abscess is actually the pulmonary asthenia in the second sentence.When the pathogenic factors attack the body,the triple energizers manifest different symptoms and signs.There is no difference between male and female on the conditions which is confined to the upper warmer and the middle warmer.Such symptoms as pulmonary asthenia,ehill colic,hypochondriac pain and abdominal pain,aching at the Guanyuan aera below the navel, asthenie fever, scaly dry skin ete.Their special dissertation distributes in other chapters of Jinkui Yaolve.Yet,the symptoms in the lower warmer which are only seen in the female,owing to deficiency-cold,blood-stasis and stagnation.[Conclusion] In history, Jinkui Yaolve firstly puts forward pulse syndrome complex and treatment of miscellaneous gynecological diseases,the core ideas on miscellaneous gynecological diseases of Zhang Zhongjing also have reference significance for the present.