《素问·阴阳应象大论》“阴阳寒热”“形气肿痛”探析

Discussion on “yinyang and cold-heat” “physique-qi movement,swelling and pain” in Suwen·Yinyang Yingxiang Dalun

《素问·阴阳应象大论》篇有"阴阳寒热""形气肿痛"的论述,从"同气相求""形气统一"的原则入手,认为寒伤人表形,兼以伤气;热伤里气,兼以伤形。无形之痛为伤无形之气所致,有形之肿为伤有形之体所致,故形伤则痛,气伤则肿。寒热致病多为肿痛并见,其中寒邪伤人初起以肿为主要表现,热邪伤人初起以痛为主要表现。邪气所伤主次的区别决定了疾病发展趋向不同。此外临床上寒邪与热邪所致的形气肿痛在不同阶段有相应变化,当因时、因地、因人制宜。

There are discussions on ＂yinyang and cold-heat＂,＂physique-qi movement,swelling and pain ＂in Suwen ·Yinyang Yingxiang Dalun. It is considered that cold injured the physique and concurrently damaged qi movement; heat damaged qi movement and concurrently injured the physique from the principles of origin-analogue and the unity of physique-qi movement. The invisible qi damaged the invisible pain and the visible physique injured visible swelling, which the pain caused by physique injury and the swelling caused by qi damage. The disease caused by cold and heat shows swelling and pain simultaneously. Swelling is the main clinical manifestation of the pathogenic cold hurt, while the main clinical manifestation of the pathogenic heat hurt is pain.The difference of a primary or secondary exopathogen injury determines the development trend of the disease. In addition, there are corresponding changes in the phrases of pain and swelling in the physique-qi movement that pathogenic cold and pathogenic heat have caused, which is suitable to time, local conditions and different physique of men.