论《黄帝内经》“有故无殒,亦无殒”的含义及临床意义

Meanings and Clinical Significance of "Mother Safe with Proper Treatment Hence Fetus Also Safe" in Huang Di Nei Jing( Huangdi's Canon of Mediucine)

"有故无殒,亦无殒"原指妇人妊娠罹患大积大聚之病,当详加辨察,如确属必需,可施以峻烈之药,攻其实邪,只要药证相符,便可病去母健胎安。然治疗时需审时度势,中病即止,遵循有病医病、无拘成见,施治遣方、有胆有识,辨证精确、遣方谨慎的原则。同时,在当今临床实践中,"有故无殒,亦无殒"亦可作为其他各科疾病的治疗原则之一,指导临床用药。

＂ Mother safe with proper treatment hence fetus also safe＂ means that if a woman is suffering from pregnancy disease with excess syndrome proper treatment of dispelling Evil should be carried out if necessary although strong medicine cannot be ap- plied to her to attack Evil. In this way the mother would recover and the fetus would be safe. However, treatment needs to be cau- tious according to the situation without any injuring to the mother and the fetus ,with accurate syndrome differentiation and prudent prescription. In today＇s clinical practice ,this treatment principle and method can also be used as the guide in clinical medication.