中医内科疾病五脏分类的临床意义

The Clinical Significance of Classification of Five Zang Organs in Internal Disease of TCM

《中医内科学》中绝大部分中医内科疾病按照五脏体系进行分类论述,而肢体经络和气血津液病证则分别按照病变部位和病因病机独立成篇单独论述。中医内科疾病所选代表方剂都是以古代经方为主,方中多数药物归经均在五脏范围之内,将疾病脏腑定位与药物归经结合起来,临床上一旦确定了疾病的脏腑定位,则该疾病治疗药物原则上都在相应脏腑归经的范围内进行选择,可以增强临床用药的靶向性。气血津液疾病根源在于脏腑的功能失调,应该也归属于五脏分类中,更利于疾病定位归经用药。

Most of CM internal diseases were illustrated by type according to 5 zang organs system in Chinese Internal Medicine,while meridians and collaterals of limbs and qi,blood and body fluids diseases were introduced by separated chapters according to the etiology and pathogenesis. The prescriptions in it were mostly ancient ones,and attributive channels of most medicine in the prescriptions belonged to the five internal organs. Combining disease orientation in organs with the attributive channels of medicine,once the orientation was targeted clinically,then the medicine should be chosen from those belonged to corresponding channels,in order to enhance the targeting of clinical medicine. Qi,blood and body fluids diseases were rooted in dysfunctional organs so they should also be attributed by this category,more beneficial to medication.