《金匮要略》水湿痰饮病的认知原型研究

The Research on Cognitive Prototype of Water Dampness Phlegm Cognitive Prototype Study in Phlegm Retention Disease

历代注家对《金匮要略》湿病、水气病、痰饮病研究甚多,但传统的研究方法并未带来新的认识。现引入隐喻认知的方法,推测湿病、水气病、痰饮病,分别以雾、云、水(或冰)为原型进行认识,探讨这些自然现象与疾病之间的关系。指出水气病并不等同于水肿病,《金匮要略·水气病篇》多论水肿的原因更多源于始源域云的一般特征。在治疗方面,对相关方剂进行取象解读,发现其配伍体现了天地间水液循环的过程。

In ancient China, there are many medical researchers studying in diseases recorded in Jin Gui Yao Lue such as wet disease, water qi disease, sputum drinking disease. However, these research methods and results fail to receive persistent development in modern studies. In this articles, metaphorical cognition was used to relate wet disease, water qi disease, sputum drinking disease to fog, cloud and water（or ice） respectively, to reacquaint these diseases. And in addition, relationships between the three diseases and the corresponding natural phenomena were discussed as well. We emphatically come up with the idea that the wet disease in traditional Chinese medicine theoretic system is not equal to the conception of edema. Instead, according to wet disease part in Jin Gui Yao lue, the characters of this disease is more like the changes of cloud. In the matter of treatment theory, we investigate the application of method of analogy to explain related formula. As a result, we found the compatibility rule of ancient prescription for wet disease followed the process of hydrological cycle in nature.