脏腑风湿论在顶焦髓系疾病治疗中的应用

Discussion on the Clinical Treatment of Ding Jiao Medullary System Related Viscera Rheumatism

仝小林教授在"伏邪"理论的基础上,结合"痹病"理论,提出了"脏腑风湿"学说,即指人体感受风寒湿邪,或通过五体而内传,或通过官窍而直中,使得风寒湿邪留而不去,伏于脏腑而成痼疾。每于复感、伏邪引动造成疾病的加重或反复,因脏腑风湿所致的疾病称为脏腑风湿病。另外,仝小林教授基于现代解剖学,将顶焦从三焦中剥离出来,建立了四焦八系的辨治体系。顶焦包含颅腔与髓腔,是指挥、调节人体各种生理活动的中枢。按照现代解剖学划分,颅腔内为脑,因脑主管人的思维意识活动,主要控制中枢神经,故称其为神系;髓腔内为与脑相通的脊髓,主要支配周围神经系统,因此称为髓系。顶焦中髓系比较接近现代医学中的周围神经系统,但又不完全对应,依此理论提出的髓系脏腑风湿的辨治方法,为临床中医治疗难治性周围神经疾病提供了理论基础。

Based on the theory of "latent pathogen" and "the arthralgia syndrome", Professor TONG Xiaolin proposed the theory of "the rheumatism of zang-fu viscera", that is, the wind-cold-dampness pathogen in the human body may be transmitted internally through the five body constituents or the orifice, for that the pathogen lurks in the zang-fu organs to form chronic diseases. The relapse and aggravation of zang-fu rheumatism may be due to the fact that the latent pathogen has not been completely cleared. In addition, the Ding Jiao is derived from the three energizer based on modern anatomy to establish the syndrome differentiation system of four energizers and eight systems. Ding Jiao including cranial cavity and medullary cavity, is the center pivot of directing and regulating all kinds of physiological activities of human body. In accordance with the modern anatomy, inside the cranial cavity is the brain, for the brain is in charge of the human thinking and consciousness, mainly controlling the central nervous system, thus called as the nervous system. Besides, in the medullary cavity, there is the spinal cord connected to the brain, which mainly dominates the peripheral nervous system, so it is called the myeloid system. The medullary system in Ding Jiao is close to the peripheral nervous system in modern medicine, but it is not completely corresponding. The method of differentiation and treatment of rheumatism of zang-fu viscera put forward according to this theory provides a theoretical basis for the treatment of refractory peripheral neuropathy with traditional Chinese medicine in clinical.