《灵枢·经筋》手少阴经筋病发微

Study on diseases of the tendon of hand-Shaoyin in Lingshu · Muscles of Channels

文章对《灵枢·经筋》手少阴经筋病的症状和病机转归作了详细的考辨,认为手少阴经筋病主要表现为胸腹和肢体的筋急不舒,久积乃成伏梁,进而内伤心胃,从症状和病程转归上看,仍属痹病,但其亦可表现为痿病。据此,提出《黄帝内经》经筋疾病主要表现为痹病,亦可为痿病,其为痹则可成积而内伤脏腑。同时揭示了《灵枢·经筋》与《素问·痹论》所遵循的五行说不同,其上承《吕氏春秋》《礼记》等对阴阳四时五脏的认识,从四时阴阳之气生壮衰的角度来阐释痹病的发病规律。

This paper makes a detailed study on the symptoms and pathogenesis of diseases of the tendon of handshaoyin in Lingshu·Muscles of Channels.It is believed that diseases of the tendon of hand-shaoyin are mainly manifested as the chest.abdomen and limbs of the tendons are not relaxed,the long-term accumulation is the Fuliang,which then damages the heart and stomach.From the perspective of symptoms and course of disease,it still belongs to bi disease,but it can also be manifested as wei disease.According to this,it is proposed that the diseases of tendons in Huangdi Neijing are mainly manifested as bi disease or wei disease,and bi disease can accumulate and injure the internal organs.At the same time,it reveals that the theory of five elements in Lingshu·Muscles of Channels is different from that in Suwen·Bilun.It inherits the understanding of the five zangviscera,four seasons,yin and yang in Lvshi Chunqiu and Liji and explains the pathogenesis of bi disease from the perspective of the growth and decline of the qi of yin and yang in the four seasons.