《灵枢·经脉》“是动病”“所生病”痛证特点辨析

Analysis on The Pain Syndromes Characteristics of Shi Dong Bing and Suo Sheng Bing in Miraculous Pivot

“是动病”与“所生病”理论完整化成型于《灵枢·经脉》,为十二经脉病候,后世对两者的含义解释颇多,但至今未有定论。痛证在临床上较为常见,其病因病机复杂多样。本文整理归纳《灵枢·经脉》“是动病”“所生病”有关痛证记载,发现“是动病”痛证与“所生病”痛证相比,种类少、病位分布范围窄,涉及经脉少,同时阴经的痛证明显少于阳经。分析讨论两者差异,认为其主要与经脉气血的先后变化、经脉循行部位的阴阳差异、经脉属络脏腑的特异性质存在联系,在中医临床应用特别是痛证的辨证诊治过程中应予重视。

The theories of Shi Dong Bing and Suo Sheng Bing,formed in Miraculous Pivot,were the symptoms of twelve meridians.There have been many explanations about their meanings in later generations,but without a general conclusion drawn as yet.Pain syndromes are relatively commonly existed in clinic,which’s etiology and pathogenesis are complex and diverse.In this paper,by summarizing the pain syndromes recorded in both of Shi Dong Bing and Suo Sheng Bing,it discovered that the pain syndromes of Shi Dong Bing were less than that of Suo Sheng Bing in species,location distribution ranges and involved meridians.Meanwhile,the pain syndromes of Yin meridians were also obviously less than that of Yang meridians.Discussing the differences between them,it found that they were mainly related to the changing order of Qi and blood in meridians,the varying distribution of Yin and Yang in different parts of meridians and the specificity of their meridians and Zang-Fu.It can’t be ignored in TCM clinical application,especially in the differentiation of pain syndromes.