“无盐则肿”考

Research on "Edema Induced by Salt-free Diet"

继《周礼》"以咸养脉"的五味将养论之后,《管子》首次提出了"无盐则肿"的致病理论,历代文献典籍对此多有沿承。在梳理相关文献记载后发现,因饮食乏盐所致肿病主要包含水肿病和瘿病两种,此可与《黄帝内经》所强调的过盐致病论相互补充。虽然现代社会倡导的低钠盐饮食在心血管疾病的预防方面获得成效,但并不意味着进食的钠盐越少越好。若是长期饮食无盐,轻则食欲降低、浑身乏力,重则可生肿疾,危及生命。

Following the Five Flavors nourishment theory in Zhou Li"Salt nourishing vessels",Guan Zi originally proposed the pathogenic theory of"edema induced by salt-free diet",which has been inherited in many historical documents.After organizing through the relevant literature records,it is found that the swallowing caused by the low-salt diet mainly includes edema and simple goiter,which complement each other with the over-salt diet pathogenic theory emphasized in the Huang Di Nei Jing.Although progress has been made in the prevention of cardiovascular disease by the low-sodium and salt diet advocates in modern society,it does not mean that the less sodium and salt,the better.A long period of salt-free diet will lead to lacking appetite and fatigue.In severe cases,it can cause edema and threaten one′s life.