《黄帝内经》痈疽文献探析

Analysis of Literature on Carbuncle in Huangdi Neijing

《黄帝内经》对痈疽的论述涵盖了痈疽疾病发生、发展、治疗及预后的整个过程,其理论框架已初见雏形。痈病总体病性为阳热实证,发展到疽病会成为虚证;外淫、饮食偏嗜等多种病因都会导致痈疽发生;其病机是由营至卫发为痈病,后从分肉下陷筋髓至疽病;治疗上,在脓未成时应用泻热消肿之法,脓已成时用铍针或砭石排脓治疗。

Huangdi Neijing on carbuncle covers the entire process of the occurrence,development,treatment and prognosis of carbuncle disease,and its theoretical framework has begun to take shape.The overall pathogenicity of carbuncle is excess syndrome due to yang-heat,and when it develops to deep-rooted carbuncle,it will become a deficiency syndrome.A variety of causes such as exogenous pathogen and diet preference can cause carbuncle to occur.Its pathogenesis is from Yingfen to Weifen that causes carbuncle,and then from subtraction of muscles and marrow that causes deep-rooted carbuncle.In treatment,the method of purging heat and reducing swelling is used when the abscess is not formed,and beryllium needle or Bian stone draining the abscess is used when the abscess is formed.