《伤寒论》的手足辨证阐释

Explanation of syndrome differentiation of hand and foot in Shanghan Lun

《伤寒论》是东汉医家张仲景的著作,该书创立了六经辨证的先河,对后世及今天产生了深远的影响。在书中有关手足的条文多达71处,占据《伤寒论》全文18%左右,可见张仲景在《伤寒论》中对手足辨证极为重视。文章通过对《伤寒论》诸篇有关手足条文的分析,揭示了手足辨证可反映中焦运化功能、气机的畅达、疾病愈后转归等诸多问题,为今后临床诊疗方面开辟了新的思路。

Shanghan Lun is a book written by ZHANG Zhong-jing,a physician of the Eastern Han dynasty.This book initiated the differentiation of syndromes in traditional Chinese medicine and established the system of differentiation of six meridians,which has a profound influence on later generations and today.There are 71 articles about hands and feet in this book,accounting for about 18%of the whole text of Shanghan Lun.It can be seen that ZHANG Zhong-jing attaches great importance to hand and foot dialectics in Shanghan Lun.Based on the analysis of the articles about hands and feet in Shanghan Lun,this paper reveals many problems according to the syndrome differentiation of hand and foot,such as the function of the transport of Zhongjiao,the smooth flow of qi and the recovery of diseases,it also has opened up a new way of thinking for the diagnosis and treatment of today’s clinical.