从厥阴病探讨“络风内动”学说

Exploring the the theory of“internal stirring of collateral wind”from Jueyin disease

“络风内动”是现代医家根据急性心血管病发病急骤,且病情变化多端,与中医风证相似而提出的病机学说。清代医家俞根初曾提出“以六经钤百病,为确定之总诀”,所有疾病都可归属六经。心脉络病属厥阴,厥阴心包络代心受邪,心脉络病与厥阴病症状相合。风生于厥阴,厥阴阴阳变化生风,厥阴肝木失和动风。“络风内动”与厥阴病密切相关:厥阴风火内郁,火热生风;厥阴虚损,络虚风动;厥阴外感,外风引动内风。治疗厥阴病主方乌梅丸的配伍包含了祛风通络的治法,同时也体现了厥阴病与“络”“风”的关系。临床应用乌梅丸治疗心血管疾病亦多能取得较好疗效。阴阳失和、病及厥阴是导致“络风内动”的重要原因。将厥阴病与“络风内动”学说有机结合,从伤寒六经角度认识“络风内动”学说,对指导心血管疾病的防治具有重要意义。

The term“internal stirring of collateral wind”is a modern medical pathogenesis theory based on the rapid onset of acute cardiovascular diseases and swift changes in the condition,similar to wind in traditional Chinese medicine.Yu Genchu of the Qing Dynasty proposed that“the six meridians are the general rule for determining all diseases”.All diseases can be attributed to the six meridians.Heart chakra disease corresponds to Jueyin,in which the Jueyin pericardium instead of the heart is affected by the pathogens,and the symptoms of heart chakra disease are similar to those of Jueyin disease.Wind arises from the Jueyin,the changes in yin and yang in the Jueyin give rise to wind,and disharmony between the liver and the Jueyin stirs up wind.The“internal stirring of collateral wind”is closely related to the Jueyin diseases:Internal depression of wind and fire in the Jueyin gives rise to fire-heat,which evetually generates wind;Deficiency of the Jueyin gives rise to deficiency of the collaterals,which causes wind movement;External contraction of the Jueyin gives rise to external wind which stirs up the internal wind.The composition of Wu Mei Pills,a major formula for the treatment of Jueyin disease,contains the treatment method of dispelling wind and clearing collaterals,and also reflects the relationship between Jueyin disease and“collaterals”and“wind”.The clinical application of Wu Mei Pills in the treatment of cardiovascular diseases has also achieved good results.The dissonance between yin and yang and the disease affecting the Jueyin is an important cause of the“internal stirring of collateral wind”.It is of great significance to understand the theory of“internal stirring of collateral wind”from the perspective of six meridians.