痿证源流考

Study on the origin of wilting disease

痿者,肢体手足软废不奈,弛纵瘦削。痿证之病病情复杂,诸多原因而致肌肉筋脉失于灌溉濡润而发病。本文通过对痿证相关古代文献的梳理,从病名、病因、治则几处对痿证的源流进行考证。痿证病机总由气血阴阳失衡而致,其病位脏腑可归为肝肾肺胃,治痿原则以补虚扶正、调和气血为主,治以清热、祛湿、活络,以求证治阳明,退邪杜疴。本文通过分析历代医家对痿证的认识,并对其治疗方法进行总结,以期在临床、科研中对痿证的认识与诊治提供借鉴。

People with wilting disease,limbs,hands,and feet are soft and useless,flaccid and thin.The disease condition of wilting disease is complex,and many reasons cause muscle,sinew and vessel loss in irrigation moisten and cause the disease.In this paper,through combing the ancient literature related to wilting disease,from the disease name,etiology,treatment principles of several places to make a textual research on the origin of the wilting disease.The pathogenesis of wilting disease is always caused by the imbalance of qi,blood,yin,and yang,and its location of zang-fu viscera can be classified as liver,kidney,lung,and stomach.The principle of treating wilting disease is mainly to supplement deficiency and strengthening vital qi,harmonizing qi and blood,to clear heat,remove dampness,activate collages,and to seek evidence to treat Yangming,expulsing pathogen and elimination of disease.This paper analyzes the understanding of the doctors of the past dynasties on the wilting disease,and summarizes its treatment methods,in order to provide reference for the understanding and diagnosis of the wilting disease in clinical and scientific research.