基于运气七篇论“燥”的属性与治疗

Discussion of attributes and treatment of“dryness”based on seven chapters on Yunqi

燥作为中医学病因病机的重要概念,古今医家多认为其由火热伤阴、津液干涸所致,对“阳衰而燥”的认识尚有不足,临床应用亦有局限。《黄帝内经》运气七篇大论载燥之条文约占全书近九成,不论是将燥与寒凉之金相配,还是由燥作为主运或客气时所影响的气候、物候乃至疾病均存在阳衰之凉的特征,抑或治疗燥证采用温热性质的药物,均强调阳气渐衰之凉为燥的根本属性。本文通过系统梳理燥与凉之间的密切联系,探索后世医家对阳衰而燥的认识及应用,希望能够为今后对燥的研究提供更深厚的理论基础。

Dryness,as an important concept of etiology and pathogenesis in traditional Chinese medicine,is generally believed to be caused by hot injury and body fluid drying up.The understanding of“dryness due to yang decline”is still insufficient,and the clinical treatments are also limited.The description of dryness in the seven chapters on Yunqi accounts for nearly 90%of the whole Huangdi Neijing;whether dryness is matched with cold-jin or the climate,phenology and diseases affected by dryness are characterized by Yang decline,and whether dryness syndrome is treated with drugs with warm or hot properties,all treatment strategies are based on the gradual decline of Yang qi as the fundamental attribute of dryness.By systematically elucidating the close relationship between dryness and coolness and exploring the treatment of dryness due to yang decline by other researchers,we hope to provide a theoretical basis for subsequent research on dryness.