伤寒论_____]_伤寒论;_三阴三阳;_六时;

试论《伤寒论》三阴三阳时位辨证

http://www.100md.com 《中西医结合学报》 2005年第4期

伤寒论,,],伤寒论;,三阴三阳;,六时;,六病,1三阴三阳是一个时序概念,2六病是对外感热病的一种时间分类方法,3三阴三阳是一个与空间病位相关联的概念,4合病与

     [摘要] 《伤寒论》的“三阴三阳”一直是历代医家争论的焦点，直至今日，“三阴三阳”的本质仍未被揭示出来。通过对《伤寒论》中的六时、六病、合病、并病及六病欲解时的探讨，以及三阴三阳的三部定位划分，提出《伤寒论》的“三阴三阳”是一个“时序”概念，并与空间病位相关联，因而认为“六病”是张仲景对外感热病的一种时间分类方法，可揭示外感热病的发生、发展、转归与时间之间的某种内在联系。

    [关键词] 伤寒论; 三阴三阳; 六时; 六病

    Discussion of time and space differentiation of threeyin and threeyang in Shanghan Lun

    MA WenHui, SUN XiaoHong

    (Clinic of Sanbu Liubing Research Institute, Taiyuan, Shanxi Province 030013, China; Department of Cardiovascular Diseases, Shanxi Provincial Research Institute of Traditional Chinese Medicine, Taiyuan, Shanxi Province 030012, China)

    ABSTRACT The concept of “threeyin and threeyang” in Shanghan Lun (Treatise on Cold Pathogenic Diseases), a classic written by Zhang Zhongjing in Han Dynasty, has been always the focus of dispute in successive dynasties. The essence of “threeyin and threeyang” has not been fully revealed up till now. Through studying the six divisions of day and night, the six diseases, the combination of syndromes, the complicated diseases, the complete recovery time and the space division of “threeyin and threeyang”, the authors draw a conclusion that the “threeyin and threeyang” in Shanghan Lun is a concept of timesequence, which is associated with the location of disease in space. So it is suggested that the “six diseases” in Shanghan Lun is a categorization for exogenous febrile diseases, and this categorization reveals a sort of inner relationship between the emergence, development, transformation of the febrile diseases and the time. ......

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