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《金匮要略》"支饮"病名含义考释

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支饮病是《金匮要略》的重要组成部分.但对于其疾病命名含义,长期以来充满争议.后世医家或从医理角度、或从临床实践角度,对这一疾病命名含义作出训释,而基于文字学角度进行探讨者却较为罕见.通过对"支"字形字义之考证,同时结合对张仲景原文记载之分析,"支饮"之"支"当为"支撑"之义,"支饮"病名含义为"支撑于胸膈之水饮".支撑于胸膈间之支饮,与位于人体腹部之痰饮、四肢之溢饮、胸胁之悬饮,涵盖了人体之大部,与"水在心""水在肺"等"水在五脏"条文互为羽翼,从不同角度构建了仲景痰饮证治理论体系.
Study on the meaning of the disease name thoracic fluid retention in Synopsis of the Golden Chamber
Thoracic fluid retention is an important component of the"Synopsis of the Golden Chamber".However,it has long been controversy about the meaning of its disease naming.Later generations of medical practitioners have provided explanations of the naming meaning of this disease from the perspective of medical theory or clinical practice,while those who explore it from the perspective of philology are relatively rare.Based on philology,and combined with an analysis of Zhang Zhongjing's original records,it is believed that the"branch"in thoracic fluid retention means"support",and the disease name thoracic fluid retention means"shuiyin that supports the chest and diaphragm".Thoracic fluid retention supporting the chest and diaphragm,along with phlegm and fluid retention located in the abdomen,anasarcous fluid retention in the limbs,and suspending fluid retention in the chest and rib,cover most of the human body.The above content and the article"water in five zang viscera"complement each other,such as"water in the heart"and"water in the lungs",which constructs Zhang Zhongjing's theoretical system of diagnosis and treatment of phlegm and fluid retention.

Synopsis of the Golden Chamberthoracic fluid retentionZhidisease nametextual research

邱旭东、温佳雨、李良松

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北京中医药大学,北京 100029

《金匮要略》 支饮 病名 考证

国务院台湾事务办公室台湾中医药研究基地建设项目

GTB2017-170

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(4)
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