首页|基于出土秦汉简帛医药文献认识《金匮要略》阴狐疝气

基于出土秦汉简帛医药文献认识《金匮要略》阴狐疝气

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在西汉初期,狐病与疝病是两类不同的疾病,狐病以症状时隐时现、伴见少腹痛为特点;疝病以心腹痛为特点,狐病与疝病共有腹痛证候.两汉之际或东汉初期,《黄帝内经》成书时,狐病与疝病已呈现融合之象,如出土《脉书》中的偏疝,在《黄帝内经》中被记载为狐疝,即可为证.在此过程中,疝气的范畴发生了变化,仓公时期,女子亦患疝气,魏晋之后疝气则限于男子病.《金匮要略》中有阴狐疝气病名,阴狐病位在肚脐下,病证时隐时现,伴见少腹痛,而疝则表现为腹痛,阴狐与疝气共有腹痛症状,故仲景将二病合称为阴狐疝气.此外,《金匮要略》中的狐惑病名,也因其病证时隐时现、变幻无常,故命名为狐惑.可知《金匮要略》阴狐疝气较《黄帝内经》狐疝更具有秦汉早期医学的特征,进而可以推测,《金匮要略》中可能保存有更多早期医学的知识.
Understanding Yin Fox Hernia in Synopsis of the Golden Chamber Based on Excavated Qin and Han Medical Manuscripts
In the early Western Han Dynasty,fox disease and hernia disease were two distinct conditions.Fox disease was characterized by symptoms that appeared and disappeared intermittently,often accompanied by lower abdominal pain,while hernia disease was marked by pain in the heart and abdomen.Although both conditions shared abdominal pain symptoms,fox disease gradually merged into the cat-egory of hernia.By the late Western Han Dynasty or early Eastern Han Dynasty,during the compilation of Huangdi's Internal Classic,fox disease and hernia were already showing signs of merging.The unilateral hernia mentioned in the excavated Pulse Classic was referred to as fox hernia in Huangdi's Internal Classic,providing evidence of this fusion.During this period,the concept of hernia expanded.In Cang Gong's era,women also suffered from hernia,but later,it became limited to men.In Synopsis of the Golden Chamber,there is the term yin fox hernia,where yin fox refers to a condition located below the navel,with symptoms that appear and disappear occasionally,often accompanied by lower abdominal pain,while hernia presents with abdominal pain.Thus,Zhang Zhongjing combined the two condi-tions into yin fox hernia.However,it still retains elements of the earlier fox disease,indicating that fox disease and hernia had not yet fully merged.Additionally,in Synopsis of the Golden Chamber,the term fox delusion names for its symptoms that appear and disappear unpredictably.This suggests that the concept of yin fox hernia in Synopsis of the Golden Chamber reflects more characteristics of early Qin and Han medical practices compared to Huangdi's Internal Classic,and it can be inferred that its content may preserve more early medical knowledge.

yin fox herniafox diseasehernia diseaseSynopsis of the Golden ChamberZhang Zhongjing

周登威、胡天祥、高燕翔

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广州中医药大学第二附属医院,广东省中医院,广东 广州 510120

阴狐疝气 狐病 疝病 《金匮要略》 张仲景

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(10)