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三焦学说的传承与演变探析

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三焦的形态结构模糊，病变之变证、兼证繁多，故历代医家对于三焦学说都有不同见解。在形态结构方面，历代医家主要继承了《黄帝内经》的三焦"有名有形"论和《难经》的三焦"有名无形"论，在此基础上演变出了脂膜、腔子、腔府、油膜、膜腔、缝隙腠理等学说，并结合现代医学剖析三焦的形态结构。在功能方面，从《黄帝内经》的"决渎之官""中渎之腑""传化之府"到《难经》的"三焦为原气之别使"，历代医家大多立足于三焦的气化功能，探讨营卫、少阳、五脏、命门相火、温病等与三焦的相关性。
Analysis of Inheritance and Evolution of Triple Energizer Theory
As the morphological structure of triple energizer is ambiguous,and there are many variations and concurrent symptoms,successive generations of medicalscholars have different opinions on triple energizer doctrine.In terms of morphological structure,the medical scholars of the past generations mainly inherit the theory of triple energizer as"having appellation and substance"in The Yellow Emperor's Canon of Internal Medicine and the theory of triple energizer as"having appellation but no substance"in Classic of Questioning,on the basis of which they evolve the doctrines of lipid membrane,cavity,cavity mansion,oil membrane,membrane cavity,striae and so on,and analyze the morphology and structure of triple energizer combined with modern medicine.In terms of function,from"the official of determination","the crucial viscera",and"an organ of conduction and digestion"in the The Yellow Emperor's Canon of Internal Medicine to"the source of qi diverging from triple energizer"in the Classic of Questioning,most of the medical scholars of the past generations have discussed the relevance of triple energizer to ying-wei,Shaoyang,the five viscera,the vital phase fire,and the warm diseases,based on the qi-transformation function of triple energizer.

triple energizerThe Yellow Emperor's Canon of Internal MedicineClassic of QuestioningTreatise on Febrile and Miscellaneous Diseaseswarm diseases

李俊廷、赖慈爱、张琳琳、郑颖、李永春、宫凤英、林锦韬、刘钊汝、吕英

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广州中医药大学第二临床医学院,广东广州 510405

南方医科大学南方医院古中医科,广东广州 510610

三焦 《黄帝内经》 《难经》 《伤寒杂病论》 温病

国家自然科学基金青年基金广东省中医药局面上项目南方医科大学南方医院院长基金

8210152298202130092020Z009

2024

10.16295/j.cnki.0257-358x.2024.01.002

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子：0.431
ISSN：0257-358X
年,卷(期)：2024.43(1)
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