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痰瘀理论源流考

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痰、瘀之意始见《黄帝内经》,痰、瘀之名定于张仲景.笔者通过查阅中医药古籍中关于"痰""瘀"的相关内容,经过甄别筛选和系统梳理,将各医家对痰瘀理论的观点概括为4个核心:痰瘀同源、痰瘀互致、痰瘀同病、痰瘀同治.通过回顾痰瘀理论的发展历程,强调痰瘀性、质、状的通性,旨在指导临床医生在临证时对于痰瘀合而致病的顽疾要重视治痰兼顾化瘀,治瘀不忘祛痰.
Textual research on oringin and development of theory of phlegm and stasis
The concepts of phlegm and stasis were first mentioned in the Huangdi Neijing,and the terms of phlegm and stasis were coined by ZHANG Zhongjing.After scrutinizing and systematically sorting through the relevant contents about'phlegm'and'stasis'in ancient Chinese medical texts,the authors summarize four core viewpoints of different doctors on the theory of phlegm and stasis:same source of phlegm and stasis,mutual production of phlegm and stasis,same disease caused by phlegm and stasis,and same treatment of phlegm and stasis.By reviewing the developmental history of the phlegm and stasis theory and emphasizing the commonality of phlegm and stasis in their nature,quality,and condition,aims to guide clinical practitioners in treating stubborn diseases caused by phlegm and stasis by highlighting the importance of treating phlegm while addressing stasis and vice versa.

PhlegmStasisOringin and developmentTextual researchLiterature researchSame disease caused by phlegm and stasisMutual production of phlegm and stasisSame treatment of phlegm and stasis

李巧凤、吴承玉

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南京中医药大学中医学院,南京 210023

源流 考证 文献研究 痰瘀同病 痰瘀互致 痰瘀同治

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(12)