中医眼耳鼻喉杂志2024,Vol.14Issue(3) :165-166,169.DOI:10.3969/j.issn.1674-9006.2024.03.014

《伤寒论》桂枝汤"鼻鸣"本意探究

Study on the original meaning of"Biming"in guizhi decoction from treatise on febrile diseases

李春雨
中医眼耳鼻喉杂志2024,Vol.14Issue(3) :165-166,169.DOI:10.3969/j.issn.1674-9006.2024.03.014

《伤寒论》桂枝汤"鼻鸣"本意探究

Study on the original meaning of"Biming"in guizhi decoction from treatise on febrile diseases

李春雨1
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作者信息

  • 1. 225300,江苏泰州,南京中医药大学泰州校区
  • 折叠

摘要

《伤寒论》桂枝汤中鼻鸣后人多理解为闭塞性鼻音,笔者经考证认为鼻鸣应解释为打喷嚏,区别于《金匮要略》中所提及的鼻塞.同为东汉时期的《说文解字》中鸣是一种相对高音调、高响度的声音,理解为打喷嚏最恰当.《注解伤寒论》中鼻鸣干呕是风邪壅盛而导致的气机上逆,体现了肺气上逆易引起胃气上逆的病理特点,临床用桂枝汤治疗打喷嚏有效.同时打喷嚏也是机体免疫系统的一种自我保护机制,有助于清除呼吸道中的病原体.唯有博考群书,才能准确理解《伤寒论》本意,方能做到临床辨证论治.

Abstract

The Biming which is in Guizhi Decoction from Treatise on Febrile Diseases is mostly understood as oc-clusion nasal.The author believes that Biming should be understood as sneezing,which is different from the nasal conges-tion mentioned in Synopsis of Golden Chamber.In Origin of Chinese Characters,also in the Eastern Han Dynasty,Biming is a relatively high-pitched,high-loudness sound,which is best understood as sneezing.Biming and retching in Treatise on Febrile Disease with Notes is an upward reversal of Qi caused by excessive obstruction of wind evil,which reflects the pathological characteristics of upward reversal of lung Qi easily causing upward reversal of stomach Qi.At the same time,sneezing is also a self-protection mechanism of the body's immune system,which helps clear pathogens in the respiratory tract.Only by very widely reading books can we accurately understand the original intention of Treatise on Febrile Disea-ses and achieve clinical differentiation and treatment.

关键词

伤寒论/桂枝汤/鼻鸣/打喷嚏/气逆

Key words

Treatise on febrile diseases/Guizhi decoction/Biming/Sneezing/Reversal of Qi

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出版年

2024
中医眼耳鼻喉杂志
成都中医药大学

中医眼耳鼻喉杂志

ISSN:1674-9006
参考文献量17
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