北京中医药大学学报2025，Vol.48Issue(2)：149-153,5.DOI:10.3969/j.issn.1006-2157.2025.02.001
《金匮要略·水气病脉证并治》病证概念疏证
Conceptual clarification of the disease and syndrome concept in the Chapter of Simultaneous Treatment of Pulse and Syndrome of Water Qi Disease of Synopsis of Golden Chamber
摘要
Abstract
The Simultaneous Treatment of Pulse and Syndrome of Water Qi Disease chapter of Synopsis of Golden Chamber is regarded as one of its most challenging sections.Although nominally focused on water qi disease,this chapter also discusses yellowish sweating disease,qifen disease,and other diseases.This multiplicity of topics led to the misconception that all these diseases are water qi diseases,complicating the diagnosis and treatment strategies.By distinguishing water qi as both a pathogenic factor and a disease entity,this paper redefines the concept,linking it to the abnormal accumulation of liquid and gaseous water in the body,akin to the disrupted water cycle of the nature.It demonstrates that ZHANG Zhongjing recognizes the primary syndrome,pathogenesis,and therapeutic principles of water qi disease from the generation,aggregation,and dissipation of vaporous water.The study further differentiates water qi disease,yellowish sweating disease,and qifen disease as distinct entities.An analysis of their etiology,pathogenesis,syndromes,and treatment approaches establishes their independence while exploring their interrelations.Moreover,the relationships among the qifen,xuefen,and water phase diseases are clarified.ZHANG Zhongjing's discussion in the Simultaneous Treatment of Pulse and Syndrome of Water Qi Disease identifies the three diseases around the three"disease of water phase."The clarification of the concepts and relationships of the diseases in the Simultaneous Treatment of Pulse and Syndrome of Water Qi Disease will help to systematically and thoroughly elucidate ZHANG Zhongjing's principles and thoughts on identifying and treating water qi disease.关键词
金匮要略/水气病/黄汗病/气分病Key words
Synopsis of Golden Chamber/water qi disease/yellowish sweating disease/qifen disease分类
医药卫生引用本文复制引用
贾春华,赖敏,李湛..《金匮要略·水气病脉证并治》病证概念疏证[J].北京中医药大学学报,2025,48(2):149-153,5.基金项目
国家自然科学基金面上项目(No.82074582) National Natural Science Foundation of China(No.82074582) （No.82074582）
