中国中医基础医学杂志2026，Vol.32Issue(4)：717-720,4.
论伤寒病机理论的起源、形成与发展演变
Origin,Formation,Development and Evolution of the Pathogenesis Theory of Cold Damage
摘要
Abstract
Medical practitioners throughout history have attached great importance to the study of cold damage,yet there remains disagreement on the understanding of its pathogenesis theory.This article concludes through analysis and review that the pathogenesis theory of cold damage originated in the Qin and Han dynasties,was initially constructed in the Sui and Tang dynasties,took shape in the Song,Jin,and Yuan dynasties,and evolved in the Ming and Qing dynasties.From the earliest theory of wind-cold entering the skin and muscle,competing with vital Qi,causing the circulation of the Ying(nutrient)and Wei(defense)to be obstructed,with pathogenic Qi accumulating in the upper energizer for more than three days and in the Zang-Fu organs for more than five days;it developed into theories such as cold stagnation turning into heat,cold injuring the Ying and Wei,extreme cold generating heat,and Yin syndrome cold damage;later,it gradually evolved into theories of wind injuring the Wei,cold injuring the Ying,wind and cold injuring both the Ying and Wei,the six Qi theory,and the theory of root,branch,and middle Qi.Since the Ming and Qing dynasties,medical practitioners have paid more attention to theoretical discussions based on the text of Treatise on Febrile Diseases in studying the pathogenesis of cold damage.Future research urgently needs to break through the limitations of textual research and construct a systematic theoretical system of cold damage pathogenesis.关键词
伤寒/病机/《伤寒论》/演变Key words
Cold damage/Pathogenesis/Treatise on Febrile Diseases/Evolution分类
医药卫生引用本文复制引用
汤尔群,黄玉燕,郑齐,张立平,潘雅婧,陈曦..论伤寒病机理论的起源、形成与发展演变[J].中国中医基础医学杂志,2026,32(4):717-720,4.基金项目
中国中医科学院优秀青年科技人才培养专项(ZZ13-YQ-114) （ZZ13-YQ-114）
中央级公益性科研院所基本科研业务费专项(YZX-202315) （YZX-202315）
