中华中医药杂志2026，Vol.41Issue(8)：2121-2125,5.
中医内、外湿论分野的理论演进
Theoretical evolution of the distinction between endogenous and exogenous dampness in traditional Chinese medicine
摘要
Abstract
On the basis of systematically sorting out the developmental origins of dampness pathogen theories from ancient to modern times,this paper identifies that a clear theoretical demarcation between endogenous and exogenous dampness took shape in the late Song and early Jin dynasties.Literatures prior to the Song dynasty mainly expounded dampness centered on exogenous dampness.During the Qin and Han dynasties,dampness-induced disorders were primarily attributed to humid climates and damp living environments.From the Three Kingdoms,Wei and Jin dynasties to the Song dynasty,dampness was generally categorized as an external pathogenic factor together with wind,cold,summer-heat and other pathogens.Influenced by Neo-Confucianism,physicians of the Song,Jin and Yuan dynasties focused on exploring internal pathogenic mechanisms of diseases.LIU Wansu elaborated thoroughly on the connotation,pathogenic characteristics and therapeutic principles of endogenous dampness.Subsequently,physicians including LI Dongyuan,LUO Zhiti and ZHU Danxi successively advanced the diagnostic and therapeutic theories as well as herbal prescription regimens for differentiated treatment of exogenous and endogenous dampness.Starting from concrete observations of illnesses triggered by long-term residence in damp terrain,traditional Chinese medicine(TCM)scholars gradually extended their research to interpret the pathogenetic connotations of endogenous dampness and applied relevant theories to clinical diagnosis and treatment,which gradually perfected the theoretical system of diseases induced by damp pathogens in TCM.关键词
外湿/内湿/刘完素/湿邪理论/学术演进Key words
Exogenous dampness/Endogenous dampness/LIU Wansu/Damp pathogen theory/Academic evolution引用本文复制引用
张逸雯,胡镜清..中医内、外湿论分野的理论演进[J].中华中医药杂志,2026,41(8):2121-2125,5.基金项目
中国中医科学院基本科研业务费优秀青年科技人才培养专项(No.ZZ17-YQ-059),省部共建中医湿证国家重点实验室专项(No.SZ2021ZZ01),国家重点研发计划(No.2019YFC1708501),中央科研院所基本科研业务费中医基础理论研究所基金培育项目(No.YZX-202340),中央科研院所基本科研业务费中医基础理论研究所基金(No.KJX202403) （No.ZZ17-YQ-059）
