主 办:北 京 中 医 药 大 学
ISSN 2095-6606 CN 10-1157/R

现代中医临床 ›› 2021, Vol. 28 ›› Issue (3): 39-42.doi: 10.3969/j.issn.2095-6606.2021.03.009

• 理论探讨 • 上一篇    下一篇

《黄帝内经》“伤于湿者,下先受之”解析*

王梦琪, 贺娟#   

  1. 北京中医药大学中医学院 北京 100029
  • 收稿日期:2020-09-21 出版日期:2021-05-30 发布日期:2021-06-08
  • 通讯作者: #贺娟,女,博士,教授,博士生导师,E-mail:hejuan6428@sina.com
  • 作者简介:王梦琪,女,在读博士生
  • 基金资助:
    *北京市自然科学基金资助项目(No.7182094)

Interpreting “For those who are hurt by dampness, their lower part of the body suffers first” in Huangdi Neijing*

Wang Mengqi, He Juan#   

  1. School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029
  • Received:2020-09-21 Online:2021-05-30 Published:2021-06-08

摘要: 湿邪在现代中医学中被认为是天之六气所变六淫之一,被赋予“湿性趋下,易袭阴位”的属性。这一表述来源于《素问·太阴阳明论篇》“伤于湿者,下先受之”。结合《黄帝内经》其他篇章重新解析该句,发现其所论之湿为地之湿气,与六淫之湿在概念、性质、致病特点上有所不同。地之湿气易伤皮肉筋脉,导致肌肉关节疼痛、痿废,肢体厥冷的病症,治疗可循《金匮要略》助阳散湿的思路,以微汗、利小便为法,以白术为治湿主药。

关键词: 湿, 六淫, 太阴阳明论, 伤于湿者,下先受之, 黄帝内经

Abstract: In modern traditional Chinese medicine, pathogenic dampness is regarded as one of the six evils transformed by the six qi of the tian (heaven). It is endowed with the attribute of "the tendency of dampness is downward and easy to invade the Yin position".This expression comes from Su Wen· Tai-yin Yang-ming Theory, "For those who are hurt by dampness, their lower part of the body suffers first". Inspired by statements in other chapters in Huangdi Neijing, we reanalyzed this sentence, and found that the dampness here referred to the dampness from the earth, different from that of the six evils, in terms of concept, nature and pathogenic characteristics. The dampness of the ground easily hurt the skin and muscles, leading to muscle joint pains, amyotrophy, and cold limbs. In terms of treatment, it can be treated by following the principles of strengthening yang and dispelling dampness from Synopsis of the Golden Chambersto with method of inducing sweating and diuresis, with Atractylodis as the main medicine for its treatment.

Key words: dampness, the six evils, Tai-yin Yang-ming Theory, For those who are hurt by dampness,their lower part of the body suffers first, Huangdi Neijing

中图分类号: 

  • R221.1