《黄帝内经》疝病的病因病机探析

疝之病名早在《汉书·艺文志》中便有提及,在《黄帝内经》中也有近20篇论及疝病。但由于论述较为杂乱,以致后世对疝病的认识诊治不一,证名繁多。但若仔细梳理《黄帝内经》原文,则可发现疝病其特点为:疝之为病,病位多在肝肾二经;疝病病机主要有二,一是气乱而内结,二是寒邪凝滞。因此,治疗疝病应益火之源、调补肝肾,或疏肝理气,或温里散寒、行气除湿。

Etiology and pathogenesis of hernia in Huangdi Neijing

Hernia's name was recorded as early as in Hanshu Yiwenzhi, and also in Huangdi Neijing, there are nearly 20 articles about the disease.Because the discussions were very messy, they have resulted in different understandings, diagnoses and therapies to hernia in later generations.However, if carefully combing the original text of Huangdi Neijing, the characteristics of hernia can be found as follows: the locations of hernia are commonly in the liver meridian and kidney meridian.There are two main pathogeneses of hernia, one is qi derangement resulting in internal stagnation, and another is cold congealing.Therefore the therapeutic methods for hernia should include replenishing fire origin,and regulating and tonifying liver and kidney,or soothing liver and regulating qi,or warming the interior and dissipating cold,and moving qi and eliminating dampness.