论《素问》病机十九条对中药归经学说的奠基作用

《内经》确立五味与五脏的关系不是专属的,存在极大灵活性和不确定性。借助五行推导中药归经不属于临床经验的理论升华,故其不可能是归经学说唯一或主流的理论渊源。研究认为,《素问》病机十九条阐述病机,揭示疾病本质,直接或间接明确了疾病的五脏病位,进而为基于临床疗效反证药物归经提供理论支撑。通过药物传统功能主治、归经与病机十九条的对比分析,以及明清医家运用病机十九条阐述药物归经的考察,本文确认《素问》病机十九条对归经学说的建立发挥了不可或缺的奠基作用。

Discussion on the Founding Contribution of Nineteen Types of Pathogeneses from Su Wen to Chinese Medicine Meridian Tropism

The five afferens and five trend theories are generally considered as the origination of meridian tropism. The theory is based on the relation between five tastes and viscera. We find the relation between five tastes and viscera is flexible and indeterminateness. Therefore, the deduction via five elements does not belong to theoretical sublimation of clinical experience. Consequently, it is not the unique or main stream of theoretical origination. The nineteen types of pathogeneses from Su Wen reveal the nature of diseases, identifies the pathogenic location of five viscera directly or indirectly, and provide the theoretical support for counterevidence based on clinical curative effect. Through the comparison and analysis between traditional medicine function and meridian tropism, and the application of nineteen types of pathogeneses and the clinical in the Ming and Qing dynasty, the nineteen types of pathogeneses from Su Wen has been proved to play an indispensable roll in the establishment of the meridian tropism theory.