浙江中医药大学学报
浙江中醫藥大學學報
절강중의약대학학보
Journal of Zhejiang Chinese Medical University
2015年
10期
719-721
,共3页
无大热%伤寒论%阳明病%麻杏甘石汤%金匮要略
無大熱%傷寒論%暘明病%痳杏甘石湯%金匱要略
무대열%상한론%양명병%마행감석탕%금궤요략
Without high fever%ShangHanLun%Yangming disease%Maxing Shigan Decoction%Sypnosis of Golden Chamber
[目的]探究《伤寒论》中“无大热”一词之确切含义。[方法]对于古今注家有关“无大热”之解释进行归纳整理，并对《伤寒论》和《金匮要略》中出现“无大热”的各条文进行分析归纳，结合个人体会，对“无大热”之确切含义作出总结。[结果]“无大热”是仲景用以鉴别阳明腑实中有形之燥屎与邪热相搏结，而出现“身热”“恶热“”蒸蒸发热”而不为汗衰的大热之证所提出之用词。历代注家对“无大热”一词主要观点有二，即“热在里而不在表”和“表证已罢”说，然并不符合仲景用词之惯例和临床实际。若解释“大热”为阳明腑实之热，则凡涉及“无大热”之经文意义即得通畅，而“无大热”一词之意义亦不致于落空。[结论]“无大热”是仲景用以鉴别阳明腑实中有形之燥屎与邪热相搏结，而出现“身热”、“恶热”、“蒸蒸发热”而不为汗衰的大热之证所提出之用词。厘清“无大热”一词之含义，有助于深刻理解《伤寒论》中涉及本词条文的确切含义。
[目的]探究《傷寒論》中“無大熱”一詞之確切含義。[方法]對于古今註傢有關“無大熱”之解釋進行歸納整理，併對《傷寒論》和《金匱要略》中齣現“無大熱”的各條文進行分析歸納，結閤箇人體會，對“無大熱”之確切含義作齣總結。[結果]“無大熱”是仲景用以鑒彆暘明腑實中有形之燥屎與邪熱相搏結，而齣現“身熱”“噁熱“”蒸蒸髮熱”而不為汗衰的大熱之證所提齣之用詞。歷代註傢對“無大熱”一詞主要觀點有二，即“熱在裏而不在錶”和“錶證已罷”說，然併不符閤仲景用詞之慣例和臨床實際。若解釋“大熱”為暘明腑實之熱，則凡涉及“無大熱”之經文意義即得通暢，而“無大熱”一詞之意義亦不緻于落空。[結論]“無大熱”是仲景用以鑒彆暘明腑實中有形之燥屎與邪熱相搏結，而齣現“身熱”、“噁熱”、“蒸蒸髮熱”而不為汗衰的大熱之證所提齣之用詞。釐清“無大熱”一詞之含義，有助于深刻理解《傷寒論》中涉及本詞條文的確切含義。
[목적]탐구《상한론》중“무대열”일사지학절함의。[방법]대우고금주가유관“무대열”지해석진행귀납정리，병대《상한론》화《금궤요략》중출현“무대열”적각조문진행분석귀납，결합개인체회，대“무대열”지학절함의작출총결。[결과]“무대열”시중경용이감별양명부실중유형지조시여사열상박결，이출현“신열”“악열“”증증발열”이불위한쇠적대열지증소제출지용사。역대주가대“무대열”일사주요관점유이，즉“열재리이불재표”화“표증이파”설，연병불부합중경용사지관례화림상실제。약해석“대열”위양명부실지열，칙범섭급“무대열”지경문의의즉득통창，이“무대열”일사지의의역불치우락공。[결론]“무대열”시중경용이감별양명부실중유형지조시여사열상박결，이출현“신열”、“악열”、“증증발열”이불위한쇠적대열지증소제출지용사。전청“무대열”일사지함의，유조우심각리해《상한론》중섭급본사조문적학절함의。
Objective]To clarify the meaning of the phase“without high fever”in ShangHan Lun. [Method]To sort out the explanation of “without high fever”of interpreters from past to nowadays,then to analyse the scriptures of ShangHanLun and Sypnosis of Golden Chamber that involve“without high fever”,to re-define the exact meaning of the phase. [Result] Two main opinions are found about the explanation of“without high fever”in the past literature:one is “heat is in interior not exterior”,while the other is“exterior syndrome is passed”,Both are not accorded with Zhong Jing’s word expression and the real clinical situation. If “high fever”is explained as“the fever characteristics of Yang-ming disease”,the scripture involved and the meaning of“without high fever”can be thoroughly understood.[Conclusion] “Without high fever”is the phase Zhang-zhong-jing used to differentiate the disease in scripture from Yang-ming visceral substantial syndrome .Clarifying the phase“without high fever”helps us to better understand the meaning of related scriptures.
