摘要
宋元以前中医“痛风”是因血受热后 ,或当风 ,或受寒 ,或感湿邪导致湿浊凝滞经脉 ,以关节作痛 ,入夜尤甚为特征的疾病。中医痛风一词最早见于梁代《名医别录》 ,此前包含于“痹中”。自“痛风”出现到元代以前 ,古代医家没有对它进行明确的阐述 ,实际上 ,其错综于“痹”、“历节”、“白虎”之中。元代朱丹溪创立“痛风”病名 ,该病名与现代医学的痛风性关节炎呈交集关系。同时 ,发现历节、白虎原为两个病名 ,宋代统一为历节白虎 ,二者极类似于痛风性关节炎。中医病名“痛风”正是在此基础上产生 ,且具有专指性 。
Before the Song-Yuan dynasties, it was claimed that “gout” is the result of heat in the blood plus invasion of wind, cold, or dampness, leading to coagulation of turbid dampness in the channel-collaterals, characterized by arthralgia, exacerbated in the nighttime. “Gout” was first seen in the Ming yi bie lu (Other Records of Famous Physicians) of the Liang dynasty. Before that, it was categorized under “bi” syndrome. No detailed description was given to “gout” during the period from the first appearance of the title “gout” to the Yuan dynasty. In fact, it was vaguely mentioned in “bi”, “li jie”, and “bai hu (white tiger)” disorders. The title of “gout” was named by Zhu Danxi, and appeared alternately with gouty arthritis. “li jie” and “bai hu” are titles of two different diseases which were jointly called “lijiebaihu” in the Song dynasty, both similar to gouty arthritis. The TCM title of gout was based on this condition which is specific and very proximate to gouty arthritis.
出处
《中华医史杂志》
CAS
2004年第4期199-204,共6页
Chinese Journal of Medical History
基金
2 0 0 2年上海市教委科研项目
编号 :0 2CK15
