从五脏合五体理论探讨中医外科疾病特点与 诊治概要

Discussion on the Characteristics and Diagnosis and Treatment of TCM Surgical Diseases Based on the Theory of Five Viscerals and Five Bodies

摘要: 与西医的发展相类似，中医系统理论的形成与发展过程中离不开解剖学的影子，而五脏合五体理论就是在古代解剖学的基础上发展出来的。古人基于对解剖宏观层面的认识，将筋、脉、肉、骨、皮与五脏联系起来，构成了中医学整体观念的一环。中医外科学的诸多方面，包括理论基础，用药规律，临床诊疗等，都体现了这种思想，而皮肤科层面尤为突出。本文旨在讨论五脏合五体理论于中医外科学中临床特点。

Abstract: The combination of the five organs and five bodies has the meaning of “matching and corresponding”. It is based on the theory of the Five Elements, using qi, blood, body fluids as a link to dynamically combine the external characteristics of the body with the internal organs. It has been widely used in the diagnosis and treatment of acupuncture and moxibustion, bone injury and internal medicine. There are many types of surgical diseases in traditional Chinese medicine, and many diseases have similar clinical manifestations, making it difficult to distinguish and grasp. Based on the holistic concept of traditional Chinese medicine, the theory of the integration of the five organs and five bodies can systematically organize the different pathogenic characteristics of the skin, veins, tendons, flesh, bones, five organs, qi, blood, and body fluids at the surgical level, and provide new and practical dialectical methods and diagnostic and therapeutic ideas for clinical practice.