《内经》“百病生于气”原文解析及临床意义

Analysis and Clinical Significance of the Original Text “All Diseases Originate from Qi” in the Inner Classic

摘要: “百病生于气”首见于《素问·举痛论》，意指大多疾病的发生都与气的失调有关，包括气量的减少和气机的失调。由于没有从源头把握内涵，常被误认为是指疾病多肇因于生气。作者检索相关文献，虽论述颇多，但多没有从《内经》本意进行系统阐述。故本文溯本求源，首先对本句话出处的原文内容进行解析，按照原文本意总结其主要内涵，包括情志扰乱气机、寒热使气门出入异常、劳累耗散精气三个部分，并结合古代典籍论述及医案示例阐明其临床意义，使理论内涵更加丰富、形象、生动，以便为《内经》学习者提供系统的学习参考资料，促进经典理论的推广应用。

Abstract: The phrase “All diseases originate from Qi” first appeared in the “Discussion on Pain” in the Inner Classic. It means that most diseases are related to the imbalance of Qi, including the reduction of Qi and the disorder of Qi movement. Due to the failure to grasp the original meaning from the source, it is often mistakenly believed to refer to diseases caused by anger. The author retrieved relevant literature and found that although there are many discussions, few have systematically expounded on the original meaning of the Inner Classic. Therefore, this article traces back to the source and first analyzes the original text where this sentence comes from, summarizes its main connotations according to the original meaning of the text, including the disturbance of Qi movement by emotions, abnormal entry and exit of Qi due to cold and heat, and the dissipation of essence and Qi due to overwork. It also clarifies its clinical significance by combining ancient classics and medical case examples, making the theoretical connotations more rich, vivid, and lively, in order to provide systematic learning reference materials for learners of the Inner Classic and promote the application and promotion of classic theories.