“瞑眩”源流考略

A Brief Study on the Origin and Development of “Mingxuan”

摘要: 《尚书·说命上》云：“若药不瞑眩，厥疾弗瘳”，瞑眩反应作为中医用药后特殊的向愈现象，具有较高的临床价值，在历代医家的医案医话中屡见不鲜，但历代医书中关于瞑眩反应的明确记载却较少，本文通过收集整理历代古籍中对瞑眩的定义，考其源流，总结古今医家对于瞑眩反应的看法及其成因，归纳《伤寒论》《金匮要略》及温病学等经典著作中关于瞑眩反应的条文，以期提高中医界对于瞑眩反应的重视和了解，以便更好地服务于现代中医临床。

Abstract: “Shangshu Shuominshang” states: If the drug fails to treat Mingxuan reaction, the convulsive disease will cause convulsions. As a special healing phenomenon in traditional Chinese medicine, the Dizziness reaction has high clinical value and is commonly seen in medical records and discourses of previous dynasties. However, there are few clear records on the Mingxuan reaction in medical books of previous dynasties. This paper explores the discussions on the pathogenesis of Mingxuan Reaction by ancient and modern physicians, and summarizes relevant records about Mingxuan Reaction in classical works such as Treatise on Cold Damage, Synopsis of the Golden Chamber and works of warm disease school. It intends to deepen clinicians’ attention and understanding of Mingxuan Reaction, so as to better facilitate the modern clinical practice of traditional Chinese medicine.