病机十九条之“寒”性病机之辨析

Identification of the “Cold” Pathogenic Mechanism of the 19 Pathogenic Mechanisms

摘要: “诸病水液，澄彻清冷，皆属于寒”属于《黄帝内经》中病机十九条之一，出自《素问·至真要大论》篇，现查阅相关文献总体阐述病机十九条或分述“火”的、或分述“肝”的理法及临床运用较多，但是论述“寒”的病机文献较少，单独论述“寒”相关的病机甚至没有，为了阐述“诸病水液，澄彻清冷，皆属于寒”病机，为临床上“寒”性症候的辨证提供一种新的思路，本文结合经典从论述病机十九条的“病机”源流，人体“水液”的辨析，“澄彻清冷”的具体状态，“外寒与内寒”的鉴别，总结“寒”病机的运用。

Abstract: “All diseases and fluids, clear and cold, belong to cold” is one of the nineteen pathological mechanisms in the Yellow Emperor’s Classic of Internal Medicine, from the Su Wen—The Great Treatise on the Supreme Truth. There are more theories and clinical applications of “liver”, but there is less literature on the pathogenesis of “cold”, and there is not even a separate discussion of the pathogenesis related to “cold”, in order to explain In order to elaborate the pathogenesis of “all diseases and fluids, clear and cold, all belong to cold”, and to provide a new way of thinking for the clinical identification of “cold” symptoms, this paper combines the classical “pathogenesis” from the 19 articles on pathogenesis This paper combines the classics from discussing the “pathogenic mechanism” in the 19 articles of the pathogenic mechanism, the identification of “water fluids” in the human body, the specific state of “clarity and coldness”, the differentiation of “external cold and internal cold”, and summarizes The application of “cold” disease mechanism.