本文關(guān)鍵詞：基于知識(shí)考古學(xué)的中風(fēng)泛發(fā)外風(fēng)說(shuō)向肝風(fēng)內(nèi)動(dòng)說(shuō)轉(zhuǎn)變的探討　出處：《北京中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 泛發(fā)外風(fēng) 風(fēng) 肝風(fēng)內(nèi)動(dòng) 知識(shí)考古學(xué) 中風(fēng)

【摘要】：目的本論文以知識(shí)考古學(xué)為方法,以研究風(fēng)的概念為切入點(diǎn),采用知識(shí)考古學(xué)話語(yǔ)構(gòu)成分析的方法,考察風(fēng)的概念與中風(fēng)病因病機(jī)理論的關(guān)系。探究?jī)烧邚臐h唐時(shí)期至明清時(shí)期,中風(fēng)病泛發(fā)外風(fēng)說(shuō)至肝風(fēng)內(nèi)動(dòng)說(shuō)的演變,分析中風(fēng)病因病機(jī)理論及其背后的知識(shí)結(jié)構(gòu)體系形成和演變的歷史。方法本論文采用知識(shí)考古學(xué)話語(yǔ)構(gòu)成的分析方法,對(duì)中風(fēng)病病因病機(jī)理論的歷史進(jìn)行考察,通過(guò)對(duì)象的形成、陳述方式、概念的擴(kuò)散、主題策略的選擇及概念間的關(guān)系等內(nèi)容的考察,分析中風(fēng)由泛發(fā)外風(fēng)說(shuō)至肝風(fēng)內(nèi)動(dòng)說(shuō)理論的演變現(xiàn)象。1.考察《黃帝內(nèi)經(jīng)》中"風(fēng)"概念對(duì)象的形成,也就是歷代醫(yī)家對(duì)"風(fēng)"所指范圍的確定,即"泛風(fēng)"指的是什么,"外風(fēng)"指的是什么,"專風(fēng)"指的是什么。對(duì)于"風(fēng)"概念的界定及陳述方式,其分別以什么方式、與哪些概念、以什么次序關(guān)系出現(xiàn)在當(dāng)時(shí)的中醫(yī)理論體系當(dāng)中。2.考察歷代醫(yī)學(xué)文獻(xiàn)中中風(fēng)病因病機(jī)從屬的主題,即中風(fēng)病因病機(jī)是在討論什么問(wèn)題時(shí)出現(xiàn)及其臨床應(yīng)用的改變。3.考察漢唐時(shí)期文獻(xiàn)中,"泛風(fēng)"說(shuō)對(duì)于中風(fēng)病病因病機(jī)的陳述方式,其理論所從屬的主題。4.考察宋元時(shí)期文獻(xiàn)中,外風(fēng)說(shuō)之下產(chǎn)生的肝中外風(fēng)與痰火對(duì)于中風(fēng)病病因病機(jī)的陳述方式,其理論所從屬的主題。5.考察明清時(shí)期文獻(xiàn)中,"專風(fēng)"視角下的肝風(fēng)說(shuō)對(duì)于中風(fēng)病病因病機(jī)的陳述方式,其理論所從屬的主題。結(jié)果漢唐時(shí)期,在"天人相應(yīng)"、"形氣相合"觀念的影響下,以術(shù)數(shù)為學(xué)術(shù)背景、經(jīng)學(xué)影響下的陰陽(yáng)五行成為主流意識(shí)形態(tài)。以《黃帝內(nèi)經(jīng)》為理論源頭,出現(xiàn)了"泛風(fēng)"、外風(fēng)及"風(fēng)",即成為了"風(fēng)"的對(duì)象。"泛風(fēng)"被概括為大自然中感受的多種風(fēng),風(fēng)是彌泛于大自然的,是風(fēng)所呈現(xiàn)出的一種狀態(tài),可以指四季八方皆是風(fēng);外風(fēng)可以理解為自然界流動(dòng)之氣發(fā)生變化成為風(fēng)邪,即六淫之風(fēng)邪,外在的風(fēng)邪侵犯并進(jìn)入人體。在"泛風(fēng)"轉(zhuǎn)變至"專風(fēng)"的過(guò)程中,由于風(fēng)與肝相應(yīng),肝氣儲(chǔ)藏應(yīng)于春的少陽(yáng)之氣。風(fēng)與木是直接對(duì)應(yīng)的關(guān)系,天之木運(yùn)主風(fēng),風(fēng)燥之氣入肝。肝為厥陰風(fēng)木,于是成為了"專風(fēng)"。"泛風(fēng)"說(shuō)對(duì)于中風(fēng)的陳述方式表現(xiàn)在《金匱要略》及《諸病源候論》的內(nèi)容上,中風(fēng)病因病機(jī)以正氣不足,外風(fēng)泛中五臟六腑為主,提出臟腑經(jīng)絡(luò)皆可中風(fēng)。這一時(shí)期有關(guān)中風(fēng)的內(nèi)容繁雜,理論較為模糊不清,尚未有較系統(tǒng)的論述。宋元時(shí)期,戰(zhàn)役的發(fā)生造成熱病的盛行及五運(yùn)六氣在醫(yī)學(xué)界的影響下,外風(fēng)的概念逐漸擴(kuò)展并延伸,出現(xiàn)了肝中外風(fēng)說(shuō)及痰火說(shuō)。盡管宋以后的內(nèi)因論中仍有外風(fēng)理論的闡述,但從理論結(jié)構(gòu)上看,內(nèi)因論的理論結(jié)構(gòu)和診治思路與外因論存在較大的不同。宋元醫(yī)家持內(nèi)外相因的特點(diǎn),強(qiáng)調(diào)內(nèi)因但未完全否認(rèn)外風(fēng)致病,中風(fēng)病因病機(jī)以內(nèi)傷積損為主。明清時(shí)期,在理學(xué)的基礎(chǔ)上提出體用一源,其理論背景導(dǎo)致新學(xué)說(shuō)的產(chǎn)生。"專風(fēng)"視角下的肝風(fēng)成為這個(gè)時(shí)期對(duì)于中風(fēng)的認(rèn)知模式。在非風(fēng)及內(nèi)風(fēng)的新理論出現(xiàn)下,中風(fēng)病因病機(jī)開始以內(nèi)因論為主軸。由此可見(jiàn),中風(fēng)理論隨著風(fēng)的指代對(duì)象不同而變化,其內(nèi)涵亦隨之而改變。結(jié)論1.中醫(yī)"中風(fēng)"的理論內(nèi)涵隨著"風(fēng)"所指代對(duì)象不同而發(fā)生變化。2.伴隨著話語(yǔ)場(chǎng)的改變,不同時(shí)期隨著世界圖示和人體認(rèn)知模式的變化,中風(fēng)病因病機(jī)理論的演變經(jīng)歷了三個(gè)階段:泛發(fā)外風(fēng)、內(nèi)外相因、肝風(fēng)內(nèi)動(dòng)。
[Abstract]:The purpose of this paper to the archaeology of knowledge as a method to study the concept of wind as the starting point, the archaeology of knowledge discourse analysis method, the relationship between the wind and the concept of etiology and pathogenesis of stroke. To explore both the theory from the Han and Tang Dynasties to the Ming and Qing Dynasties, stroke pan wind said to say endogenous evolution analysis of the history of the formation of the knowledge structure system of stroke pathogenesis theory and its underlying and evolution. This paper adopts the method of discourse analysis method of Archaeology of knowledge, of apoplexy etiology theory of history study, through the presentation of the concept, formation, diffusion, study content and strategy between the concept of the theme the relationship between the analysis of stroke by the pan outside the wind said to internal stirring said evolution phenomenon theory.1. of < Neijing > "wind" in the concept of object, which is the ancient physicians of "wind" refers to The determination of the scope, namely "the wind" refers to what is, "what is the wind" means, "what is the special wind" refers to. The definition of "wind" concept and presentation, respectively, in what way, and what concepts, appear in what order relation in the theoretical system of traditional Chinese medicine.2. investigation of ancient medical literature in stroke pathogenesis of subordinate subjects, namely the etiology and pathogenesis of stroke is to discuss what problems and clinical application of the change of.3. on the Han and Tang Dynasties literature, "Pan wind" said for presentation of the etiology and pathogenesis of stroke, the theory of subordinate subject.4. study in the song and Yuan Dynasties in the literature, the outside wind under the wind and phlegm, said foreign liver fire for presentation of the etiology and pathogenesis of stroke, the theory of subordinate subject.5. study in the Ming and Qing Dynasties literature, "wind" from the perspective of the said statement for liver pathogenesis of stroke, the 璁烘墍浠庡睘鐨勪富棰，

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