《黃帝內(nèi)經(jīng)》疾病預(yù)測理論研究
發(fā)布時間：2018-07-25 07:14
【摘要】：疾病預(yù)測是中醫(yī)學的固有部分,歷史上常以能準確的預(yù)測疾病作為醫(yī)者醫(yī)術(shù)高明的指征。在實際生活中,準確的預(yù)測疾病可以為有效的預(yù)防爭取時機,有目的地規(guī)避不利因素,從而減輕疾病帶來的痛苦和損失。尤其是準確的傳染病預(yù)測,可以有效避免社會財富的損失,其價值尤為重大�！饵S帝內(nèi)經(jīng)》作為中醫(yī)學的重要典籍,記載了大量與疾病預(yù)測相關(guān)的文獻,是我們研究中醫(yī)疾病預(yù)測的理論和方法的第一手資料。研究《黃帝內(nèi)經(jīng)》的疾病預(yù)測理論,有助于我們繼承古人在疾病預(yù)測領(lǐng)域的成就,理解古人的思維方法,繼而為現(xiàn)代的疾病預(yù)測提供材料和思路。與現(xiàn)代的數(shù)據(jù)研究的方法相結(jié)合,還有助于驗證《黃帝內(nèi)經(jīng)》疾病預(yù)測理論的科學性,發(fā)現(xiàn)其中的新價值,解決中醫(yī)理論中存在的舊問題。本論文從文獻、理論和數(shù)據(jù)驗證三個方面對《黃帝內(nèi)經(jīng)》記載的疾病預(yù)測理論進行了探討。第一部分文獻研究,對《黃帝內(nèi)經(jīng)》中豐富的疾病預(yù)測內(nèi)容進行了整理。文章從預(yù)測的思維方法和預(yù)測的內(nèi)容兩個方面進行了文獻整理。從思維方法的角度,可以歸納出常態(tài)預(yù)測、異態(tài)預(yù)測、占卜預(yù)測和運氣預(yù)測四方面的內(nèi)容;從預(yù)測的內(nèi)容上可以歸納出疾病發(fā)生的預(yù)測、疾病轉(zhuǎn)歸的預(yù)測和死亡預(yù)測三個部分,并且根據(jù)預(yù)測所針對的對象可以分為群體性的預(yù)測和個體性的預(yù)測。在正文部分以"提要"的形式進行了闡述,完整的文獻見于附錄部分。第二部分是理論研究,探討了《黃帝內(nèi)經(jīng)》疾病預(yù)測的理論依據(jù)和思維方法,總結(jié)出氣主論和周期論兩個主要的理論依據(jù)。《黃帝內(nèi)經(jīng)》的疾病預(yù)測建立在氣主論的思想基礎(chǔ)之上,其疾病預(yù)測的基本思路是通過推算氣的屬性、作用,然后依據(jù)氣與形的依存關(guān)系,做出相應(yīng)的預(yù)測。推算氣的屬性和作用是疾病預(yù)測的關(guān)鍵步驟。陰陽(包括三陰三陽)和五行是把握氣的屬性的理論工具,陰陽的消長變化、五行的生克制化是氣之間相互作用的主要形式。周期論是氣主論的深化和演繹,氣的周期性運動造成了萬物循環(huán)往復(fù)的變化。《黃帝內(nèi)經(jīng)》論述的周期包含自然界的周期和人體的周期,人體的周期也可以稱之為"生物節(jié)律",兩者往往同步,這體現(xiàn)了中醫(yī)"天人合一"的思想。對于疾病來說,它同時受到多種自然周期和人體生物節(jié)律的影響,理想情況下的疾病預(yù)測是將所有的周期性因素均考慮進來,但實際上不可能也沒必要,只需要根據(jù)疾病的特點,將關(guān)系密切的因素考慮進來就可以達到預(yù)測的目的。尋找與具體疾病顯著相關(guān)的周期性因素是當代中醫(yī)疾病預(yù)測的重要研究內(nèi)容�！饵S帝內(nèi)經(jīng)》中運用了日周期、10日周期、月周期、年周期、60年周期等多種周期進行了預(yù)測,但每一種周期的論述都是單獨開展的,應(yīng)用中應(yīng)當綜合運用各種規(guī)律。理論部分還對《黃帝內(nèi)經(jīng)》中的占卜預(yù)測進行了整理,《九宮八風》建立了一個通過觀察風向來預(yù)測疾病的模型,屬于古代式占的范疇,《歲露論》中對這一模型進行了補充和完善。占卜預(yù)測也體現(xiàn)了氣主論和周期論的思想。第三部分是數(shù)據(jù)研究,包括兩個小節(jié)。第一小節(jié)是歷史上流感大流行的運氣學分析,結(jié)果發(fā)現(xiàn)歷史上5次世界范圍的流感大流行均具有運氣同化的背景(1918年、1968年運氣同化為火,1957年運氣同化為金,1977年運氣同化為木,2009年運氣同化為土),這個結(jié)果提示運氣同化是流感最大規(guī)模流行的一個必要而不充分條件。第二小節(jié)是北京地區(qū)46年流感流行的數(shù)據(jù)研究,研究發(fā)現(xiàn)屬火之主氣和主運是流感的抑制因素,屬水之主氣和主運是流感的促進因素,屬火之客運是非季節(jié)性流感(冬季之外的流感)的抑制因素,同時是季節(jié)性流感的促進因素,太陰之客氣是非季節(jié)性流感的抑制因素——流感是稟"水"氣而生的傳染病,影響"水"的氣機的因素會抑制流感的發(fā)生。研究還發(fā)現(xiàn),某一時刻下,客氣和客運的關(guān)系對流感的發(fā)生有所影響,"客運生客氣"和"客運客氣相同"這兩種運氣條件是流感月發(fā)生的抑制因素,"客氣生客運"和"客氣克客運"的運氣條件是流感月發(fā)生的促進因素。關(guān)于流感的的數(shù)據(jù)研究體現(xiàn)出《黃帝內(nèi)經(jīng)》的疾病預(yù)測理論具有重要價值,也反映了氣主論和周期論指導(dǎo)下的疾病預(yù)測有一定的現(xiàn)實意義。
[Abstract]:Disease prediction is an inherent part of traditional Chinese medicine. Historically, it is often used to accurately predict disease as an indication of medical skill. In real life, accurate prediction of disease can effectively prevent and avoid adverse factors, and thus reduce the pain and loss caused by the disease, especially the accurate prediction of infectious diseases. It can effectively avoid the loss of social wealth, which is of great value. "Huangdi Neijing", as an important book of traditional Chinese medicine, records a large number of literature related to the prediction of disease. It is the first hand of the theory and method of the study of the prediction of the disease of traditional Chinese medicine. The achievements in the field of disease prediction, the understanding of the way of thinking of the ancients, and then the materials and ideas for the prediction of modern disease. Combined with the modern data research method, it is also helpful to verify the scientific nature of the theory of the prediction of the Yellow Emperor's internal classics, find the new value and solve the old problems in the Chinese medical theory. The theory of disease prediction recorded in Huangdi Nei Jing was discussed in three aspects. The first part of the literature study, the content of the rich disease prediction in the Huangdi Neijing was sorted. The article collated the literature from the two aspects of the thinking method and the content of the prediction. The content of four aspects: normal prediction, heteromorphic prediction, divination prediction and luck prediction; from the content of the prediction, the prediction of the occurrence of disease, the prediction of the prognosis of the disease and the prediction of death can be divided into three parts, and the target of the prediction can be divided into group pretest and individual prediction. The second part is the theoretical study, the theoretical basis and the thinking method of the disease prediction of the Huangdi Neijing, and the two main theoretical bases of the gas main theory and the periodic theory. The disease prediction of the Huangdi Neijing is based on the ideology of the Qi main theory and the basis of its disease prediction. This idea is to calculate the attribute and function of gas, and then make the corresponding prediction according to the dependence of gas and shape. Calculation of the attribute and function of gas is the key step of the disease prediction. Yin and Yang (including three yin and three yang) and five lines are the theoretical tools to grasp the property of the gas, the change of yin and Yang, and the five rows of production and restraint is the interaction between Qi and Qi. The periodic theory is the deepening and deduction of the theory of Qi. The periodic movement of Qi has caused the change of all things in the circle. The period of the Yellow Emperor's internal classics includes the cycle of the nature and the cycle of the human body, and the cycle of the human body can also be called the "biological rhythm", and the two often synchronize, which embodies the thought of the "harmony of heaven and man" in traditional Chinese medicine. For disease, it is affected by a variety of natural cycles and human biological rhythms. The ideal condition for disease prediction is to take all the cyclical factors into consideration, but in fact, it is not possible and unnecessary. Only according to the characteristics of the disease, a close relation of factors can be taken into consideration. The periodic factors which are closely related to the specific diseases are the important research contents of the disease prediction in Contemporary Chinese medicine. In the Yellow Emperor's internal classics, the periodicity, the 10 day period, the monthly cycle, the annual cycle and the 60 year cycle have been predicted, but each period is carried out separately, and the various laws should be used in the application. In addition, the prediction of the divination in the Huangdi Nei Jing was also arranged, and the model of the prediction of the disease by observing the wind direction was established, which belonged to the category of ancient occupation. The model was supplemented and perfected in "the old theory of age". The prediction of divination also reflected the thought of the theory of Qi and the theory of periodicity. The third part was the data study, It includes two sections. The first section is the historical analysis of the historical influenza pandemic. The results found that the 5 worldwide influenza pandemic has the background of the assimilation of luck (1918, 1968 luck assimilation fire, 1957 luck assimilation gold, 1977 luck assimilating wood, 2009 luck assimilating soil). Gas assimilation is a necessary and inadequate condition for the largest pandemic of influenza. The second section is a data study of the influenza epidemic in Beijing for 46 years. It is found that the main gas and main transport of the fire are the restraining factors of influenza. The restraining factors, as well as the promotive factors of seasonal influenza, are the factors that inhibit the non seasonal influenza, the flu is an infectious disease with "water" gas, and the factors affecting the "water" air engine will inhibit the occurrence of influenza. The two kinds of luck conditions are the restraining factors of the month of influenza. The luck condition of the passenger transport and the passenger transport is the factor of promoting the flu month. The research on the influenza's data shows that the theory of disease prediction of the Huangdi Neijing is of great value, and it also reflects the theory of Qi and the Zhou Zhou. The prediction of disease under the guidance of the theory of phase has certain practical significance.
【學位授予單位】：北京中醫(yī)藥大學
【學位級別】：博士
【學位授予年份】：2017
【分類號】：R221
本文編號：2143045
[Abstract]:Disease prediction is an inherent part of traditional Chinese medicine. Historically, it is often used to accurately predict disease as an indication of medical skill. In real life, accurate prediction of disease can effectively prevent and avoid adverse factors, and thus reduce the pain and loss caused by the disease, especially the accurate prediction of infectious diseases. It can effectively avoid the loss of social wealth, which is of great value. "Huangdi Neijing", as an important book of traditional Chinese medicine, records a large number of literature related to the prediction of disease. It is the first hand of the theory and method of the study of the prediction of the disease of traditional Chinese medicine. The achievements in the field of disease prediction, the understanding of the way of thinking of the ancients, and then the materials and ideas for the prediction of modern disease. Combined with the modern data research method, it is also helpful to verify the scientific nature of the theory of the prediction of the Yellow Emperor's internal classics, find the new value and solve the old problems in the Chinese medical theory. The theory of disease prediction recorded in Huangdi Nei Jing was discussed in three aspects. The first part of the literature study, the content of the rich disease prediction in the Huangdi Neijing was sorted. The article collated the literature from the two aspects of the thinking method and the content of the prediction. The content of four aspects: normal prediction, heteromorphic prediction, divination prediction and luck prediction; from the content of the prediction, the prediction of the occurrence of disease, the prediction of the prognosis of the disease and the prediction of death can be divided into three parts, and the target of the prediction can be divided into group pretest and individual prediction. The second part is the theoretical study, the theoretical basis and the thinking method of the disease prediction of the Huangdi Neijing, and the two main theoretical bases of the gas main theory and the periodic theory. The disease prediction of the Huangdi Neijing is based on the ideology of the Qi main theory and the basis of its disease prediction. This idea is to calculate the attribute and function of gas, and then make the corresponding prediction according to the dependence of gas and shape. Calculation of the attribute and function of gas is the key step of the disease prediction. Yin and Yang (including three yin and three yang) and five lines are the theoretical tools to grasp the property of the gas, the change of yin and Yang, and the five rows of production and restraint is the interaction between Qi and Qi. The periodic theory is the deepening and deduction of the theory of Qi. The periodic movement of Qi has caused the change of all things in the circle. The period of the Yellow Emperor's internal classics includes the cycle of the nature and the cycle of the human body, and the cycle of the human body can also be called the "biological rhythm", and the two often synchronize, which embodies the thought of the "harmony of heaven and man" in traditional Chinese medicine. For disease, it is affected by a variety of natural cycles and human biological rhythms. The ideal condition for disease prediction is to take all the cyclical factors into consideration, but in fact, it is not possible and unnecessary. Only according to the characteristics of the disease, a close relation of factors can be taken into consideration. The periodic factors which are closely related to the specific diseases are the important research contents of the disease prediction in Contemporary Chinese medicine. In the Yellow Emperor's internal classics, the periodicity, the 10 day period, the monthly cycle, the annual cycle and the 60 year cycle have been predicted, but each period is carried out separately, and the various laws should be used in the application. In addition, the prediction of the divination in the Huangdi Nei Jing was also arranged, and the model of the prediction of the disease by observing the wind direction was established, which belonged to the category of ancient occupation. The model was supplemented and perfected in "the old theory of age". The prediction of divination also reflected the thought of the theory of Qi and the theory of periodicity. The third part was the data study, It includes two sections. The first section is the historical analysis of the historical influenza pandemic. The results found that the 5 worldwide influenza pandemic has the background of the assimilation of luck (1918, 1968 luck assimilation fire, 1957 luck assimilation gold, 1977 luck assimilating wood, 2009 luck assimilating soil). Gas assimilation is a necessary and inadequate condition for the largest pandemic of influenza. The second section is a data study of the influenza epidemic in Beijing for 46 years. It is found that the main gas and main transport of the fire are the restraining factors of influenza. The restraining factors, as well as the promotive factors of seasonal influenza, are the factors that inhibit the non seasonal influenza, the flu is an infectious disease with "water" gas, and the factors affecting the "water" air engine will inhibit the occurrence of influenza. The two kinds of luck conditions are the restraining factors of the month of influenza. The luck condition of the passenger transport and the passenger transport is the factor of promoting the flu month. The research on the influenza's data shows that the theory of disease prediction of the Huangdi Neijing is of great value, and it also reflects the theory of Qi and the Zhou Zhou. The prediction of disease under the guidance of the theory of phase has certain practical significance.
【學位授予單位】：北京中醫(yī)藥大學
【學位級別】：博士
【學位授予年份】：2017
【分類號】：R221
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