| 杨东,雷根平,马宇.《金匮要略》“身痛如被杖”相关问题探讨[J].浙江中医药大学学报,2023,47(12):1479-1484. |
| 《金匮要略》“身痛如被杖”相关问题探讨 |
| Discussion on the Related Problems of “Body Pain is Like Being Punished with A Rod” in Synopsis of the Golden Chamber |
| DOI：10.16466/j.issn1005-5509.2023.12.018 |
| 中文关键词: 金匮要略 阴阳毒 张仲景 杖 身痛如被杖 文献考证 |
| 英文关键词: Synopsis of the Golden Chamber Yin Yang pestilences ZHANG Zhongjing rod body pain is like being punished with a rod textual study |
| 基金项目:陕西省名中医雷根平传承工作室建设项目(陕中医药函﹝2019﹞82号)；陕西教科文卫体系统职工雷根平(劳模)创新工作室(陕教科文卫体工字﹝2020﹞41号) |
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| 中文摘要: |
| [目的] 分析《金匮要略·阴阳毒》“身痛如被杖”的含义，以更好地理解仲景所述之意。[方法] 通过采用传世文献与出土文物考证相结合的研究方式，结合文字学、历史学角度探讨，并附医案一则。[结果] “身痛如被杖”是时人描述切身体会的生动表达。“杖”可理解“凡可持之物皆曰杖”，“被杖”分皮肤肿起，出现瘀伤；出现损伤；殴打致死这三种情况。痛感可能是外伤(皮肤肌肉)之痛，也可能是内伤(脏腑受伤)之痛。升麻鳖甲汤总以解毒散邪活血为主，气血兼顾。[结论] 在仲景所属时代，“身痛如被杖”有一定的区分度，表现在施杖方式及痛感等的区分。通过文献与文物考证相结合的方式探讨“身痛如被杖”，更能直观体会当时社会背景下仲景所要表达的含义，提供一个学习《金匮要略》的新方式。 |
| 英文摘要: |
| [Objective] To analyze the meaning of “body pain is like being punished with a rod” in Synopsis of the Golden Chamber·Yin Yang Pestilences， so as to better understand the meaning of Zhongjing. [Methods] By using the research method of combining the handed-down literature with the textual research of unearthed cultural relics， combining with the perspective of character and history， and there is one proved case attached. [Results] “Body pain is like being punished with a rod” is a vivid expression that people describe their personal experience. “Rod” can be understood as “anything that can be held is called a rod”. “Being punished with a rod”is divided into three cases including skin is swollen and bruised; damage occurs; dead by being punished. Pain may be caused by trauma(skin and muscle) or internal injury(viscera injury). Shengma Biejia Decoction is mainly used to detoxify and disperse evil， promote blood circulation， and give consideration to both Qi and blood. [Conclusion] In the era of Zhongjing， “body pain is like being punished with a rod” has a certain degree of differentiation， which is reflected in the differentiation of the way of applying the rod and the painful feeling. This paper discusses the concept of “body pain is like being punished with a rod” by combining literature and cultural relics research， so that readers can intuitively understand the meaning of Zhongjing in the social background at that time， and also provides a new way to learn Synopsis of the Golden Chamber. |
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