赵秉科

【摘 要】

目的：针对《金匮要略·虚劳病篇》文献中编写和承载的中医学临床经验和方法展开梳理分析。方法：《金匮要略·虚劳病篇》著作文本作为本次研究过程中的主要文献研究对象，针对其中包含的有关“虚劳病”的论述展开梳理，展开治疗干预过程中需要遵循的基本经验，为现代中医临床实践过程中“虚劳病”患者诊治工作成果的不断改善优化创造支持条件。结果：《金匮要略·虚劳病篇》文献中，揭示了“虚劳症”患者的“由气而血”和“由经络而脏腑”的基本特点，其由浅入深，由轻而重地论证和揭示了“虚劳症”患者的临床病程发展演化路径，具备扎实而且充足的临床推广参考价值。结论：《金匮要略·虚劳病篇》中充分揭示了“虚劳病”的中医学演化机制和治疗参考经验，具备扎实且充分的实践影响价值。

【关键词】 《金匮要略·虚劳病篇》；解读；论述分析

【中图分类号】R181.3+2 【文献标志码】

B 【文章编号】1005-0019（2018）14-034-01

Abstract Objective： to aim at synopsis of synopsis of synopsis of the Golden Chamber. Clinical experience and methods of traditional Chinese Medicine （TCM） compiled and carried out in the literature. Methods： synopsis of synopsis of synopsis. As the main research object in the course of this study， the text of the works on the disease of asthenia is to sort out the exposition of the disease， and to carry out the basic experience that should be followed in the course of treatment and intervention. To create support conditions for the continuous improvement and optimization of the results of diagnosis and treatment of "asthenia" patients in the course of clinical practice of modern Chinese medicine. Results： synopsis of synopsis of synopsis. "deficiency of fatigue." in the literature， it is revealed that the patients with "asthenia" "from qi to blood" and "by"The basic characteristics of "meridian and zang-fu organs"， from shallow to deep， from light to heavy to demonstrate and reveal the clinical course of development of "asthenia" patients， with solid and sufficient clinical promotion of reference value. Conclusions： synopsis of synopsis of synopsis. The article fully reveals the evolutionary mechanism of TCM and the reference experience of treatment of the disease， which has a solid and full practical value of influence.

所謂虚劳，从字面意思的角度展开分析，可以被理解为“因劳致虚”，从基础性逻辑关系的角度展开阐释，“虚”是引致“虚劳症”发生的病理机制，“劳”是引致“虚劳症”发生的基础诱因。遵照“久视伤血，久卧伤气，久坐伤肉，久立伤骨，久行伤筋，是谓五劳所伤。”这一记载较为全面且深刻地论证和揭示了“虚劳症”患者的基本致病机制。遵照《难经·十四难》的记载：“一损损于皮毛，皮聚而毛落；二损损于血脉，血脉虚少，不能荣于五脏六腑；三损损于肌肉，肌肉消瘦，饮食不能为肌肤；四损损于筋，筋缓不能自收持；……