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浅述中药性能

中药的性能:包括四气、五味、归经等,用来概括中药的性质和特性,根据机体用药后的反应归纳出来。
中药的性味:即中药四气和五味。
四气:又称为四性,即寒、热、温、凉四种药性,形容药物对人体阴阳盛衰的影响,是说明中药作用性质的重要指标。四气可以再根据寒热的程度不同再细分为大寒、微凉、微温、大热等,寒热不明显的归纳为平性。
五味:本义为药物或食物的真实滋味。包括口尝滋味及作用归纳两方面。
食物的味:辛、甘、酸、苦、咸,称为五味。另有涩,附于酸;淡附于甘。

酸味

具有能收、能涩的特点,即收敛固涩的作用。

苦味

具有能泄、能燥的特点,即泻下、燥湿的作用。

甘味

具有能补、能缓的特点,即补虚,缓和,调和的作用。

辛味

具有能行、能散的特点,既能行气行血,又能散风寒、风热的作用。

咸味

具有能下、能软的特点,即泻下、软坚的作用。

涩味

和酸味虽口感不同,但作用基本相同。

淡味

具有渗利水湿的作用。

归经:是药物作用的定位概念,表示药物的作用部位,脏腑经络的归属。

中医学简介

中医学具有整体观念和辨证论治两个基本特点。整体观念认为人是有机的整体,构成人体的各个部分相互紧密关连,不可分割。人与自然亦关系密切,自然是指地理环境、季节气候、昼夜晨昏等等,包含非常广泛,对人体的生理、病理有一定影响。辨证论治是中医诊断和治疗疾病的基本原则。辨证,是辨别证候。论治,是治疗疾病。中医的辨证论治强调辨证,而不是辨病,亦不是对症。病:疾病,是人体由致病因素引起的病理过程。证:证候,机体在疾病发展过程其中一个阶段的病理概括。症:症状,是疾病的个别表面现象。

中医理论体系的主要指导思想有阴阳学说,五行学说和精气学说。阴阳学说源于人对自然环境的观察。"阴"是指背日光的山坡,而"阳"则指向着日光的山坡。这个概念进一步引申到其他对立而统一的自然现象。例如上下、昼夜、光暗、雌雄、动静、内外、水火等。所有事物都存在着阴与阳两方面。古人长时间观察自然,逐渐发现自然依循着一定的规律不断转化及演变。古人运用取象类比和推演的方法,对自然事物,人体器官等进行归类,形成木、火、土、金、水五大系统的五行学说。

中医理论认为人体是由气、血及津液这些精微物质所组成。气是构成万物的最基本物质,其特性有如气体,具流动的特性,可以理解为生命的"能量"或"动力"。中医学认为人体"气"的来源有两个,"先天之精气" 来自父母;"后天之气"–"清气" 、"水谷之精气" 来自空气、食物及水。中医理论中的"血"泛指一般为身体提供营养的营养物。由"水谷之精"和"肾精"生成。血循行于脉管之中,从而运行至全身,对机体起着营养和滋润的作用。

"六气",即风、寒、暑、湿、燥、火,属于四季气候的正常变化。当六气异常变化,人体未能适应,就会成为致病因素,在病因上称为"六淫"或"六邪"。
"风"邪:为百病之长,有轻扬开泄、善行数变、动摇不定的致病特点。
"寒"邪:有寒冷、凝滞、收引的致病特点。
"暑"邪:有炎热、升散、多夹湿的致病特点。
"湿"邪:有趋下、重浊、黏滞、阻竭气机的致病特点。
"燥"邪:有干涩、易伤津液、易伤肺阴的致病特点。
"火(热)"邪:有趋上、易伤津耗气、易生风动血、易扰心神、易致脓肿疮疡的致病特点。

glossary

Triple energizers/triple burners (三焦)

A collective term for the three portions of the body cavity, through which the visceral qi is transformed.

Upper energizer/upper burner (上焦)

The chest cavity, i.e., the portion above the diaphragm housing the heart and
lung.

Middle energizer/middle burner (中焦)

The upper abdominal cavity, i.e., the portion between the diaphragm and the umbilicus housing the spleen, stomach, liver and gallbladder.

Wind (风)

A pathogenic factor characterized by its rapid movement, swift changes, and ascending and opening actions.

Lower energizer/lower burner (下焦)

The lower abdominal cavity, i.e., the portion below the umbilicus housing the kidney, bladder, small and large
intestines.

Cold (寒)

A pathogenic factor characterized by the damage to yang qi, deceleration of activity, congealing and contracting actions.

Summer-heat(暑)

A pathogenic factor, occurring only in summer, characterized by hotness and evaporation.

Damp/Dampness(湿)

A pathogenic factor characterized by its impediment to qi movement and its turbidity, heaviness, stickiness and downward flowing properties.

Dryness(燥)

A pathogenic factor characterized by dryness and is apt to injure the lung and consume fluid.

Fire(火)

A pathogenic factor characterized by intense heat that is apt to injure fluid, consume qi, engender wind, induce bleeding, and disturb the mental activities.

Heat(热)

A pathogenic factor that causes heat pattern/syndrome.

Wind-heat(风热)

A combined pathogen of external wind and heat.

Wind-cold(风寒)

A combined pathogen of external wind and cold.

Toxin(毒)

Any virulent pathogen that causes a fulminating disease

Dampness-heat(湿热)

A combined pathogen of dampness and heat.

Phlegm(痰)

(1) pathologic secretions of the diseased respiratory tract, which is known as sputum; (2) the viscous turbid pathological product that can accumulate in the body, causing a variety of diseases.

Retained fluid/ retained water (饮/水饮)

The clear and watery pathological product due to disordered fluid metabolism, also called fluid retention.

Phlegm-dampness/dampness- phlegm(湿痰)

A combination of phlegm and internal dampness as an entity to cause disease.

Static blood/blood stasis/stagnant blood (瘀血)

A pathological product of blood stagnation, including extravasated blood and the blood circulating sluggishly or blood congested in a viscus, all of which may turn into pathogenic factor.

Source: WHO International Standard Terminologies on Traditional Medicine in the Western Pacific Region, WHO Regional Office for the Western Pacific, 2007.