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淺述中藥性能

中藥的性能:包括四氣、五味、歸經等,用來概括中藥的性質和特性,根據機體用藥後的反應歸納出來。
中藥的性味:即中藥四氣和五味。
四氣:又稱為四性,即寒、熱、溫、涼四種藥性,形容藥物對人體陰陽盛衰的影響,是說明中藥作用性質的重要指標。四氣可以再根據寒熱的程度不同再細分為大寒、微涼、微溫、大熱等,寒熱不明顯的歸納為平性。
五味:本義為藥物或食物的真實滋味。包括口嘗滋味及作用歸納兩方面。
食物的味:辛、甘、酸、苦、鹹,稱為五味。另有澀,附於酸;淡附於甘。

酸味

具有能收、能澀的特點,即收斂固澀的作用。

苦味

具有能泄、能燥的特點,即瀉下、燥濕的作用。

甘味

具有能補、能緩的特點,即補虛,緩和,調和的作用。

辛味

具有能行、能散的特點,既能行氣行血,又能散風寒、風熱的作用。

鹹味

具有能下、能軟的特點,即瀉下、軟堅的作用。

澀味

和酸味雖口感不同,但作用基本相同。

淡味

具有滲利水濕的作用。

歸經:是藥物作用的定位概念,表示藥物的作用部位,臟腑經絡的歸屬。

中醫學簡介

中醫學具有整體觀念和辨證論治兩個基本特點。整體觀念認為人是有機的整體,構成人體的各個部分相互緊密關連,不可分割。人與自然亦關係密切,自然是指地理環境、季節氣候、晝夜晨昏等等,包含非常廣泛,對人體的生理、病理有一定影響。辨證論治是中醫診斷和治療疾病的基本原則。辨證,是辨別證候。論治,是治療疾病。中醫的辨證論治強調辨證,而不是辨病,亦不是對症。病:疾病,是人體由致病因素引起的病理過程。證:證候,機體在疾病發展過程其中一個階段的病理概括。症:症狀,是疾病的個別表面現象。

中醫理論體系的主要指導思想有陰陽學說,五行學說和精氣學說。陰陽學說源於人對自然環境的觀察。"陰"是指背日光的山坡,而"陽"則指向著日光的山坡。這個概念進一步引申到其他對立而統一的自然現象。例如上下、晝夜、光暗、雌雄、動靜、內外、水火等。所有事物都存在著陰與陽兩方面。古人長時間觀察自然,逐漸發現自然依循著一定的規律不斷轉化及演變。古人運用取象類比和推演的方法,對自然事物,人體器官等進行歸類,形成木、火、土、金、水五大系統的五行學說。

中醫理論認為人體是由氣、血及津液這些精微物質所組成。氣是構成萬物的最基本物質,其特性有如氣體,具流動的特性,可以理解為生命的"能量"或"動力"。中醫學認為人體"氣"的來源有兩個,"先天之精氣" 來自父母;"後天之氣"–"清氣" 、"水穀之精氣" 來自空氣、食物及水。中醫理論中的"血"泛指一般為身體提供營養的營養物。由"水穀之精"和"腎精"生成。血循行於脈管之中,從而運行至全身,對機體起著營養和滋潤的作用。

"六氣",即風、寒、暑、濕、燥、火,屬於四季氣候的正常變化。當六氣異常變化,人體未能適應,就會成為致病因素,在病因上稱為"六淫"或"六邪"。
"風"邪:為百病之長,有輕揚開泄、善行數變、動搖不定的致病特點。
"寒"邪:有寒冷、凝滯、收引的致病特點。
"暑"邪:有炎熱、升散、多夾濕的致病特點。
"濕"邪:有趨下、重濁、黏滯、阻竭氣機的致病特點。
"燥"邪:有乾澀、易傷津液、易傷肺陰的致病特點。
"火(熱)"邪:有趨上、易傷津耗氣、易生風動血、易擾心神、易致膿腫瘡瘍的致病特點。

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 (風)

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(濕)

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(熱)

A pathogenic factor that causes heat pattern/syndrome.

Wind-heat(風熱)

A combined pathogen of external wind and heat.

Wind-cold(風寒)

A combined pathogen of external wind and cold.

Toxin(毒)

Any virulent pathogen that causes a fulminating disease

Dampness-heat(濕熱)

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 (飲/水飲)

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

Phlegm-dampness/dampness- phlegm(濕痰)

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.