關鍵詞:奔豚氣病 心痹病《金匱》《內經》摘要:本文通過《金匱要略·奔豚氣病脈證治第八》和《素問·痹論》原文對照,發現《金匱》之奔豚氣病與《內經》之心痹病除致病因素有所不同外,其病證、病機幾乎如出一轍,從而認為《金匱》之奔豚氣病即《內經》之心痹病。張仲景是漢代研讀《內經》最深入細致且卓有成就的一位醫家,他的傳世之作《傷寒雜病論》,處處都可見到他以《內經》作為圭臬而加以應用與發揮,正如他在該書“自序”中所說的:“乃勤求古訓,博采眾方,撰用《素問》、《九卷》、《八十一難》、《陰陽大論》、《胎臚藥錄》,并平脈辨證,為《傷寒雜病論》合十六卷。雖未能盡愈諸病,庶可以見病知源。”本文試從《傷寒雜病論》的雜病部分,即《金匱要略·奔豚氣病脈證治第八》論述其與《素問·痹論》之心痹病的聯系,并提出一些與現行高等中醫院校所用之《金匱要略》教材中不太一致的觀點,與同道者共同商榷。奔豚氣病《金匱要略·奔豚氣病脈證治第八》共有4條原文:一、“師曰:病有奔豚,有吐膿,有驚怖,有火邪,此四部病,皆從驚發得之。師曰:奔豚病,從少腹起,上沖咽喉,發作欲死,復還止,皆從驚恐得之。”該條原文是論述奔豚氣病的病因和癥狀,并指出奔豚、吐膿、驚怖、火邪等病的發病機理都與心有關。二、“奔豚氣上沖胸,腹痛,往來寒熱,奔豚湯主之。奔豚湯方:甘草,芎窮,當歸各二兩,半夏四兩,黃芩二兩,生葛五兩,芍藥二兩,生姜四兩,甘李根白皮一升。右九味,以水二斗,煮取五升,溫服一升,日三服,夜一服。”該條原文論述奔豚氣病的證治方藥及服藥方法。三、“發汗后,燒針令其汗,針處被寒,核起而赤者,必發奔豚,氣從少腹上至心,灸其核上各一壯,與桂枝加桂湯主之。桂枝加桂湯方:桂枝五兩,芍藥三兩,甘草二兩(炙),生姜三兩,大棗十二枚。右五味,以水七升,微火煮取三升,去滓,溫服一升。”該條論述因誤治而導致奔豚氣病的證治。四、“發汗后,臍下悸者,欲作奔豚,茯苓桂枝甘草大棗湯方主之。茯苓桂枝甘草大棗湯方:茯苓半斤,甘草二兩(炙),大棗十五枚,桂枝四兩。右四味,以甘瀾水一斗,先煮茯苓,減二升,內諸藥,煮取三升,去滓,溫服一升,日三服。”該條原文論述發汗后欲作奔豚的證治。以上即《金匱要略·奔豚氣病脈證治第八》全部內容。若將各條所述內容歸納之,則可見:病因:①由七情之驚、恐所致;②發汗后,汗出過多損傷心陽所致;③發汗后,又經燒針,重發其汗,損傷心陽所致。病證:氣上沖胸/上沖咽喉,發作欲死,復還止,腹痛,往來寒熱,臍下悸/心悸。病機:心陽受損→心脈痹阻 證候分析:①驚為心志,驚則氣亂→心無所倚,神無所歸;恐為腎志,恐則氣下→腎陽失其氣化→水氣凌心→氣上沖胸/上沖咽喉;②汗為心之液,汗出過多則心陰受損,心血不足→血不養心,心無所倚→心悸;心陰耗損→陰損及陽→心陽不足,水飲內動→臍下悸;③汗出過多則營陰受損→營衛不調→往來寒熱;④心腎陽虛→厥氣上逆→腹痛;⑤心腎陽虛,陽失溫煦→厥氣上行發作欲死;陽回則復還止。病位:心腎,以心為主。治則:溫通心陽,調和營衛,佐以斂陰生津,益氣健脾。方藥:奔豚湯、桂枝加桂湯或茯苓桂枝甘草大棗湯。心痹病 再看《素問·痹論》之心痹病證的論述:“黃帝問曰(yue):痹(bi)(bi)(bi)(bi)(bi)(bi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)安(an)生?岐伯(bo)對曰(yue):風(feng)(feng)寒(han)(han)濕三(san)(san)(san)(san)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)雜至(zhi),合(he)(he)(he)而(er)(er)(er)為(wei)(wei)痹(bi)(bi)(bi)(bi)(bi)(bi)也。……以(yi)(yi)夏(xia)遇此者(zhe)為(wei)(wei)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)痹(bi)(bi)(bi)(bi)(bi)(bi),……脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)痹(bi)(bi)(bi)(bi)(bi)(bi)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)已(yi)(yi),復感于(yu)(yu)邪(xie)(xie),內(nei)舍于(yu)(yu)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)。……心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)者(zhe),脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)通(tong)(tong),煩(fan)(fan)則(ze)(ze)(ze)(ze)(ze)(ze)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)鼓(gu)(gu),暴(bao)(bao)上(shang)(shang)(shang)(shang)(shang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)而(er)(er)(er)喘(chuan)(chuan)(chuan),嗌(ai)干(gan)善噫,厥(jue)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)(shang)(shang)(shang)(shang)則(ze)(ze)(ze)(ze)(ze)(ze)恐(kong)(kong)(kong)(kong)(kong)(kong)。”歸(gui)(gui)納之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),則(ze)(ze)(ze)(ze)(ze)(ze)可(ke)(ke)見(jian)(jian):病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)(yin)(yin):夏(xia)季(ji)感受(shou)風(feng)(feng)寒(han)(han)濕三(san)(san)(san)(san)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)→脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)痹(bi)(bi)(bi)(bi)(bi)(bi),脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)痹(bi)(bi)(bi)(bi)(bi)(bi)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)已(yi)(yi)(不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)愈),反復感受(shou)風(feng)(feng)寒(han)(han)濕邪(xie)(xie)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)→邪(xie)(xie)損心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)陽(yang)(yang)。另,從(cong)(cong)“煩(fan)(fan)則(ze)(ze)(ze)(ze)(ze)(ze)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)鼓(gu)(gu)”看,心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)的(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)(yin)(yin)除(chu)了(le)(le)“風(feng)(feng)寒(han)(han)濕”等(deng)(deng)六淫外(wai)(wai)邪(xie)(xie)外(wai)(wai),還(huan)(huan)應該(gai)有(you)(you)情(qing)志(zhi)因(yin)(yin)(yin)素“心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)煩(fan)(fan)”所(suo)(suo)致(zhi),情(qing)志(zhi)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)舒暢,憂(you)思(si)焦慮,往往導(dao)致(zhi)“心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)煩(fan)(fan)”。病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng):脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)通(tong)(tong)/脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)澀,心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)煩(fan)(fan),心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)鼓(gu)(gu)動(心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)悸動),暴(bao)(bao)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)(shang)(shang)(shang)(shang)沖而(er)(er)(er)喘(chuan)(chuan)(chuan)(突發(fa)(fa)性氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)(shang)(shang)(shang)(shang)沖胸(xiong)咽→胸(xiong)悶、喘(chuan)(chuan)(chuan)息、短(duan)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)),咽喉干(gan)燥,噯氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),逆氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)/寒(han)(han)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)(shang)(shang)(shang)(shang)擾心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)→驚(jing)恐(kong)(kong)(kong)(kong)(kong)(kong)。病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)機:邪(xie)(xie)客(ke)(ke)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo),心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)陽(yang)(yang)受(shou)損→心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)痹(bi)(bi)(bi)(bi)(bi)(bi)阻,腎(shen)水凌心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin) 證(zheng)(zheng)候(hou)分(fen)(fen)(fen)析(xi):邪(xie)(xie)客(ke)(ke)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)→心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)陽(yang)(yang)受(shou)損,心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)陽(yang)(yang)失其(qi)(qi)(qi)(qi)(qi)溫(wen)(wen)(wen)(wen)煦(xu)、推動之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)→氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)血(xue)(xue)運(yun)(yun)行(xing)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)暢→氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)滯血(xue)(xue)瘀(yu),心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)痹(bi)(bi)(bi)(bi)(bi)(bi)阻,故(gu)(gu)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)通(tong)(tong);邪(xie)(xie)擾心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)神(shen)則(ze)(ze)(ze)(ze)(ze)(ze)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)煩(fan)(fan);氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)滯血(xue)(xue)瘀(yu),心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)失所(suo)(suo)養(yang)(yang)故(gu)(gu)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)鼓(gu)(gu)動(心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)悸動)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)得安(an)寧;心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)陽(yang)(yang)受(shou)損→心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)陽(yang)(yang)虛衰,心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)火(huo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)得下(xia)(xia)(xia)溫(wen)(wen)(wen)(wen)腎(shen)陽(yang)(yang),則(ze)(ze)(ze)(ze)(ze)(ze)腎(shen)水上(shang)(shang)(shang)(shang)(shang)凌心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)肺(fei),故(gu)(gu)暴(bao)(bao)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)(shang)(shang)(shang)(shang)沖而(er)(er)(er)喘(chuan)(chuan)(chuan);逆氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)(shang)(shang)(shang)(shang)乘→上(shang)(shang)(shang)(shang)(shang)焦陽(yang)(yang)失氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)化(hua)(hua),津(jin)液不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)布,故(gu)(gu)咽喉干(gan)燥,經常噯氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi);逆氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)(shang)(shang)(shang)(shang)乘于(yu)(yu)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin),則(ze)(ze)(ze)(ze)(ze)(ze)令人(ren)(ren)驚(jing)恐(kong)(kong)(kong)(kong)(kong)(kong)。治(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)(ze):祛邪(xie)(xie)養(yang)(yang)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin),通(tong)(tong)陽(yang)(yang)宣痹(bi)(bi)(bi)(bi)(bi)(bi)《內(nei)經》未(wei)(wei)出(chu)示方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)(yao)(yao),只說明了(le)(le)“五(wu)(wu)藏(zang)有(you)(you)俞,六府有(you)(you)合(he)(he)(he)”,隨(sui)(sui)其(qi)(qi)(qi)(qi)(qi)發(fa)(fa)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)部(bu)位而(er)(er)(er)針剌(la),即心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)可(ke)(ke)以(yi)(yi)剌(la)其(qi)(qi)(qi)(qi)(qi)背部(bu)的(de)(de)(de)(de)(de)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)俞穴,疏(shu)通(tong)(tong)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)陽(yang)(yang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),祛除(chu)注入(ru)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)邪(xie)(xie),“則(ze)(ze)(ze)(ze)(ze)(ze)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)瘳也”。若(ruo)用(yong)(yong)湯(tang)劑,同(tong)(tong)樣(yang)可(ke)(ke)以(yi)(yi)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)湯(tang)、桂枝(zhi)加(jia)桂湯(tang)或(huo)茯(fu)苓桂枝(zhi)甘(gan)(gan)(gan)草大(da)(da)棗(zao)湯(tang)治(zhi)(zhi)(zhi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。討 論(lun)(lun)(lun) 奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)與(yu)(yu)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)除(chu)了(le)(le)致(zhi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)(yin)(yin)素有(you)(you)所(suo)(suo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)同(tong)(tong)外(wai)(wai),其(qi)(qi)(qi)(qi)(qi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)、病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)機幾(ji)乎如(ru)(ru)出(chu)一(yi)轍。心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing):脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)通(tong)(tong)(或(huo)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)失從(cong)(cong)容和(he)緩之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)象(xiang)),煩(fan)(fan)則(ze)(ze)(ze)(ze)(ze)(ze)嗌(ai)干(gan)善噫,厥(jue)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)(shang)(shang)(shang)(shang)則(ze)(ze)(ze)(ze)(ze)(ze)恐(kong)(kong)(kong)(kong)(kong)(kong)。奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing):氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)(shang)(shang)(shang)(shang)沖胸(xiong),發(fa)(fa)作(zuo)欲死,復還(huan)(huan)止,腹(fu)痛(tong),往來(lai)(lai)寒(han)(han)熱,氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)從(cong)(cong)少腹(fu)至(zhi)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin),臍下(xia)(xia)(xia)悸。不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)知為(wei)(wei)何(he),張仲景(jing)省略(lve)(lve)(lve)了(le)(le)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)的(de)(de)(de)(de)(de)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)象(xiang),是(shi)(shi)(shi)有(you)(you)意(yi)還(huan)(huan)是(shi)(shi)(shi)怕與(yu)(yu)《內(nei)經》重復,縱(zong)觀歷(li)版高等(deng)(deng)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫院校《金(jin)匱(kui)(kui)要(yao)(yao)(yao)略(lve)(lve)(lve)》教(jiao)(jiao)(jiao)材,也沒(mei)有(you)(you)哪(na)版教(jiao)(jiao)(jiao)材專門(men)提出(chu)了(le)(le)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)的(de)(de)(de)(de)(de)具(ju)體(ti)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)象(xiang),只是(shi)(shi)(shi)第(di)(di)(di)四、第(di)(di)(di)五(wu)(wu)版《金(jin)匱(kui)(kui)要(yao)(yao)(yao)略(lve)(lve)(lve)》教(jiao)(jiao)(jiao)材的(de)(de)(de)(de)(de)[選注]中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong),引(yin)(yin)(yin)用(yong)(yong)了(le)(le)隋·巢(chao)元方(fang)(fang)(fang)(fang)(fang)(fang)《諸(zhu)(zhu)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)源(yuan)候(hou)論(lun)(lun)(lun)·賁(bi)(bi)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)候(hou)》中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)“診其(qi)(qi)(qi)(qi)(qi)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)來(lai)(lai)觸(chu)祝觸(chu)祝者(zhe),病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)也”,而(er)(er)(er)最新(xin)的(de)(de)(de)(de)(de)、中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫高等(deng)(deng)院校正在(zai)使(shi)用(yong)(yong)的(de)(de)(de)(de)(de)“21世(shi)紀(ji)”(黃仰(yang)模(mo)主編(bian))和(he)“新(xin)世(shi)紀(ji)”(范永升(sheng)(sheng)主編(bian))教(jiao)(jiao)(jiao)材,根(gen)本未(wei)(wei)涉(she)及脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)象(xiang),“新(xin)世(shi)紀(ji)”教(jiao)(jiao)(jiao)材甚至(zhi)連所(suo)(suo)舉病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)例中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)都沒(mei)有(you)(you)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)象(xiang)。在(zai)《金(jin)匱(kui)(kui)要(yao)(yao)(yao)略(lve)(lve)(lve)》(第(di)(di)(di)四、五(wu)(wu)版)教(jiao)(jiao)(jiao)材的(de)(de)(de)(de)(de)第(di)(di)(di)一(yi)條(tiao)(tiao)原(yuan)(yuan)(yuan)(yuan)文釋義中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)有(you)(you)如(ru)(ru)下(xia)(xia)(xia)一(yi)段:“奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)的(de)(de)(de)(de)(de)發(fa)(fa)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)原(yuan)(yuan)(yuan)(yuan)因(yin)(yin)(yin)為(wei)(wei)驚(jing)恐(kong)(kong)(kong)(kong)(kong)(kong)引(yin)(yin)(yin)起,其(qi)(qi)(qi)(qi)(qi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)機與(yu)(yu)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)、肝、腎(shen)有(you)(you)關,其(qi)(qi)(qi)(qi)(qi)上(shang)(shang)(shang)(shang)(shang)沖之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)又(you)與(yu)(yu)沖脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)有(you)(you)聯系。驚(jing)則(ze)(ze)(ze)(ze)(ze)(ze)傷心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin),恐(kong)(kong)(kong)(kong)(kong)(kong)則(ze)(ze)(ze)(ze)(ze)(ze)傷腎(shen),沖脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)起于(yu)(yu)胞中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong),與(yu)(yu)少陰經脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)挾臍上(shang)(shang)(shang)(shang)(shang)行(xing),至(zhi)胸(xiong)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)而(er)(er)(er)散(san),如(ru)(ru)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)腎(shen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)陽(yang)(yang)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)足(zu),下(xia)(xia)(xia)焦寒(han)(han)水隨(sui)(sui)沖脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)上(shang)(shang)(shang)(shang)(shang)沖則(ze)(ze)(ze)(ze)(ze)(ze)發(fa)(fa)為(wei)(wei)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)”,已(yi)(yi)經點明奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)發(fa)(fa)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)機理(li)(li)為(wei)(wei)“心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)腎(shen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)陽(yang)(yang)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)足(zu),下(xia)(xia)(xia)焦寒(han)(han)水隨(sui)(sui)沖脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)上(shang)(shang)(shang)(shang)(shang)沖”,從(cong)(cong)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)機測脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo),眾所(suo)(suo)周知,心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)陽(yang)(yang)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)(de)(de)能量(liang)(liang)轉換成為(wei)(wei)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)搏的(de)(de)(de)(de)(de)跳動,現心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)腎(shen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)陽(yang)(yang)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)足(zu),則(ze)(ze)(ze)(ze)(ze)(ze)“脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)通(tong)(tong)”是(shi)(shi)(shi)顯而(er)(er)(er)易見(jian)(jian)的(de)(de)(de)(de)(de)。再從(cong)(cong)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)湯(tang)方(fang)(fang)(fang)(fang)(fang)(fang)看:仲景(jing)首(shou)列(lie)“甘(gan)(gan)(gan)草、芎窮(qiong)、當歸(gui)(gui)”三(san)(san)(san)(san)味(wei)(wei),份量(liang)(liang)相等(deng)(deng),可(ke)(ke)見(jian)(jian)三(san)(san)(san)(san)者(zhe)共(gong)同(tong)(tong)為(wei)(wei)君(jun),甘(gan)(gan)(gan)草,甘(gan)(gan)(gan)、平,歸(gui)(gui)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)、肺(fei)、脾(pi)、胃經,首(shou)要(yao)(yao)(yao)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)效為(wei)(wei)“益氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)和(he)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)”;芎窮(qiong),辛(xin)、溫(wen)(wen)(wen)(wen),歸(gui)(gui)肝、膽(dan)、心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)包經,首(shou)要(yao)(yao)(yao)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)效為(wei)(wei)活血(xue)(xue)行(xing)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi);當歸(gui)(gui),甘(gan)(gan)(gan)、辛(xin)、溫(wen)(wen)(wen)(wen),歸(gui)(gui)肝、心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)、脾(pi)經,首(shou)要(yao)(yao)(yao)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong)效為(wei)(wei)補血(xue)(xue)活血(xue)(xue),三(san)(san)(san)(san)味(wei)(wei)君(jun)藥(yao)(yao)(yao)(yao),以(yi)(yi)甘(gan)(gan)(gan)草為(wei)(wei)首(shou),全(quan)部(bu)入(ru)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)經,三(san)(san)(san)(san)者(zhe)相須(xu)相使(shi),以(yi)(yi)達養(yang)(yang)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),補心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)血(xue)(xue),通(tong)(tong)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong);半(ban)(ban)夏(xia),辛(xin)、溫(wen)(wen)(wen)(wen),歸(gui)(gui)脾(pi)、胃、肺(fei)經,降(jiang)(jiang)逆氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),黃苓,苦、寒(han)(han),歸(gui)(gui)肺(fei)、胃、膽(dan)、大(da)(da)腸(chang)經,與(yu)(yu)半(ban)(ban)夏(xia)相使(shi),調寒(han)(han)熱,降(jiang)(jiang)逆氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),以(yi)(yi)恢復肺(fei)、胃之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)肅(su)降(jiang)(jiang)與(yu)(yu)和(he)降(jiang)(jiang);甘(gan)(gan)(gan)李根(gen)白皮(pi),苦、咸(xian)(xian)、寒(han)(han),歸(gui)(gui)肝經,清(qing)熱降(jiang)(jiang)逆氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),且苦味(wei)(wei)入(ru)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin),咸(xian)(xian)味(wei)(wei)入(ru)腎(shen),共(gong)走(zou)水火(huo)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)臟,以(yi)(yi)協調陰陽(yang)(yang),調和(he)營衛,成既濟(ji)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功(gong),又(you)與(yu)(yu)半(ban)(ban)夏(xia)相須(xu)相使(shi),共(gong)降(jiang)(jiang)逆氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi);生姜(jiang)味(wei)(wei)辛(xin)微溫(wen)(wen)(wen)(wen),歸(gui)(gui)肺(fei)脾(pi)二經,溫(wen)(wen)(wen)(wen)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)溫(wen)(wen)(wen)(wen)肺(fei)以(yi)(yi)散(san)水氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi);葛(ge)根(gen),甘(gan)(gan)(gan)、辛(xin)、涼,歸(gui)(gui)脾(pi)、胃經,用(yong)(yong)在(zai)本方(fang)(fang)(fang)(fang)(fang)(fang),意(yi)在(zai)生津(jin)與(yu)(yu)升(sheng)(sheng)陽(yang)(yang);芍(shao)藥(yao)(yao)(yao)(yao),苦、酸、甘(gan)(gan)(gan)、微寒(han)(han),歸(gui)(gui)肝脾(pi)經,與(yu)(yu)上(shang)(shang)(shang)(shang)(shang)述(shu)各藥(yao)(yao)(yao)(yao)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)辛(xin)味(wei)(wei)藥(yao)(yao)(yao)(yao),尤其(qi)(qi)(qi)(qi)(qi)是(shi)(shi)(shi)與(yu)(yu)葛(ge)根(gen)配合(he)(he)(he),可(ke)(ke)辛(xin)甘(gan)(gan)(gan)化(hua)(hua)陽(yang)(yang),升(sheng)(sheng)舉陽(yang)(yang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),以(yi)(yi)助脾(pi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)升(sheng)(sheng)清(qing)與(yu)(yu)運(yun)(yun)化(hua)(hua),脾(pi)運(yun)(yun)健,清(qing)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)升(sheng)(sheng),則(ze)(ze)(ze)(ze)(ze)(ze)寒(han)(han)水可(ke)(ke)化(hua)(hua);芍(shao)藥(yao)(yao)(yao)(yao)與(yu)(yu)上(shang)(shang)(shang)(shang)(shang)述(shu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)甘(gan)(gan)(gan)味(wei)(wei)藥(yao)(yao)(yao)(yao),尤其(qi)(qi)(qi)(qi)(qi)是(shi)(shi)(shi)與(yu)(yu)葛(ge)根(gen)相伍,又(you)可(ke)(ke)甘(gan)(gan)(gan)酸化(hua)(hua)陰,生津(jin)斂陰。由(you)(you)此可(ke)(ke)見(jian)(jian),奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)湯(tang)是(shi)(shi)(shi)治(zhi)(zhi)(zhi)療奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)的(de)(de)(de)(de)(de)基礎方(fang)(fang)(fang)(fang)(fang)(fang),其(qi)(qi)(qi)(qi)(qi)制方(fang)(fang)(fang)(fang)(fang)(fang)宗(zong)旨在(zai)于(yu)(yu)益氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)養(yang)(yang)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin),通(tong)(tong)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)升(sheng)(sheng)陽(yang)(yang),降(jiang)(jiang)逆氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),散(san)水氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)。與(yu)(yu)《內(nei)經》心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)治(zhi)(zhi)(zhi)理(li)(li)論(lun)(lun)(lun)有(you)(you)異曲同(tong)(tong)工之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)妙,而(er)(er)(er)并非(fei)如(ru)(ru)歷(li)版《金(jin)匱(kui)(kui)要(yao)(yao)(yao)略(lve)(lve)(lve)》教(jiao)(jiao)(jiao)材中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)所(suo)(suo)說的(de)(de)(de)(de)(de),只是(shi)(shi)(shi)治(zhi)(zhi)(zhi)療“肝氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)”方(fang)(fang)(fang)(fang)(fang)(fang)。至(zhi)于(yu)(yu)桂枝(zhi)加(jia)桂湯(tang)與(yu)(yu)茯(fu)苓桂枝(zhi)甘(gan)(gan)(gan)草大(da)(da)棗(zao)湯(tang),則(ze)(ze)(ze)(ze)(ze)(ze)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)用(yong)(yong)分(fen)(fen)(fen)析(xi)其(qi)(qi)(qi)(qi)(qi)組方(fang)(fang)(fang)(fang)(fang)(fang)原(yuan)(yuan)(yuan)(yuan)則(ze)(ze)(ze)(ze)(ze)(ze)與(yu)(yu)方(fang)(fang)(fang)(fang)(fang)(fang)解(jie),明眼人(ren)(ren)一(yi)看就(jiu)知道,不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)論(lun)(lun)(lun)是(shi)(shi)(shi)單味(wei)(wei)藥(yao)(yao)(yao)(yao)還(huan)(huan)是(shi)(shi)(shi)組成了(le)(le)方(fang)(fang)(fang)(fang)(fang)(fang)劑,其(qi)(qi)(qi)(qi)(qi)功(gong)用(yong)(yong)導(dao)向(xiang)都在(zai)于(yu)(yu)溫(wen)(wen)(wen)(wen)經通(tong)(tong)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)、通(tong)(tong)陽(yang)(yang)化(hua)(hua)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),所(suo)(suo)以(yi)(yi),盡管仲景(jing)文中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)通(tong)(tong)篇(pian)沒(mei)有(you)(you)一(yi)個(ge)字(zi)提及奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)的(de)(de)(de)(de)(de)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)象(xiang),然(ran)而(er)(er)(er)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)論(lun)(lun)(lun)從(cong)(cong)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)機測脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)也好,從(cong)(cong)方(fang)(fang)(fang)(fang)(fang)(fang)測脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)也好,從(cong)(cong)證(zheng)(zheng)測脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)也好,都支(zhi)持(chi)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)具(ju)有(you)(you)“脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)通(tong)(tong)”的(de)(de)(de)(de)(de)臨(lin)床表(biao)現。由(you)(you)于(yu)(yu)第(di)(di)(di)四、第(di)(di)(di)五(wu)(wu)版《金(jin)匱(kui)(kui)要(yao)(yao)(yao)略(lve)(lve)(lve)》教(jiao)(jiao)(jiao)材[選注]中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)引(yin)(yin)(yin)用(yong)(yong)了(le)(le)巢(chao)元方(fang)(fang)(fang)(fang)(fang)(fang)《諸(zhu)(zhu)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)源(yuan)候(hou)論(lun)(lun)(lun)·賁(bi)(bi)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)候(hou)》中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)全(quan)文,下(xia)(xia)(xia)面我們就(jiu)可(ke)(ke)以(yi)(yi)來(lai)(lai)分(fen)(fen)(fen)析(xi)一(yi)下(xia)(xia)(xia)巢(chao)元方(fang)(fang)(fang)(fang)(fang)(fang)的(de)(de)(de)(de)(de)原(yuan)(yuan)(yuan)(yuan)文:“夫賁(bi)(bi)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)者(zhe),腎(shen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)積(ji)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)。起于(yu)(yu)驚(jing)恐(kong)(kong)(kong)(kong)(kong)(kong)、憂(you)思(si)所(suo)(suo)生。若(ruo)驚(jing)恐(kong)(kong)(kong)(kong)(kong)(kong),則(ze)(ze)(ze)(ze)(ze)(ze)傷神(shen),心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)藏(zang)神(shen)也。憂(you)思(si)則(ze)(ze)(ze)(ze)(ze)(ze)傷志(zhi),腎(shen)藏(zang)志(zhi)也。神(shen)志(zhi)傷動,氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)積(ji)于(yu)(yu)腎(shen),而(er)(er)(er)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)下(xia)(xia)(xia)上(shang)(shang)(shang)(shang)(shang)游走(zou),如(ru)(ru)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)奔(ben)(ben)(ben),故(gu)(gu)曰(yue)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)。其(qi)(qi)(qi)(qi)(qi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)乘心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin),若(ruo)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)踴(yong)(yong)踴(yong)(yong)如(ru)(ru)事(shi)所(suo)(suo)驚(jing),如(ru)(ru)人(ren)(ren)所(suo)(suo)恐(kong)(kong)(kong)(kong)(kong)(kong),五(wu)(wu)藏(zang)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)定(ding),食(shi)飲(yin)輒(zhe)嘔,氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)滿胸(xiong)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong),狂癡不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)定(ding),妄(wang)言(yan)妄(wang)見(jian)(jian),此驚(jing)恐(kong)(kong)(kong)(kong)(kong)(kong)賁(bi)(bi)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)狀。若(ruo)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)滿支(zhi)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin),心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)悶亂,不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)欲聞人(ren)(ren)聲,休(xiu)作(zuo)有(you)(you)時,乍(zha)瘥乍(zha)極,吸吸短(duan)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),手足(zu)厥(jue)逆,內(nei)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)結痛(tong),溫(wen)(wen)(wen)(wen)溫(wen)(wen)(wen)(wen)欲欲嘔,此憂(you)思(si)賁(bi)(bi)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)狀。”巢(chao)氏(shi)的(de)(de)(de)(de)(de)原(yuan)(yuan)(yuan)(yuan)文,仍然(ran)支(zhi)持(chi)賁(bi)(bi)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)的(de)(de)(de)(de)(de)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)機重心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)在(zai)于(yu)(yu)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)腎(shen)。而(er)(er)(er)癥狀中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)“若(ruo)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)踴(yong)(yong)踴(yong)(yong)如(ru)(ru)事(shi)所(suo)(suo)驚(jing),如(ru)(ru)人(ren)(ren)所(suo)(suo)恐(kong)(kong)(kong)(kong)(kong)(kong)”與(yu)(yu)《內(nei)經》心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)“煩(fan)(fan)則(ze)(ze)(ze)(ze)(ze)(ze)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)鼓(gu)(gu)”、“厥(jue)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)(shang)(shang)(shang)(shang)則(ze)(ze)(ze)(ze)(ze)(ze)恐(kong)(kong)(kong)(kong)(kong)(kong)。”完全(quan)一(yi)樣(yang),“心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)踴(yong)(yong)踴(yong)(yong)”即心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)跳、心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)下(xia)(xia)(xia)鼓(gu)(gu)動,“如(ru)(ru)事(shi)所(suo)(suo)驚(jing),如(ru)(ru)人(ren)(ren)所(suo)(suo)恐(kong)(kong)(kong)(kong)(kong)(kong)”即逆氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)上(shang)(shang)(shang)(shang)(shang)行(xing)而(er)(er)(er)驚(jing)恐(kong)(kong)(kong)(kong)(kong)(kong)。再看脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo),“觸(chu)祝觸(chu)祝”即脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)象(xiang)陣陣躍動,其(qi)(qi)(qi)(qi)(qi)來(lai)(lai)搏手,也是(shi)(shi)(shi)脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)失從(cong)(cong)容和(he)緩之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)象(xiang),與(yu)(yu)《內(nei)經》心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)“脈(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)(mo)不(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)通(tong)(tong)”精(jing)神(shen)吻合(he)(he)(he)。綜上(shang)(shang)(shang)(shang)(shang)所(suo)(suo)述(shu),《金(jin)匱(kui)(kui)要(yao)(yao)(yao)略(lve)(lve)(lve)》中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)所(suo)(suo)論(lun)(lun)(lun)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)“奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)”即《素問·痹(bi)(bi)(bi)(bi)(bi)(bi)論(lun)(lun)(lun)》之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing),因(yin)(yin)(yin)《內(nei)經》主要(yao)(yao)(yao)從(cong)(cong)其(qi)(qi)(qi)(qi)(qi)宏觀的(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)(fang)面論(lun)(lun)(lun)述(shu)痹(bi)(bi)(bi)(bi)(bi)(bi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)因(yin)(yin)(yin)、傳變、分(fen)(fen)(fen)類,而(er)(er)(er)對于(yu)(yu)具(ju)體(ti)的(de)(de)(de)(de)(de)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)的(de)(de)(de)(de)(de)癥狀治(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)(ze)有(you)(you)所(suo)(suo)省略(lve)(lve)(lve),張仲景(jing)則(ze)(ze)(ze)(ze)(ze)(ze)以(yi)(yi)癥狀“奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)”為(wei)(wei)切入(ru)點,詳細論(lun)(lun)(lun)述(shu)了(le)(le)心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)具(ju)體(ti)的(de)(de)(de)(de)(de)癥狀、治(zhi)(zhi)(zhi)則(ze)(ze)(ze)(ze)(ze)(ze)、方(fang)(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)(yao)(yao)。從(cong)(cong)這一(yi)角(jiao)度可(ke)(ke)以(yi)(yi)說,《金(jin)匱(kui)(kui)要(yao)(yao)(yao)略(lve)(lve)(lve)》之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)治(zhi)(zhi)(zhi)理(li)(li)論(lun)(lun)(lun),是(shi)(shi)(shi)對《內(nei)經》心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)證(zheng)(zheng)治(zhi)(zhi)(zhi)理(li)(li)論(lun)(lun)(lun)進一(yi)步(bu)的(de)(de)(de)(de)(de)發(fa)(fa)揮與(yu)(yu)發(fa)(fa)展。而(er)(er)(er)現行(xing)各版教(jiao)(jiao)(jiao)材中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)將仲景(jing)原(yuan)(yuan)(yuan)(yuan)書中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)4條(tiao)(tiao)原(yuan)(yuan)(yuan)(yuan)文分(fen)(fen)(fen)解(jie)成“水飲(yin)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)”、“肝氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)”、“腎(shen)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)奔(ben)(ben)(ben)豚(tun)(tun)(tun)(tun)(tun)(tun)(tun)”,筆者(zhe)認(ren)為(wei)(wei)是(shi)(shi)(shi)沒(mei)有(you)(you)必(bi)要(yao)(yao)(yao)的(de)(de)(de)(de)(de),倘若(ruo)從(cong)(cong)《內(nei)經》心(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)(xin)痹(bi)(bi)(bi)(bi)(bi)(bi)病(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)(bing)的(de)(de)(de)(de)(de)角(jiao)度來(lai)(lai)分(fen)(fen)(fen)析(xi)、理(li)(li)解(jie)仲景(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)已(yi)(yi)言(yan)或(huo)未(wei)(wei)言(yan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)文,就(jiu)會(hui)順理(li)(li)成章得多。江西中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫學院 (南昌(chang),330006) 劉春援
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