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人纪 -《黄帝内经》学习笔记28 痿论篇第四十四

  • 2026-03-25 14:08:06
人纪 -《黄帝内经》学习笔记28 痿论篇第四十四

（笔记仅供学习交流，如有不适请线下就医）

现在在学习倪海厦老师的人纪·黄帝内经部分，笔记有老师讲的和我自己用AI翻译的内容。今天学习了痿论篇第四十四，内容和笔记如下：
一、主要内容：讲述痿证的病因与发病机制。
1、五脏使人痿，何也？（为什么五脏使人痿？）
肺主皮毛 → 肺热 → 皮痿（痿躄）
心主血脉 → 心热 → 脉痿
肝主筋膜 → 肝热 → 筋痿
脾主肌肉 → 脾热 → 肉痿
肾主骨髓 → 肾热 → 骨痿
2、何以得之？（为什么会这样？）
肺（痿躄）：肺热叶焦，津液不布；
心（脉痿）：心气热，血脉逆乱、下虚；
肝（筋痿）：肝气热，胆泄、筋膜干燥；
脾（肉痿）：脾气热，胃燥、肌肉失养；
肾（骨痿）：肾气热，骨枯髓减。
3、何以别之？（怎样鉴别这些痿病呢？）
肺热（痿躄）：面色白、毛发枯槁。
心热（脉痿）：面色赤、浮络充盈。
肝热（筋痿）：面色青、爪甲枯槁。
脾热（肉痿）：面色黄、肌肉蠕动。
肾热（骨痿）：面色黑、牙齿枯槁。
4、如夫子言可矣。 论言：“治痿者，独取阳明。” 何也？
（医论上说治疗痿病，独取阳明经，这是为什么呢？）

阳明为五脏六腑之海：多气多血，是全身气血生化的源泉。

主润宗筋：宗筋为众筋汇聚之处，主约束骨骼、滑利关节；阳明气血足则宗筋得养、关节灵活。

诸经之长：冲脉（经脉之海）与阳明合于宗筋，阴阳诸经皆会于气街，阳明为统领，且诸经连属带脉、络于督脉。

5、治之奈何？（怎样治疗呢？）
补荥穴：滋养阴液、清热。
通俞穴：疏通经络、调畅气血。
本文来自网友投稿或网络内容，如有侵犯您的权益请联系我们删除，联系邮箱：wyl860211@qq.com 。

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  140. /yingpanguazai/ssd/ssd1/www/no.67808.cn/vendor/topthink/think-trace/src/Html.php ( 4.42 KB )
  1. CONNECT:[ UseTime:0.001117s ] mysql:host=127.0.0.1;port=3306;dbname=no_67808;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001538s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.032009s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000623s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001244s ]
  6. SELECT * FROM `set` [ RunTime:0.004279s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001388s ]
  8. SELECT * FROM `article` WHERE `id` = 477481 LIMIT 1 [ RunTime:0.031668s ]
  9. UPDATE `article` SET `lasttime` = 1774468360 WHERE `id` = 477481 [ RunTime:0.017083s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 65 LIMIT 1 [ RunTime:0.002508s ]
  11. SELECT * FROM `article` WHERE `id` < 477481 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.000573s ]
  12. SELECT * FROM `article` WHERE `id` > 477481 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.003767s ]
  13. SELECT * FROM `article` WHERE `id` < 477481 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.003964s ]
  14. SELECT * FROM `article` WHERE `id` < 477481 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.002678s ]
  15. SELECT * FROM `article` WHERE `id` < 477481 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.001487s ]
0.255073s