摘要
烟草烟雾从性质、致病特点方面都与浊毒相似,故可认为烟草烟雾是一类具有燥热、凝涩、秽浊、火毒之性的早期浊毒,其在体内日益蓄积可发展为浊毒。烟雾入脏,损体废用。烟雾自口鼻而入,经鼻咽、气道先达肺脏,烟雾之气为火热燥烈之浊气。此浊气壅布胸腔,熏灼肺络,致肺不布津,燥热伤肺,发为消渴,日久肺热叶焦,营卫不和,筋骨血脉无以充养,发为痹证;烟雾浊毒浸淫周身血脉、经络,布散至心脏,心脆,则善病消瘅热中,进而心之气、阳皆损,浊毒血行不利,肢体经络因痰瘀闭阻,遂发痹证;浊毒困脾,致脾脏运化失调,内生燥热,进而耗伤津液,发为消渴,又脾主四肢,脾功能失调则四肢失养,故发痹证;烟雾浊毒伤肝,肝疏泄不及,郁久化热,燔灼机体津液,多发消渴,肝藏血不足,致血不养筋,出现肢体麻木、屈伸不利等痹证症状;五脏之伤穷必及肾,命门火衰,水谷之气难以熏蒸,上不润肺,肺生燥热,下不布精,津液精微有失统摄,遂发为消渴,久则烟雾浊毒耗伤肾之气血阴阳,精走髓空,故见骨节酸痛。烟雾浊毒储存体内可使气血津液化生无源,布散无权,发为消渴。化生无源则肢体得不到气血津液的濡养,布散无权则气血津液在四肢的正常输布被阻,可致肢体经脉不通不荣,发为痹证。
Tobacco smoke is similar to the turbid toxin in its nature and pathogenic characteristics.Therefore,thus it can be considered as a kind of early turbidity poison with characteristics of dryness-heat,turbidity,and virulent fire.It accumulates increasingly in the body and eventually develops into the turbid toxin.Turbid smoke invades the organs,damages and destroys their function.Smoke enters from the nose and mouth,and first reaches the lungs through the nasopharynx and airway,which is fiery,dry,and turbid Qi.It congests the chest cavity,burns the Lung collaterals,fails its fluid distribution.The dryness-heat injures the lungs,causes consumptive thirst.The chronic depressed pulmonary causes disharmony between nutrient Qi and defensive Qi,the muscles and blood vessels cannot be nourished and causes arthromyodynia.Turbid smoke infiltrates the blood vessels and meridians of the whole body,spreads to the Heart,and the fragile Heart is easily involved with diabetes and heated inside,which damages its Qi and Yang.The turbid toxin causes blood flow hypofunction,and the limbs and meridians are blocked due to phlegm,and Blood stasis,which causes arthromyodynia.The turbid poison traps in the Spleen,causing the spleen transportation and transformation dysfunction,resulting in dryness-heat,which in turn consumes the body fluid,causing consumptive thirst.Since the Spleen controls the limbs,and dysfunction of the spleen causes dystrophy of the limbs,arthromyodynia in arthralgia.Turbid smoke injures the liver,causes drainage deficiency.Heat being transformed from long-term depression consumes the body fluid and leads to consumptive thirst.The deficiency of liver blood causes tendons malnutrition and leads to limbs numbness,unfavorable flexion and extension,and other arthromyodynia symptoms.And the injury of the five internal organs must reach the Kidneys.The decline of vital gate fire causes the essential substances from water and cereals difficult to disperse.The lungs produce dryness-heat without upper moisturization,and the body fluid and nutrition are lost without lower essences,which causes consumptive thirst.For a long time,the toxin smoke will consume the Blood,Yin,and Yang of the Kidney,and both essence and marrow diminish,causes sour pain of the joints.Toxin smoke lurking in the body can cause Qi,Blood,and Body fluid to metastasize passively and hard to disperse,and cause consumptive thirst.Metaplasia without a source means that limbs cannot be nourished by Qi,Blood,and body fluid.Disperse without power means that the normal transfusion of Qi,Blood,body,and body fluid in the limbs is blocked,which can cause the limbs′meridians dystrophy,and leads to arthromyodynia.
作者
高岩
宋宗良
段玉红
张效科
GAO Yan;SONG Zongliang;DUAN Yuhong;ZHANG Xiaoke(Shaanxi University of Chinese Medicine,Xianyang Shaanxi China 712046;Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang Shaanxi China 712000)
出处
《中医学报》
CAS
2021年第10期2081-2085,共5页
Acta Chinese Medicine
基金
国家自然科学基金项目(81774304)
陕西省中医药管理局科研项目(2019-GJ-QT002)。
关键词
糖尿病周围神经病变
吸烟
烟草
烟雾
浊毒理论
消渴
痹证
diabetic peripheral neuropathy
smoking
tobacco smoke
turbid toxin theory
diabetes
arthromyodynia
作者简介
高岩(1995-),女,陕西汉中人,硕士研究生,研究方向:内分泌疾病;通信作者:宋宗良(1962-),男,主任医师。E-mail:13992039988@139.com。
