《黃帝內經》有關疾病發生的根源與普遍機理的探討

為了對疾病發生的根源與普遍機理有更深的認識，本文從《黃帝內經》（《內經》）著手，在文獻分析法的基礎上，運用原典文本詮釋法、比較研究法與演繹法以研究《內經》有關疾病發生的原因與演化的過程的思想和理論。結果發現疾病是以「人的生命之道」為本，各種病因可以令「生命之道」不正常地作用而導致疾病的發生，這種不正常的作用具體可以用以下的演化過程表達：「各種病因→傷及人身各部之氣→陰陽之用失常→陰陽合氣失常→出現各種疾病」，這種演化過程合乎於天地萬物發生的普遍法則，同時也涉及「病機」所探討的內容，而「病因病機」是探討「個別疾病發生的原因及演化的過程」。本文的發現將有助於理解各種疾病或證候發生的具體機理，減低臨床誤判的機會、釐清病機的探討內容及認識辨證的目標及具體思路。

關鍵字

《黃帝內經》；疾病；道；氣；陰陽；病機

並列摘要

It is very difficult to realize the universal law of the occurence of diseases in terms of Chinese Medicine. The research focused on ＂Huang Di Nei Jing＂(Nei Jing, 內經), with the use of document analysis (文獻分析法) which includes the interpretation and the comparative research of the texts in Nei Jing or other related annotated edition, philosophical dictionaries and books, aimed to explore the academic thought and theory related to the causes and mechanism of the happening of diseases. The results show that diseases are the consequences of the abnormal effects of Ren Dao (Dao of Human life, 人的生命之道) and the effects can be elaborated concretely through the gradual process of change as followed: various causes → destroy Qi (氣) of different part of the human body → irregular effect of Yin and Yang (陰陽) → irregular interaction between Yin and Yang. The process is based on the universal law of the occurrence of universe and is part of the main content of Bing Ji (病機). Bing Yin (causes, 病因) and Bing Ji refer to the causes and the gradual process of change from Ren Dao to indivisual disease. The result of the research will help to realize the concrete mechanism of the occurrence of individual disease or Zheng Hou (the abnormal appearance of human body, 證候), reduce the chance of misjudgement of Bing Ji, and understand the direction and model of Zheng Hou Thinking (辨證).