英文介绍中医2(13)

英文介绍中医

PATHOGENESIS

病机

What is meant by pathogenesis? By

pathogenesis is meant the mechanism of the

occurrence, development and outcome of

diseases. The occurrence, development and 何谓病机？病机指的是outcome of diseases are closely related both to 疾病发生、发展和转归的机the body's vital qi and to the nature of the 理。疾病的发生、发展和转pathogenic factors. When the pathogens attack 归与人体的正气和病邪特性the human body, the body's vital qi is bound to 密切相关。当病邪侵犯人体rise against the pathogens, forming the 时，人体正气必会奋起抗邪，conflict between vital qi and pathogens. Their 形成正邪相争。正邪相争必conflict is bound to destroy the relative 会破坏阴阳的相对平衡、脏balance of yin and yang to cause the dysfunction 腑经络功能失调或是气血紊of the zang-fu organs and meridians, or the 乱，从而引起不同的局部或disturbance of qi and blood. Thus bringing 是整体的病理改变。虽然疾about a variety of local or general 病不同而且临床症状错综复pathological changes. Notwithstanding various 杂，但是总的来说，它们的diseases and complicated clinical 病理改变离不开正邪的虚manifestations, their changes of pathogenesis, 实，阴阳失衡，或是气血失in general, are inseparable from the excess or 常及脏腑经络的功能失调。 deficiency between the vital-qi and the

pathogens, the imbalance of yin and yang, or the

abnormably of qi and blood and the dysfunction

of the zang-fu organs and meridians.

The conflict between the vital-qi and

pathogens is not only related to the occurrence

of a disease, but also directly affects its 正邪相争不仅与疾病的development and final outcome. Meanwhile, it 发生有关，而且直接影响到has a direct influence on deficient or 疾病的发展和转归。同时，excessive changes of the syndromes in a certain 它在一定程度上也直接影响sense, the processes of many diseases are seen 了证候的虚实，许多疾病的as those of the changes of excess and deficiency 过程都是正邪相争引起虚实in the contest between the vital-qi and 改变的过程。因此，正邪的pathogens. Therefore, vicissitudes of vital qi 盛衰被认为是病机之一。 and pathogens are considered to be one of the

pathogenesises.

Basic Questions says "the exuberance of 《素问》云：“邪盛则pathogens results in excess syndrome, while the 实，正衰则虚。”实指的是depletion of essence-qi may bring on deficiency 邪气实，或是邪实的病理反syndrome." Excess refers to excess of 应作为矛盾的主要方面。这pathogens, or a pathogenic reaction with 就是说，邪气实，正气也强。

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