宋元前「關格」一詞涵義之演變

The Evolution of the Connotation of the Word ＂Guan-ge＂ before the Song and Yuan Dynasty

「關格」一詞可代表病名、脈象、症狀、危候、病機、證型及預後。宋元以前的醫經主要敘述為脈象、病機、病名和預後，並未明示「關格」一詞的症狀。在宋版《傷寒論》前的本草、方書與其他醫書均以「關格」意指「小便不通」或「大小便不通」的下焦症狀，而未提及與吐逆或中焦病機或症狀有關。在宋版《傷寒論》之後，才有「吐逆、小便不通」的說法出現。這種說法對宋元之後的醫家在理解「關格」為中焦病機的意義上有很深遠的影響。 Guan-ge may refer to a disease name, pulse image, symptoms, critical sign, disease pathomechanism, pattern type or prognosis. In medical classics prior to the Song and Yuan Dynasties the term, Guan-ge mainly refers to the pulse image, disease pathomechanism, disease name and prognosis, but it does not clearly state the symptoms. Other medical texts, Herbal foundation, and formularies prior to the Song dynasty edition of Discussions on Cold Damage uniformly refer to the term Guan-ge as a lower burner symptom of urinary stoppage or urination and defecation stoppage, but it does not mention vomiting counter-flow or related pathomechanisms of the middle warmer. Only after the Song dynasty edition of Discussions on Cold Damage you begin to see terms such as vomiting counter-flow and urinary stoppage. These terms have a profound influence on the understanding of Guan-ge as a phathomechanism of the middle burner by physicians after the Song and Yuan dynasties.

Guan-ge may refer to a disease name, pulse image, symptoms, critical sign, disease pathomechanism, pattern type or prognosis. In medical classics prior to the Song and Yuan Dynasties the term, Guan-ge mainly refers to the pulse image, disease pathomechanism, disease name and prognosis, but it does not clearly state the symptoms. Other medical texts, Herbal foundation, and formularies prior to the Song dynasty edition of Discussions on Cold Damage uniformly refer to the term Guan-ge as a lower burner symptom of urinary stoppage or urination and defecation stoppage, but it does not mention vomiting counter-flow or related pathomechanisms of the middle warmer. Only after the Song dynasty edition of Discussions on Cold Damage you begin to see terms such as vomiting counter-flow and urinary stoppage. These terms have a profound influence on the understanding of Guan-ge as a phathomechanism of the middle burner by physicians after the Song and Yuan dynasties.