「腸辟」初探

Preliminary Study of ''Chang Bi''

人不與天地相參，而犯賊風虛邪，加上食飲不節、起居不時，因而產生「腸辟」之疾。《黃帝內經‧九宮八風篇》提及「八風」自八方而來，分別舍於心、脾、肺、腎、肝、大腸、小腸、胃。於其他傳世醫學古籍文獻中，針對這篇內容多數醫家直接引用，卻無進一步闡述。因此，欲藉由探討「腸澼」，以期進一步了解《黃帝內經》中「八風」與藏府之間的關係。經由對文獻進行歸納、比較、綜合、分析後，得知《黃帝內經》中相關論述共計八篇，其中只有一處提及「腸辟」，餘處皆指稱「腸澼」。根據傳世文獻及出土文獻分析研究發現，《黃帝內經》中所記載者當為「腸辟」，「辟」為襞、聚。而「腸澼」最遲於唐朝以後開始出現，「澼」為腸間水。同時，於漢代的文獻比對，可以發現南北地域病名的使用已有不同。「八風」發邪，當人體虛弱的時候，其經由皮膚、絡、經，進而傷及藏府。「折風」、「凶風」發邪，內舍於小腸、大腸，進而導致水穀不化的飧泄症狀，病久導致「腸辟」。又，「八風」為節氣流變的遺跡，此研究可為中醫時間醫學提供理論的依據。

Under the guiding principle of correspondence between nature and human ( 天人相應 ), incoherence with the seasonal changes would result in human sickness. In the texts of (Huangdi's) Internal Classic ( 黃帝內經 ), diseased drafts plus contaminated food and drink would result in the intestinal disease of ''Chang Bi ( 辟 )''. There is only one text of ''Chang Bi ( 辟 )'' in (Huangdi's) Internal Classic( 黃帝內經 ), as opposed to seven others of ''Chang Pi ( 澼 )'' with a ''water'' key ( 部首 ). Significance of the differences between these two words. This article attempts to clarify which issues. ''Eight winds '' enter our body via the skin. Then, it pass thorugh the collaterals、the meridians. Finally, it stops and injurys our Viscera and Bowels. Therefore, diarrhea with water and food appears. After a period of time, it could result in the intestinal disease of ''Chang Bi ( 辟 )''. ''Eight winds '' grow to the 24 solar terms. This study is import for Preventive Medicine and Time Medicine in Traditional Chinese Medicine.