Zhu Peng-Ju
Liaoning University of TCM, Shenyang, 110032, China.
Zhonghua Yi Shi Za Zhi. 2012 Sep;42(5):261-3.
Gu, a disease term which is described as 'gathering heat and pain on the lateral lower abdomen and passed some white worms' in Huangdi Neijing, was considered erosion of jingqi caused by bites of Gu (poisonous insects). This disease was named according to the way of seeking the cause from patterns identified, but it is not a kind of concrete parasitic disease. 'Zhi' in Huangdi Neijing does not mean protrusion. There was early knowledge about Zhi in Shiming, i.e. Zhi caused by bug bites. Zhi was probably named after chi (a kind of insect). Bleeding ulcers and sores in the anus reminded doctors in ancient times of the bites of insects. This disease was named Zhi because of chi's meaning of insects.
蛊,是《黄帝内经》中描述为“少腹之下,有热如浇,溲白如泔,时有白虫”的病症,被认为是蛊(毒虫)叮咬导致正气侵蚀。此病是根据从所识别的症状来探寻病因的方式命名的,但它并非一种具体的寄生虫病。《黄帝内经》中的“痔”并非指突出。《释名》中对“痔”有早期认识,即由虫叮咬所致。“痔”可能是以“虿”(一种昆虫)命名的。肛门处的出血性溃疡和疮疡让古代医生联想到昆虫叮咬。此病因“虿”有昆虫之意而被命名为“痔”。