基于"气化则湿亦化"论治湿滞三焦
Study on the Treatment of Dampness Stagnated in the Triple Energizer Based on the Theory of"Qi Transformation Leading to the Removal of Pathogenic Dampness"
莫小英 1阮威君 2郑锋玲 3骆欢欢4
作者信息
- 1. 长沙医学院中医学院,湖南长沙 410000
- 2. 桂林市中医医院,广西桂林 541002
- 3. 广州中医药大学期刊中心,广东广州 510006
- 4. 广州中医药大学基础医学院,广东广州 510006
- 折叠
摘要
"气化则湿亦化"论述源于清代医家吴鞠通的《温病条辨》.三焦之湿均因气化不利所致,治湿皆需以行气为本,重在宣畅气机,恢复三焦气化.治湿犯上焦,需宣肺利气、化湿开郁;治湿阻中焦,重在健脾行气,使脾气畅达,既助湿化,又杜生湿之源;治湿滞下焦,需淡渗通阳,因势利导.治湿之"开上、宣中、导下"三法均寓有"气化湿亦化"之机理,而轻宣、开泄、芳化、淡渗等诸法也应随证而用."气化则湿亦化"学术思想的挖掘可为中医湿证的基础研究与治湿法的临证应用提供理论参考.
Abstract
The statement of"qi transformation leading to the removal of pathogenic dampness"was recorded in Wen Bing Tiao Bian(Analysis on Epidemic Febrile Diseases)written by the Qing Dynasty physician WU Ju-Tong.Dampness in the triple energizer is caused by the dysfunction of qi transformation,and the treatment of dampness must be based on the activation of qi movement and focused on the promotion of qi movement and the restoration of the qi transformation in the triple energizer.For the treatment of dampness attack in the upper energizer,therapies of dispersing lung to smooth qi and resolving dampness to relieve the obstruction are recommended.For the treatment of dampness obstruction in the middle energizer,therapy of activating spleen qi by strengthening spleen and moving qi is stressed for helping the removal of dampness and for the eradication of the source of dampness.For the treatment of dampness stagnation in the lower energizer,therapy of draining dampness with sweet-light medicines and activating yang can be used according to the illness status.The three methods of treating dampness,namely dispersing the upper energizer,activating the middle energizer and draining the lower energizer,all embody the mechanism of"qi transformation leading to the removal of pathogenic dampness",and the therapies of dispersing lung with light medicines,inducing perspiration by opening striated layer,eliminating dampness with aromatics and draining dampness with sweet-light medicines should be used in accordance with the syndromes.The elucidation of the academic thoughts of"qi transformation leading to the removal of pathogenic dampness"can provide theoretical reference for the fundamental research of dampness syndrome and clinical application of therapies for resolving dampness in Chinese medicine.
关键词
气化/湿化/三焦气化/宣肺利气/健脾行气/淡渗通阳/《温病条辨》Key words
qi transformation/removal of pathogenic dampness/qi transformation in triple energizer/dispersing lung to smooth qi/strengthening spleen and moving qi/draining dampness with sweet-light medicines and activating yang/Wen Bing Tiao Bian(Analysis on Epidemic引用本文复制引用
基金项目
国家自然科学基金(81973720)
国家自然科学基金(81673850)
国家自然科学基金(82174244)
出版年
2024
国家科技期刊平台
NSTL
万方数据