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谈古论今话三焦

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三焦首见于《黄帝内经》,有名有形,为水谷运行之道路。《难经》在此基础上提出三焦为原气之别使,并为后世的命门学说打下基础。金元四大家之刘元素提出命门相火游行三焦,指出三焦为相火之道路,为后世"三焦为水火运行之道路"奠定了理论基础。清代对三焦的研究更进一步,黄元御一气周流理论认为,原气升降出入皆在三焦运行,唐荣川、张锡纯提出三焦实质化,即三焦根于命门,基于此三焦理论基本成形。三焦不但是水谷运行之道路,原气之别使,水火运行之道路,甚至可以理解其为人体内间隙、空隙、通道,沟通全身脏器百骸,促进气机、相火、水液代谢和血液运行,甚至包括固态物质的代谢和运转。如果人体内气机阻滞,相火孱弱,则会出现升降不相因,燥湿不相济,中焦运转失常,清气不升,浊气不降,进而痰湿内生,瘀血内阻,带来诸多代谢异常疾病以及心脑血管疾病。
Discussion on Three Jiao
The term of"Three Jiao"was first mentioned in Huang Di Nei Jing,which has a name and with a form,being the pathway for the water and grain.On this basis,in Nan Jing,it was said that Three Jiao is a special envoy of the Yuan Qi,which laid the foundation for the doctrine of the Life Gate(Ming Men)in the later generations.Liu Yuanyuan,one of the four great masters of Jin Yuan Period,proposed that the Xiang Fire of the Life Gate goes in Three Jiao,pointing out that Three Jiao is the path of the Xiang Fire.It laid the theoretical foundation for"Three Jiao is the operation path of water and fire"in later times.The research of"Three Jiao"in Qing Dy-nasty went further,Huang Yuanyu thought in his Yi Qi Zhou Liu Theory that the Yuan Qi's activity,namely,going up and down as well as going in and out,takes place in Three Jiao.Tang Rongchuan and Zhang Xichun put forward the idea of materialization of Three Jiao,i.e.,Three Jiao is rooted in Life Gate,is just based on the theory.The Three Jiao is not only the road for the operation of water and grains,the special ambassador of the Yuan Qi,and the road for the operation of water and fire,but it can even be understood as the gap,space,and channel in the human body,communicating with all the organs of the whole body,and promoting the Qi,the Xiang Fire,the metabolism of the water and the operation of the blood,and even the metabolism and the operation of the solid substances.If Qi is stag-nant and Xiang Fire is weak in the body,the balance of Qi movement would be broken,the balance between Dryness and Dampness would be changed,the operation of the Qi in the Middle Jiao would be out of order,the clear Qi would not be elevated and the turbid Qi would not be lowered,and then Phlegm and Dampness would be generated within the body and blood stasis would produce within the body,which would bring about a lot of metabolic abnormalities as well as cardio-cerebral and cerebral vascular diseases.

Three JiaoHuang Di Nei JingNan JingXiang FireYuan QiQi,blood and fluid

牛媛媛、刘磊、范家英

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河南中医药大学第三附属医院,河南郑州 450008

河南中医药大学,河南郑州 450046

三焦 《黄帝内经》 《难经》 相火 原气 气血津液

2025

中医学报
河南中医药大学,中华中医药学会

中医学报

影响因子:1.264
ISSN:1674-8999
年,卷(期):2025.40(1)