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"胃络通心"理论探析

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"胃络通心"理论源出《黄帝内经》,揭示了胃、心二者之间的生理、病理关系。通过对《黄帝内经》相关条文辨析,明确胃、心二者经络相连、生理相通、病理相关及五行相生,故而概括衍化为"胃络通心"理论。以"胃络通心"为基础,解析症状,明确病源,梳理相关病机学说,确立了 6类常见病因病机:阳明实热,循络扰神;温邪循络,上扰神志;风邪入腑,循络及心;胃不养心,舌窍失用;移邪攻心,痛证居多;心病及胃,胃症屡见。据理立法,概括"胃络通心"指导下的6种治法:通腑泄热,宁心安神;宣通郁遏,苦辛泄化;温阳散寒,建中理上;益火补土,助胃消化;清心泻火,子母同治;补土伏火,土厚火宁。并提出代表性方药,为理论的临证应用提供参考。
Analysis on the Theory of"Wei Luo Tong Xin"
The theory of"Wei Luo Tong Xin"comes from Huangdi Neijing,which reveals the close relationship between the physiology and pathology of stomach and heart.Through the analysis of the relevant provisions of Huangdi Neijing,it is clear that the channels and collaterals of stomach and heart are connected,physiological and pathological,and the five elements are interrelated,so it is generalized into the theory of"Wei Luo Tong Xin".On the basis of"Wei Luo Tong Xin",this paper analyzed the symptoms,identified the source of the disease,sorted out the related pathogenesis theory,and established 6 common etiology and pathogenesis:Yangming solid heat,follow the collaterals disturb mind.Warm evil follows collaterals,disturbs the mind.Wind evil into the fu-organs,follow the collaterals and heart.The stomach does not nourish the heart,the tongue orifice is not used.Moving evil attacks the heart,most of the pain.Heart disease and stomach,stomach disease frequently seen.According to the law,six kinds of treatment methods under the guidance of"Wei Luo Tong Xin"are summarized:Tongfu-draining heat,Ningxin calming.Xuantong stagnation,bitter xin drainage.Warm Yang dispelling cold,Jianzhong Lishang.Fire tonifying earth,help stomach digestion.Qingxin purging fire,same treatment for children and mothers.Fill the soil and suppress the fire,thick soil brings peace to the fire.The representative prescriptions were put forward to provide reference for clinical application of the theory.

Wei Luo Tong Xingastrocardiac correlationtraditional Chinese medicine theoryetiology and pathogenesistreatment method and prescription

姚鹏宇、梁粟、杨晓妮

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山东第一医科大学附属济南妇幼保健院,山东 济南 250001

山东第一医科大学第一附属医院/山东省千佛山医院,山东 济南 250014

胃络通心 胃心相关 中医理论 病因病机 治法方药

山东省自然科学基金联合基金项目国家自然科学基金青年基金山东省自然科学基金面上项目2022年度中华优秀传统文化研究课题

ZR2021LZY02881302940ZR2021MH38622SCT032

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(7)