摘要
清代医家黄元御遵从理必内经、法必仲景、药必本经的理念,开创性地提出"中医圆运动观",即以中气旋转为枢,四维升降为轴的脏腑气化理论.黄师在"水胀""痰饮"与"奔豚"篇中提及的某些症状、病因、病机与现今的慢性心衰极其相似.本文基于水寒、土湿、木郁、金壅、火败的病理基础分别提出以左路不升、右路不降致心衰的两种观点,将此两种观点进行剖析,为临床诊治慢性心衰提供新的思维模式与治疗方法,以期提高临床疗效.
Abstract
With steadfast adherence to Huangdi's Internal Classic for principle,Zhang Zhongjing's approaches for treatment,and Shennong's Classic of Materia Medica for medication,Huang Yuanyu,a medical practitioner during the Qing dynasty,pioneered the traditional Chinese medicine theory of circular motion,which takes the circulation of middle qi as the pivot and the ascending and descending of qi in four dimensions as the axis.The symptoms,causes,and pathogeneses of water distension,phlegm-fluid retention,and up-rushing qi in Huang's study are similar to those of chronic heart failure in modern medicine.According to the pathogeneses of water(kidney)cold,soil(spleen)dampness,wood(liver)depression,metal(lung)stagnation,and fire(heart)failure,this paper proposes two causes of heart failure:failure of qi to ascend in the left route and failure of qi to descend in the right route.Furthermore,this paper elucidates the two hypotheses,with a view to providing a new thinking pattern and clinical treatment method for chronic heart failure and thus improving clinical efficacy.
基金项目
吉林省卫生健康科技能力提升项目(2023JC073)
国家科技期刊平台
NSTL
万方数据