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"脏气法时"生理背景下探讨"辛润肾燥"的内涵及临床意义

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《素问·脏气法时论》中"辛润肾燥"之说自古争议重重,至今未有较明确的论述。总结分析各家观点,认为"辛润"即辛行津液以润燥;通过解析"脏气法时"的原旨,提出"脏气"的时气指代意义,并由此证明"肾燥"的含义为冬季时病,实质为一身之气的失调。同时根据五运六气理论将其含义合理扩展至岁气作用下的运气病,临床泛指一切水液输布障碍导致的口干口渴、皮肤干燥瘙痒等燥。最终明确"肾燥"的本质及争议产生的原因,从而揭示古人言"辛润肾燥"的机制及现代意义。
On Connotation and Clinical Significance of"Pungent Medicinal Moistening Kidney Dryness"Under Physiological Background of"Viscera Qi Correspond to Nature Rhythms"
The term"pungent medicinal moistening kidney dryness"in the Plain Questions·Viscera Qi Corresponds to Nature Rhythms has been controversial since ancient times and hasn't yet been clearly elucidated.The author summarizes and analyses the views of different schools of thought and concludes that the meaning of"pungent moistening"is clear,which means pungent medicinal promoting the flow of fluids to moisten dryness.In this paper,through further analysis of the original purpose of"viscera qi corresponds to nature rhythms",the meaning of"viscera qi"is put forward and proves that the meaning of"kidney dryness"is winter disease,manifesting as disorder of the qi of the whole body.At the same time,according to the theory of five evolutive phases and six climatic factors,its meaning is reasonably extended to evolutive and climatic disease under the action of qi,which generally refers to the dry mouth,thirst,dry itchy skin and other dryness caused by the obstruction of water and liquid distribution.Thus the essence of"kidney dryness"and the causes of the controversy are finally clarified,and the mechanism and modem significance of the ancient saying"pungent medicinal moistening kidney ryness"are revealed.

The Yellow Emperor's Canon of Internal Medicineviscera qi corresponds to nature rhythmspungent moisteningkidney drynessviscera qievolutive phases and climatic factors

马明茹、鲁明源

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山东中医药大学第一临床医学院,山东济南 250014

山东中医药大学中医学院,山东济南 250355

《黄帝内经》 脏气法时 辛润 肾燥 脏气 运气

国家中医药管理局全国名老中医药专家传承工作室建设项目

520786

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(9)