首页|浅析"木火刑金"在咳嗽辨治中的指导作用

浅析"木火刑金"在咳嗽辨治中的指导作用

扫码查看
本研究基于"木火刑金"理论探讨"木"与"金"以及"肝"与"肺"的关系内涵,进而明确"肝火犯肺"是咳嗽的主要病机之一,认为疏肝是关键,治肺是核心,为小儿咳嗽的治疗提供新思路.根据"五神-五形-五志"的关系,以及"肝"和"肺"、"木"和"金"的相生相克关系,再结合小儿的病理生理特点,认为小儿咳嗽有形体和神志两个维度的病机,一为形体之"郁",即肝气郁结、肝失疏泄,肝火上炎而犯肺;一为神志之"郁",即委屈,导致肝失条达,"怒则气上",肝火上炎犯肺所致.因此辨治应"形神同治",临床中不仅需要解除形体之"郁",也不能忽视神志之"郁"的治疗,从两个维度以达到整体治疗的目的.人是心身合一的统一体,形与神两者相互依存,不可分割,形为神之宅,神为形之主,应施予有形的"治形"处方和无形的"治神"处方,有形之处方通过治肺以疏肝,具体为疏肝宣肺,无形之处方需要患儿家属和患儿的共同参与,通过情绪引导直接疏肝,具体处方为委屈导引.总之,"木火刑金"即"肝火犯肺"理论对减少小儿咳嗽的发生及反复具有临床指导意义,医者灵活应用"形神同治"诊治咳嗽具有良效,并且对其他肺系疾病的治疗具有参考意义.
Exploration of the guiding role of the wood-fire tormenting metal theory in the differentiation and treatment of cough
To further clarify that liver fire attacking lung is one of the main pathologies of cough,we explore the relationship connotation between wood and metal,namely between liver and lung based on the theory of wood-fire tormenting metal.This study believes that soothing the liver is the key and treating the lung is the core,which provides a new idea for the treatment of pediatric cough.According to the relationship among five spirit,five-body,and five emotions and the mutual generation and interaction between liver and lung,namely wood and metal,and combined with the pathophysiological characteristics of children,it is believed that pediatric cough has a pathogenesis with two dimensions:physical and psychosomatic.One is the stagnation of body,that is to say,liver Qi(气)stagnation,liver loss of detachment,and liver fire upflaming and offending the lungs.Another is the stagnation of spirit Zang,that is to say,grievance,resulting in the loss of liver regulation,and then liver fire inflammation appears.So syndrome differentiation should be based on treating both body and spirit to achieve a holistic treatment effect from multiple dimensions,and in clinical practice,it is necessary not only to remove the depression of the body,but also to emphasize the depression of the mind.Man is an entity related to mind and body.Body and spirit are interdependent and inseparable.Body is the house of spirit and body is the master of spirit.That is to say,tangible prescription for governing viscera and intangible prescription for governing spirit should be simultaneously given.Tangible prescription through the treatment of lung to ease the liver,specifically to ease the liver and lung,and invisible prescription requires the child's family and child's participation to ease the liver through emotional guidance directly,the specific prescription is grievance guidance.In short,the theory of wood-fire tormenting meta,that is,liver-fire attacking lung,has clinical significance in reducing the occurrence and recurrence of cough in children.The flexible application of treating both body and spirit has a good effect on the diagnosis and treatment of cough,and has reference significance for the treatment of other lung diseases.

CoughWood-fire tormenting metalSynergistic treatment of body and spiritYin prescriptionYang prescription

戴孟庭、林莜岚、帅云飞

展开 >

湖南中医药大学第一中医临床学院/湖南中医药大学第一附属医院,湖南 长沙,410007

咳嗽 木火刑金 形神同治 阴方 阳方

湖南中医药大学研究生创新课题湖南省教育厅科研项目湖南省卫生健康委科研项目湖南省自然科学基金湖南省中医药科研项目

2023CX9719B425202002892020JJ4478201937

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(8)
  • 13