首页|调气治积法的学术思想探讨及临床实践

调气治积法的学术思想探讨及临床实践

扫码查看
近年来甲状腺结节、乳腺结节、肺结节等疾病的检出率及发病率不断增加.西医暂无行之有效的治疗方法,往往病情发展达到手术标准时才进行干预处理.中医强调治未病,多在发现结节时就主张进行对症治疗.中医认为,甲状腺结节、乳腺结节、肺结节等结节类疾病均可归于"癥瘕、积聚、积证"等范畴,结合现今临床经验,目前多可归于肿瘤类疾病,中医多以清热解毒、化痰除湿、益气养阴等方法治疗,从疏调气机方面论治较少.国医大师张震教授长期扎根于中医临床实践及中医药理论研究,成立疏调学派,创新性地提出"一体两翼,疏调气机"的学术思想,认为疾病的形成皆是气机失于健运引起,他主张以疏理肝气为体,健运脾和顾护肾为两翼.其学派优秀继承人郭利华主任医师认为,积证的起始病机多是肝失疏泄、气机失调.在辨治积聚类病证时,可充分运用疏调气机之法,以疏肝扶脾为先,疏调气机为治,临证中行之有效.本研究旨在探析疏调气机思想在积证治疗中的指导意义,为临床提供新思路.
Discussion on the academic thought and clinical practice of regulating Qi and curing accumulation
In recent years,the incidence and detection rate of thyroid nodules,breast nodules,lung nodules,etc.have been increasing.Western medicine does not have any effective treatment for the time being,and most of them are observed regularly,and only intervene when there is progression or surgical indications.Traditional Chinese medicine(TCM)emphasizes the preventive treatment of disease and advocates symptomatic treatment when nodules are just found.According to TCM,nodular diseases such as thyroid nodules,breast nodules,lung nodules,etc.can be classified into the categories of"abdominal mass,accumulation syndrome",and combining with the clinical experience nowadays,most of these nodular diseases can be classified into tumour-like diseases.So far,TCM has mostly treated tumors by clearing heat and detoxification,resolving phlegm and removing dampness,supplementing Qi(气)and nourishing Yin(阴),and it is relatively rare to treat tumors from the aspect of dredging and regulating Qi.ZHANG Zhen,a contemporary master of TCM,has been rooted in the clinical practice and theoretical research of TCM for a long time.After continuous practice,he established the Shutiao(疏调)school and innovatively proposed the academic idea of"one body,two wings,and regulating Qi".He believes that the formation of tumor diseases are all due to the imbalance of Qi mechanism.In terms of treatment,he advocates that the main treatment is to soothe liver Qi and consider the treatment of spleen and kidney.Dr GUO Lihua,the chief physician who is the outstanding successor of Shutiao school,believes that the initial pathogenesis of accumulation syndrome is mostly the loss of the function of liver and the imbalance of Qi.In the differentiation and treatment of accumulated diseases,the method of soothing and regulating Qi machine can be used to soothe the liver and spleen,and regulate Qi machine,which is effective in clinical practice.The purpose of this paper is to explore the thought of dredging and regulating Qi,explore its guiding significance in the treatment of accumulation syndromes,and provide new ideas for clinical practice.

Traditional Chinese medicineAcademic thoughtAccumulation syndromeRegulating Qi

符秀梅、何珊、袁天娥、杨小霞、王忠丽、郭利华

展开 >

云南中医药大学第一临床医学院,云南 昆明,650500

云南省中医医院,云南 昆明,650021

中医药 学术思想 积证 调气治积

云南省科技厅科技基金项目

202301AZ070001-078

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(22)