主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2017, Vol. 40 ›› Issue (8): 630-634.doi: 10.3969/j.issn.1006-2157.2017.08.003

• 理论研究 • 上一篇    下一篇

张仲景膈气虚之正名

刘宁1, 郭瑨2, 贾春华1#   

  1. 1 北京中医药大学中医学院 北京 100029;
    2 中国中医科学院望京医院
  • 收稿日期:2016-12-09 出版日期:2017-08-10 发布日期:2017-08-10
  • 通讯作者: 贾春华,男,博士,教授,博士生导师,主要研究方向: 基于认知科学的张仲景方证理论体系研究,E-mail: jiachunhua125@163.com
  • 作者简介:刘宁,男,在读硕士生
  • 基金资助:
    国家自然科学基金项目(No.81373370)

Revisiting the nomenclature of diaphragm qi deficiency by Zhang Zhongjing*

LIU Ning1,GUO Jin2,JIA Chunhua1   

  1. 1 School of Traditional Chinese Medicine,Beijing University of Chinese Medicine, Beijing 100029, China;
    2 Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China
  • Received:2016-12-09 Online:2017-08-10 Published:2017-08-10
  • Supported by:
    National Natural Science Foundation of China(No.81373370)

摘要: “膈气虚”概念的首次出现是在《伤寒杂病论》中,古今注家多将其从宗气虚或胃气虚的角度作解,未免有“郢书燕说”之嫌。通过对膈气源流的考证与分析,发现“膈气”一词多指疾病的名称或症状。通过“膈气实”概念的构建,并结合相关语境对“膈气虚”进行分析,得出“膈气虚”是指无形之热客于膈间的一种病理状态,“虚”在此并非形容人体正气的亏虚,而是对无形邪热的描述,造成将“膈气虚”解为“宗气虚”或“胃气虚”的原因主要源于“虚”字在中医语言中的使用习惯。

关键词: 膈气虚, 膈气实, 伤寒杂病论

Abstract: The nomenclature of diaphragm qi deficiency was firstly mentioned in Shanghan Zabing Lun(Treatise on Cold-Induced and Miscellaneous Diseases) by Zhang Zhongjing. Most ancient and present scholars interpret the concept from the view of pectoral qi or stomach qi deficiency, which distorts the original meaning to some extent.Textual research and analysis of the origin of diaphragm qi indicates that this term is often used as a name or symptom of diseases.We analyzed the meaning of diaphragm qi deficiency with reference to diaphragm qi excess, then we reached a final conclusion that the concept of diaphragm qi deficiency refers to a pathological state that invisible heat stagnates in the diaphragm.Therefore,deficiency is not used to describe the insufficiency of healthy qi,but the description of the invisible heat.The major reason why diaphragm qi deficiency was interpreted as stomach qi deficiency or pectoral qi deficiency is because the general meaning of deficiency is often understood as insufficiency in TCM language.

Key words: diaphragm qi excess, diaphragm qi deficiency, Shanghan Zabing Lun

中图分类号: 

  • R222.12