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 ›› 2020, Vol. 43 ›› Issue (1): 12-16.doi: 10.3969/j.issn.1006-2157.2020.01.003

• 理论研究 • 上一篇    下一篇

基于阴阳气化从升降角度析识六经病证治*

李吉武, 陈文辉, 孟立锋, 唐爱华, 李双蕾, 王振刚   

  1. 广西中医药大学第一附属医院 广西 530023
  • 收稿日期:2019-08-17 发布日期:2020-02-21
  • 作者简介:李吉武,男,博士,副主任医师,硕士生导师
  • 基金资助:
    *国家自然科学基金地区科学基金资助项目(No.81560761),国家自然科学基金青年科学基金资助项目(No.81503403),广西省教育厅资助项目(No.KY2015LX161),广西名老中医民族医传承工作室建设项目-李双蕾名医传承工作室资助项目(No.桂卫中[2014]9号),广西省中医药管理局内分泌科重点建设资助项目

Approaches to diagnosis and treatment of six-meridian disorders from the perspective of ascending and descending based on yin-yang qi transformation*

Li Jiwu, Cheng Wenhui, Meng Lifeng, Tang Aihua, Li Shuanglei, Wang Zhengang   

  1. The First Affiliated Hospital of Guangxi University of Chinese Medicine, Guangxi 530023, China
  • Received:2019-08-17 Published:2020-02-21
  • Contact: Li Jiwu, Ph.D, Deputy Chief Physician, Postgraduate Supervisor.The First Affiliated Hospital of Guangxi University of Chinese Medicine, No.89-9, Nanning Dongge Road, Guangxi 530023, China. E-mail: glljwu@163.com
  • Supported by:
    National Natural Science Foundation of China (No.81560761), National Natural Science Youth Foundation (No.81503403), Education Department of Guangxi (No.KY2015LX161)

摘要: 基于阴阳气化的思维,以六经之气升降气机为角度,从“欲解”时态探析《伤寒论》阴阳六经病证的升降病机演变及证治方药。文章先从元气与阴阳之气、阴阳之气与升降制化、升降失常与阴阳六气之病证、阴阳升降与六经欲解“时”关联等方面对元气升降与阴阳气化六经进行辨析,再从升降失常角度具体论述三阳三阴(六经)病病机及证治方药。以期从阴阳升降气化的传统理论思维去统观与认识六经病脉证辨治,有助继承气化理论,贯通中医经典,灵活运用经方,对于临床辨治思维水平有提升意义。

关键词: 六经辨证, 阴阳, 升降, 气化, 证治方药, 伤寒论

Abstract: This paper analyzes the “turning point” of six-meridian disorders in Shanghanlun (Treatise on Cold Damage Disease) from the perspective of qi ascending and descending movement based on yin-yang qi transformation so as to shed light on the mechanism, pattern diagnosis, formulae and herbs prescribed for six-mendian disorders. It starts with reviewing the relations between original qi and yin-yang qi, yin-yang qi and constrained transformation of ascending and descending, ascending-descending disorder and yin-yang qi disorders, yin-yang ascending and descending and turning point in six-meridian disorders to elaborate on ascending and descending of original qi, six-meridian yin-yang qi transformation. Then the paper continues to discuss on the pathomechanism, pattern diagnosis, formulae and herbs prescribed for three-yang and three-yin (six meridians) disorders from the perspective of ascending and descending disorder. This paper is written with the objectives of understanding how to diagnose and treat six-meridian disorders by using the traditional theory of yin-yang ascending and descending qi transformation, so that we could inherit the qi-transformation theory, grasp the TCM classics, use the classic formula flexibly and improve clinical competency.

Key words: syndrome differentiation of six meridians, yin and yang, ascending and descending, qi transformation, therapeutic method and prescription herbs, Shang Han Lun

中图分类号: 

  • R222