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

JOURNAL OF BEIJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE ›› 2021, Vol. 44 ›› Issue (3): 209-214.doi: 10.3969/j.issn.1006-2157.2021.03.003

• Theoretical Studies • Previous Articles     Next Articles

Discussion of “macules out of yangming and papules out of taiyin” from the perspective of qi transformation*

Wu Zhongde, Zhu Xing#   

  1. Graduate School, Guizhou University Of Traditional Chinese Medicine, Guizhou 550025, China
  • Received:2020-11-20 Online:2021-03-30 Published:2021-03-30
  • Contact: Prof. Zhu Xing, M.D., Master's Supervisor. Guizhou University of Traditional Chinese Medicine. Dongqing South Road, Huaxi University Town, Gui'an New District, Guizhou 550025. E-mail:11863362@qq.com
  • Supported by:
    National Natural Science Foundation of China (No. 81960830)

Abstract: “Macules out of yangming and papules out of taiyin” is a summary of the view that “macules are caused by heat toxin in yangming and papules are caused by wind heat in taiyin” proposed by Lu Zixian, a physician in the Qing Dynasty. However, the understanding of yangming and taiyin in later generations was mostly limited to the idea that “the lung governs the skin and body hair, and the stomach governs the muscles”, but neglected the meaning of yangming and taiyin in terms of the six meridians. This paper analyzes the occurrence and treatment of macules and papules from the perspective of qi transformation. Based on analysis and discussion of related previous medical cases, it is believed that both the invasion of yangming and taiyin by pathogens and the deficiency of the two meridians can lead to qi transformation disorder, forming macules and papules. Meanwhile, due to the exterior-interior relationship between yangming and taiyin, macules and papules can be transformed into each other to a certain extent. Therefore, it is necessary to differentiate whether the disease is of cold or heat, deficiency or excess pattern on the whole in clinical practice, so as to seek a better treatment plan for macules and papules.

Key words: macules and papules, yangming, taiyin, qi transformation

CLC Number: 

  • R254