张锡纯论大气下陷  

Zhang Xichun's Experience on Treatment to the Syndrome "Chest Qi Collapse"

作　　者：贾建义[1] 周维顺[2] 

机构地区：[1]杭州市第一人民医院,杭州310006 [2]浙江中医药大学附属第一医院

出　　处：《浙江中医药大学学报》2013年第6期677-679,共3页Journal of Zhejiang Chinese Medical University

基　　金：浙江省中医药管理局(2012Z 13128)~~

摘　　要：[目的]研究张锡纯大气学术思想,总结其治疗大气下陷的经验。[方法]通过对张锡纯《医学衷中参西录》中有关大气下陷的论述与案例的整理、分析与归纳,阐述大气的内涵与功用,大气下陷的诊断与鉴别诊断,大气下陷及其兼证的治疗。[结果]张锡纯认为:生理上",大气者,充满胸中,以司肺呼吸之气也","是大气者,原以元气为根本,以水谷之气为养料,以胸中之地为宅窟者也";病理上,"此气一虚,呼吸即觉不利,而且肢体酸懒,精神昏愦,脑力心思为之顿减。若其气虚而且陷,或下陷过甚者,其人即呼吸顿停,昏然罔觉"治疗上",若其下陷或仅一半,其剧者或至强半,皆可挽回其下陷之气以复其本位",并创制升陷汤及其系列方以治疗大气下陷证。[结论]张锡纯系统地阐述了大气的学术内涵及大气下陷的辨治经验,首创升陷汤及其系列方以治疗大气下陷证,补前人之未备,并在继承中逐步完善和创立了系统的胸中大气学说,发扬和丰富了中医学理论,是对中医学术的重大贡献。[Objective] To Summmarize Zhang Xichun’s experience on treatment to syndrome ＂Chest Qi collapse＂.[Methods]Use a way to put Zhang Xi chun’s document in order to analyse,reveal Zhang Xichun’s experience of Chest Qi and Chest Qi collapse;[Results]In physiology,＂Chest Qi fills chest,is governing respiration of the lung＂,＂Chest Qi based in primordial Qi,draws nourishment of cereal nutrients,reside in chest＂;In Pathology,＂It will make breath short,limbs ache and lassitude and a state in which one cannot think.If Chest Qi is weak and collapses,it will make breath pause and a state in which one cannot think＂.So he advances a new theory： If Chest Qi collapses,we can uplift Chest Qi＂,and create a series of decoctions named ＂shen-xi an-Tang＂.[Conclusion]It was Zhang Xichun that had made a systematic study on the syndrome ＂Chest Qi collapse＂.Zhang Xichun had made an impor tant contribution to TCM,his theory of Chest Qi had proved this point.

关 键 词：大气下陷 张锡纯 医学衷中参西录 大气论 升陷汤 治疗经验 学术思想 

分 类 号：R223.144[医药卫生—中医基础理论]