王坤根运用“气化”理论诊治疾病的经验分析  

Experience of WANG Kun-gen in the application of qi transformation theory

作　　者：孙洁[1,2] 李秋芬[3] 林友宝 智屹惠[1] 沈淑华[1] 黄立权[1] 王坤根[1] 

机构地区：[1]浙江中医药大学第一临床医学院王坤根名中医工作室,杭州310053 [2]浙江中医药大学附属第三医院,杭州310000 [3]杭州市中医院肾内科,杭州310007

出　　处：《中华中医药杂志》2016年第12期5068-5071,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：第五批全国老中医药专家学术经验继承工作继承人(No.浙中医药[2012]53号);王坤根名中医工作室(No.国中医药人教函[2012]149号)~~

摘　　要：文章分析了王坤根老中医临床运用"气化"理论诊治疾病的经验。通过复习中医气化理论和对跟师期间随诊病案的学习,分析王坤根老中医将"气化"理论用于疾病诊治的经验。王老师认为,从"气化"论治诸疾,其要在于明其生化胜复之道,气机运行之理。若气不化津,内生诸邪则治以化阴浊;气失流行,津血阻滞则治以行郁滞;胜复之道,五脏相传,则治以合气宜。气化异常是疾病发生、发展的关键;调节气机,"无失气宜"则是诊治疾病的核心环节。其具体方法则包括化阴浊、行郁滞、合气宜等。The article analyzed the experience of famous TCM doctor WANG Kun-gen in the application of qi transformation theory. Based on TCM qi transformation theory and medical records of doctor WANG Kun-gen, the artical analyzed the application of qi transformation theory in clinical practice. In the experience of doctor WANG Kun-gen, the key of applying qi transformation theory was to understand the qi formation, qi movement, qi function, especially qi movement. If the qi was failure of transforming fluid, various pathogenic-qi would be internally produced, so the treatment principle was suggested to remove the dampness-turbidity. If the qi was failure of running properly, the fluid and blood would be blocked, so the treatment principle was suggested to regulate the qi-flowing for activating stagnancy. When the victory-qi and reprisal-qi of five zang viscer appeared, the treatment principle was suggested to balance the qi. Doctor WANG Kun-gen hold the view that dysfunction of qi was the origin of disease. Failure of qi transformation was the key of genesis and development of disease, therefore the core of treatment was to adjust qi transformation back to balanced condition, the methods of which included resolving turbidity, dispelling stasis, and balance the qi movement.

关 键 词：经验 王坤根 气化 病机 治法 

分 类 号：R259[医药卫生—中西医结合] R249[医药卫生—中医内科学]