朱良春益肾壮督、蠲痹通络法治疗痹证之奇经学说思想探析  

Analysis of ZHU Liangchun's Academic Thought of Extra Channel in Treating Bi-syndrome with Tonifying Kidney,Strengthening Du Meridian,Eliminating Bi and Dredging Channels

作　　者：潘峰[1,2] 朱建华[3] 

机构地区：[1]南京中医药大学 [2]广东省中医院 [3]南通大学附属医院

出　　处：《中医杂志》2016年第23期1993-1995,共3页Journal of Traditional Chinese Medicine

摘　　要：国医大师朱良春从奇经学说角度切入,创立"益肾壮督、蠲痹通络"法治疗痹证。将该法学术源流概括为"源在内难,考鉴时珍,法于天士而皇古融新;本培肾督,标通络脉,标本同治而纲举目张"。病因病机方面,强调正虚邪实,以督脉为关键切入点,构筑"肾-督-络"一体分层理论,即本在肾督,系为肝肾不足和(或)肾督阳虚;标在络脉,为络脉阻滞,筋骨失养。治法用药方面,倡"益肾壮督治其本,蠲痹通络治其标"之治痹标本大法,与叶天士通补奇经之法异曲同工。Based on extra channel theory,Chinese medicine master ZHU Liangchun established the principle of＂tonifying kidney,strengthening Du meridian,eliminating Bi and dredging channels＂to treat Bi-syndrome. The origin development of this principle was summarized into ＂originating from Inner Canon of Huangdi and Classic on Medical Problems,learning from Li Shizhen,and following Ye Tianshi; tonifying kidney and Du meridian are as the root,dredging the meridians for the manifestation＂. As for etiology and pathogenesis,he emphasized body-resistance weakened while pathogenic factors prevailing,taking Du meridian as the entry point,and building the layering theory of＂kidney-Du meridian-channels＂. It means that,the root cause is in kidney and Du meridian,including liver and kidney deficiency and / or Yang deficiency in kidney and Du meridian,while the manifestation is in channels,which refers to stagnation of channels and the malnutrition of bones and tendons. In treatment,ZHU Liangchun promoted the principle of treating Bi-syndrome with tonifying kidney,strengthening Du meridian,eliminating Bi and dredging channels. This principle is analogous to Ye Tianshi’s dredging and tonifying extra channels.

关 键 词：痹证 奇经八脉 益肾壮督 蠲痹通络 朱良春 

分 类 号：R249[医药卫生—中医临床基础] R255.6[医药卫生—中医学]