卫气营血理论的局限性及完善建议  

Limitations and Suggestions on the Theory of Defensive Qi,Ying and Blood

作　　者：郭海[1] 赵晓峰[1] 龚婕宁[2] 

机构地区：[1]南京医科大学附属淮安第一医院,江苏淮安223300 [2]南京中医药大学基础医学院,南京210029

出　　处：《中国中医基础医学杂志》2017年第1期21-23,共3页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：科技部科技基础性工作专项(2009FY120300)-中医药古籍与方志的文献整理

摘　　要：探讨卫气营血理论的局限性和完善建议,认为宜在"肺主气属卫""心主血属营"之后补充"脑主神属肾",将病程分为卫分期、气分期、营分期、血分期、肾病期和脑病期6个阶段。认为卫分期是皮肤黏膜屏障的非特异性症状阶段,气分期是皮肤黏膜屏障的局部特异性症状阶段,以脏腑功能改变为主;营分期指血清和电解质病变阶段,血分期是血细胞病变阶段,以脏器实质性损害为主;肾病期是脏器功能衰竭阶段,脑病期以神志异常为主,均以脏器功能衰竭为病理特征,可为血液病、脏器衰竭、脑病和肿瘤提供新的理论依据和治疗方法。This paper mainly discusses the limitations of the theory Wei-Qi-Ying-Blood and the Recommendations to further perfection. Recommendations add ＂brain administrating spirit close to kidney ＂on the basis of ＂lung administrating Qi close to Wei＂and ＂heart governs blood close to Ying＂. The disease change is divided as six pathological stage： Wei stage, Qi stage, Ying stage, blood stage,nephropathy stage and eneephalopathy stage. The pathological changes of Wei and Qi stage are mainly the change of organs function, including nonspeeifie symptoms stage of the skin mueosal barrier in Wei staging and local specific symptoms in Qi staging. Ying and blood stage is mainly the organ parenehymal damage, and Ying stage refers to the materials of blood vascular in addition to the blood cell, blood stage is the essence of the blood cells. Nephropathy is a stage of organ failure, and encephalopathy stage with encephalopathy , pathological feature of the two stages is fuetional failure of organs. These can provide a new theoretical basis and method of treatment for hematology, organ dysfunction diseases, brain diseases and tumors.

关 键 词：卫气营血理论 完善建议 肾病期 脑病期 

分 类 号：R241.8[医药卫生—中医诊断学]