刘完素“阳气怫郁”论治火热病浅探  

Discussion on Treatment of Fire and Heat Disease by LIU Wansu Based on‘Depression of Yang Qi' Theory

作　　者：赵婷[1] 包洁[1] 范永升[1] ZHAO Ting BAO Jie FAN Yongsheng(Zhejiang Chinese Medical University, Hangzhou（310053)

机构地区：[1]浙江中医药大学,杭州310053

出　　处：《浙江中医药大学学报》2017年第7期553-555,561,共4页Journal of Zhejiang Chinese Medical University

基　　金：国家重点基础研究发展计划(973计划)(2014CB543001)~~

摘　　要：[目的]探讨刘完素从"阳气怫郁"角度论治火热病的方法。[方法]通过研读刘完素《素问玄机原病式》《黄帝素问宣明论方》等论著,分析其对火热病证治规律的认识,着重阐述其从"阳气怫郁"角度论治火热病的机理。[结果]刘完素医理精深,临证经验丰富,善于创新。在《黄帝内经》病机十九条理论的启示下,对火热病证加以扩充,提出"六气皆从火化"学说。认为风、寒、湿、燥诸气太过,玄府闭塞,阳气怫郁,均会产生火热病。"阳气怫郁"是六气化火的一个关键环节,当以寒凉与宣散相合的治法,或辛凉解表,或清泄郁热,或表里双解,或燥湿解郁,或寒温并用,以宣发"阳气怫郁"诸证。[结论]刘完素从"阳气怫郁"论治火热病,为后世开辟了新的治疗途径,对今日临床仍有指导意义。[Objective]To explore LIU Wansu＇s methods in treating fire and heat disease from ＂depression of yang qi＂. [Methods]To analyse LIU Wansu＇s understanding of fire and heat disease and highlight its treatment from＂depression of yang qi＂through reading his works like Exploration to Pathogenesis in Plain Questions, Yellow Emperor＇s Plain Questions on Xuanminglun Formulae and so on. [Results]LIU Wansu had profound medical knowledge, rich clinical experience and initiative spirit. Under the guidance of nineteen items of pathogenesis from Huangdi＇s Canon of Medicine, he expanded fire and heat disease and put up＂six exogenous pathogenic factors can transfer to fire＂theory. To be specific, excessive wind, cold, dampness and dryness would block Xuan Fu and depress yang qi, causing fire and heat disease. He regarded＂depression of yang qi＂as a key link in six exogenous pathogenic factors＇ transferring to fire and put up cooling combined with ventilating method to dissipate depressed yang qi, including relieving exterior syndrome with pungent-cool drugs, clearing depressed heat, relieving exterior and interior syndrome, eliminating dampness and relieving depression as well as combination of cold and warm drugs.[Conclusion]LIU Wansu treated fire and heat disease from ＂depression of yang qi＂, providing new methods in treating fire and heat disease for later generations as well as guiding significance in current clinical work.

关 键 词：刘完素 火热病 阳气怫郁 病机 治法 素问玄机原病式 黄帝素问宣明论方 金元四大家 

分 类 号：R221[医药卫生—中医基础理论]