《伤寒论》“客气”之探讨  

Discussion on“Keqi”in Treatise on Exogenous Febrile Diseases

作　　者：秦欣欣 吴华阳[2] 张山 于会勇 王成祥 QIN Xinxin;WU Huayang;ZHANG Shan;YU Huiyong;WANG Chengxiang(Respiratory Department,Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Respiratory Department,Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学第三附属医院呼吸科,北京100029 [2]北京中医药大学东直门医院呼吸科,北京100700

出　　处：《上海中医药杂志》2021年第10期37-39,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：北京市自然科学基金项目(7202127);国家自然科学基金面上项目(82074389)。

摘　　要：探讨《伤寒论》中“客气”的含义及其思想对临床的指导作用。认为从结胸证与痞证的辨析入手,可知“结胸证”易发于阳经,“痞证”易发于阴经,得出“胃中空虚”不等同于“胃气虚”,进而便知相应条文中“客气”的病机亦不同;“客气动膈”之客气指表阳之邪热内陷,而“客气上逆”之客气当指胃气虚而心火旺。The purpose of this paper is to discuss the meaning of“Keqi(pathogenic factors)”in Treatise on Exogenous Febrile Diseases and the guiding effect of its thought on clinic.Starting with the discrimination of syndrome of binding in chest and syndrome of stuffiness,it is known that“syndrome of binding in chest”is easy to occur in yang meridian and“syndrome of stuffiness”in yin meridian,and it is concluded that“emptiness in stomach”is not equal to“stomach qi deficiency”.Furthermore,it is known that the pathogenesis of“Keqi”in the corresponding clauses of Treatise on Exogenous Febrile disease is also different.The Keqi in“Keqi invading the diaphragm”refers to the pathogenic heat sinking inside of the superficial yang,while the Keqi in“ascending counterflow of Keqi”refers to stomach qi deficiency and effulgent heart fire.

关 键 词：《伤寒论》 客气 结胸证 痞证 

分 类 号：R222.2[医药卫生—中医基础理论]