藏医学“胆腑”理论及其在胆囊炎诊疗中的指导价值  

“Gallbladder-Fu”Theory of Tibetan Medicine and Its Guidance Value in the Diagnosis and Treatment of Cholecystitis

作　　者：刘媛媛 陈蔚 马腾飞 范佳佳 李鑫 武慧超 任小巧[1,2] 仁青东主 LIU Yuanyuan;CHEN Wei;MA Tengfei;FAN Jiajia;LI Xin;WU Huichao;REN Xiaoqiao;REN Qingdongzhu(School of Chinese Materia Medica,Beijing University of Chinese Medicine,Beijing 100029,China;Minority Institute of Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Tibetan Medical College of Qinghai University,Xining 810016,China)

机构地区：[1]北京中医药大学中医学院,北京100029 [2]北京中医药大学民族医药学研究所,北京100029 [3]青海大学藏医药学院,西宁810016

出　　处：《世界中医药》2022年第10期1465-1469,共5页World Chinese Medicine

基　　金：青海省科技厅重点研发转化专项(2020-SF-C33)。

摘　　要：藏医学的“胆腑”理论是一个完整的体系,是藏医脏象学说非常重要的组成部分之一,其包含了藏医“胆”的生理、病理、诊断、治疗等的全部过程。藏医认为,“胆腑病”归属于赤巴病的范畴,而赤巴病是一切热病的总称,因此,胆腑病性质属热;其发病是由于季节气候的变化、饮食、行为起居、情志、外伤等原因导致的患者体内“隆”赤巴“培根”常态下的平衡被打破,尤其是赤巴的功能发生紊乱,体内火热偏盛而身患胆热症。藏医药在治疗胆腑病的应用广泛,但是藏医临症对胆腑病的治疗,应遵循藏医学“胆腑”理论来施治用药,一般采用内治法和外治法等相结合的综合的诊疗方案,并注重把握恰当的诊疗时机,以此来祛除致病的根本因素,从而达到治愈疾病的目的。The“gallbladder-fu”theory of Tibetan medicine is a complete system and an important component of the visceral manifestation theory of Tibetan medicine.It covers the whole process of physiology,pathology,diagnosis,and treatment of the“gallbladder”in Tibetan medicine.Tibetan medicine believes that“gallbladder disease”belongs to the category of“Chiba”diseases,and“Chiba”disease is the general name of all febrile diseases.Therefore,the nature of“gallbladder-fu”disease belongs to heat.The onset of this disease is attributed to seasonal climate change,diet,behavior,daily life,emotion,trauma,and other factors,which break the balance under the normal conditions of“Long”,“Chiba”and“Bacon”in the patient′s body.In particular,the function of“Chiba”is disordered,which results in the exuberance of fire heat in the body,leading to febrile disease in the gallbladder.Tibetan medicine is widely used in the treatment of“gallbladder-fu”disease.However,the treatment of“gallbladder-fu”disease by Tibetan medicine should follow the“gallbladder-fu”theory of Tibetan medicine.Generally,a comprehensive diagnosis and treatment protocol combining internal treatment with external treatment is adopted in the appropriate timing of diagnosis and treatment to eliminate the fundamental pathogenic factors of the disease and achieve the purpose of curing the disease.

关 键 词：藏医学 胆腑理论 胆囊炎 治疗 赤巴病 热病学 

分 类 号：R29[医药卫生—民族医学] R575.61[医药卫生—中医学]