试论中医玄府理论的演变及影响  

Discussion of Evolution and Influence of Xuanfu Theory in Chinese Medicine

作　　者：张凯文 陈家旭 王君 李同同 刘玥芸 ZHANG Kaiwen;CHEN Jiaxu;WANG Jun;LI Tongtong;LIU Yueyun(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;School of Traditional Chinese Medicine,Jinan University,Guangzhou 510632,China)

机构地区：[1]北京中医药大学中医学院,北京100029 [2]暨南大学中医学院,广州510632

出　　处：《中国中医基础医学杂志》2022年第7期1022-1025,1034,共5页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：国家自然科学基金重点项目(81630104)-基于证候病机的逍遥散-肝郁脾虚证方证相关的生物学基础研究。

摘　　要：玄府理论是中医的原创理论,该理论滥觞于秦汉时代。《黄帝内经》文本中首次出现了玄府及其近似概念,并描述了玄府的生理功能和生理特性,具有一定的临床意义。汉唐时代开通玄府法开始广泛应用,这一时期的主要特征是适应症的扩大和禁忌症的明确,同时产生了大量开通玄府的方剂;宋金元时代在刘完素创新性的理论变革之中,玄府概念开始拓展,玄府理论开始延伸,对同时代医家产生了深刻的影响;明清及近现代广义及狭义玄府理论为各医家所继承并应用于临床各科,对中医临床实践产生了深远的影响。Xuanfu theory is an original theory of Chinese medicine.Xuanfu theory originated in Qin and Han Dynasties.Xuanfu and its similar concepts appeared for the first time in Inner Canon of Huangdi,and the physiological functions and characteristics of Xuanfu were described,which has certain clinical significance.In the Han and Tang Dynasties,the method of opening Xuanfu was widely used.The main characteristics of this period are the expansion of indications and clear contraindications.At the same time,opening Xuanfu prescriptions began to produce in large quantities.In the Song,Jin and Yuan Dynasties,in LIU Wansu's innovative theoretical reform,the concept of Xuanfu began to expand,and the theory of Xuanfu began to extend,which had a profound impact on contemporary doctors.In Ming and Qing Dynasties and modern times,the theory of Xuanfu both in broad and narrow sense were inherited by various doctors and applied to various clinical departments,which had a profound impact on the clinical practice of Chinese medicine.

关 键 词：玄府 原创理论 张仲景 刘完素 

分 类 号：R229[医药卫生—中医基础理论]