从圆运动理论探析支气管哮喘的辨治  

Discussion on Syndrome Differentiation Treatment of Bronchial Asthma from Circular Motion Theory

作　　者：郑晓佳 邹小娟[1] ZHENG Xiaojia;ZOU Xiaojuan(Hubei University of Traditional Chinese Medicine,Wuhan 430000,China)

机构地区：[1]湖北中医药大学,湖北武汉430000

出　　处：《中国民族民间医药》2023年第3期6-8,11,共4页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：圆运动理论,以“中气如轴,四维如轮”为核心思想,是中医气机升降学说的延伸与发展。文章基于圆运动理论,提出支气管哮喘的总病机为中虚痰伏,肺金上逆。发作期以中虚、痰伏为先,邪袭、木郁、金逆为后,治疗上以祛邪、解郁、宣肺、降逆为主;缓解期以中虚、火亏、金逆为主,兼有痰伏、血瘀,治疗上以健脾、温肾、补肺为主,兼以化痰祛瘀。通过对圆运动理论辨治支气管哮喘的探析,可为临床诊治提供新的思路。The theory of circular motion,with the core idea of“Central Qi likes an axis and four dimensions likes a wheel”,is the extension and development of Qi ascending and descending theory in traditional Chinese medicine(TCM).Based on the theory of circular motion,we propose that the total pathogenesis of bronchial asthma is deficiency of central Qi,latent phlegm,and upward reversal of metallic Lung-Qi.In the acute stage,deficiency of central Qi and latent phlegm were considered as the beginning,followed by attack of pathogen,stagnation of wooden Qi and upward reversal of metallic Qi,and the primary methods were to eliminate pathogen,relieve depression,disperse Lung-Qi and depress upward reversal;in the relieving stage,the main pathogenesis were deficiency of central Qi,fire deficiency and upward reversal of metallic Qi,accompanied with latent phlegm and blood stasis;and it is mainly to invigorate spleen,warm kidney and benefit lung,and secondly to resolve phlegm and remove blood stasis.By discussing the syndrome differentiation treatment of Bronchial Asthma from Circular Motion Theory,it can provide new ideas for clinical diagnosis and treatment.

关 键 词：支气管哮喘 圆运动 升降学说 中气 辨证论治 

分 类 号：R256.12[医药卫生—中医内科学]