从玄府为人体耗散结构之基论治熵病  

Treatment of entropy disease based on the theory of regarding Xuanfu as the base of human dissipative structure

作　　者：张海蓉 朱佩 孙一珂 孙霄 马淑然[1] ZHANG Hai-rong;ZHU Pei;SUN Yi-ke;SUN Xiao;MA Shu-ran(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《中华中医药杂志》2023年第3期1061-1064,共4页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：文章从耗散结构理论探讨了中医学“开玄府,助气化”在临床治疗中的方法、依据及重要意义。笔者提出:人是典型的耗散结构,生命以负熵为食,而玄府是维持人体耗散结构的关键。其依据有三:一是玄府决定人体系统的开放性;二是玄府的开阖启闭维持机体的“负熵流”;三是玄府郁闭,积熵为病。因此,透玄排熵是治熵病的基本原则,若热熵积滞则以辛味开玄排熵,若广义熵病则通玄以调序。此治疗思路对于临床确定治疗原则具有重要的指导意义。Based on the theory of dissipative structure,this paper discussed the methods,basis and significance of‘opening Xuanfu and assisting gasification’in clinical treatment of traditional Chinese medicine.The author put forward that human body is a typical dissipative structure,and life feeds on negative entropy,and Xuanfu is the key to maintain the dissipative structure of human body.There are three bases:First,Xuanfu determines the openness of human body system;Second,the opening and closing of Xuanfu maintains the‘negative entropy flow’of the body;Third,Xuanfu is closed and entropy accumulation is a disease.Therefore,the basic principle of treating entropy disease is to penetrate the mystery and eliminate entropy.When the thermal entropy is stagnant,it is appropriate to open the mystery and eliminate entropy with pungent taste,and the generalized entropy disease is suitable to pass the mystery and adjust the order.This treatment idea has important guiding significance for clinical determination of treatment principles.

关 键 词：耗散结构 中医系统论 玄府 气化 熵病 

分 类 号：R289.5[医药卫生—方剂学]