基于“脉息少气理论”应用小建中汤治疗皮肤病  

Application of Minor Center-Fortifying Decoction in the Treatment of Skin Diseases Based on"the Theory of Pulse Breathing and Qi Deficiency"

作　　者：吴浩玲 于小平[1] 李娜[2] 纪云[2] 张晓杰[2] WU Hao-ling;YU Xiao-ping;Ll Na;JI Yun;ZHANG Xiao-jie(Shandong University of Traditional Chinese Medicine,Jinan,Shandong,China,250013;Afiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan,Shandong,China,250011)

机构地区：[1]山东中医药大学,山东济南250013 [2]山东中医药大学附属医院,山东济南250011

出　　处：《河南中医》2023年第4期496-499,共4页Henan Traditional Chinese Medicine

基　　金：山东省医药卫生科技发展计划项目(202004120987);山东省中医药科技发展计划项目(2019-0104)。

摘　　要：脉息术由李树森老师提出,一分钟内脉搏与呼吸次数的比值小于4者为少气。肺司呼吸的功能和心主血脉的功能均依赖于胃气,少气中的气是指胃气。皮肤病虽发于体表,但病之根源在于内,病机主要为气血不和、脏腑失调而生湿、生风、化燥、致瘀、化热、伤阴等,少气为其本。根据少气者补之以甘,少气必建中理论,用小建中汤治之。小建中汤方中饴糖温补中焦,桂枝温阳益气,调和营卫;芍药益阴血,饴糖配伍大枣、炙甘草,甘温养液,充养胃气;桂枝、生姜配饴糖、炙甘草,辛甘化阳,运化输布水谷精微;芍药伍炙甘草,酸甘化阴,养营通脉。六药相配,使胃气得复,气血得充,荣卫得和,阴阳调和。男子以气为用,女子以血为用,对于有明显“虚劳里急”的男性患者宜用黄芪建中汤,对于少气并有血虚的女性患者宜用当归建中汤。Pulse breathing technique is proposed by Professor Li Shu-sen,who believes if the ratio of pulse to breathing frequency within one minute is less than 4,it is considered as qi deficiency.The function of the lung governing respiration and the function of the heart governing blood vessels both rely on stomach qi,and the qi in deficient qi refers to stomach qi.Although skin diseases occur on the surface of the body,the root cause of the disease lies within the body.The main pathogenesis is the disharmony of qi and blood,and the disorders of internal organs causing dampness,wind,dryness,blood stasis,heat,and yin damage,with deficient qi as its foundation.According to the theory that those with deficient qi should be replenished with sweetness,and must be treated with fortifying center,so Minor Center-Fortifying Decoction is often adopted.In this formula,Jiaoyi(Saccharum Granorum)can warm and tonify the middle energizer;Guizhi(Ramulus Cinnamomi)can warm and replenish qi,regulate nutrient and defense qi;Shaoyao(Radix Paeoniae Alba seu Rubra)can nourish yin blood.Jiaoyi(Sacchanun Granorum)combined with Dazao(Fructus Jujubae)and Zhigancao(Radix Glycyrrhizae Praeparata)can warm and nourish stomach fluid and qi.Guizhi(Romulus Cinnamomi)and Shengjiang(Rhizoma Zingweris Recens)combined with Jiaoyi(Saccharum Granorum)and Zhigancao(Radix Glycyrrhizae Praeparata)can transfom into yang with pungent-sweet properties,transportat and distribute water and grain essence.Shaoyao(Radix Paeoniae Alba seu Rubra)combined with Zhigancao(Radix Glycyrrhizae Praeparata)can transform sour-sweet properties into yin,nourish nutrient qi and dredge meridians.The combination of six Chinese medicinals restores stomach qi,enriches qi and blood,harmonizes nutrient and defense qi,and balances yin and yang.Men mainly depend on qi,while women mainly depend on blood.For male patients with obvious"fatigue and tenesmus",it is recommended to use Astragalus Center-Fortifying Decoction.For female patients with insufficient qi and blood deficiency,it is recomme

关 键 词：皮肤病 脉息少气理论 小建中汤 脉息术 《伤寒论》 《金匮要略》 张仲景 

分 类 号：R222.2[医药卫生—中医基础理论]