“滑可利窍”理论微议  

Discussion on the theory of“lubricant drugs dredging qiao”

作　　者：王自强 王晨[2] 卢建新[1] WANG Ziqiang;WANG Chen;LU Jianxin(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]山东中医药大学

出　　处：《北京中医药大学学报》2023年第5期629-633,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：北京市科技计划重大项目(No.D161100005116003);北京市自然科学基金项目(No.7192182);首都临床特色应用研究与成果推广项目(No.Z171100001017112);中国中医科学院广安门医院所级科研基金(No.2018S418)。

摘　　要：“滑可利窍”是指临床以滑味药物通利人体孔窍、治疗窍府津液不利疾病的重要理论,现代滑药理论通常以“以滑养窍”“去着通闭”论之。从理论发展、孔窍通利、阴窍应用等方面对“滑可利窍”理论进行论述,认为其作为滑药理论的重要分支,源于古代传统饮食文化,并受到“窍”理论的重要影响,与窍道理论、药物性味学说相互结合而逐渐完善。“滑可利窍”一方面应突出药物“利”的作用,将“利”与“养”相互联系,认为润养即利,非独养虚;另一方面,强调对“窍”理论进行细致分类,针对阴窍疾病采用滑利药物可通利水道,窍门乃开,从而有效治疗淋证、癃闭等疾病。进一步明确“滑可利窍”的理论内涵、形成及拓展趋势,对于完善现代中医理论体系、拓展药味理论、指导滑药临床应用、治疗泌尿系统疾病均具有重要价值。The theory of“lubricant drugs dredging qiao”is an important clinical theory stating that lubricant drugs are used to open and activate the orifices of the human body and treat the diseases of qiao with adverse body fluid.The modern theory of lubricant drugs is usually regarded as“using lubricant drugs to nourish qiao”and“removing and opening the block”.This paper discusses the theory of“lubricant drugs dredging qiao”from the perspectives of theoretical development,promoting qiao,and the application of yinqiao.It is believed that as an important branch of the theory of lubricant drugs,this theory originated from ancient traditional food culture,was influenced by the theory of“qiao”,and was gradually improved by the combination of the theory of qiao and the theory of property and taste of drugs.On the one hand,the role of“dredging”should be emphasized in“lubricant drugs dredging qiao”,and should be related to“nourishing”.In addition,it is also believed that moistening and nourishing means“dredging”,rather than nourishing deficiency alone.On the other hand,it is also emphasized that the theory of“qiao”must be classified carefully.With regard to the diseases of yinqiao,lubricant drugs can be used to dredge the water channel so that the qiao can open,so as to effectively treat stranguria and uroschesis.Further clarifying the connotation,formation,and expansion trend of“lubricant drugs Journal of Beijing University of Traditional Chinese Medicine dredging qiao”is of great value for improving the theoretical system of modern traditional Chinese medicine,expanding the theory of property and taste of drugs,the clinical application of lubricant drugs,and the treatment of urinary system diseases.

关 键 词：滑药 滑可利窍 阴窍不利 理论探讨 

分 类 号：R229[医药卫生—中医基础理论]