从“肺主治节”论治杂病的经验探析  

Experience in treating miscellaneous diseases from the theory of lung regulating visceral activities

作　　者：赵玉君 余晖[2] 刘伦 邵欣怡 张晓芳 赵焱 高建忠 ZHAO Yujun

机构地区：[1]山西中医药大学,山西太原030024 [2]北京中医药大学东直门医院,北京100007 [3]山西省中西医结合医院,山西太原030013

出　　处：《中医临床研究》2023年第16期91-94,共4页Clinical Journal Of Chinese Medicine

基　　金：山西中医药大学科技创新能力培育计划(2021PYZX-09)。

摘　　要：“肺主治节”这一理论最早见于《黄帝内经·素问》,以古代官员的职能形象类比五脏六腑的功能,论述了人体内五脏六腑之间的关系以及功能。“肺主治节”理论将“肺”拟作“相傅”,将肺的地位比作仅次于君主的重要官职(宰相或皇帝的老师),表明其发挥着“治节”的重要功能。“肺主治节”以“气”协“神”,可以协调人体各种节律,如呼吸,经气通行,二便排泄,月水盈泄,精液施泄等。“肺主治节”是指肺气具有治理调节呼吸及全身之气、血、精、津、液运行的作用,通常被认为是肺脏生理功能的高度概括。现今临床“治病”者多,“治人”者少。面对多方常法治疗无效的患者,不妨试着跳出常法,不局限于当下病证,着眼于人,从肺论治。文章试从理论及医案出发,旨在探索“治人”与“肺主治节”理论,为临床提供新的思路与方法。The theory of lung regulating visceral activities was first seen in Huangdi Neijing·Suwen(《黄帝内经·素问》).This theory compares the functions of the five Zang-organs and six Fu-organs(五脏六腑)with the roles of ancient officials,and discusses the relationship between the five zang-organs and six fu-organs in the human body.This theory puts lung as prime minister,or the emperor’s teacher metaphor lung status is very high after the monarch,plays an important role in the management of the body.Lung regulating visceral activities refers to the lung has the function of regulating respiration and the whole body’s Qi(气),blood,and fluid movement,which is generally considered to be a high generalization of the physiological function of the lung.In our clinical practice,there are more treating disease than treating people.We might as well try to jump out of the ordinary method,jump out of the current disease,focus on people,and treat from the lung.This article tries to explore the theory of treating people and lung regulating visceral activities from the perspective of theory and medical records,so as to provide new ideas and methods for clinical practice.

关 键 词：肺主治节 《黄帝内经》 相傅之官 治人 

分 类 号：R249[医药卫生—中医临床基础]