基于中医卫气与经络之气理论探讨重症肌无力病机与治则  

Discussion on pathogenesis and treatment of myasthenia gravis based on traditional Chinese medicine theory of Weiqi and qi of meridians

作　　者：陈吉全[1] CHEN Jiquan(Nanyang Medical College,Nanyang 473061,China)

机构地区：[1]南阳医学高等专科学校,南阳473061

出　　处：《中华中医药杂志》2023年第10期5052-5055,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：南阳市2017年科技攻关项目(No.2017KJGG096)。

摘　　要：经络之气即神气,基于中医卫气与神气理论,笔者认为重症肌无力病机在于大气亏虚(以卫气为主)、神气失养及大气郁滞(以卫气郁滞为主)、神气不通,即卫气虚滞、神气不达,治当以调补卫气,通络达神。“调”即调节,即是要调畅卫气的气机,卫气郁滞者,需排除阻碍卫气运行的障碍,如内舍于脏腑经络的湿热、痰湿、滞气、瘀血或其他内外邪气;“补”即补益卫气,其方法主要有补益肺气、脾气、肾气3种。卫气亏虚重在于补,辅之以调;卫气郁滞重用调法,辅以补法,卫气虚滞并重者则调补结合。卫气得补得调,神气得以温养护卫。久病入络,重症肌无力多有络脉瘀滞之象,为加强通络之力,临床可选用一些擅入络脉药物协助通络,使神气达于肌肉,肌肉则能动作。Based on the theory of Weiqi and Shenqi in traditional Chinese medicine,the author believes that the pathogenesis of myasthenia gravis lies in Daqi deficiency(Weiqi as the main),Shenqi dystrophy and Daqi stagnation(Weiqi stagnation as the main),Shenqi obstruction,as well as deficiency of Weiqi,loss of nourishment of collaterals or stagnation of Weiqi,blockage of collaterals and blood stasis,or both of them should be equally emphasized.‘Regulation’means regulation,one is to regulate the direction of the operation of Weiqi,the other is to remove obstacles hindering the operation of Weiqi,such as stasis of blood,phlegm,stagnation of qi or other internal and external evil qi,to relieve depression and stagnation;‘tonifying’means tonifying Weiqi,according to the way of generation of Weiqi,there are three methods:tonifying lung qi,tonifying spleen qi and tonifying kidney qi.If accompanied by minor pathogenic auditors,the key point of Weiqi stagnation is to adjust and supplement.Emperor qi deficiency and stagnation should be combined with regulation and tonification,so as to achieve the effect of dispelling evil without harming the righteousness and strengthening the righteousness without idleness and stagnation.Weiqi is vigorous and the meridians run smoothly,and the muscles and veins are well nourished.In addition,Shenqi connects with muscles through collaterals,so it should dredge collaterals and reach Shen.Make your breathreach yourmuscles.

关 键 词：卫气理论 经络之气理论 重症肌无力 病机 治则 

分 类 号：R277.7[医药卫生—中医学]