浅析“气上腾便是水”  

Analysis on"rising qi generating water"

作　　者：梁绿圆 马丙祥[1,2] LIANG Lyuyuan;MA Bingxiang(Pediatric Hospital,The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450099,China;Pediatric School,Henan University of Chinese Medicine,Zhengzhou 450046,China)

机构地区：[1]河南中医药大学第一附属医院儿科医院,郑州450099 [2]河南中医药大学儿科医学院

出　　处：《北京中医药大学学报》2024年第3期325-330,共6页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(No.81973904);河南省特色骨干学科中医学学科建设项目(No.STG-ZYX06-202144,No.STG-ZYXKY-2020023);河南省中医学“双一流”创建科学研究专项(No.HSRP-DFCTCM-2023-2-08)。

摘　　要：柯韵伯借朱丹溪“气有余便是火”阐释对“阴火”的治法,提出“气上腾便是水”的创新性论点。笔者团队以“气有余便是火”为切入点,通过“气有郁便是火”“六淫皆从火化”观点,缕析“气上腾便是水”的概念。有别于“气有余便是火”之邪气有余导致的实火、壮火,“气上腾便是水”所论述的阴火应为命火有余而郁滞体内导致的虚火、郁火。治法以升发肝肾之中气为要,故要求病程较短,肾阴、肾阳未有较大损耗,但总以斡旋脾胃之气为根本。使用柴胡、升麻等上提中气,恢复脾胃的升降气机则可去除虚热,犹如水克火之理。本文阐释“气上腾便是水”的内涵,旨在拓宽临床诊疗思路,针对“气有余便是火”的部分错误性认知补偏救弊,并为“气”“水”“火”之间的哲学概念提供理论基础。Inspired by ZHU Danxi′s theory of"excessive qi inducing fire"to articulate"yin fire",Ke Yunbo created the theory of"rising qi generating water".The author′s team takes"excessive qi inducing fire"as the starting point,and through the perspective of"qi stagnation is fire"and"six climatic exopathogens generating from fire",and elucidate the idea"rising qi generating water".Unlike the"excessive qi inducing fire"that leads to excess fire and strong fire,the yin fire discussed in"rising qi generating water"should be the deficiency fire and stagnant fire caused by the excess of life fire and stagnation in the body.The treatment focuses on ascending and dispersing the middle qi of the liver and kidney,so it requires a shorter course of disease and no significant loss of kidney yin and kidney yang.However,the fundamental principle is to mediate the qi of the spleen and stomach.Using Chinese thorowax root,largetrifoliolious bugbane rhizome,and other herbs to lift the middle qi and restore the ascending and descending qi of the spleen and stomach can clear deficient heat,just like the principle of water suppressing fire.This article elaborates on the connotation of"rising qi generating water",aiming to broaden clinical diagnosis and treatment ideas,address some erroneous cognitive biases of"excessive qi inducing fire",and provide a theoretical basis for the philosophical concepts between"qi","water",and"fire".

关 键 词：气上腾便是水 气有余便是火 阴火 六气皆从火化 火与元气不两立 

分 类 号：R229[医药卫生—中医基础理论]