基于“善治痰者不治痰而治气”探讨朱丹溪运用调气法治痰规律  

Discussion on the Regularity of ZHU Danxi's Application of Qi Regulating Method in Treating Phlegm Based on the Theory of "Those who are Good at Treating Phlegm Do Not Treat Phlegm but Treat Qi"

作　　者：丁冬 李定祥[1] DING Dong;LI Dingxiang(Hunan Chinese Medical University,Changsha Hunan 410208,China)

机构地区：[1]湖南中医药大学,湖南长沙410208

出　　处：《中医药导报》2024年第5期156-160,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：湖南中医药大学校级科研基金项目(2020XJJJ005)。

摘　　要：元代医家朱丹溪对于痰证的论述尤为翔实,治疗痰证时立法得当、用药灵活,倡导“善治痰者,不治痰而治气”,旨在强调气机平衡在痰证治疗中的关键作用,通过疏畅气机而达到痰自化的治疗效果。根据整理比较朱丹溪治痰相关医案中所载调气药物与化痰药物的使用频数与占比,将朱丹溪调气化痰法归纳为“不治痰而治气”“治痰兼治气”“治痰先治气”三类,即治疗痰证时或独用调气药物,或化痰药物辅以调气药物,或调气药物辅以化痰药物等3种情况。朱丹溪这一主张为中医药在痰证治疗中的应用提供了有力的理论基础,丰富了中医药的临床实践。The Yuan Dynasty physician ZHU Danxi's discourse on phlegm syndrome was particularly detailed.When treating phlegm syndrome,the legislation was appropriate and the medication was flexible.He advocated for"those who are good at treating phlegm should treat Qi instead of phlegm",aiming to emphasize the key role of Qi balance in the treatment of phlegm syndrome,and achieve the therapeutic effect of phlegm self transformation by unblocking Qi.Based on the frequency and proportion of the use of Qi regulating drugs and phlegm resolving drugs in the relevant medical records of Danxi for treating phlegm,the Danxi Qi regulating and phlegm resolving method can be classified into three categories:"treating Qi without treating phlegm","treating phlegm with Qi",and"treating Qi before treating phlegm".There are three situations when treating phlegm:using Qi regulating drugs alone,or using Qi regulating drugs with phlegm resolving drugs,or using phlegm resolving drugs with Qi regulating drugs.The proposition of ZHU Danxi provides a strong theoretical basis for the application of traditional Chinese medicine in the treatment of phlegm syndrome,enriches the clinical practice of traditional Chinese medicine,and provides a beneficial exploration path for clinical practice.

关 键 词：痰证 朱丹溪 调气 治则治法 

分 类 号：R255.8[医药卫生—中医内科学]