国医大师洪广祥从“肠腑通则肺不壅”辨治肺系急症经验  

Experience of TCM master HONG Guangxiang on syndrome differentiation and treatment of acute pulmonary conditions from the principle‘unobstructed intestinal function ensures unimpeded pulmonary circulation'

作　　者：谢荣芳 张芬芬 陈施宇 王雨豪 陈刚 刘嘉琳 兰智慧[2] XIE Rongfang;ZHANG Fenfen;CHEN Shiyu;WANG Yuhao;CHEN Gang;LIU Jialin;LAN Zhihui(Jiangxi University of Chinese Medicine,Nanchang 330006 China;Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330006,China)

机构地区：[1]江西中医药大学,南昌330006 [2]江西中医药大学附属医院,南昌330006

出　　处：《中华中医药杂志》2024年第5期2608-2611,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.82260913,No.82060841);江西省学位与研究生教改项目(No.JXYJG-2022-149);江西中医药大学研究生“金课”建设项目(No.19990326),江西中医药大学重点学科建设项目(No.2023izzdxk005),江西中医药大学研究生创新专项(No.JZYC22B04);江西省卫生健康委员会科技计划项目(No.202310682)。

摘　　要：国医大师洪广祥教授基于中医经典理论“肺与大肠相表里”,深入剖析了大肠腑气不通在肺系急症中的关键作用,强调了腑气阻滞对肺脏功能的不良影响。文章系统总结了“肠腑通则肺不壅”在肺系急症中的的辨治理念,并提出“釜底抽薪”以通腑泄浊为主要治疗手段,旨在疏通大肠,消除阻滞,使肺气得以宣降。同时酌情佐以理气开郁、软坚涤痰、补泻兼行3法,确保治疗的针对性和有效性,实现肺肠同治,从理法方药上丰富了肺系急症从肠论治的中医内涵。The TCM master HONG Guangxiang,based on the classical theory of‘the lung and large intestine are interconnected'in traditional Chinese medicine,profoundly expounds on the significance of unimpeded qi in the large intestine for exacerbating acute pulmonary conditions.He systematically summarizes the diagnostic and therapeutic principles of‘unobstructed intestinal function ensures unimpeded pulmonary circulation'in acute pulmonary diseases.Additionally,he proposes the strategy of‘removing the firewood from under the pot'with the primary therapeutic focus on promoting intestinal flow to eliminate turbidity.This aims to alleviate the obstruction of qi in the large intestine,ensuring unhampered pulmonary function.Simultaneously,he judiciously incorporates methods to regulate qi,resolve depression,soften hardness,dispel phlegm,and combine supplementing and draining techniques.This multifaceted approach aims to achieve the simultaneous treatment of the lungs and intestines.Enriched the traditional Chinese medicine connotations of treating pulmonary conditions from the perspective of the intestines in terms of theory,methodology,and herbal formulations.

关 键 词：国医大师 洪广祥 肺系急症 釜底抽薪 腑气不通 经验 

分 类 号：R249[医药卫生—中医临床基础] R256.1[医药卫生—中医学]