从气化理论探讨唐容川《血证论》咯血诊治特色  

Characteristics of the Diagnosis and Treatment of Hemoptysis in Tang Rongchuan’s Xuezheng Lun from the Theory of Qi Transformation

作　　者：张家伟 张丽[2] ZHANG Jiawei;ZHANG Li(Graduate School,Chengde Medical University,Hebei Province,Chengde 067000,China;Department of Pulmonary Disease,Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine,Hebei Province,Cangzhou 061000,China)

机构地区：[1]承德医学院研究生学院,河北承德067000 [2]河北省沧州中西医结合医院肺病科,河北沧州061000

出　　处：《中国中医药现代远程教育》2024年第16期62-65,共4页Chinese Medicine Modern Distance Education of China

摘　　要：气化理论是中医的核心理论。唐容川传承并运用气化理论诊治疾病。文章基于气化理论,从气化的物质基础、气化的对象、气化的路径,探讨唐容川《血证论》中咯血的诊治特色。咯血症见痰中带血丝,本质是水病兼有血病,病位在肺、肾、心、肝,与肺、肾密切相关。咯血当治水,滋肾阴是其根治之法,清理肺中痰则是治疗此病最快速的方法。通过气化理论认识咯血,有助于整体考虑、综合施治,从而诊疗诸多慢性疾病。The theory of qi transformation is the core theory of traditional Chinese medicine,and Tang Rongchuan inherits and uses the theory to diagnose and treat diseases.Based on qi transformation theory,this paper discussed the characteristics of the diagnosis and treatment of hemoptysis in Tang Rongchuan’s Xuezheng Lun from the material basis,object and path of qi transformation.Hemop⁃tysis is seen in sputum with blood streaks,the essence is water disease and blood disease,the disease is in the lungs,kidneys,heart,liver,and closely related to the lungs and kidneys.Treating hemoptysis should control water,nourishing the kidney yin is the radical method and cleaning up phlegm in the lungs is the fastest way to achieve it.Through qi transformation theory,it is conducive to holis⁃tic consideration and comprehensive treatment of blood expectoration,so as to diagnose and treat many chronic diseases.

关 键 词：唐容川 气化理论 血证论 咯血 

分 类 号：R255[医药卫生—中医内科学]