伏风理论在肺系疾病中临床运用  

Clinical Application of Theory of Latent Wind in Pulmonary Diseases

作　　者：于明霞 王妍妍 张艺[1,2] 崔红生 YU Mingxia;WANG Yanyan;ZHANG Yi;CUI Hongsheng(The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学第三附属医院,北京100029 [2]北京中医药大学,北京100029

出　　处：《中国实验方剂学杂志》2024年第16期92-99,共8页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：国家自然科学基金项目(82074390)。

摘　　要：“伏风”有先天伏风和后天伏风,先天伏风与体质有关,后天伏风又可分为内风和外风。伏风作为“伏邪”的一种,既有伏邪的致病特点,又有风邪的发病方式。正气不足是伏风形成的必要条件,外邪、情志、饮食、劳累是伏风发病的常见诱因,郁热伤阴是发病之必然转归。伏风内潜,外邪引触,内外相引致气机升降失常,三焦失序,影响气血津液代谢,产生的风、痰、火、瘀交织又成为迁延不愈的致病因素。课题组认为伏风发病,总以“扶正固本、透风达邪”为治疗原则,根据兼夹邪气不同,配合散寒、清热、解毒、润燥、滋阴、柔肝、健脾、益肾之法。课题组根据伏风之先后天、内外属性及兼夹之邪不同将伏风致病分为外邪侵袭、三焦失调和正虚不固三大类型,其中伏风内潜,外邪侵袭又可根据兼夹之邪不同分为风寒袭肺、风热犯肺、风火炽盛、风燥伤肺、肺热阴伤;伏风内动,三焦失调根据伏风潜伏脏腑不同分为肝风内动,上焦失序、脾风内伏,中焦失运、肾风内藏,下焦失济;先天伏风,正虚不固因其自身禀赋特点归于第三类,并对不同证型给予不同方药辨证论治。充分理解伏风理论,有利于对肺系外内合邪、反复发作,缠绵不愈的病机特点作出合理解释。通过对“伏风”致病的病机、治疗原则及辨证施治的详细论述,阐明了“伏风”在肺系疾病中的临床应用,以期启发临证。Latent wind is either congenital or acquired.The former is related to constitution,and the latter can be classified into internal wind and external wind.As a latent pathogen,latent wind has both the pathogenic characteristics of latent pathogen and the onset pattern of wind pathogen.The deficiency of healthy Qi is a necessary condition for the formation of latent wind.External pathogen,emotional and dietary disorders,and fatigue are the common causes for the onset of latent wind,and heat stagnation damaging Yin is the inevitable outcome.The internal accumulation of latent wind and the contraction with external pathogen lead to the abnormal movement of Qi and the disorder of triple energizer,affecting the metabolism of Qi,blood,and body fluid.The intertwining of wind,phlegm,fire,and stasis becomes a cause for the lingering of latent wind.We suggest that the treatment of latent wind should follow principle of reinforcing healthy Qi to consolidate the body and ventilating wind to expel pathogen.According to the different pathogenic factors,the methods of dispersing cold,clearing heat,detoxifying,moisturizing dryness,nourishing Yin,softening liver,invigorating spleen,and replenishing kidney can be adopted.According to the nature and attribute of latent wind and the different pathogenic factors associated with latent wind,the pathogeneses of latent wind can be summarized into three types:external pathogen invasion,triple energizer disorder,and healthy Qi deficiency.According to different pathogenic factors,external pathogen invasion can be divided into wind-cold attacking lung,wind-heat invading lung,intense wind-fire,wind-dryness damaging lung,and lung-heat damaging Yin.According to the different locations in Zang-fu organs,triple energizer disorder is divided into internal stirring of liver wind,disorder of upper energizer,internal accumulation of latent wind in spleen,dysfunction of middle energizer in transportation,internal accumulation of wind in kidney,and dysfunction of lower energizer in assisting.According t

关 键 词：伏风内潜 内风 外风 透风达邪 肺系疾病 

分 类 号：R2-0[医药卫生—中医学] R22R242R287R563