“金水相生”治法的历史源流及其发展探析  

Exploration on historical origin and development of the method of‘mutual generation between metal and water'

作　　者：洪涛 蒋倩羽[1,2] 李金田 HONG Tao;JIANG Qianyu;LI Jintian(Clinical College of Chinese Medicine,Gansu University of Chinese Medicine,Lanzhou 730000,China;Key Laboratory of Dunhuang Ministry of Medicine and Transformation,Lanzhou 730000,China)

机构地区：[1]甘肃中医药大学中医临床学院,兰州730000 [2]敦煌医学与转化教育部重点实验室,兰州730000

出　　处：《中华中医药杂志》2024年第9期4715-4718,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金地区科学基金项目(No.81760836,No.82160872);甘肃省中医药研究中心开放课题(No.zyzx-2020-zx17)。

摘　　要：中医学很早就以五行相生规律“金生水”来说明人体肺肾的生理功能和病理传变,至“水生金”理论提出,使“金水相生”理论更趋完善。肺肾经脉相连、同主呼吸运动和共司水液代谢等生理、病理上的关系为“金水相生”理论的形成及系统化起了重要作用。历代医家亦注重在临床实践方面探讨“金水相生”的治疗方法及相关方药,形成了“肾病治肺”“肺病治肾”“肺肾同治”“肺脾肾同治”等治法。从现今诸多医家的论述可以看出:狭义的“金水相生”单指滋养肺肾之阴,广义的“金水相生”亦从水液代谢和呼吸功能方面而言。近现代医家已将金水相生法作为中医的基本治法之一,广泛应用于临床各科疑难杂症的治疗。The theory of‘metal generates water'in Chinese medicine has long been used to explain the physiological functions and pathologic transformations of the lung and kidney,and later,he theory of ‘water generates metal'has further improved the theory of‘mutual generation between metal and water'.The interconnected meridians of the lung and kidney,their shared responsibility in respiration and water metabolism,are crucial to the formation and systematization of the‘mutual generation between metal and water'theory.Throughout history,medical practitioners have also focused on exploring clinical treatment methods and related formulas related to‘mutual generation between metal and water',leading to therapeutic strategies such as‘kidney disease to treat lung'lung disease to treat kidney‘lung and kidney to treat'and‘lung,spleen and kidney to treat'.In modern times,the concept of‘mutual generation between metal and water'is narrowly defined as nourishing the yin of the lung and kidney,and broadly as referring to water metabolism and respiratory function.This theory has been recognized as a fundamental treatment method in Chinese medicine and is widely applied in the treatment of various complex diseases in clinical practice.

关 键 词：金水相生 肾病治肺 肺病治肾 肺肾同治 肺脾肾同治 

分 类 号：R242[医药卫生—中医临床基础]