试论《黄帝内经》“致中和”思想在虚劳疾病中的体现与运用  

Discussion on the embodiment and application of the thought of“Attaining a state of harmony”in Huangdi Neijing in the treatment of consumptive diseases

作　　者：杨旭娜 梁太守 李思琦[2] YANG Xu’na

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《中医临床研究》2024年第25期31-34,共4页Clinical Journal Of Chinese Medicine

基　　金：沈阳市科学技术计划-公共卫生研发专项(联合项目)(21-174-9-04):基于SIRT3表达探讨健脾化痰祛瘀中药对衰老心肌细胞线粒体自噬的作用及机制研究。

摘　　要：虚劳是多种慢性虚弱性疾病的总称,中医认为其病机为脏腑气血阴阳失衡。随着人口老龄化进程的不断加快,虚劳疾病的临床诊疗逐渐得到重视。由于其病程长、病情缠绵,现代医学在诊疗过程中发挥的作用比较局限,传统中医的治疗手段已逐步成为主流,发挥着无可取代的作用与优势。《黄帝内经》对虚劳疾病早有诊疗之策,“致中和”思想是在中国古典哲学思想的影响下形成的具有中医特色的中和思想,其内涵意在调和不和之处,平衡失衡之机。从《黄帝内经》原文可以窥探,虚劳的病因离不开先天与后天双重因素的影响,包括先天不足、劳逸失度、饮食不节、情志失调、他病继发,因脏腑气血阴阳亏虚,气机失衡而发病。脾胃失和、阴阳失衡、营卫失调、气机失常是虚劳病进展的重要病理机制,可通过调理脾胃、平衡阴阳、调和营卫、权衡升降来纠正机体脏腑气血阴阳的偏颇,恢复脏腑正常功能,从而改善虚劳。研究在《黄帝内经》“致中和”思想的指导下,探讨了虚劳的病因病机,概括诠释了“致中和”思想论治虚劳的内涵,以期为中医临床虚劳病的诊疗提供借鉴。Consumptive diseases are a general term for a variety of chronic weakness diseases.TCM believes that its pathogenesis is the imbalance of Qi(气),blood,Yin(阴)and Yang(阳)of Zang-fu viscera(脏腑).With the acceleration of the aging of the population,the clinical diagnosis and treatment of consumptive diseases have been paid more and more attention.Due to long course and lingering illness of consumptive diseases,the role of modern medicine in the process of diagnosis and treatment is relatively limited,and the treatment means of traditional Chinese medicine has gradually become the mainstream,playing an irreplaceable role and advantage.There are early diagnosis and treatment strategies for consumptive diseases in Huangdi Neijing(《黄帝内经》).The idea of“Attaining a state of harmony”in Huangdi Neijing was formed under the influence of Chinese classical philosophy and has TCM characteristics.Its connotation is to reconcile the disharmony and balance the disorder.From the original text in Huangdi Neijing,it can be seen that the cause of consumptive diseases are inseparable from both congenital and acquired factors,including congenital deficiency,unreasonable adjustment of labor and rest,improper diet,emotional disorders,and secondary diseases of other diseases,which lead to deficiency of Qi,blood,Yin,and Yang,and imbalance of Qi movement of Zang-fu viscera.Disharmony of spleen and stomach,imbalance of Yin and Yang,disorder of Ying(营)and Wei(卫),and stagnation of Qi movement are the important pathological mechanisms of the development of consumptive diseases.Through regulating the spleen and stomach,balancing Yin and Yang,reconciling Ying and Wei,adjusting the rise and fall,the bias of Qi,blood,Yin,and Yang in human body can be corrected to restore the normal function of Zang-fu viscera,so as to postpone the progress of consumptive diseases.Under the guidance of the thought of“Attaining a state of harmony”in Huangdi Neijing,this paper discusses the etiology and pathogenesis of consumptive diseases

关 键 词：《黄帝内经》 致中和 虚劳 

分 类 号：R587.1[医药卫生—内分泌]