大气下陷学说探讨  

Discussion on the theory of atmospheric subsidence

作　　者：唐若水 张林[1] TANG Ruoshui;ZHANG Lin(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《中华中医药杂志》2024年第10期5421-5424,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京中医药大学中医学院任应秋“階墀”基金研究专项(No.2023-RYQJC-017);2023年度中国民族医药学会科研项目(No.2023ZY-182-07)。

摘　　要：大气下陷学说以中医气学说为基础,肇始于《黄帝内经》《金匮要略》,经历代医家发展,至张锡纯作《医学衷中参西录》而成一完整而自成体系的学说,有相对完整的诊治体系。其以呼吸异常如短气、呼吸困难乃至喘息、气息将停作为诊断大气下陷的眼目,以脉象微弱尤其是右寸沉弱不起为特点,以升补大气为主要治法,以生黄芪作为治疗的首选用药,以升陷汤为基础方剂,并可通过嚼服含化的方式来取得捷效,对当代中医临床有重要的指导意义。The theory of atmospheric subsidence is based on the theory of Qi in traditional Chinese medicine.It originates from the Huangdi Neijing and Jingui Yaolue,and goes through the development of modern doctors.It becomes a complete and self-contained theory from ZHANG Xichun’s Medical Zhongzhong Canxi Record,with a relatively complete diagnosis and treatment system.Its diagnosis of atmospheric subsidence is based on respiratory abnormalities such as shortness of breath,difficulty breathing,and even wheezing,and the inability to exhale.It is characterized by weak pulse conditions,especially the inability to rise in the right inch.The main treatment method is to elevate and replenish the atmosphere.Raw astragalus is the preferred medication for treatment,and Shengxian Decoction is the basic formula.It can be used to achieve differential diagnosis or achieve quick and effective results by chewing and dissolving or reducing the Decoction time.It has an important guiding significance for contemporary Chinese medicine clinical practice.

关 键 词：张锡纯 大气下陷 《医学衷中参西录》 升陷汤 生黄芪 服药方法 

分 类 号：R22[医药卫生—中医基础理论]