国医大师王晞星运用升清降浊法治疗代谢性疾病经验  

TCM master WANG Xixing’s experience in the treatment of metabolic with the theory of ascending lucidity and descending turbidity

作　　者：凡晓菲 刘然 王晞星[1] FAN Xiaofei;LIU Ran;WANG Xixing(Shanxi Academy of Chinese Medicine,Taiyuan 030012,China)

机构地区：[1]山西省中医药研究院,太原030012

出　　处：《中华中医药杂志》2024年第11期5900-5904,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：第四届国医大师传承工作室(No.国中医药办人教函〔2022〕245号);国家中医药传承创新中心建设(No.202203);山西省卫健委山西省医学重大科技攻关专项(No.2022XM10);山西省卫健委山西省医学科技创新团队项目(No.2020TD04);山西省中医临床医学研究中心(培育)(No.晋科社发〔2019〕61号)。

摘　　要：代谢性疾病是由于糖、脂类、蛋白质、嘌呤、微量元素等物质与能量在新陈代谢的过程中出现了障碍。王晞星教授认为代谢性疾病的关键病机是脾胃升清降浊功能失常,其从升阳益气、升阳除湿、升阳散火三方面恢复脾胃升清降浊功能,选用补中益气汤、升阳益胃汤、补脾胃泻阴火升阳汤为基础方治疗,临床效果良好。“升”与“降”在人体的运用中相辅相成,升降相因,有升则有降,有降则有升,“升”与“降”既对立又统一。文章总结了王教授的临床经验,王教授在运用升清降浊之法时,升清与降浊并用,配伍风药以胜湿。清阳升则人体脏腑得以濡养,浊阴降则糟粕垃圾排出体外,人体新陈代谢维持相对平衡的状态从而阴平阳秘。Metabolic diseases are caused by disorders in the metabolism of substances and energy,such as sugars,lipids,proteins,purines,trace elements,etc..Professor WANG Xixing believes that the key pathogenesis of metabolic diseases lies in the dysfunction of the spleen and stomach’s functions of ascending lucidity and descending turbidity.He restores these functions from three aspects:ascending yang and nourishing qi,ascending yang and eliminating dampness,and ascending yang and dispelling fire.Based on Buzhong Yiqi Decoction,Shengyang Yiwei Decoction,and Bupiwei Xieyinhuo Shengyang Decoction,he treats metabolic diseases and achieves good clinical results.The application of‘ascending’and‘descending’in the human body is complementary,with one supporting the other.Where there is ascending,there is descending,and vice versa.They are both opposite and unified.The clinical experience of professor WANG is summarized,when applying the method of ascending lucidity and descending turbidity,professor WANG uses both ascending and descending simultaneously,and incorporates wind-dispelling herbs to overcome dampness.When the clear yang ascends,the human organs are nourished;when the turbid yin descends,waste and toxins are expelled from the body,maintaining a relatively balanced state of metabolism and achieving harmony between yin and yang.

关 键 词：代谢性疾病 升清降浊法 名医经验 升阳益气 升阳除湿 升阳散火 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]