圆运动模型下的中气理论及调治  

The Theory and Regulation of Middle Qi under the Circular Motion Model

作　　者：杨宇涵 师佳莹 苏金峰[1] 李富震[1] 张福利[1] YANG Yuhan;SHI Jiaying;SU Jinfeng;LI Fuzhen;ZHANG Fuli(Heilongjiang University of Chinese Medicine,Harbin Heilongjiang 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《中医药导报》2024年第12期170-173,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：第七批国家老中医药专家学术经验继承指导项目(国中医药人教函[2022]76号)。

摘　　要：圆运动是中医系统思维模式的一种,中气是圆运动理论的重要内容。基于黄元御及彭子益的相关论述,探析何为中气,阐释中气的生理、病理及治法。中气属土,居于胸下脐上,脾胃之间而布散于整个人体,是阴阳平和、升降平调之气。中气生于相火,是圆运动的枢机,亦是气血精津液后天化生的原动力。中气易衰,病则多寒湿,然最忌病热。中气的治疗当升降通调,寒温并重,轮轴并运;用药宜平淡轻灵。其治法有直接、间接之分:直接治法包括温中、补中、养中、调中、顾中;间接治法包括降相火、温肾水、疏肝木及利水渗湿。附张福利基于中气理论调治“心衰”验案1则,并加以分析,以作佐证。以期为圆运动理论的临床运用及中医系统思维的发展提供新的思路与方法。Circular motion is a systematic thinking mode in traditional Chinese medicine,and middle Qi is an important element of the circular motion theory.Based on the relevant discussions of HUANG Yuanyu and PENG Ziyi,this article explores what middle Qi is,and explains the physiology,pathology,and treatment methods of middle Qi.Middle Qi belongs to the earth,below the chest and above the navel,between the spleen and stomach and distributed throughout the body,which is relative equilibrium of Yin and Yang,elevation and depression.The middle Qi is born from xianghuo,which is the pivot of the circular movement and the driving force of the body's acquired foundation.Middle Qi is prone to decline.Most of the middle Qi diseases belong to cold-dampness syndrome,but syndrome of consumption of fluid due to intense heat is more critical.The treatment of middle Qi should be regulating rise and fall,balancing cold and temperature,and coordinating the movement of the wheel and axle,and the medication should be calm and light.The treatment methods can be divided into direct and indirect ones:direct methods include moderation,compensation,maintenance,adjustment and care.Indirect treatment methods include reducing xianghuo,warming kidney water,soothing liver and promoting diuresis.A case study of ZHANG Fuli's treatment of "heart failure" based on the theory of middle Qi is cited as evidence.We hope to provide new ideas and methods for the clinical application of circular motion theory and the development of systems thinking in Chinese medicine.

关 键 词：中气 圆运动 中医系统思维 相火 黄元御 彭子益 张福利 

分 类 号：R249[医药卫生—中医临床基础]