黄元御气化升降理论模型及其在淋证中的应用  

Theoretical Model of HUANG Yuanyu’s Qi Transformation and Ascending and Descending Theory and Its Application in Treatment of Stranguria

作　　者：刘化君 张挺[1] LIU Huajun;ZHANG Ting(College of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学中医学院,上海201203

出　　处：《山东中医杂志》2025年第3期281-285,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：上海市卫生健康委员会中医药科研项目(编号:2016JP013)。

摘　　要：黄元御创立“一气周流,土枢四象”的理论学说,其以气化学说与气机升降学说为基础,并结合五运六气学说建立六气统十二经的生理模型,将人体经络脏腑的活动归为一气变化,以“土枢四象”的气化模型结合对气机升降的详细阐述,形成独特的理论体系。基于黄元御气化升降理论模型,说明其理论模型的特点,并选择淋证作为主线,比较黄元御淋证辨证论治与传统认识的不同,并探讨其遣方用药体现的重视中气、恢复气化升降为先的特点。HUANG Yuanyu founded the theoretical doctrine of“qi circulation,the four dimensions of the earth pivot”.Based on the theory of qi transformation and ascending and descending,and combined with the theory of five evolutive phases and six climatic factors,a physiological model of six qi uniting the twelve meridians is established,which categorizes the activities of the meridians and internal organs as changes of qi,and a unique theoretical system is formed by qi transformation model of“the four dimentions of the earth pivot”combined with the detailed elaboration of the mechanism of qi ascending and descending.Based on the qi transformation and ascending and descending theoretical model of HUANG Yuanyu,this study explains the characteristics of the theoretical model,and chooses stranguria as the main line to compare the differences between HUANG Yuanyu’s diagnosis and treatment of stranguria and the traditional understanding and discusses the characteristics of paying attention to the middle jiao qi and restoring qi transformation and ascending and descending as the first priority in his medication and prescription.

关 键 词：气化学说 升降学说 黄元御 淋证 一气周流 六气 土枢四象 

分 类 号：R277.5[医药卫生—中医学]