基于“气一元论”的“尹氏中医理气解郁疗法(流派)”学术思想  

Academic Ideology of"Family Yin′s Qi-Regulating and Stagnation-Resolving Therapy(School)"Based on the Theory of"Qi Monism"

作　　者：尹在田 尹亚东[2] 刘书红 YIN Zaitian;YIN Yadong;LIU Shuhong(Henan University of Chinese Medicine,Zhengzhou,Henan,China,450046;The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou,Henan,China,450000;Wuyang County People′s Hospital,Wuyang,Henan,China,462400)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南中医药大学第一附属医院,河南郑州450000 [3]舞阳县人民医院,河南舞阳462400

出　　处：《河南中医》2025年第3期343-347,共5页Henan Traditional Chinese Medicine

基　　金：河南省首批优质中医学术流派“尹氏理气解郁学术流派”项目{豫卫中医函[2022]63号};河南省第五批中医非物质文化遗产代表性项目{豫政[2021]21号};河南省科技成果项目(2024HA010008)。

摘　　要：尹氏中医创始于清代嘉庆年间,至今已传承八代、二百余年,在代系传承中,尹氏中医立足于“气一元论”,形成了“尹氏中医理气解郁疗法(流派)”。尹氏中医认为,气的本体盛衰即气虚、气盛(火热)以及气化、气机功能异常导致疾病发生。“理气”即“调气”,此处之“气”包含三层含义:一是气的本体;二是气化即气的化生、嬗变;三是气机即气的升、降、出、入、聚、散。三者中任何一者出现异常,则会导致疾病发生。“理气”之义有四,一是补气之虚;二是清气之余;三是顺气之化;四是调气之滞。解郁之“郁”亦包含两层含义:一为“六郁”,即气、血、痰、湿、食、火,二是指“气机、气化的郁滞”,“解郁”既可以是“解除六郁”,也可以是“疏解气机、气化”。临证首重对因治本,如脏腑之“气”异常与“六郁”互为因果导致各种病变,治疗上既要调整脏腑气之本体和气化、气机的功能异常,也要重视消解“六郁”,同时亦需兼顾症状缓急,考虑果和标的治疗。“理气”与“解郁”相互配合、圆融机变、灵活运用,可解决临床诸多难题。Family Yin′s TCM School was originated during the Jiaqing period of the Qing Dynasty(1796-1820),and has been inherited through eight generations over two centuries.Rooted in the"Qi Monism"theory,it has developed into the distinctive"Family Yin′s Qi-Regulating and Stagnation-Resolving Therapy(School)".This school believes that the occurrence of diseases is attributed to the imbalance of the essence of qi,such as qi deficiency and qi excess(heat),as well as the dysfunction of qi transformation and qi movement."Regulating qi"means"adjusting qi".Here,"qi"has three layers of meanings:the first is the essence of qi;the second is qi transformation,that is,the generation and change of qi;the third is qi movement,that is,the ascending,descending,exiting,entering,gathering and dispersing of qi.Any abnormality in the above three will lead to the occurrence of diseases.The meaning of"regulating qi"has four aspects:first,replenishing the deficiency of qi;second,clearing the excess of qi;third,facilitating the transformation of qi;and fourth,resolving the stagnation of qi.The"stagnation"in"relieving stagnation"also has two layers of meaning:one is the"six stagnations",namely qi,blood,phlegm,dampness,food retention,and fire;the other refers to the"stagnation of qi movement and transformation"."Relieving stagnation"can either mean"eliminating the six stagnations"or"facilitating the movement and transformation of qi".In clinical practice,the first priority is to address the root cause and fundamental issue.For instance,when the"qi"of the internal organs and the"six stagnations"interact as cause and effect,leading to various diseases,treatment should not only adjust the abnormal functions of the qi of the internal organs and its transformation and movement,but also attach importance to resolving the"six stagnations".At the same time,it is also necessary to take into account the urgency of symptoms and consider the treatment of both the cause and symptoms.The combination of"regulating qi"and"resolving stagnation",with flexible

关 键 词：“尹氏中医理气解郁疗法(流派)” 尹氏中医 “气一元论” 气 气机 气化 

分 类 号：R226[医药卫生—中医基础理论]