从气的阖长开消探析张仲景原著的症状节律  

Exploration and analysis on symptom rhythm of ZHANG Zhongjing's original book from the closing-rising-opening-declining of qi

作　　者：范航 张富荣 张迪 陈萌 FAN Hang;ZHANG Furong;ZHANG Di;CHEN Meng(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学中医学院,北京100029

出　　处：《中华中医药杂志》2025年第2期586-590,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金面上项目(No.82174270)。

摘　　要：气论医学思想以天人关系为出发点,强调气联系自然万物的核心作用。气的运动、数量变化是生命节律的普遍规律,前者以开阖为动力,后者以消长为效应,形成阖长开消的基本变化。症状节律的产生以人体之气为根源,亦存在相似规律,即开阖的运动变化与消长的数量变化引发症状节律的产生。张仲景原著中的症状节律存在发生前后、程度轻重以及趋势缓急的差别,临证诊治当遵循人体之气开阖相接、消长相适的规律,从症状节律分析疾病的发展趋势,选择恰当的治疗时机与治疗方式,以提高临床疗效,深化经典指导实践的积极意义。The medical thought of qi theory takes the relationship between heaven and man as the starting point,emphasizing the core role of qi in connecting all things in nature.Movement and change in quantity of qi are the universal law of life rhythm.The former is driven by opening and closing,and the latter is affected by growth and decline,forming the basic change of closing-rising-opening-declining.The occurrence of symptom rhythm is rooted in the qi of the human body,and there are also similar rhythm changes,that is,the movement changes of opening and closing and the change in quantity of growth and decline lead to the generation of symptom rhythm.The symptom rhythm in Zhongjing's original book has the difference of occurrence order and degree of priority.The clinical diagnosis and treatment should follow the law of the opening and closing of the human body and the rising and declining of the human body,grasp the development trend of the disease from the symptom rhythm,grasp the timing of prescription medication and the treatment of fire,so as to improve the clinical efficacy and deepen the positive significance of classical guidance practice.

关 键 词：气论 张仲景 《伤寒论》 《金匮要略》 症状 节律 

分 类 号：R249[医药卫生—中医临床基础]