从玄府论治脱疽  

From the xuanfu on the treatment ofGangrene of finger or toe

作　　者：宋玮 饶响书 冯恩敏 王楷 肖敏[1] 沈涛[1] SONG Wei;RAO Xiangshu;FENG Enmin(Chengdu University of TCM,Chengdu 610075,China;Hunan University of TCM,Changsha 410017,China)

机构地区：[1]成都中医药大学,四川成都610000 [2]湖南中医药大学,湖南长沙6100752

出　　处：《四川中医》2025年第4期83-86,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：国家重点研发计划(编号:2018YFC1704104);国家自然科学青年基金(编号:82004380);四川省科技厅应用基础研究项目(编号:2019YJ0613)。

摘　　要：玄府以开为顺,以闭为逆,以塞为病,以通为安,玄府的开合通利与脱疽的发生密切相关。脾肾阳虚、气血不足使玄府失养,玄微结构受伤,因虚而开合失司,为脱疽发病之基。脱疽以四肢末端为患,脾主四肢,脾虚易生湿,湿性下趋、黏腻,易郁闭玄府,是脱疽病程中的始动因素。湿阻气机,气滞则血凝,凝之既久则成瘀,至病程中后期,血脉瘀滞,妨碍玄府畅通,加重玄府的闭塞,亦为脱疽病情加重的关键环节。玄府郁闭而形成的病理产物蕴结于关节孔窍,日久不解,可酿生毒邪。痰湿、邪毒、瘀血相互胶结为害,为脱疽病程的终末阶段。其治以开通玄府为要,或直接开通闭塞的玄府,或消除玄府闭塞形成的病理产物,多管其下,协同增效。The nature of the Xuanfu is to open for shun,to close for reverse,to plug for disease,to pass for normal.The opening and closing of the Xuanfu is closely related to the occurrence of gangrenous.Deficiency of spleen and kidney Yang,qi and blood deficiency make xuan fu lost nourishment,and xuan microstructure injury,and as a result of deficiency lead to the loss of o-pening and closing dysfunction.Gangrenous lesions occur at the extremities.As the spleen main limbs,spleen deficiency easily wet.Wet trend,sticky,and easy to lead to Closed xuan Fu.This is the initiating factor in the course of gangrenous.Dampness is easy to block qi,and qi stagnation is blood coagulation,blood coagulation is long into stasis.To the course of late,blood stasis is easy to obstruct the xuan fu unimpeded,aggravating the xuan Fu occlusion.This is also a key link in the aggravation of the condition of gangrenous.The mysterious house occluded for a long time and the formation of pathological products accumulate knot in the joint orifice,can brew poisonous evil.Phlegm-dampness,poison and blood stasis are the final stage of the course of gangrenous disease.The treatment of gangrenous is to open the xuanfu,or directly open the closed xuanfu,or eliminate the pathological products formed by the xuanfu occlusion.

关 键 词：脱疽 玄府 玄府闭塞 开通玄府 

分 类 号：R275.9[医药卫生—中西医结合]