| 魏云平,邓杨春.从六经传变理论探“虚不受补”[J].浙江中医药大学学报,2020,44(2):146-149. |
| 从六经传变理论探“虚不受补” |
| From the Perspective of Six Channels Gasification Theory to Explore “Deficiency Cannot Accept Complement” |
| DOI：10.16466/j.issn1005-5509.2020.02.007 |
| 中文关键词: 六经传变 补法 虚不受补 标本 解表 健脾胃 活气血 寓消于补 |
| 英文关键词: transformation of six channels reinforcing method deficiency cannot be complemented suface and rool unlocking surface invigorate the spleen and stomach strengthening spleen and stomach activate Qi and blood combination of elimination and compensation |
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| 中文摘要: |
| [目的]从六经传变角度分析“虚不受补”的内在机理，探索完善临床遇见的“虚不受补”问题。[方法]归纳疾病传变如五脏、六经、表里传变的一般规律，总结各类传变的治疗原则，辨析虚实辨证和补法分类，分析产生“虚不受补”的常见现象，提出正确进补的原则与条件。[结果](1)有外感、肺部邪气重，先解表、宣肺，然后才能进补；(2)肠胃有邪气，不可进补，先泄邪气通腑然后可进补；(3)少阳枢机不利则气机不畅，不可进补，先理气转机方可进补；(4)疾病的治疗有表里虚实之辨，也有标本缓急之别，标本之辨在辨证施治时至关重要。[结论]“虚不受补”大多数时候是进补顺序错误导致，在进补前辨别人体的气血状态，对症施药，则可以缓解甚至消除因为进补不当带来的不舒适。解表、健脾胃、活气血、寓消于补是解决虚不受补问题的重要途径。 |
| 英文摘要: |
| [Objective] To explore the internal mechanism of "deficiency cannot accept complement" from the perspective of six meridians transmission, and to explore and settle the problem of "deficiency cannot be supplemented" encountered in clinical practice. [Methods] (1)Summarize the general law of disease transmission and the principles of treatment.(2)Analysis of the common phenomenon of "deficiency cannot be supplemented". [Results](1)There are exogenous pathogenic factors and lung pathogens, which should be solved first and lung should be cleared before they can be replenished.(2)The intestines and stomach have pathogens and cannot be replenished. Relieving pathogens first and purging the bowels can then be replenished. (3)If cardinal Shaoyang is not good, he will not be able to replenish his Qi, and he will not be able to replenish it until he regulates the flow of Qi and changes Qi function.(4) There are debate of exterior and interior, deficiency and excess, and also the difference of specimen priorities during treating diseases. The debate of specimen is very important in the treatment based on syndrome differentiation. [Conclusion]Most of the time, the "deficiency cannot be supplemented" is caused by the wrong order of supplement. Before supplement, the Qi and blood state of the human body can be identified, and the discomfort caused by improper supplement can be relieved or even eliminated by symptomatic application. Resolving exterior syndrome, strengthening spleen and stomach, activating Qi and blood, and combining elimination with supplement are important ways to solve the problem of deficiency without supplement. |
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