| 高思远,李羲子,张晨星,等.刘完素阳气怫郁致疮疡探析[J].浙江中医药大学学报,2022,46(8):924-928. |
| 刘完素阳气怫郁致疮疡探析 |
| Analysis of Sores and Ulcers Caused by LIU Wansu‘s Theory of Yang Qi Depression |
| DOI：10.16466/j.issn1005-5509.2022.08.021 |
| 中文关键词: 疮疡 中医外科 火热病机 阳气怫郁 玄府气液 刘完素 |
| 英文关键词: sores and ulceration traditional Chinese medicine surgery fire-heat pathogenesis Yang Qi depression Xuanfu vital Qi and body fluid LIU Wansu |
| 基金项目:大学生创新创业计划省级项目(S202110369139)；安徽省自然科学基金项目(1808085MH302) |
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| 中文摘要: |
| [目的] 探讨刘完素阳气怫郁理论致疮疡的诊疗思路与特色。[方法] 通过查阅研读《内经》《伤寒论》，追溯阳气怫郁说发展传承，阅读刘完素本人著作《素问玄机原病式》《黄帝内经宣明论方》《伤寒直格》中有关阳气怫郁理论诊治疮疡的论述，并进行系统分析。 [结果] 疮疡作为外科常见病证，其病发生多与火热相关。刘完素一生致力于研究阐发火热病机，并在著作中将疮疡病证归于阳气怫郁所致的范畴，认为阳气怫郁可导致气机升降出入道路闭塞，玄府闭密，气机郁结，气血津液不得散越，从而内化为热，内外合邪发为疮疡。刘完素治疗疮疡病证重视清扬发散、开发郁结，遣方用药也多用辛凉之物，并配以清扬灵动之品，从而开发消疮，复以为常。如文中医案所述:患者因阳气怫郁化热而发为乳痈，辨证肝郁火旺，治以疏肝解郁、开发消痈，方用金银花、蒲公英等辛凉清轻之品，二诊后怫郁渐去，乳痈得愈。[结论] 刘完素认为，阳气怫郁是火热病机发展的重要环节，并与玄府气液神机出入关系密切。治疗疮疡病证以开发郁结、气液宣通为治则，用药辛凉灵动，颇具特色，为后世治疗疮疡提供了新的思路，其经验对今日临证治疗仍有指导意义。 |
| 英文摘要: |
| [Objective] To explore the thoughts and characteristics of the diagnosis and treatment of sores and ulcers caused by LIU Wansu‘s Yang Qi depression theory. [Methods] By consulting and studying Huangdi Neijing and Shanghanlun to understand the development and inheritance of Yang Qi depression theory， reading LIU Wansu‘s related works Suwen Xuanji Yuanbingshi and Huangdi Neijing Xuanming Lunfang and Shanghan Zhige， this paper discussed about development and inheritance of Yang Qi depression theory for diagnosis and treatment of sores and ulcers， and conducted a systematic analysis. [Results] As a common surgical condition， sores and ulcers are mostly associated with fire-heat. LIU Wansu devoted his life to researching and analyzing the pathogenesis of fire-heat， and in his writings， he attributed the syndrome of sores and ulcers to Yang Qi depression. LIU Wansu believed that it could lead to the blockage of the ascending and descending paths of Qi， close of the Xuanfu， leading to the Qi stagnation. Qi， blood and body fluids couldn‘t disperse，thus turned into heat， leading to sores and ulcers. LIU Wansu‘s treatment of sores and ulcers attached great importance to clearing and dispersing， removing stagnation， and most of the drugs were pungent and cool， together with light and agile products， so as to eliminate sores and return to normal. As described in the medical case， the patient developed breast carbuncle due to stagnation of Yang Qi and heat， and the syndrome of liver stagnation and hyperactivity of fire was differentiated， and the treatment was to soothe the liver and relieve stagnation， eliminate carbuncle. After the treatment， the depression gradually disappeared， and the breast carbuncle was healed. [Conclusion] LIU Wansu believed that Yang Qi depression was an important part of the development of fire-heat pathogenesis， and was closely related to the path of Qi entering and exiting. LIU Wansu‘s treatment of sores and ulcers is based on the principle of removing stagnation and promoting Qi and fluid circulation. The drugs are pungent and cool， which provides a new idea for the treatment of sores and ulcers in future generations. His experience still has guiding significance for today‘s clinical treatment. |
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