| 陈雨乐,王颖.《黄帝内经》“气薄则发泄”新探[J].浙江中医药大学学报,2023,47(4):347-352. |
| 《黄帝内经》“气薄则发泄”新探 |
| A New Probe into “Qi Is Thin， and It Will Vent” in Internal Classic of the Yellow Emperor |
| DOI：10.16466/j.issn1005-5509.2023.04.002 |
| 中文关键词: 黄帝内经 气味阴阳 药性 功效 医案 基础研究 |
| 英文关键词: Internal Classic of the Yellow Emperor Yin-Yang categorization of natures and tastes drug property effect medical cases basic research |
| 基金项目:国家自然科学基金项目(81703961)；校级一流本科(国际化)课程(浙教办函〔2022〕352号) |
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| 中文摘要: |
| [目的] 探析《黄帝内经》中“气薄则发泄”的内涵，以获得更深的理解并指导临床实践。[方法] 围绕“气厚者为阳，薄为阳之阴”和“气薄则发泄”，结合《黄帝内经》中气味阴阳并见的条文和历代医家对原文的注解与理解，分析气味的阴阳属性和气薄的内涵。基于名家验方实践和现代研究成果，阐述气薄药物的功效和影响因素，并附医案以佐证。[结果] 药物的气与味可作为同一事物的相反属性而分属阴阳，气无形升散，内通心肺，出于上窍，属于阳；味有形沉降，内通胃肠，出于下窍，属于阴。属阳的气可再分阴阳，气薄的药物属于阳中之阴，可归纳为属性寒凉，性质偏于弱，作用趋于上，强度趋于缓。气薄药物的功效可总结为四个方面，即发汗以祛邪、升散以宣滞、行气以和中、甘缓以补养。药物的气味虽为固有特性，但可通过炮制手段、择取用药部位、控制煎煮时间、调整剂型用量等途径实现“气薄”。[结论] 以《黄帝内经》为基础，后世丰富拓展了“气薄则发泄”的含义，临床应用时应掌握其性质和功效，注意灵活变通，以获得最佳疗效。 |
| 英文摘要: |
| [Objective] To explore the meaning of “Qi is thin， and it will vent” in Internal Classic of the Yellow Emperor， so as to obtain a new perspective for further study and guide clinical practice. [Methods] Focusing on “Thick Qi is Yang， while thin is the Yin in Yang” and “Qi is thin， and it will vent”， combined with the content of Internal Classic of the Yellow Emperor and the annotation of doctors， this paper analyzed the attribute of Yin and Yang and the meaning of “Qi is thin”. Based on famous prescriptions and modern research results， this paper expounded the efficacy and influencing factors of “Qi is thin”， and some medical cases were attached as proof. [Results] Qi and taste can be divided into Yin and Yang as the opposite of the same thing. Qi belongs to Yang while taste belongs to Yin. Qi rises and spreads invisibly， connects the heart and lungs inside， and is discharged from the upper orifices， so it belongs to Yang； taste is tangibly settled， connects the stomach and intestines inside and is discharged from the lower orifices， so it belongs to Yin. The Qi belonging to Yang can be further divided into Yin and Yang. Based on its attribute of Yin in Yang， drugs of “Qi is thin” have the natures of cold， weak， upward and slow. The efficacy of this drug can be summarized in four aspects: sweating to dispel evil， dispersing to dispel stagnation， promoting Qi to harmonize middle-Jiao and being gentle to nourish. Although Qi was an inherent characteristic， “Qi is thin” can be realized by processing methods， drug parts， decorating time， drug form and dosage. [Conclusion] On the basis of Internal Classic of the Yellow Emperor， the connotation of “Qi is thin， and it will vent” has been constantly enriched and developed. In clinical practice， doctors should grasp its nature and efficacy， and use it flexibly to obtain the best treatment effect. |
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