| 王培基,郭逸文,王钊,等.叶天士除陈气法述要[J].浙江中医药大学学报,2024,48(7):828-833. |
| 叶天士除陈气法述要 |
| Summary of YE Tianshi’s Method for Removing Stagnant Qi |
| DOI：10.16466/j.issn1005-5509.2024.07.012 |
| 中文关键词: 叶天士 陈气 源流 脾瘅 代谢性疾病 病机 中医理论 除陈气法 |
| 英文关键词: YE Tianshi stagnant Qi source and flow splenic pure heat metabolic diseases pathogenesis Chinese medicine theory method of removing stagnant Qi |
| 基金项目:黑龙江省自然科学基金项目(LH2021H083)；黑龙江省教育科学规划重点课题(GJB1421307) |
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| 中文摘要: |
| [目的]探析叶天士除陈气法及用药特点，以期为脾瘅(代谢综合征)的临床辨治提供新思路。[方法]通过文献综述方法，系统分析陈气概念的起源、发展、历代医家的阐释，考察《黄帝内经》中“兰除陈气”的理论基础及其在明清时期的演变。聚焦叶天士的医理、药理思想，总结其运用除陈气法治疗脾瘅的用药规律，包括药物选择、配伍原则及治疗目标，以此揭示其防治理念的核心。基于现代中医学理论，重新审视陈气概念，分析其与现代代谢性疾病的关联，并评价除陈气法的现代应用状况。[结果]陈气被视为精微物质蓄积异常状态，与代谢失衡紧密相关，为疾病进展的关键环节。除陈气法扎根于《黄帝内经》的“兰除陈气”，叶天士通过精确辨证，以除陈气法为核心，结合人参、黄连等药物，有效干预脾瘅，减少消渴发生，但具体用药策略仍需更多研究支持。除陈气法作为中医药治疗代谢性疾病的关键治疗原则之一，尽管在现代代谢性疾病治疗中显示出潜力，但其具体用法及药物使用目前仍然处于经验积累的阶段，需要进一步深入挖掘和研究。[结论]叶天士的除陈气法为代谢性疾病的中医学理解提供了新的理论视角，强调了早期干预的重要性。研究不仅深化了陈气理论，也为临床实践提供了指导，但仍需更多实验研究和临床数据以精确化其应用。未来工作应侧重于除陈气法的机制研究与临床验证，以期在代谢性疾病的治疗中发挥更大作用。 |
| 英文摘要: |
| [Objective] To analyze YE Tianshi’s method of removing stagnant Qi and the characteristics of the medication used，with a view to provide new ideas for the clinical diagnosis and treatment of splenic pure heat(metabolic syndrome). [Methods] The origin anddevelopment of the concept of stagnant Qi and its interpretation by medical practitioners through the ages were systematically analyzed bymeans of literature review，focusing on the theoretical basis of“Lan removes stagnant Qi”in the Huangdi’s Internal Classic and its evolution during the Ming and Qing dynasties. Focusing on YE Tianshi’s medical and pharmacological ideas，it summarized his medication pattern in treating splenic pure heat，including the selection of medicines，the principles of compounding and the therapeutic goals，so as to reveal the core of his prevention and treatment concepts. Based on modern Chinese medicine theory，the concept of stagnant Qi was re-examined，its association with modern metabolic diseases was analyzed，and the modern application of the method of removing stagnantQi was evaluated. [Results] Stagnant Qi is regarded as an abnormal state of accumulation of essence and micro-substances，which is closely related to metabolic imbalance and is a key link in the progression of diseases. The method of removing stagnant Qi is rooted in“Lan removes stagnant Qi”of Huangdi’s Internal Classic. YE Tianshi，through precise diagnosis，used the method of removing stagnant Qi as the core and combined it with ginseng and Huangdi’s Internal Classic，which effectively intervened in the splenic pure heat and minimized the incidence of thirst，although the specific strategy of the medication needed to be supported by more researches. As one of thekey therapeutic principles of Chinese medicine in the treatment of metabolic diseases，although the method of removing stagnant Qi shows potential in the modern treatment of metabolic diseases，its specific usage and drug utilization are still in the stage of accumulatingexperience，and further in-depth excavation and research are needed. [Conclusion] YE Tianshi’s method of removing stagnant Qi providesa new theoretical perspective for the understanding of metabolic diseases in Chinese medicine，emphasizing the importance of earlyintervention. The study not only deepens the stagnant Qi theory but also provides guidance for clinical practice，but more experimentalstudies and clinical data are needed to refine its application. Future work should focus on the mechanism study and clinical validation ofthe stagnant Qi removal method with a view to play a greater role in the treatment of metabolic diseases. |
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