北京中医药大学学报2024，Vol.47Issue(1)：37-41,5.DOI:10.3969/j.issn.1006-2157.2024.01.007
《伤寒论》脐旁动气的证治思路
The treatment of Dong qi beside the navel in Shanghan Lun
摘要
Abstract
Dong qi,referring to beating beside the navel,was proposed for the first time by Nan Jing."Beating above the navel""beating below the navel",and"beating below the heart"in Shanghan Lun all belong to the category of Dong qi.The pathogenesis of Dong qi can be learned from Shanghan Lun.Yang deficiency of the heart,spleen,and kidney,with qi failing to transform body fluids,results in fluid retention.Fluid retention is the key etiological factor of Dong qi.Although there is an exterior pattern with Dong qi,the exterior-releasing and purgative method cannot be used for treatment,or the patient will be impaired of yang and exhausted of yin,fluid circulation will be disturbed,and so on.Reinforcing yang qi to drain water retention is the treatment principle of Dong qi.The coupled medicines of Fuling and Guizhi were commonly used by ZHANG Zhongjing to treat Dong qi.This reflects the treatment principle of strengthening the spleen and warming yang for transforming qi to circulate body fluids.ZHANG Bi,a physician from the Yuan Dynasty who learned from ZHANG Zhongjing,thought that the treatment of Dong qi was based on the method of cultivating earth to restrain water and taking into account the ascending,descending,entering,and exiting of qi of the liver,heart,lung,and kidney while tonifying the spleen,and then created Baoming Siqi Powder(Zhiqiao,Fuling,Fangkui,and Qianhu Powder)for the treatment of Dong qi,which is of great significance to the clinic.关键词
脐旁动气/伤寒论/保命四气散/温阳化气行水/气机升降Key words
Dong qi beside the navel/Shanghan Lun/Baoming Siqi Powder/warm yang and transform qi to circulate body fluids/ascending and descending of qi movement分类
医药卫生引用本文复制引用
罗婧涵,袁慧敏,李奥柔,郑丰杰..《伤寒论》脐旁动气的证治思路[J].北京中医药大学学报,2024,47(1):37-41,5.基金项目
国家自然科学基金项目(No.82374321) （No.82374321）
北京中医药大学"揭榜挂帅"项目(No.2023-JYB-JBZD-035)National Natural Science Foundation of China(No.82374321) （No.2023-JYB-JBZD-035）
