广州中医药大学学报2026，Vol.43Issue(1)：267-273,7.DOI:10.13359/j.cnki.gzxbtcm.2026.01.037
基于玄府理论探讨味觉障碍的病机及辨治思路
Exploring the Pathogenesis and Treatment of Taste Disorder Based on the Xuanfu Theory
摘要
Abstract
Taste disorder is a condition characterized by abnormal gustatory perception.Based on the relevant Xuanfu theory in Huangdi Neijing(The Yellow Emperor's Inner Classic)and the interpretation of Xuanfu,heart-spirit,and taste by modern traditional Chinese medicine's practitioners,this article proposes that the core pathogenesis of taste disorder is due to the obstruction of pathogens in Xuanfu which causes the disorder of heart-spirit.When pathogens obstruct the Xuanfu,the flow of qi,blood,and body fluids is impeded,and the mental activity is affected,thereby hindering the heart-spirit from reaching the tongue orifice and leading to abnormal taste perception.The specific pathogenic mechanisms of taste disorder are as follows:disharmony of heart qi and blood stasis of vessels cause Xuanfu blockage;disharmony of the spleen and stomach with internal retention of water-dampness leads to the obstruction of phlegm-dampness in Xuanfu;impaired diffusion of lung qi disrupting qi movement and fluid metabolism results in Xuanfu blockage;liver qi stagnation and abnormal conveyance cause Xuanfu obstruction;turbid toxins invading the collaterals and impeding the flow of qi and blood lead to Xuanfu blockage;deficiency resulting from obstruction and the insufficiency of qi,blood,and body fluids cause the malnourishment of Xuanfu.The treatment for taste disorders aims at unblocking the Xuanfu to ensure the normal function of the spirit,which can be achieved through the methods of harmonizing heart qi,eliminating dampness and resolving phlegm,diffusing the lung and dispersing cold,soothing the liver and relieving stagnation,resolving turbidity and detoxifying,and supporting healthy qi to eliminate pathogens.These approaches can promote the flow of qi and body fluids and the perfusion of qi and blood,which facilitate the smooth passage of heart-spirit to the tongue orifice,and then improve taste disorders.The exploration of the pathogenesis and treatment of taste disorders based on the Xuanfu theory will provide new perspectives for the syndrome differentiation and management of taste disorders.关键词
味觉障碍/玄府/心神/邪阻玄府/调和心气/祛湿化痰/宣肺散寒/疏肝解郁/开玄达神分类
医药卫生引用本文复制引用
乔雅婷,张玮超,李亚云,吴沛泽,白洋,王胤,陈分乔..基于玄府理论探讨味觉障碍的病机及辨治思路[J].广州中医药大学学报,2026,43(1):267-273,7.基金项目
河北省自然科学基金项目(编号:H2022423369) （编号:H2022423369）
河北省政府资助临床医学优秀人才培养项目(编号:ZF2023159) （编号:ZF2023159）
第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号) （国中医药人教函[2022]1号）
河北省中医药管理局资助项目(编号:2022025) （编号:2022025）
国家中医药管理局梅建强全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号) （国中医药人教函[2022]75号）
国家中医药管理局全国名中医梅建强传承工作室建设项目(国中医药办人教函[2022]245号) （国中医药办人教函[2022]245号）
