中医杂志2025，Vol.66Issue(24)：2509-2516,8.DOI:10.13288/j.11-2166/r.2025.24.001
高原病中医病因病机理论探讨
Exploration of the Theory on Etiology and Pathogenesis of Altitude Sickness in Traditional Chinese Medicine:Concurrent Discussion on"Oxygen"as the Seventh Pathogenic Factors
摘要
Abstract
Based on the"hypoxia"characteristic of the high-altitude environment and its clinical manifestations,combined with the classic theories of traditional Chinese medicine(TCM),this paper holds that"hypoxia"is the main etiology of altitude sickness,which can be called the"oxygen"pathogen,a special exogenous pathogenic factor under high-altitude environment.The"oxygen"pathogen in high-altitude areas has four characteristics in terms of nature and pathogenicity.Firstly,its nature is similar to wind but not wind,and it is the"primary cause of all diseases"in high-altitude areas;secondly,it is prone to be accompanied by wind to attack yang positions first,consuming qi and damaging essence;thirdly,it disturbs qi and blood and is prone to transformation;fourthly,it easily invades collate-rals,and blood stasis is a common manifestation.The core pathogenesis of altitude sickness is"being affected by the oxygen pathogen and deficiency of pectoral qi(zong qi)".At the initial stage,there is insufficient clear qi and weak-ness of pectoral qi;subsequently,breathing deepens and accelerates compensatorily,leading to excessive consump-tion of pectoral qi.These two factors together result in pectoral qi deficiency.Different from other external contrac-tion,this disease presents with a mixture of deficiency and excess,as well as concurrent disorders of qi and blood from the onset,and this characteristic runs through the entire course of the disease.The evolution of its pathogenesis is greatly affected by the high-altitude environment and constitutional endowment,and it is prone to evolve in different directions such as cold transformation or dryness transformation.The zang-fu organs involved mainly include the lung,heart,spleen,kidney,stomach,and brain.关键词
高原病/缺氧/"氧"邪/病因病机Key words
altitude sickness/hypoxia/"oxygen"pathogen/etiology and pathogenesis引用本文复制引用
杜松,张华敏,黄璐琦..高原病中医病因病机理论探讨[J].中医杂志,2025,66(24):2509-2516,8.基金项目
中国中医科学院基本科研业务费自主选题项目(YZX-202417) （YZX-202417）
