国医论坛2026，Vol.41Issue(4)：1-4,4.
基于标本中气探析《伤寒论》水心病证治
Analysis on the Treatment of Water-Heart Disease in Treatise on Cold Damage Based on the Tip-Root-Middle Qi Theory
摘要
Abstract
Based on the theory of tip-root-middle qi from the Huangdi Neijing,this paper analyzes the phy-siological and pathological qi transformation relationships among Taiyang cold-water,Shaoyin monarch-fire,and Taiyin damp-earth,establishes a heart-spleen-kidney trinity qi transformation model,and further eluci-dates the pathogenesis of water-heart disease:water-heart disease originates from kidney yang deficiency and failure to transform cold-water,develops due to spleen earth dysfunction and failure to control water,and cul-minates in heart yang constraint and water-fire struggle.In terms of treatment,Linggui formulas are applied to fortify the middle and control water,Zhenwu Decoction is used to warm the kidneys and disperse yin,Cinnamon-based formulas are prescribed to strengthen the heart and calm palpitations,and Fuling Sini Decoction is em-ployed to restore yang and rescue collapse.The treatment principles are rigorous and interlinked,fully reflecting the diagnostic and therapeutic approach of"treating the three organs separately while coordinating the whole."This study not only deepens the understanding of the mechanism of water-heart disease but also provides theo-retical and clinical references for the use of Linggui formulas in treating modern cardiac diseases.关键词
水心病/标本中气/《黄帝内经》/《伤寒论》/刘渡舟/张仲景学术学说研究Key words
Water-heart disease/Tip-root-middle qi/Huangdi Neijing/Treatise on Cold Damage/LIU Duzhou/Research on ZHANG Zhongjing's academic doctrine分类
医药卫生引用本文复制引用
李钊通,吴耿佳,黄怡菲,徐笋晶..基于标本中气探析《伤寒论》水心病证治[J].国医论坛,2026,41(4):1-4,4.基金项目
广东省本科高校教学质量与教学改革项目(粤教高函[2024]9号) （粤教高函[2024]9号）
广东省研究生教育创新计划项目(2025JGXM_042). （2025JGXM_042）
