| 引用本文: |
徐睿, 刘永寿, 张福利.基于“一气周流”理论从“气-湿-燥”辨治便秘型肠易激综合征[J].湖南中医药大学学报,2025,45(4):731-735[点击复制] |
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| 基于“一气周流”理论从“气-湿-燥”辨治便秘型肠易激综合征 |
| 徐睿,刘永寿,张福利 |
| (黑龙江中医药大学, 黑龙江 哈尔滨 150040;新疆维吾尔自治区人民医院, 新疆 乌鲁木齐 831399) |
| 摘要: |
| “一气周流”理论是黄元御对气一元论与天人相应思想的继承发扬，形成中气为轴，枢转四象的思维模型，用以阐述人体生命活动、疾病生成，指导疾病的治疗。结合便秘型肠易激综合征（IBS-C）的症状，认为其发病本在中轴升降失序，标在庚金不传，木郁金逆为关键环节，阳根和阴精亏损是迁延的因素，与气运失常、中湿和肠燥紧密相关，并总结从气、湿、燥论治IBS-C的方法，多点同调，旨在恢复中轴升降，四象环转，使一气周流，大肠得以濡润通降。 |
| 关键词: 便秘型肠易激综合征 一气周流 气机 燥湿相混 《四圣心源》 |
| DOI：10.3969/j.issn.1674-070X.2025.04.022 |
| 投稿时间：2024-12-05 |
| 基金项目:第七批全国老中医药专家学术经验继承工作（国中医药人教函〔2022〕76号）；黑龙江省中医药经典普及化研究专项课题（ZYW2022-023）。 |
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| Differentiation and treatment of constipation-predominant irritable bowel syndrome based on the theory of "qi circulation" from the perspective of "qi-dampness-dryness" |
| XU Rui, LIU Yongshou, ZHANG Fuli |
| (Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China;People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang 831399, China) |
| Abstract: |
| The theory of "qi circulation" represents HUANG Yuanyu's inheritance and development of the concepts of Qi monism and harmony between human and nature. It forms a thinking model centered on central qi as the axis, pivoting the four phases, to elucidate human life activities, disease pathogenesis, and guide disease treatment. Combining the symptoms of constipation-predominant irritable bowel syndrome (IBS-C), it is proposed that the root cause lies in the disorder of central axis qi movement, with the critical links manifested as Gengjin Buchuan (dysfunction of lung and large intestine qi transmission) and Muyu Jinni (liver qi stagnation with upward rebellion of lung qi). The depletion of yang root and yin essence are contributing factors to the chronicity of the condition, closely associated with qi movement disorder, dampness in the middle jiao, and intestinal dryness. This paper has summarized the methods of treating IBS-C from the perspectives of qi, dampness, and dryness, aiming to restore the ascending and descending functions of the central axis qi movement, promote the circular rotation of the four phases, ensure the smooth circulation of qi, and moisturize and promote the descent of the large intestine. |
| Key words: constipation-predominant irritable bowel syndrome qi circulation qi movement mixed dryness and dampness Si Sheng Xin Yuan (The Source of Four Saints' Wisdom) |
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