摘要
[目的]建立“肺脾胃肠”模型,探讨该模型在辨治内伤杂病中的潜在应用。[方法]通过综合性的文献研究,根据五行归属、生理结构、生理特性及生理功能等因素,建立了“肺脾胃肠”模型。并附上名家医案四则,进一步说明此模型的应用。[结果]“肺脾胃肠”模型建立的理论依据为:肺、脾、胃、大肠在五行归属上密切联系;在解剖、经脉循行等生理结构上相连相属;在生理特性上燥湿相济、升降相应;在生理功能上相辅相成,共同参与气、血、津液的化生及运行;在燥湿失济、气机升降失常、水湿痰饮形成、情志致病等病理变化上相互影响。所附医案皆是以“肺脾胃肠”模型指导治疗的内科杂病,临床疗效确切。[结论]“肺脾胃肠”模型建立的理论依据充分,临证应用范围广泛,可为临床上治疗内伤杂病提供新的思路。
[Objective]To establish the model of“lung-spleen-stomach-large intestine”and explore the potential application of the model in syndrome differentiation and treatment.[Methods]By comprehensive literature research,the model of“lung-spleen-stomach-large intestine”was established on the basis of factors including attribution of five elements,physiological structure,physiological property and physiological functions,etc.And four medical records by ancient reputable physicians were attached to further demonstrate the application of the model.[Results]The theoretical base of the model of“lung-spleen-stomach-large intestine”includes following several parts:Lung,spleen,stomach and large intestine are closely related to each other in five elements of belonging and physiological structures such as anatomical structure and meridian circuit.In the physiological characteristics,lung,spleen,stomach and large intestine achieve a balance in dry-dampness and Qi movement.They complement each other in physiological functions and participate in the production and movement of Qi,blood and fluids.And the lung,spleen,stomach and large intestine influence each other on the pathological changes such as the imbalance of dry-dampness and Qi movement,the formation of water-dampness,phlegm and retained fluid and emotional pathogenesis.The attached medical records were guided by“lung-spleen-stomach-large intestine”model to treat miscellaneous diseases which achieved definite clinical effect.[Conclusion]With sufficient theoretical bases and extensive clinical application,“lung-spleen-stomach-large intestine”model can provide a new idea for clinical treatment for miscellaneous diseases.
作者
夏婷婷
郑文丽
王惠
王颖
XIA Tingting;ZHENG Wenli;WANG Hui(School of Basic Medical Science,Zhejiang Chinese Medical University,Hangzhou 310053,China)
出处
《浙江中医药大学学报》
CAS
2022年第8期862-866,共5页
Journal of Zhejiang Chinese Medical University
基金
国家自然科学基金青年基金项目(81703961)
浙江中医药大学2021年校级研究生科学研究基金项目(2021YKJ23)。
关键词
肺脾胃肠
杂病
培土生金
燥湿
气机
气血津液
水湿痰饮
情志致病
lung-spleen-stomach-large intestine
miscellaneous disease
reinforcing earth to generate metal
dry-dampness
Qi dynamic
Qi
blood and fluids
water-dampness
phlegm and retained fluid
emotional pathogenesis
