摘要
[目的]研究张锡纯大气学术思想,总结其治疗大气下陷的经验。[方法]通过对张锡纯《医学衷中参西录》中有关大气下陷的论述与案例的整理、分析与归纳,阐述大气的内涵与功用,大气下陷的诊断与鉴别诊断,大气下陷及其兼证的治疗。[结果]张锡纯认为:生理上",大气者,充满胸中,以司肺呼吸之气也","是大气者,原以元气为根本,以水谷之气为养料,以胸中之地为宅窟者也";病理上,"此气一虚,呼吸即觉不利,而且肢体酸懒,精神昏愦,脑力心思为之顿减。若其气虚而且陷,或下陷过甚者,其人即呼吸顿停,昏然罔觉"治疗上",若其下陷或仅一半,其剧者或至强半,皆可挽回其下陷之气以复其本位",并创制升陷汤及其系列方以治疗大气下陷证。[结论]张锡纯系统地阐述了大气的学术内涵及大气下陷的辨治经验,首创升陷汤及其系列方以治疗大气下陷证,补前人之未备,并在继承中逐步完善和创立了系统的胸中大气学说,发扬和丰富了中医学理论,是对中医学术的重大贡献。
[Objective] To Summmarize Zhang Xichun’s experience on treatment to syndrome ＂Chest Qi collapse＂.[Methods]Use a way to put Zhang Xi chun’s document in order to analyse,reveal Zhang Xichun’s experience of Chest Qi and Chest Qi collapse;[Results]In physiology,＂Chest Qi fills chest,is governing respiration of the lung＂,＂Chest Qi based in primordial Qi,draws nourishment of cereal nutrients,reside in chest＂;In Pathology,＂It will make breath short,limbs ache and lassitude and a state in which one cannot think.If Chest Qi is weak and collapses,it will make breath pause and a state in which one cannot think＂.So he advances a new theory： If Chest Qi collapses,we can uplift Chest Qi＂,and create a series of decoctions named ＂shen-xi an-Tang＂.[Conclusion]It was Zhang Xichun that had made a systematic study on the syndrome ＂Chest Qi collapse＂.Zhang Xichun had made an impor tant contribution to TCM,his theory of Chest Qi had proved this point.
出处
《浙江中医药大学学报》
CAS
2013年第6期677-679,共3页
Journal of Zhejiang Chinese Medical University
基金
浙江省中医药管理局(2012Z 13128)~~
关键词
大气下陷
张锡纯
医学衷中参西录
大气论
升陷汤
治疗经验
学术思想
Collapse of Chest Qi
Zhang Xichun
Records of TCM and Western Medicine in Combination
Daqi Theory
Shenxian Decoction
treat ment exoerience
academic thoughts
