摘要
明末医家周慎斋对虚损从三焦分治,主要责之于肺、脾、肾三脏功能失调。上焦虚损病机为肺金虚寒,水亏火炎,周氏用温肺汤、和中散,以补脾益肺,温暖金水。中焦虚损,周氏提出“中气以空为贵”思想,脾虚则中土填实,升降失调,气机停滞,治疗上重在补脾胃,调升降。下焦虚损责之于真水、真火之不足。若真水不足,则直补真水或补肺生水;若真火不足,则提出“从”字元机,从真火之性,以引火归元。周氏又发挥了补脾阴法,既补脾阴,又补真水,进一步完善了脾胃学说。
In the late Ming Dynasty,ZHOU Shenzhai,a physician,divided deficiency from three focal point,which was mainly responsible for the dysfunction of lung,spleen and kidney.Pathogenesis of deficiency of upper focal points is deficiency cold of lung gold and fire inflammation due to water deficiency.ZHOU's decoction for warming lung and dispersing middle energizer are used to tonify spleen,benefit lung and warm gold water.Because of the deficiency of the middle jiao,ZHOU put forward the idea that“Qi in the middle is precious”,while spleen deficiency leads to the filling of the middle earth,with imbalance in ascending and descending and stagnation of Qi activity.The treatment focuses on invigorating the spleen and stomach and regulating ascending and descending.The deficiency of real water and fire is responsible for the deficiency of lower coke.If the true water is insufficient,directly replenish the true water or replenish the lungs to produce water;If the real fire is insufficient,the“dependent”character is put forward,which starts from the real fire and returns to the Yuan.ZHOU's method of invigorating spleen and Yin has been developed,which not only supplements spleen and Yin,but also supplements true water,thus further perfecting the theory of spleen and stomach.
作者
蓝祥僖
谷建军
LAN Xiangxi;GU Jianjun(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;College of Traditional Chinese Medicine,Beijing University of Traditional Chinese Medicine,Beijing 100029,China)
出处
《辽宁中医药大学学报》
CAS
2021年第5期70-73,共4页
Journal of Liaoning University of Traditional Chinese Medicine
基金
北京中医药大学双一流学科建设项目(1000061020075)。
关键词
周慎斋
虚损
三焦分治
ZHOU Shenzhai
deficiency
treatment of three focal points
