摘要
“一气周流”理论可概括为“一气周流,土枢四象”,“一气”指中气,“四象”指木、金、火、水四脏。“一气周流”理论主要阐释在中气斡旋作用下,左路肝木升发,右路肺金敛降,从而形成人体内气机“如环无端,周流不息”的状态。声带白斑为声带黏膜上皮角化增生或过度角化形成的白色斑块,属于中医“慢喉喑”的范畴,气的升降出入失常贯穿其发病过程的始终,中气斡旋失常为发病之源,同时肝肺升降气机失职为重要病因。治疗声带白斑时强调恢复气机升降,在“一气周流”理论指导下恢复中气以斡旋气机运转,兼以调节肝肺气机升降,促进全身气机周流状态是治疗声带白斑的根本。用“一气周流”理论指导声带白斑的遣药组方,以提高临床疗效。结合临床典型案例进行阐述。
The“One Qi Circumfluence”theory can be summarized as“One Qi circumfluence,the earth pivot and four images”.“One Qi”here refers to zhong Qi(middle Qi),and“four images”refer to wood,metal,fire and water organs(i.e.,the liver,lungs,heart and kidneys).According to the“One Qi Circumfluence”theory,under the effects of zhong Qi,the liver on the left ascends and the lungs on the right descend,forming an“endless circulation”of the Qi activities in the human body.Vocal cord leukoplakia is a white plaque formed by keratinized hyperplasia or excessive keratinization of vocal cord mucosal epithelium.It belongs to the category of“slow throat silence”in traditional Chinese medicine.The abnormal rise and fall of Qi runs through its pathogenesis.The abnormal mediation of Qi is the source of the disease,and the dereliction of the liver and lung Qi activities is an important cause.In the treatment of vocal cord leukoplakia,it is emphasized to restore the rise and fall of Qi activities.Under the guidance of“One Qi Circumfluence”theory,restoring the zhong Qi to mediate the operation of Qi activities,regulating the rise and fall of liver and lung Qi activities and promoting the circulation of Qi of the whole body is a fundamental way to treat vocal cord leukoplakia.The“One Qi Circumfluence”theory is used to guide the prescriptions for vocal cord leukoplakia,so as to improve the clinical curative effect.It is presented in this paper with typical clinical cases.
作者
丁倩
刘莉莉
闫占峰
王鑫
孙红
黄小芮
刘巧平
DING Qian;LIU Lili;YAN Zhanfeng;WANG Xin;SUN Hong;HUANG Xiaorui;LIU Qiaoping(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700)
出处
《现代中医临床》
2022年第2期43-47,共5页
Modern Chinese Clinical Medicine
基金
国家自然科学基金青年科学基金项目(No.8190151365)。
关键词
中气
声带白斑
气机
一气周流
zhong Qi
vocal cord leukoplakia
Qi activities
One Qi Circumfluence
