摘要
朱丹溪基于《黄帝内经》“五郁”理论,首创“气、湿、痰、热、血、食”之“六郁”学说,提出“人身诸病,多生于郁”“气郁为六郁之先”“凡郁皆在中焦”等观点。笔者通过系统梳理“六郁”学说,提出中风病因病机与“六郁”密切相关。指出六郁皆为中风常见病理因素,气郁为先,诸郁相合,损伤营卫气血津液进而累及血脉,损脑毁神,与中风气机逆乱、病在血脉、脑髓神机受损的病机特点高度契合,故六郁能完满解释临床所观察到的各项危险因素导致中风的发病机制。将“六郁”学说与血脉理论相结合,指导中风病因病机认识,以此为理论基础干预诸郁形成与致病过程,是保护血脉、预防中风的有效方法。
Based on the theory of“five stagnations”in Inner Canon of Huangdi,ZHU Danxi created the theory of“six stagnations”,namely“qi,dampness,phlegm,heat,blood,and food”stagnations,and proposed ideas such as“various diseases of the human body are born in stagnation”,“qi stagnation is the first of six stagnations”,and“all kinds of stagnations are in the middle energizer”,etc..By systematically combing the theory of“six stagnations”,the authors propose that the etiology and pathogenesis of stroke are closely related to“six stagnations”.It is pointed out that the six stagnations are the common pathological factors of apoplexy.Qi stagnation is the first and the combination of all stagnations damage nutrient-defense,qi,blood and body fluids,involving blood vessels,impairing brain and damaging spirit,which highly fits the pathogenesis characteristics of apoplexy,such as disorder of qi movement,disease in the blood and vessels,impairment of brain,marrow and spirit.Therefore,six stagnations can fully explain the pathogenesis of apoplexy caused by various risk factors observed in clinic.It is an effective method to protect blood vessels and prevent apoplexy by combining the theory of“six stagnations”with the theory of blood vessels,guiding the understanding of the etiology and pathogenesis of apoplexy,and intervening the formation and pathogenesis of all stagnations on the basis of the theory.
作者
赵哲
丁玉洁
陈哲
赵丽丽
黄鑫磊
丁元庆
ZHAO Zhe;DING Yujie;CHEN Zhe;ZHAO Lili;HUANG Xinlei;DING Yuanqing(Rizhao Hospital of Traditional Chinese Medicine,Rizhao 276800,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)
出处
《山东中医药大学学报》
2023年第3期270-274,共5页
Journal of Shandong University of Traditional Chinese Medicine
基金
全国中医学术流派传承工作室第二轮建设项目(批文号:国中医药人教函〔2019〕62号)
2018年山东省名老中医药专家传承工作室建设项目(批文号:鲁卫中发展字〔2018〕1号)
山东省中医药科技项目(编号:2020Q110)。
关键词
朱丹溪
六郁
气郁为先
郁在中焦
中风
血脉
病因病机
ZHU Danxi
six stagnations
qi stagnation being the first of six stagnations
all kinds of stagnations lying in the middle energizer
apoplexy
blood vessel
etiology and pathogenesis