摘要
《四圣心源》作为清代医家黄元御的代表性著作之一,强调枢轴整体观,一气周流,尤重中气。在辨病论治的基础上,黄元御认为六气失衡是疾病的根本原因,提出六气生理与病理互推以把握基本病机,并在基本病机上针对患者个体化六气盛衰开出具体处方,其诊疗体系可概括为建立在枢轴整体观基础上的“辨病-疾病根原-辨六气盛衰-个体化病机-处方”模式。黄元御的诊疗体系具有极强的实用性,可为中医临床诊疗疾病提供参考。
As one of notable works of HUANG Yuanyu,a renowned physician from the Qing Dynasty,The Indi⁃cations of Classics by Four Medical Sage emphasize the theoretical paradigm of“one qi circulation”with a particular fo⁃cus on the middle qi.Building upon disease differentiation and treatment,HUANG Yuanyu attaches great importance to understanding the underlying cause of the disease.It is believed that the imbalance of the six climatic factors is the fundamental cause of diseases.The concept of mutual interaction between the physiological and pathological aspects of the six climatic factors is proposed to grasp the basic pathogenesis.Based on the individual´s specific condition of six climatic factors,excess or deficiency,specific prescriptions are formulated.The diagnosis and treatment system can be summarized as a“differentiation of diseases→disease etiology→differentiation of the condition of six climat⁃ic factors→individualized pathogenesis of traditional Chinese medicine(TCM)→prescription of TCM”model based on the holistic view.HUANG Yuanyu´s diagnosis and treatment system is highly practical and can provide refer⁃ence for clinical diagnosis and treatment of diseases in TCM.
作者
张金泽
仪凡
张广中
ZHANG Jinze;YI Fan;ZHANG Guangzhong(Graduate School,Beijing University of Chinese Medicine,Beijing,100029;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University)
出处
《中医杂志》
CSCD
北大核心
2023年第20期2153-2156,共4页
Journal of Traditional Chinese Medicine
关键词
黄元御
《四圣心源》
诊疗体系
六气盛衰
HUANG Yuanyu
The Indications of Classics by Four Medical Sage(《四圣心源》)
diagnosis and treatment system
excess or deficiency of six climatic factors
