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从气一元论刍议治病求本

Discussion on the root of disease treatment from the perspective of qi monism
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摘要 气一元论是我国古代重要哲学思想,认为元气为宇宙万物本原。根植于中国传统文化的中医学,在气一元论影响下形成了独特的生命观和疾病观。文章从以元气为本原化生脏腑经络、四肢百骸的生成论,及以天人相应、形神合一为代表的整体论两方面内容,阐释中医生命观,并围绕元气布散失调和元气虚损,探讨气一元论的疾病观。认为疾病发生的前提是邪客,治病求本的实质是祛除邪气,恢复元气周流。病机分析是明确邪客的重要方法。司外揣内、取象比类是探索病机的重要思维方式。通过辨证调机,畅达元气,可实现治病求本。 The monism of qi is an important philosophical thought in ancient China,which believed that Yuan qi was the origin of all things in the universe.Traditional Chinese medicine(TCM),rooted in traditional Chinese culture,has formed a unique view on life and disease under the influence of qi monism.This article explains the TCM concept of life from two aspects:the theory of the generation of organs,meridians,and four limbs based on the origin of Yuan qi,as well as the holistic theory represented by the correspondence between heaven and man,and the unity of form and spirit.It also explores the view of qi monism around the distribution imbalance and damage to Yuan qi.Believing that the premise of disease occurrence is the evil guest,the essence of seeking the root of disease treatment is to eliminate evil energy and restore the circulation of Yuan qi.Governing exterior to infer interior is the key to seeking the root cause of disease treatment.Governing exterior to infer interior and classification according to manifestation are the important ways to explore the primary pathogenesis.Syndrome differentiation and regulating the primary pathogenesis,restoring the circulation of vital energy,can achieve the fundamental goal of treating diseases.
作者 刘西洋 陈丽平 马晖 任荔 邹嘉曦 胡镜清 LIU Xiyang;CHEN Liping;MA Hui;REN Li;ZOU Jiaxi;HU Jingqing(Chengdu University of Traditional Chinese Medicine,Chengdu 611100,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
出处 《中华中医药杂志》 CAS CSCD 北大核心 2024年第11期5742-5746,共5页 China Journal of Traditional Chinese Medicine and Pharmacy
基金 省部共建中医湿证国家重点实验室专项(No.SZ2021ZZ01) 四川省自然科学基金项目(No.2023NSFSC1788) 成都中医药大学“杏林学者”学科人才科研提升计划(No.HSH2021032)。
关键词 元气 气一元论 治病求本 病机 Yuan qi Qi monism Searching for the primary cause of disease in treatment Primary pathogenesis
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