肺系病一本三因论
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摘要
文章提出了肺系病以逆热为气机之根本,有寒饮、风痹、肺痿三大病因,并阐述了一本三因论的临床意义。肺之藏象以清降为和,以逆热为病,故肺病气机之本在于逆热,治法之本在于清热降气;太阳寒水之气以肺为上末,表寒里饮之病必先在肺,称"肺寒饮病",治从寒水太阳诸变立法;厥阴与太阴阳明相施与,外风内痹之病常寄之于肺,称"肺风痹病",治从厥阴、从少阳枢机、从痹取法;厥阴痹久,形弊血尽,藏神不使,称"肺痿病",治以扶正寓通为原则,通补兼施。寒饮为初,风痹为夙,肺痿为归,逆热为本,此肺病之大局。
This paper put forward that inverse and heat are the basis of qi activity TCM pulmonary system disease, and there are three pathogenies which are cold-fluid, wind-bi and atrophic lung disease. Moreover, this article expounded the clinical significance of the above theory called ‘One basis and three causes'. According to lung's visceral manifestation, coolness and descending leads to harmoniousness, while inverse and heat connect with diseases. So the foundation of therapy is heat-clearing and qi-descending. Because lung is the upper source of Taiyang cold-fluid qi, diseases linked with exogenous cold and internal fluid firstly come into the lung, which named ‘lung cold-fluid diseases' and should be treated as Taiyang cold-fluid disease forms. Because of the application of Jueyin to Taiyin-Yangming each other, exogenous wind-evil and internal ‘Bi' always indulge in lung, becoming the diseases named ‘lung wind-Bi diseases', which should be treated on the basis of TCM theories concerning Jueyin, Shaoyang cardinal and ‘Bi'. Because of protracted course of ‘Bi' disease, debilitation and deficiency of lung caused fateful loss of functionality and the disease named ‘atrophic lung disease', which should be treated with the therapeutic goal of restoring functionality and a longevity accompanied by the disease and the treatment principle of restoring deficiency supplemented the removing therapy. Cold-fluid is the begining, ‘wind-Bi' is the long-indulging and atrophic lung disease is unhappy ending, which are the overall situation of lung diseases.
This paper put forward that inverse and heat are the basis of qi activity TCM pulmonary system disease, and there are three pathogenies which are cold-fluid, wind-bi and atrophic lung disease. Moreover, this article expounded the clinical significance of the above theory called ‘One basis and three causes'. According to lung's visceral manifestation, coolness and descending leads to harmoniousness, while inverse and heat connect with diseases. So the foundation of therapy is heat-clearing and qi-descending. Because lung is the upper source of Taiyang cold-fluid qi, diseases linked with exogenous cold and internal fluid firstly come into the lung, which named ‘lung cold-fluid diseases' and should be treated as Taiyang cold-fluid disease forms. Because of the application of Jueyin to Taiyin-Yangming each other, exogenous wind-evil and internal ‘Bi' always indulge in lung, becoming the diseases named ‘lung wind-Bi diseases', which should be treated on the basis of TCM theories concerning Jueyin, Shaoyang cardinal and ‘Bi'. Because of protracted course of ‘Bi' disease, debilitation and deficiency of lung caused fateful loss of functionality and the disease named ‘atrophic lung disease', which should be treated with the therapeutic goal of restoring functionality and a longevity accompanied by the disease and the treatment principle of restoring deficiency supplemented the removing therapy. Cold-fluid is the begining, ‘wind-Bi' is the long-indulging and atrophic lung disease is unhappy ending, which are the overall situation of lung diseases.
引文
[1]崔红生,姚海强,王琦.基于辨体-辨病-辨证三维诊疗模式防治支气管哮喘.中医杂志,2015,56(22):1912-1914
[2]崔红生,毕伟博.基于仲景水饮方论谈慢性阻塞性肺疾病从肺饮论治.中华中医药杂志,2017,32(8):3407-3410
[3]崔红生,毕伟博,陈会娟.仲景水饮方论在慢性阻塞性肺疾病中的应用.北京中医药大学学报,2015,38(3):209-211
[4]杨玉萍,晁恩祥.国医大师晁恩祥教授从风论治呼吸疾病理论.中华中医药杂志,2014,29(12):3702-3704
[5]崔红生,武维屏.武维屏辨治肺系疾病思路.中医杂志,2013,54(2):107-109
[6]武维屏,贺福田.肝与咳、喘、哮.北京中医学院学报,1990,13(2):11-13
[7]崔红生,赵兰才.武维屏从肝辨治支气管哮喘经验撷要.中国医药学报,1999,14(2):49-51
[8]武维屏.肺癌从肝论治探析.中医杂志,2014,55(24):2091-2093
[9]崔红生,毕伟博.论少阳主枢及其临床意义.中华中医药杂志,2016,31(9):3433-3438
[10]崔红生,范红玲,武维屏.乌梅丸治疗激素依赖型哮喘的疗效机理及临床运用.北京中医药大学学报,2000,23(5):62-63
[11]崔红生,武维屏,任传云.等.激素依赖型哮喘撤减激素过程中的证候学变化及其治疗特点.中医杂志,2005,46(5):371-373
[12]崔红生,张文君,武维屏.燥与哮喘证治浅述.北京中医药大学学报,1998,21(5):54-55
[13]崔红生,邱冬梅,武维屏.肺间质纤维化从络病辨治探析.中医杂志,2003,43(12):946-947
[14]吴以岭.络病学.北京:中国科学技术出版社,2004:75-81
[15]崔红生,谢淑华,靳锐锋.肺间质纤维化临床分期与证候分布规律探讨.中华中医药杂志,2012,27(5):1443-1145
[16]崔红生,武维屏,姜良铎.毒损肺络与肺间质纤维化.中医杂志,2007,48(9):858-859
[2]崔红生,毕伟博.基于仲景水饮方论谈慢性阻塞性肺疾病从肺饮论治.中华中医药杂志,2017,32(8):3407-3410
[3]崔红生,毕伟博,陈会娟.仲景水饮方论在慢性阻塞性肺疾病中的应用.北京中医药大学学报,2015,38(3):209-211
[4]杨玉萍,晁恩祥.国医大师晁恩祥教授从风论治呼吸疾病理论.中华中医药杂志,2014,29(12):3702-3704
[5]崔红生,武维屏.武维屏辨治肺系疾病思路.中医杂志,2013,54(2):107-109
[6]武维屏,贺福田.肝与咳、喘、哮.北京中医学院学报,1990,13(2):11-13
[7]崔红生,赵兰才.武维屏从肝辨治支气管哮喘经验撷要.中国医药学报,1999,14(2):49-51
[8]武维屏.肺癌从肝论治探析.中医杂志,2014,55(24):2091-2093
[9]崔红生,毕伟博.论少阳主枢及其临床意义.中华中医药杂志,2016,31(9):3433-3438
[10]崔红生,范红玲,武维屏.乌梅丸治疗激素依赖型哮喘的疗效机理及临床运用.北京中医药大学学报,2000,23(5):62-63
[11]崔红生,武维屏,任传云.等.激素依赖型哮喘撤减激素过程中的证候学变化及其治疗特点.中医杂志,2005,46(5):371-373
[12]崔红生,张文君,武维屏.燥与哮喘证治浅述.北京中医药大学学报,1998,21(5):54-55
[13]崔红生,邱冬梅,武维屏.肺间质纤维化从络病辨治探析.中医杂志,2003,43(12):946-947
[14]吴以岭.络病学.北京:中国科学技术出版社,2004:75-81
[15]崔红生,谢淑华,靳锐锋.肺间质纤维化临床分期与证候分布规律探讨.中华中医药杂志,2012,27(5):1443-1145
[16]崔红生,武维屏,姜良铎.毒损肺络与肺间质纤维化.中医杂志,2007,48(9):858-859