黄元御“一气周流”与慢性肾功能衰竭

黄元御《四圣心源》从天人合一角度,归纳"左路木火升发,右路金水敛降,中焦土气斡旋"的"一气周流"理论模型,切中人体生理本质,理论与临床结合,执简驭繁,举纲张目;"一气"乃人体内浑然一体之土气,即脾胃之气,人体与天地一样"阴阳肇基,爰有祖气",祖气亦分阴阳,阴阳之间是谓中气,即脾胃之气。慢性肾功能衰竭临床证候复杂多样,病机变化多端,大致归为水寒、土湿、木郁,尤以水寒土湿为根本;一气不能正常周流出现各种不同症状表现,脾肾阳虚日久,必然阳损及阴,肝郁而生热,灼湿成痰化瘀,使一气周流更加郁滞,临证诊治应重中气脾土,根据四维升降辨治,使水暖、土干、木达的同时,结合具体情况灵活处理,修复源头加处理显现情况,帮助一气运转起来,使中气运动、四维轮转、清浊复位、阴阳既济,从而达到土枢四象、一气周流的目的。从"一气周流"入手,探析慢性肾衰病机,可有效指导临床辨治,为临床辨治慢性肾衰提供新思路。

Discussion on the Pathogenesis of Chronic Renal Failure from Vitality Loop Body

Huang Yuanyu ＂noble＂ from the perspective of cardiac syncretic, summed up ＂left wood fire ascending, right down in Jinshui convergence, earth mediate＂ and ＂a about＂ theoretical model, to the human physiological nature, combining the theory and clinical, holding simple Yu fan, an outline arrogance; ＂rustic spirit＂ is the human body All blend into one harmonious whole, namely the Qi of the spleen and stomach, the body ＂Yin and Yang beginning of heaven and earth, hence a progenitor gas＂, progenitor gas is divided into yin and Yang, yin and Yang is that between gas, namely the Qi of the spleen and stomach. The clinical syndrome of chronic renal failure complicated pathogenesis syndrome,be the most changeful, can be divided into cold water, soil moisture, wood stagnation, especially in cold water soil wetas the fundamental; a can not be normal about different symptoms, Yang deficiency of spleen and kidney yang deficiency and Yin long time, inevitable, stagnation of the liver qi and phlegm wet heat, burning into removing blood stasis, make a about clinical diagnosis and treatment should be more stasis, spleen weight in soil, according to thefourdimensional lifting differentiation, the plumbing, the wood dry soil, at the same time, combined with the specific circumstances of flexible processing, repair the source plus treatment situation of appearance, help a work, make the gas motion, four-dimensional rotation, voicing reset, yin and Yang, both economic, to achieve the soil, a pivot Sasangcircumfluent objective. Starting from ＂a went,＂ analysis of the chronic renal failure disease machine, which can effectively guide the clinical diagnosis and treatment, to provide new ideas for clinical treatment of chronic renal failure.