甲木下降与脏腑气机升降关系探析

Exploration on the Relationship between Jia-Wood Descending and Qi Movement of Internal Organs

  • 摘要: 黄元御在脏腑气机升降理论的基础上,指出胆之“甲木下降”与全身脏腑气机升降有密切的关系。胆为甲木,化气相火,一气周流,肺、肾、心、肝乃至胃家和膀胱等,其生理功能正常发挥,无不与胆之甲木下降、相火潜藏有密切联系。在病理上,甲木不降,克胃土,则胃气上逆,胆之相火扰心火则心君躁烦,甲木、相火逆升刑肺而致咳嗽和鼻渊,相火不藏于肾导致源泉失温、生气绝根,胆气不降易致肝木不升、郁结生风。因此在治疗上,降甲木、潜相火,乃是针对气机逆乱而从胆论治的治疗大法。探讨甲木下降的理论,可以补充丰富脏腑升降制克理论,对《内经》“凡十一脏取决于胆”提出新的诠释,并为临床提供较新的思路与参考。

     

    Abstract: Based on the theory of the qi movement of internal organs, Huang Yuan-yu pointed out that the "jia-wood descending" of the gallbladder is closely related to the qi movement of the internal organs within the body. The gallbladder belongs to jia-wood, which promotes qi movement throughout the body by transforming qi into xiang-fire. Therefore, the physiological functions of the lung, kidney, heart, liver, stomach, and bladder are all closely related to jia-wood descending of the gallbladder and xiang-fire lurking. Pathologically, if jia-wood does not descend, it will affect the stomach, resulting in the upward movement of the stomach qi. Besides, if xiang-fire of the gallbladder disturbs the heart fire, it will cause agitation. If the movements of jia-wood and xiang-fire are against the lung, it will cause cough and nasal sinusitis. If xiang-fire is not hidden in the kidney, it will lead to the loss of warmth of kidney water and the extinction of kidney qi. If the gallbladder qi does not descend, it will easily cause the depression of liver-wood, constraining liver qi and producing wind. Thus, in terms of treatment, jia-wood descending and xiang-fire lurking are the main treatment methods for the counterflow of qi based on the gallbladder theory of internal organs. The theory of jia-wood descending can complement and enrich the qi-movement and restraint theory, provide a new interpretation of the "Inner Canon" that "all eleven organs depend on the gallbladder", and also provide new ideas and references for clinical application.

     

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