浅析大气和大气下陷论

A Brief Talk on Great Qi and Sinking of Great Qi

大气乃诸气之宗主,不同于宗气、中气等,为它气之上较高功能层次的气,是保持人体阴阳平衡和治疗各种疾病的关键。历代医家对其认识略有差异,其沿革发展受到传统儒学思维方法的影响,经自然与人体的关系论及自然对疾病的影响演变后由张锡纯提出大气下陷致病的理论,对后世医者影响颇深。作者通过对大气学说的来源、含义及大气下陷论的探究,认为大气下陷涵盖有大气因虚无力升提而下陷,大气不虚而无升提之势下陷者及大气因痰、瘀、邪等凝滞而无法升提者等3层含义。

Being of higher rank in function than pectoral qi or middle qi, great qi is the fundamental qi of all, and the key to balance yin and yang within human body and to recovery from illness. There were slightly different understandings about great qi among doctors of various dynasties. Influenced by traditional Confucius way of thinking and evolved with the observation of relations between nature, human, and illness, the theory of great qi sinking was proposed by Zhang Xichun, which had been an underlying basis for doctors after- wards. Through research on source, meaning, and the sinking theory, the author pointed out three shades of implications, that is, the sinking of great qi may be caused by deficiency, or only the lack of raising strength, or stagnation of phlegm, blood stasis, or pathogen, etc.