“邪气盛则实,精气夺则虚”释疑

Clearing up the doubts of ‘exuberance of pathogenic qi causing excess, lack of essential qi causing deficiency'

关于中医虚实的问题,历来医家多有争议。自《素问》提出"邪气盛则实,精气夺则虚"以来,成为了千古之至理、病治之大纲。然而历代医家多从虚实证候对这句经文进行阐释:认为"邪气盛则实",是指因邪气盛而导致的一类证候,"精气夺则虚"指正气不足或正气虚损而导致的一类证候,将二者分开来论述。笔者对此存有异议,文章从疾病的虚实一体两面对这句经文进行新的解读。

About the problem of deficiency and excess of traditional Chinese medicine, there were always many controversies. Since Plain Questions put forward that ＇Exuberance of pathogenic qi causing excess, lack of essential qi causing deficiency＇, It has been etemal truth and guiding principle of treatment. Most of TCM physicians in different dynasties explained the classic statement from syndrome of deficiency and excess. They put it into two things apart to discuss, that is refered to a syndrome caused by exuberance of pathogenic qi and a syndrome caused by lack of essential qi. But the author had a different point of view on that. This article would anew explain the classic statement by a whole and two aspects from disease of deficiency and excess.