圆运动观在张锡纯消渴论治思想中的体现

Circular Movement Theory of Zhang xi-chun in Treatment of Diabetes

圆运动理论的雏形出于自清代医家黄元御,其后人私淑者彭子益对黄氏理论深入探究和发掘,以使圆运动理论趋于完善,并在《圆运动的古中医学》中提出了"人身之气,乃升降运动息息皆圆之体"的观点。张锡纯在《医学衷中参西录》中独具见地地创立了治消渴二方:玉液汤和滋膵饮。二方配伍皆不离"温升肝气、敛降肺金、脾升胃降"治法,体现了张氏在消渴论治中所蕴含的"重视脾胃斡旋升降"以及"肝升肺降"的圆运动思想。

The rudiment of Circular movement theory was from Huang yuan-yu, a doctor in the Qing Dynasty. A doctor named Peng zi-yi studied and matured Huang＇s theory. He wrote a famous book named Circular Movement Theory In Ancient Chinese Medicine and came up with Qi-movement disturbance, which is the basic reason refers to possible factors leading to diseases. Anathor famous doctor Zhang xi-chun wrote a book named Intergrating Chinese and Western Medicine. In this book,he created two prescriptions treating Xiao- ke named Yuye Tang and Zicui Yin. Analysis and conclusion were made on prescriptions and we can find Rising and Falling of Vital Energy Functional Activities in Zhang＇s theory and he emphasized the function of spleen and stomach which comes from Canon of Internal Medicine.