从气的角度认识冲脉

Cognition of Thoroughfare Vessel from Perspective of Qi

冲脉为奇经八脉之一,有"五脏六腑之海""血海""十二经之海"之称,与气血的关系密切。从中国古代哲学之"气"、中医学之"气"及冲脉与气的关系进行论述,并结合张锡纯冲脉病案,对冲脉的生理、病理、临床应用进行了分析。认为古人对冲脉"动"的因素归因于气的作用,"气动"为冲脉的外部特征,"气动"是认识冲脉实质的关键,即古人对冲脉的认识主要是从"动"上观察命名的,冲脉"气动"之气主要是元气。对更深刻地认识冲脉的循行、起源部位、病证,特别是在临床治疗方面有重要指导意义。

Thoroughfare Vessel is one of eight extraordinary meridians,also named ＂the reservoir of five Zang and six Fu organs＂ ＂the reservoir of blood＂ ＂the reservoir of twelve regular meridians＂. Thoroughfare Vessel has a close relationship with Qi and blood. The paper described the meaning of ＂Qi＂ in ancient philosophy and in traditional Chinese medicine（TCM） as well as the relationship between Thoroughfare Vessel and Qi. The physiology,pathology and clinical application of Thoroughfare Vessel were analyzed based on ZHANG Xichun＇s medical records of Thoroughfare Vessel. The ancient cognition about the movement of Thoroughfare Vessel ascribed to the action of Qi. ＂Qi movement＂ was the external characteristics and the key to recognize the essence of Thoroughfare Vessel which was named according to＂the movement＂. ＂Qi movement＂ in Thoroughfare Vessel referred to the primordial Qi. Deep knowledge of the circulation,origin and indications of Thoroughfare Vessel has an important role in clinical treatment.