《黄帝内经》中土理论思想初探

The Study on the Middle Earth Theory in Huangdi's Canon of Medicine

土居中央,为脏腑之中轴,机体气机的升降斡旋,无不赖中土之作用得以实现。中土为患,其症状表现纷繁芜杂,《黄帝内经》多有具体论述;从运气角度而言,土气不足为"卑监",太过为"敦阜",土运之年民多病湿,甲己失守,则后三年化为土疫,这便是李东垣从中土立论的理论依据之一。从养生保健角度而言,"饮食自倍,肠胃乃伤",故饮食无损中焦、胃气是养生的基本原则;"胃不和则卧不安",故养气、和气使脾胃安,以后天之气养先天之气也是防病养生的重要内容。

The earth lies in the cenler,and is the axis of the viscera. The ascending and descending movements of qi activity all depeud on the ,niddle earth. If there is something wrong with it,a lot eft symptoms will appear,which is described a lot in Huangdi＇ s Canon of Medicine. From the aspect of five movements and six climates,deficient earth qi is regarded as ＂ Bei Jian＂ , while excessive earth qi is regarded as ＂Dun Fu＂. In the year of earth movement,people often suffer from dampness. In the year of Jiaji, if there is disorder,the following three years will transform inlo earth plagues,which is one of theoretical bases Li Dong-huan estahlished. From the aspect of life cuhivatiou, if a person eats and drinks too much, his stomach will suffer from diseases, so don＇t damage the middle energizer to protect stomach qi,which is the basic principle of life cuhivation. Disorder of gastric qi leads to bad sleep,so nourishing quiz and regulating qi can make the spleen and stomach peaceful;And using acquired qi to nourish congenital qi is also the important content of prevention of diseases and life cuhivation.