郑钦安三焦理论初探

A Preliminary Study on the San Jiao Theory of ZHENG Qin'an

[目的]通过学习郑钦安先生的三焦理论,指导临床运用扶阳药物的理路。[方法]立足于理解郑氏医学理论的基础上,以元阳、三焦、君火、相火、中土为联系线索,参照郑氏原著的相关论述,阐述三焦的一体性及相关性、三焦阳虚的表现及用药思路,并列举笔者案例予以佐证。[结果]郑氏认为三焦实为一焦。上阳统以君火,下阳统以相火,二火同为一气,二火往来化生中土,中阳不运,上下即不相交。元阳之根在肾,培根之本在脾。临床用药上须注重三焦的一体性,发挥下阳为上、中二阳之根,及发挥中阳的运转和培根作用。[结论]郑氏临证用药紧扣三焦气机,示后人一套简洁而深刻的中医思维,对运用扶阳药物有着重要的指导意义。

[Objective] To guide the clinical application of Fuyang medicine through the study of San Jiao Theory of ZHENG Qin＇an [Method] To study the foundation theory of ZHENG Qin＇an and correlate the evidence with the concept of original yang, San Jiao, Emporer fire, Minister fire and middle earth. To explain the unity and inter-relation of San Jiao and the symptons of yang deficiency of San Jiao and the approach of the use of medicine with the support of case studies. [Result] Zheng Qin＇an suggested that three Jiaos are of one Jiao. The yang of upper jiao is governed by Emperor fire while that of lower Jiao by Minister fire. The two fires are of one fire. The circulation of the two fires generates the middle earth. When the middle yang fails on circulating the upper and lower Jiaos cannot communicate. The root of original yang is the kidney which is nourished by the spleen. The unity of San Jiao, the use of lower yang as the root of upper and middle yang and the use of the circulation and root nourishing action of middle yang are the keys to application of medicine. [Conclusion] The use of medicine of ZHENG strongly adhered to the qi circulation of San Jiao. It showed to the later generations a simple but comprehensive thought of Chinese medicine. It was an important guidance for the use of Fuyang medicine.