于志强“郁滞论”思想探源及解析

Source and Analysis of Yu Zhiqiang's "Theory of Stagnation"

于志强教授从医40余载,取法先贤,并结合自身数十年临床经验,提出"郁滞论"学术思想,取法"五郁""六郁"之说,认为"郁滞"有"无形之郁"和"有形之郁",百病皆以"无形之郁"为先,继以"有形之郁"从之。世人治病多重有形,而轻无形,大谬也。"无形之郁"者,以气郁为首,进而衍生为火郁、寒郁、情志之郁等。"有形之郁",以痰郁、湿郁、饮郁、浊郁、食郁、血郁、络郁等为主。于教授认为病之所生,无论外感内伤,多与"郁滞"相关。此中"郁滞"囊括了所有关于气血津液的运行的失常,既是致病因素,又是病理产物。而在诸郁之中,又以气机之郁为先导及核心,故而根据疾病发生发展的过程,可将"郁滞"分为"气机之郁""水液之郁""血络之郁""痰瘀为郁""正虚而郁"五个方面。

With over 40 years of experience as a doctor,Professor Yu Zhiqiang learned from the previous scholars,combines with his own clinical experience and proposes the academic thought of ＂ theory of stagnation＂ from the theories of ＂ five stagnations＂ and ＂ six stagnations＂. He believes that stagnation includes invisible stagnation and visible stagnation; various diseases start from invisible stagnation then visible stagnation. However,ordinary people often stress visible ones but ignore invisible ones,which is totally wrong. For invisible stagnation,qi stagnation comes first then fire stagnation,cold stagnation,emotional depression. For visible stagnation,there are mainly phlegm stagnation,damp stagnation,water retention,turbid stagnation,food retention,blood stasis and collateral blockage. Professor Yu holds that the occurrence of diseases is mostly related to stagnation,no matter the pathogen is exogenous or endogenous. ＂ Stagnation＂ here includes all abnormal circulation of qi,blood and body fluid,which is the pathogenic factor and also the pathological product. Among various stagnations,qi stagnation is the core and leading one. Therefore,stagnations can be classified into five aspects of qi stagnation,water retention,collateral blockage,phlegm stagnation and blood stasis,stagnation due to healthy qi deficiency.