浅谈“得气”与“调气”

Analysis of“deqi”and Regulate“qi”

为阐明"得气"与"调气"的内在关系,查阅《内经》《难经》等古籍,结合各学者的观点及历代医家对于得气和调气的认识,分析比较二者的关联性。以往研究认为"气至有效",得气是关键,而忽略了调气的作用。基于此,从古籍论述和现代理解两个角度来探讨"得气"与"调气"的关系。其中,得气在"天人相应"的境界中才能处于最佳状态,医患皆有"得气感",与疗效密切相关。得气可作为基础,再行调气,加以补泻;调气可作为手段,以达"得气"之效。调气需根据"四诊合参"确定所调之气,辨气候气,以得气。

In order to clarify the inter-relationship between deqi and regulate qi, the relevant theory in the Inner Canon of Yellow Emperor and the Classic of Difficulties is re-considered, and the relationship of the two concepts by combining with some opinions from scholars is compared and analyzed. Previous studies have argued that ＂ Deqi is effective＂ ,Deqi is the key,but ignoring the role of regulate qi. Based on this,this article hopes to discuss the relationship between ＂Deqi＂ and ＂ regulate qi＂ from two perspectives： ancient discourse and modern understanding. And inferred Deqi can be in the best condition when in the situation of ＂Correspondence between man and universe＂. Doctors and patients all have the feeling of deqi, which is closely related to the therapeutic effect. Deqi can be used as the basis, you can regulate qi,and then to fill method of Reinforcing-Reducing. Regulate qi can be used as a method to obtain the effect of deqi. It according to the ＂Synthesis of the Four Diagnostic Methods ＂ to determine what is this qi, and then the doctor learns to identify , wait and get it.