试论气络病变治疗十法

Discussion on Ten Therapeutic Methods for Qi Luo Disease

气络承载元、宗、卫气,脏腑经络之气,是络气升降出入的网络通路,以气络学说的核心理论＂承制调平＂为指导,将＂络以通为用＂治疗原则与气络时空特点及病机特征相结合,提出＂通、补、升、降、固、开、温、清、化、和＂气络病变治疗十法。络气郁滞者流气畅络以通络气,络气虚滞者补中兼通以畅络气,络气虚而下陷者治以升气举陷,络气逆而乖乱者治以降气和逆,元气虚而外脱阳气虚而致亡阳者治以敛气固脱回阳救逆,神昏窍闭者治以醒神开窍,温阳化气以散寒、温阳化气以利水,清气以泻火、解毒以通络,或见痰湿内蕴、血瘀阻络、络息成积者治以化湿祛痰、化瘀通络、散结通络,贵在络以通为用,使气络恢复运行络气、温煦充养、防御卫护、自稳调控等正常功能。调既是治疗总则又包涵气络病变的具体治法,如调和营卫、调和气血、调和脏腑、调和阴阳等,均为临床之常用。

Qi-Luo,which carries Yuan Zong Wei Qi and Qi of internal organs and meridians,is a network path for movement of Luo Qi.Guided by the core theory of Qi-Luo-＂Chengzhi Tiaoping ＂,this paper combines the therapeutic principle of ＂collateral usefulness dependent on dredging＂with time-space characteristics and pathogenesis features of Qi-Luo disease,and proposes ten therapeutic methods for Qi Luo disease-＂dredging,tonifying,ascending,descending,strengthening,inducing,warming,clearing,eliminating and harmonizing＂.For stasis of Luo Qi,unobstructed Qi and Luo can be achieved by dredging; for deficiency and stasis of Luo Qi,it is necessary to tonify the middle warmer and dredge Luo Qi,for deficiency and subsidence of Luo Qi,ascending method shall be used for raising Qi; for reversal and disorder of Luo Qi,treatment shall be aimed at descending Qi and eliminating reversal; for Yang Qi deficiency caused by promordial Qi deficiency and Yang Qi deficiency,patients shall be treated by collecting Qi,recuperating depleted Yang,and improving reversal; for coma and blocking orifice,treatment shall be offered through inducing resuscitation and opening orifice; warming Yang and promoting the flow of Qi can be used for dispersing coldness and promoting urination; clearing Qi can be used for purging intense heat,and detoxicating is for dredging collaterals.If there is phlegm-damp retention,superficial vessels stagnation or collaterals blockage,treatment should be targeted at resolving dampness,reducing phlegm,dredging collaterals and removing stasis.Usefulness of collateral dredging to restore the normal functions of Qi-Luo mainly includes circulating Luo Qi,warming,defending,guarding,self-stabilization and regulating.Regulation is not only the general therapeutic principle,but also contains specific treatment methods of Qi-Luo disease,such as harmonizing Ying,Wei,Qi,blood,internal organs,Yin and Yang.All of these are often used clinically.