《金匮要略》“上气”与“肺胀”的相关性探析

Relevance of Shangqi and Feizhang in Golden Chamber

《金匮要略》多次提到＂上气＂与＂肺胀＂,但后世医家对其相关性研究较少。通过对条文的分析可知,＂上气＂既可作肺系疾病的一般症状解释,即＂肺气上逆＂,又可作为肺系疾病的病名解释。当其作症状解释时,既是肺胀病的直接症状,又是其间接症状,同时也是肺痿、肺痈等病的常见症状。当其与＂咳嗽＂同用时,＂咳嗽上气＂可作肺胀病解释。纵观全文,仲景多次强调＂上气＂与＂肺胀＂的密切相关,探究其实质及内涵具有重要临床意义。

Shangqi and Feizhang were mentioned several times in Golden Chamber,however,only small group of doctors deeply considered its correlation and its theory was not clarified deeply enough. Analyzing Golden Chamber,we found that Shangqi can be interpreted as lung qi inverse performance,but also can be interpreted as specific symptoms of lung disease to explain Feizhang. Shangqi was a direct expansion of lung disease symptoms,but also as an indirect disease. Meanwhile it was associated closely with the lung consumptive,lung abscess and other diseases. Throughout the relevant provisions,it repeatedly stressed that Shangqi closely related to Feizhang,our object was to explore the essence and connotation.