基于张锡纯胸中大气及痰饮理论认识阳微阴弦

Discussion on Weak Pulse at Yang and Wiry Pulse at Yin Based on ZHANG Xichun’s Theory of Ancestral Qi and Phlegm-Retained Fluid

结合张锡纯的胸中大气及痰饮理论认识胸痹心痛阳微阴弦的病机,其中,从胸中大气认识阳微,从痰饮理论认识阴弦。针对胸痹心痛本虚标实的特点,对张锡纯运用升陷汤调补宗气及运用理痰汤治疗痰饮进行了阐释,以期对胸痹心痛痰证的治疗提供新思路。

Discussed the pathogenesis of chest stuffiness and pains from the perspective of weak pulse at yang and wiry pulse at yin and on the basis of ZHANG Xichun’s theory of ancestral qi and phlegm-retained fluid. The understanding of weak pulse at yang was on the basis of ancestral qi,and the discussion of wiry pulse at yin was based on the theory of phlegmretained fluid. Focusing on the characteristic of chest stuffiness and pains,namely root deficiency and tip excess,made an explanation of ZHANG Xichun applying Shengxian tang to regulating and supplementing ancestral qi as well as Litan tang to the treatment of phlegm-retained fluid. It is hoped that it can provide new ideas for the treatment of chest stuffiness and pains with phlegm syndrome.