基于“一气周流”探讨“辛苦法”于皮肤病中的应用

Discussion on the treatment of dermatosis by ’pungent and bitter method’ based on the theory of ’the circumfluence of qi’

皮肤病辨证总纲多不离湿热,然此二邪常呈缠绵之势,难以速除。气液宣通,治湿之要在于调气。文章基于对"一气周流"理论的生理、病理特点的基本阐述,论述"辛苦法"的作用机制,分列3例典型验案加以剖析,分析"辛苦法"在治疗皮肤病时于不同气机层次的作用机制,即"辛开苦降""辛升苦降""辛散苦泄",亦为"运轴转轮法""运轮转轴法""启外轴法"的具体演绎。最终倡导知常达变,重视气机的灵动与平衡。

The general principle of curing dermatosis is eliminating dampness and heat, but the two pathogenic factors often present lingering and hard to remove. Qi always pushes body fluid along. To control dampness lies in regulating qi. To discuss the mechanism of ‘pungent and bitter method’ with the theory of ‘the circumfluence of qi’, we stated the physiological and pathological characteristics based on the theory. We cited and analyzed three cases to analyze the mechanism of the method when it’s conducted on curing dermatosis and several hierarchical structures, which specific demonstrates ‘pungent dispersion bitter purgation method’, ‘pungent elevation bitter purgation method’ and ‘pungent emanation bitter purgation method’, which also named by ‘turn the axle to run the wheel’ ‘turn the wheel to run the axle’ and ‘turn the external wheel’. In conclusion, we advocated that traditional Chinese medicine therapy should both maintain permanent and changed, attach impotence to the flexibility and balance of qi.