李军祥从“否”“泰”卦象论治痞满经验

Li Junxiang′s Experience in Treating Distention and Fullness from Perspective of"Pi"and"Tai"Hexagrams

痞满乃因气机升降失常,中焦气机壅滞为病,升为阳,降为阴,升降失常即阴阳失调,与否卦象之义同。通过扭转乾坤,即调整阴阳,将否卦爻为泰卦,将脾胃功能恢复至阴阳平衡的状态则是治疗痞满的根本目的。李军祥教授认为造成“气机不通”的病因病机各异,不能仅着眼于气机升降本身。因此,治疗痞满一病,以恢复气机正常升降为基本,通过燮理脾胃升降、纳运、润燥、寒热、气血之阴阳,从而达到阴阳平衡的状态,即泰卦之象。

The distention and fullness is caused by the abnormal ascending and descending of Qi movement as well as the stagnation of Qi in the middle Burner.The ascending of Qi belongs to Yang and the descending of Qi belong to Yin.The abnormal rise and fall of Qi means the imbalance of Yin and Yang,which is the same of the condition of Pi Hexagram.By reversing the condition,that is,adjusting Yin and Yang,the Pi Hexagram turns into the Tai Hexagram,and restoring the function of the Spleen and Stomach to the state of balance between Yin and Yang is the fundamental purpose of treating the disease of distention and fullness,that is,treating the"root".Professor Li Junxiang believes that the causes and pathogenesis of"Qi movement blockage"are different,and we cannot only focus on the rise and fall of Qi itself.Therefore,in the treatment of the disease,the basic principle is to restore the normal rise and fall of Q.In addition,moistening dryness,balancing Cold and Heat,Yin and Yang of Qi and blood,should also be achieved to restore the balance between yin and yang,that is,the image of the Tai Hexagram.