国医大师吕仁和辨治“八郁”经验

Experience of TCM master LYU Ren-he in discriminating and treating‘eight stagnation’syndrome

《黄帝内经》曾论及“五郁”,《丹溪心法》又提出“六郁”,内涵不同。国医大师吕仁和教授提出在“六郁”之外,仍当补充“水郁”“饮郁”,共为“八郁”。指出“八郁”的临床表现虽各不相同,但各种郁证可互相影响,互相转化。提出临证应在辨明所属何郁的基础上,同时治疗多种郁证,重视理气、活血、利水治法,标本同治,邪正两顾,方能取得较好疗效。

The concept of stagnation in traditional Chinese medicine originated from the‘five stagnation’theory in Huangdi Neijing,and the‘six stagnation’theory was put forward in Danxi Xinfa.TCM master LYU Ren-he put forward that‘water stagnation’and‘fluid stagnation’should be added to the concept of‘six stagnation’of ZHU Dan-xi,which are the‘eight stagnation’syndrome.Although the clinical manifestations of‘eight stagnation’are different,various stagnation syndromes can influence and transform each other.It is also pointed out that the clinical effects should be based on the identification of which stagnation they belong to,attaching importance to the treatment of both the healthy qi and the pathogenic qi,symptom and the root at the same time.