论督任冲为元气之使及临证应用

Discussion on and clinical application of“governor conception and thoroughfare vessels”as“the ambassador”of the original qi

三焦为“元气之别使”,但何为元气之使无文献记载。通过梳理文献并结合临床所思,提出督脉、任脉、冲脉(简称督任冲)为元气之使。元气为脏腑经络等升降出入之根,督任冲是元气升降出入之主干,经络脏腑四肢百骸是元气升降出入之支干,督任冲与三焦构建元气输布复杂网络,共同维持生命基本活动。基于督任冲为元气之使的思考,结合临床实践,治疗脊髓腔恶性肿瘤当调理督脉解表以调节气之出入,久病顽病应解表调出入以助气之升降,对于危急重症须补元气以助升降出入,故提出对脊髓腔恶性肿瘤要重视气的出入、久病顽病勿忘风药解表、危急重症重灸丹田穴位等观点。为临床工作者在久病顽病与危急重症的治疗中提供参考。

The triple-jiao is considered“the envoy of original qi,”but there is no documentation on what is“the ambassador”in ancient books.By combining prior literature and clinical thinking,we put forward the idea that“governor conception and thoroughfare vessels are the ambassador of original qi”.The original qi is the root of ascending,descending,exiting,and entering of visceral meridians and collaterals.“Governor conception and thoroughfare vessels”is the main channel of the upward,downward,inward and outward movement of original qi.Meridian collaterals,zang-fu organs,four extremities and limbs are the branches of the ascending,descending,exiting,and entering of original qi.“Governor conception and thoroughfare vessels”and the triple-jiao constitute a complex network of original qi distribution and jointly maintain the basic activities of life.In accordance with“governor conception and thoroughfare vessels is the ambassador of original qi”combined with clinical practice,in the treatment of spinal cord malignant tumors,it is necessary to regulate the governor vessel to release the exterior to regulate the exiting and entering of qi.In persistent disease,the exterior should be released to regulate the exiting and entering of qi,which is beneficial to ascending and descending of qi.For emergencies and severe diseases illness,it is necessary to tonify the original qi to facilitate the ascending descending,exiting,and entering of qi.Therefore,we put forward the view that in the treatment of malignant tumors of the spinal cord,attention should be paid to the access of qi.In persistent disease,one should not forget the use of wind-dispelling Chinese medicinals to relieve the extenor.In emergencies and severe diseases,moxibustion should be applied to the Dantian district acupoints.The aim of the present study is to provide a reference for clinical workers in the treatment of persistent disease and acute critical illness.