张元素“从肺治膀胱病”应用体会

Application experience of“Treating Pangguang Diseases from the Perspective of Fei”by ZHANG Yuansu

张元素在《脏腑标本寒热虚实用药式·膀胱》提出从肺治疗膀胱病的学术思想,笔者深刻领会这一观点,认为膀胱病其本在于肺气不利,宣降通调水道功能失职,而致膀胱气化不利,从而发生膀胱病变。故治疗上以清肺、补肺、润肺、宣肺为原则,使气机得畅,水液得布,膀胱气化功能恢复而愈。

In Zhang Yuansu's work“Practical Prescriptions for Cold and Heat Patterns of Zangfu Organs:Pangguang”,he introduces the academic concept of treating Pangguang diseases from the perspective of Fei.The author deeply appreciates this viewpoint,believing that the root cause of Pangguang diseases lies in the inadequacy of Feiqi,leading to dysfunction in the downward regulation and water passage functions.This,in turn,hinders the proper Qihua of the Pangguang,resulting in Pangguang pathologies.Therefore,the treatment approach emphasizes Qingfei,Bufei,Runfei,and Xuanfei to ensure smooth Qiji and proper distribution of fluids,thus restoring Pangguang Qihua functions and promoting healing.This artical summarizes the clinical application experiences.