“胃不和则卧不安”探赜

Seeking Truth and Tracing to the Source:"Stomach Disharmony Leading to Restlessness

梳理古今医家对“胃不和则卧不安”的不同认识,明确分歧在于对“卧不安”是不能安卧还是不能安眠这个焦点,并指出两种观点的局限性。提出《素问·逆调论篇》该段经文以气逆为纲,肺、胃、肾三脏腑气机不利所致“息”不利为目,以是否“得卧”和活动为标准,阐释了气逆证的病因、病位和病情;认为“胃不和则卧不安”非《黄帝内经》原文,可能是一句点评语误植后的衍文。

By sorting out the dfferent understandings by ancient and modern doctors on"stomach disharmony leading to restlessness",this paper found that the difference is whether"restlessness"means being unable to lie down or to sleep peacefully,and pointed out the limitations of the two views.The passage of Basic Questions on Diseases Caused by Qi Counterflow and Irregularities(《素间·逆调论篇》)comprehensively explains the etiology,location,and condition of qi counterflow syndrome by taking qi counterflow as the principle,"breathing"disturbance caused by the unfavorable qi movement of the lungs,stomach,and kidneys as the main manifestation,and whether one can lie down and take activities as the standards.It is pointed out that"stomach disharmony leading to restlessness"is not the original text of the Inner Canon of Yellow Emperor(《黄帝内经》),and it may be a derivative of the mistakenly posted comments.