辛润通络法的学术源流、传承和当代应用

The academic origin,inheritance and contemporary application of Xinrun Tongluo method

“辛润通络法”的治法学概念经历自“形而下之用”至“形而上之体”的演变过程,在其后续的发展过程中,具体施治措施与理论思维两者并存且相互影响。目前尚缺乏对该治法的系统梳理,未能推动该治法“形而上”的跃迁。囿于上述空白,本文对“辛润通络法”的语义特征及续存问题进行分析发现,“辛润通络法”以自然语言为表达主体,具有多相性、形象性特征;在发展演化过程中,尚存在语义逻辑不自恰的问题。溯源学术源流、爬梳当代文献后,笔者认为“辛润通络法”是一种应对病程绵长、体质情况复杂、虚实兼加的治法,“辛与润”代表的性味针对病因中的气郁与血虚;“通络”代表病位蕴藏“微”“深”“久”等核心要素。“辛润通络法”用于治疗病机为“瘀滞阻络、虚实兼加、邪伏血络”的一类难治性疾病。从溯源结果上看,“辛润通络法”原旨应用多集中在诸痛、胀闷、痞满等病证上;从实践结果上看,其治疗范畴还应涵盖因络损所致的脏腑功能不全等病证。

“Xinrun Tongluo therapy”legal concept experienced from the“physical”to“metaphysical body”evolution process,in the process of its subsequent development,specific measures and theoretical thinking and mutual influence,after 40 years of clinical practice caused the contemporary for“Xinrun Tongluo method”application category of related knowledge.First of all,using the research method of occurrence,according to the conceptual theory and combining with the concept of logic,we try to analyze the current semantic characteristics and retention problems of“Xinrun Tongluo therapy”.This paper found that with natural language,multiple nature and image,in the process of development and evolution,the semantic logic was wrong.Based on the above characteristics and problems,we traced the academic origin and contemporary literature,and believed that“Xinrun Tongluo therapy”was a treatment method with long course,complex physical condition and deficiency,“Xin and Run”represented qi depression and blood deficiency,and causal factors;“disease congestion”represents“micro”,“deep”and“blood collaterals”.From the perspective of tracing the source,the original application of“Xinrun Tongluo therapy”focuses on the diseases such as pain,swelling,and the scope of its treatment should also cover the insufficiency of zang-fu organs caused by collateral damage.It is hoped to reveal its academic origin,inheritance and contemporary application,and to provide original perspectives and ideas for theoretical construction and clinical practice.