“阳化气、阴成形”的临床运用

Clinical application of‘yang transforming qi and yin forming'

文章梳理张杰教授对《素问·阴阳应象大论》“阳化气,阴成形”理论的认识,总结其运用此理论辨治内科杂病的经验。张教授认为“阳化气”与“阴成形”有机统一、动态平衡,才构成了人体的形与神俱,才维持了人体正常的生理功能;“阳化气,阴成形”功能失调是疾病产生的机理,基于此提出“阳气为重,脾阳为本”“重视气化,阳贵乎通”“阴凝之物,渐而成形”“阳气用事,阴渐不足”的病理观;在治疗上根据阳虚、阳郁、阳化气太过的不同,分别采用温阳以促气化、通达阳气以促气化、益阴和阳的治法;并用“阳化气、阴成形”理念指导临床应用,文末附肺结节案、抑郁症案、甲亢案三则。

This paper summarizes professor ZHANG Jie's understanding of the theory of‘yang transforming qi and yin forming'in the theory of Suwen-Yinyang Yingxiang Dalun,and summarizes his experience of using this theory to distinguish and treat miscellaneous diseases in internal medicine.Professor ZHANG believed that the organic unity and dynamic balance of‘yang transforming qi'and‘yin forming'constituted the form and spirit of the human body and maintained the normal physiological function of the human body.The dysfunction of‘yang transforming qi,yin forming'is the mechanism of the disease.Based on this,the pathological views of yang qi is based on emphasizing spleen and yang‘attaching importance to the gasification of yang is more important than connecting'yin condensing things gradually formed'yang qi is gradually insufficient'are put forward.According to the difference of yang deficiency,yang depression and yang transforming qi,the treatment methods of warming yang to promote gasification,promoting yang qi to promote gasification,benefiting yin and yang are adopted respectively.And the concept of ‘yang transforming qi,yin forming’is used to guide the clinical application.At the end of the paper,three cases of lung nodules,depression and hyperthyroidism are attached.