基于“同气相求”理论探讨肺胃关系

Exploration on the relationship between lung and stomach base on “Tongqi Xiangqiu” theory

关键词:  《黄帝内经》  同气相求  肺胃关系

Key words:  Yellow Emperor's Classic of Internal Medicaine  Tongqi Xiangqiu  relationship between lung and stomach

摘要:

肺、胃疾病在临床上可作为相互继发的存在，提示着肺胃之间存在着某种必然性，目前两者相互影响的桥梁和动力尚不明确。文章从“同气相求”的概念出发，认为肺胃之间相互感应的桥梁为肺胃之“同气”，动力为媒介之气，即肺胃之气在人体的运动变化，“相求”为肺胃相互感应后的生理体现。肺胃之“同气”包括来源相同、结构中空且与外界相通、功能上同升以输送营养且同降以排泄糟粕、生理特性上均喜润恶燥4个方面，在“同气”的基础上依赖媒介之气产生感应，肺胃之“相求”体现在3个方面，云雨相求为肺胃共主精微、津液和宗气的生成和输送，精微和津液可濡润周身脏腑，宗气可滋养元气；气机相求为胃将水谷之精上输至肺，助肺藏精化气以输送营养物质；肺若雾露之溉，将水谷之精和津液降于胃，助胃传导以排泄糟粕；营卫相求为胃主营卫化生的来源，肺主营卫的化生及运行，两者相辅相成。从“同气相求”探究肺胃关系，为临床治疗肺系、胃系及肺胃相关疾病提供新思路。

Abstract:

Lung and stomach diseases can be regarded as the existence of mutual secondary disease in clinical practice，indicating that there is a certain inevitability between the lung and stomach. Currently，the bridge and dynamics of the interaction between the lung and stomach are unclear. Starting from the concept of “Tongqi Xiangqiu”，this article believes that the bridge between the lung and stomach is the “Tongqi” of the lung and stomach，and the driving force is the qi of the medium，that is，the movement and changes of the qi of the lung and stomach in the human body. “Xiangqiu” is the physiological manifestation of the mutual interaction between the lung and stomach. The “Tongqi” of the lung and stomach includes four aspects：the same source，the same hollow structure and communication with the outside world，functionally ascending together to deliver nutrients and descending together to excrete dregs，and physiologically both like moistening and detest dryness. Based on the induction of media qi from the “Tongqi”，the “Xiangqiu” of the lung and stomach is reflected in three aspects. The Yunyu Xiangqiu is the common principle of the lung and stomach for the generation and transportation of fine，body fluid，and Zongqi，and the fine and body fluid can moisten the internal organs around the body，Zongqi can nourish Yuanqi；The qi mechanism requires the stomach to transport the essence of water and grain up to the lungs，helping the lungs store essence and transform qi to transport nutrients. The lung is irrigated with mist and dew，which lowers the essence of water and grain and body fluid to the stomach，helping the stomach conduction to excrete dregs. The Yingwei Xiangqiu is the source of the metaplasia of stomach，and the metaplasia and operation of lung. The two complement each other. Exploring the relationship between lung and stomach from the perspective of “Tongqi Xiangqiu” provide new ideas for clinical treatment of lung，stomach，and lung stomach related diseases.