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三焦气化理论与泄泻辨治发微
孙心, 沈洪
南京中医药大学附属医院, 江苏省中医院, 南京 210029
摘要:
三焦气化是脏腑沟通的核心枢纽,亦是津液气血化生之根本,其功能密切影响着脾胃的运化和升降。三焦气化失常,则津液输布失职、气机升降失司、脏腑失于充养,此为泄泻发生的根本原因。笔者立足于三焦气化理论,提出泄泻辨治当以通调三焦为要。通过宣上焦、畅中焦、渗下焦的整体调节,恢复三焦气化功能,使津液得以有序布散、气机得以顺畅流通、脏腑功能得以协调平衡。这一探索性的理念丰富了泄泻辨治的中医理论内涵,并为临床诊疗提供了新的视角。
关键词:  泄泻  三焦气化理论  三焦辨证  通调三焦  中医理论内涵
DOI:10.11656/j.issn.1673-9043.2025.06.01
分类号:R22
基金项目:国家自然科学基金项目(82274483);全国名老中医药专家传承工作室建设项目(国中医药办人教函〔2021〕270号)。
Exploring the therapeutic approach for diarrhea based on the theory of Tri-jiao qi transformation
SUN Xin, SHEN Hong
Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing 210029, China
Abstract:
The theory of Tri-jiao qi Transformation is an important means of communication between the organs and is the fundamental source of body fluid, qi, and blood transformation. Dysfunction of the Tri-jiao qi can lead to dysfunction in the distribution of body fluids, improper of regulation of qi movement, and inadequate nourishment of organs, which is the fundamental pathological mechanism of diarrhea. Based on the theory of Tri-jiao qi transformation, the author proposes that the treatment of diarrhea should focus on regulating and restoring the function of Tri-jiao, promoting the distribution of body fluids, ensuring smooth qi movement, and harmonizing the organs. Based on the theory of Tri-jiao qi transformation, the author proposes that the diagnosis and treatment of diarrhea should focus on regulating the Tri-jiao. By restoring the function of Tri-jiao qi transformation, the normal distribution of body fluids can be promoted, the pivot of qi movement can be unblocked, and the harmony of internal organs can be achieved. This not only enriches the theoretical connotations of traditional Chinese medicine for diagnosing and treating diarrhea but also provides significant guidance for clinical practice.
Key words:  diarrhea  theory of Tri-jiao qi transformation  syndrome differentiation of Tri-jiao  regulating the Tri-jiao  theoretical connotations of traditional Chinesemedicine
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