治病当疏达膜府(1)
〔摘要〕 膜府系統沟通内外，渗灌气血津液，沟通营卫，受纳转输病邪，治病应时刻注意疏达膜府，以透泄邪气，条达气血津液，调和营卫，运药达病所。疏达膜府药宜辛苦香窜、轻灵活泼，依病因、病位、病性辨证应用。上焦宜辛开苦泄、轻扬透散为主，中焦辛开苦降，下焦辛开渗泄。病在卫表宜开腠透邪，卫表证宜辛开汗解，筋骨病佐开腠通络。里热佐发散以开腠泄热，气分热宜辛开清泄，热入营血开膜透热，虚热宜补中寓透。里寒宜辛温开宣，宣布卫气以温煦机体。痰饮为患辛开分泄，疏达膜府以散津滞和渗水湿;瘀血为患疏通膜络以行气血、开闭结。
〔关键词〕 膜府;疏达膜府;透泄法;分泄法;通脉络
〔中图分类号〕R2-0 〔文献标志码〕A 〔文章编号〕doi：10.3969/j.issn.1674-070X.2019.04.002
Treating Illnesses Should Smooth and Free the Mo-Fu System： The Mo-Fu
System Theory in Traditional Chinese Medicine IV
LIU Xuyin1， LEI Ting2
(1. Xinshao Hospital of Traditional Chinese Medicine， Xinshao， Hunan 422900， China;
2. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China)
〔Abstract〕 Mo-Fu system communicates inside and outside， involves Qi， blood， body fluid， communicates with nutrient Qi and defensive Qi， accepts and transfers pathogenic factors. The treatment of disease should always pay attention to dredging Mo-Fu in order to expel and disperse pathogenic Qi， regulate Qi， blood and body fluid， harmonize nutrient Qi and defensive Qi， and transport medicine to the diseased area. Drug used in dredging Mo-Fu should be pungent and bitter， light and flexible， and should be applied with syndrome differentiation based on etiology， disease location and disease nature. The upper Jiao should be pungency opening and bitter discharging， and relieving and eliminating. The middle Jiao should be pungent dispersing and bitter descending， and the lower Jiao should be pungent dispersing and dampness excreting. The diseases in defense-exterior should be treated with opening and penetrating pathogenic factors. Defense-exterior syndrome should pungent dispersing and sweating relieving. Tendons and bones disease is treated combined with opening and dredging collaterals. Interior excess heat syndrome should be dispersing and opening striae and interstice to purge heat. Heat at Qi aspect should be pungent dispersing and clearing purging. Heat entering nutrient-blood syndrome should open the membrane and purge heat. Interior deficiency heat syndrome should tonify the middle Qi and relieving. Interior cold syndrome should open and disperse with pungent-warm， disperse and distribute defense Qi to warm the body. Phlegm-fluid retention should be pungency opening and discharging， soothing the Mo-Fu to distribute the water dampness. Blood stasis syndrome should sooth the membranes collaterals to activate Qi and blood and open the blocked mass., 百拇医药(刘绪银 雷霆)
〔关键词〕 膜府;疏达膜府;透泄法;分泄法;通脉络
〔中图分类号〕R2-0 〔文献标志码〕A 〔文章编号〕doi：10.3969/j.issn.1674-070X.2019.04.002
Treating Illnesses Should Smooth and Free the Mo-Fu System： The Mo-Fu
System Theory in Traditional Chinese Medicine IV
LIU Xuyin1， LEI Ting2
(1. Xinshao Hospital of Traditional Chinese Medicine， Xinshao， Hunan 422900， China;
2. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China)
〔Abstract〕 Mo-Fu system communicates inside and outside， involves Qi， blood， body fluid， communicates with nutrient Qi and defensive Qi， accepts and transfers pathogenic factors. The treatment of disease should always pay attention to dredging Mo-Fu in order to expel and disperse pathogenic Qi， regulate Qi， blood and body fluid， harmonize nutrient Qi and defensive Qi， and transport medicine to the diseased area. Drug used in dredging Mo-Fu should be pungent and bitter， light and flexible， and should be applied with syndrome differentiation based on etiology， disease location and disease nature. The upper Jiao should be pungency opening and bitter discharging， and relieving and eliminating. The middle Jiao should be pungent dispersing and bitter descending， and the lower Jiao should be pungent dispersing and dampness excreting. The diseases in defense-exterior should be treated with opening and penetrating pathogenic factors. Defense-exterior syndrome should pungent dispersing and sweating relieving. Tendons and bones disease is treated combined with opening and dredging collaterals. Interior excess heat syndrome should be dispersing and opening striae and interstice to purge heat. Heat at Qi aspect should be pungent dispersing and clearing purging. Heat entering nutrient-blood syndrome should open the membrane and purge heat. Interior deficiency heat syndrome should tonify the middle Qi and relieving. Interior cold syndrome should open and disperse with pungent-warm， disperse and distribute defense Qi to warm the body. Phlegm-fluid retention should be pungency opening and discharging， soothing the Mo-Fu to distribute the water dampness. Blood stasis syndrome should sooth the membranes collaterals to activate Qi and blood and open the blocked mass., 百拇医药(刘绪银 雷霆)