从“无”与“有”的关系探索三焦理论及其临床运用

发布时间：2018-05-30 13:28

本文选题：三焦 + 无　；参考：《广州中医药大学》2016年硕士论文

【摘要】：目的：明确三焦之“有名而无形”的本义,理清脏腑三焦与部位三焦的区别与联系,总结并阐释三焦理论,并通过临床研究(结合具体病案)印证三焦理论以指导临床。方法：1.文献检索法：以三焦作为关键词在中国期刊网及广州中医药大学图书馆进行检索,收集对三焦形质进行论述的期刊论文及著作；以“无与有”作为关键词在广州中医药大学图书馆进行检索,收集相关的古藉。2.验案分析法：通过收集导师吴智兵门诊医案及其他医师医案,选取相关医案分析以印证三焦理论以临床。结果：1.收集了对三焦形质进行论述的期刊论文5篇、著作11部；收集了对“无”与“有”进行论述的相关著作5部；选取了验案3例。2.通过总结相关论文的论述,明确了三焦的争论点：形质的“无”与“有”。3.通过相关著作中对“无”与“有”的论述总结了二者的关系：(1)“有”恃“无”而生,但“无”并非直接生成有,而是具备生化万物的势能；(2)“无”为“有”即万物提供空间,使万物在其中生存发展,万物之间也相互联系,形成一平衡状态而为万物的生存发展提供一基础。并以此取类比象,运用于人体。4.通过系统阐述“无”的意义,对相关文献重新进行分析,阐述了三焦之无形,无之以为用,而为其当中的各脏腑经络、形体官窍提供存在的空间。三焦为气血津液的通道,故而其在功能上,为机体以五脏为中心的5个系统的功能整合,即气化以保持三焦的畅通,使气血津液能周流不息。5.分析了气郁、痰饮、瘀血的形成机制及其相互联系,进一步论述了三焦理论。6.分析3个验案,印证三焦理论并总结其临床应用。结论：三焦之无形,无之以为用,而为其当中的各脏腑经络、形体官窍提供存在的空间;其功能则为五脏为中心的5个系统的功能整合,即气化以保持三焦的畅通,使气血津液在其中能畅通运行而周流不息。各种病理产物为三焦因各种病因使气血津液在其中运行不畅而形成,须在理气、化痰、活血的基础上,为恢复三焦的通畅,兼顾各脏腑对各种病理产物形成所起的作用上整体待之,以使气血津液畅通运行而周流不息。
[Abstract]:Objective: to clarify the original meaning of "famous but invisible" of Sanjiao, to clarify the difference and relation between the three Jiao of the viscera and the part, to summarize and explain the theory of the three coke, and to confirm the theory of the three Jiao through clinical research (combined with specific medical records) to guide the clinical practice. Method 1: 1. Literature Retrieval: using Sanjiao as a key word in the Chinese Journal Network and the library of Guangzhou University of traditional Chinese Medicine to collect the journal papers and works on Sanjiao. To "none and have" as the keyword in Guangzhou University of traditional Chinese Medicine library to carry out the search, collect the relevant ancient nationality. 2. Case analysis: through collecting the medical records of Wu Zhibing outpatient clinic and other doctors, selecting relevant medical records to confirm the theory of Sanjiao. The result is 1: 1. This paper has collected 5 papers and 11 books on tri-coke quality, collected 5 related works on "none" and "you", and selected 3 cases. By summing up the discussion of related papers, this paper clarifies the issues of Sanjiao: the form of "none" and "you". 3. This paper sums up the relationship between "Wu" and "you" in the relevant works: "there is nothing", but "nothing" is not directly generated, but has the potential energy of biochemistry. ("none" provides space for "being", that is, all things. In which all things exist and develop, all things are related to each other, forming a balanced state and providing a foundation for the survival and development of all things. And with this analogy image, applied to the human body. 4. By systematically expounding the meaning of "nil", analyzing the related literature again, this paper expounds the invisible of the three Jiao, which can be used for the purpose, and provides the space for the existence of the organs and meridians and the official orifices of the body. Tri-Jiao is the passage of qi, blood and body fluid, so its function is the function integration of five systems centered on the five viscera, that is, gasification to maintain the smooth flow of the three Jiao, so that the fluid of qi and blood can flow continuously .5. This paper analyzes the formation mechanism of qi depression, phlegm and blood stasis and their interrelation, and further discusses the theory of Sanjiao. 6. Three cases were analyzed to confirm the theory of Sanjiao and to sum up its clinical application. Conclusion: the function of the three Jiao is the function integration of the five systems centered on the five viscera, that is, gasification in order to keep the smooth flow of the three Jiao, and to provide the space for the existence of the organs and meridians, and the official orifices of the body. So that qi and blood fluid in which can run smoothly and flow. All kinds of pathological products are formed because of various etiological factors, which make qi, blood and body fluid run unobstructed. On the basis of regulating qi, resolving phlegm and promoting blood circulation, we must restore the unobstructed flow of the three coke. The function of various viscera organs on the formation of various pathological products should be taken into account in order to make qi, blood and body fluid run smoothly and flow continuously.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R223

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