摘要
上热下寒证是指热邪在上、寒邪在下致使阴阳不交、升降失常的证候。其具体可表现为人体头、面及胸膈等上部出现火热之象的同时,中下二焦等下部出现一派寒凉之象。从气机升降的角度出发,以“气”为落脚点,认为其形成主要责之于“气郁”,又可分为中焦枢机不利、心肾不能相交、三焦气机不通等异常情况。升降散具有升清降浊、并行寒热、宣通上下、同调气血之功,且处方简单,配伍精良。在使用升降散治疗上热下寒证时,可着重抓住“气郁”这一核心病机,凡病机符合气郁而三焦不畅、升降失常者,皆可灵活化裁以用之。
Upper-heat and lower-cold syndrome refers to the heat in the upper and cold in the lower,resulting in Yin and Yang non-intersecting and elevation disorder.Specifically,it can be manifested as the appearance of fiery heat in the upper parts such as the head,face,and chest diaphragm of the human body,while the lower parts such as the middle Jiao and lower Jiao show cold symptoms.Starts from the perspective of the ascending and descending of Qi mechanism,taking“Qi”as the starting point,it is believed that its formation is mainly attributed to“Qi stagnation”,which can be divided into abnormalities such as unfavorable pivot of the middle Jiao(spleen and stomach),the disharmony between the heart and kidney,and the obstruction of Qi movement in the Three Jiao.Shengjiang Powder has the functions of ascending the clear and descending the turbid,balancing heat and cold,dredging the upper and lower parts,and regulating Qi and blood simultaneously.Moreover,its prescription is simple with excellent compatibility.When using Shengjiang Powder to treat the syndrome of upper heat and lower cold,we can focus on the core pathogenesis of“Qi stagnation”.All those whose pathogenesis conforms to Qi stagnation,obstructed Tri-Jiao and disordered ascending and descending can be flexibly modified and used.
作者
谭雪琪
李智杰
Tan Xueqi;Li Zhijie(Hubei University of Chinese Medicine,Wuhan 430000,China;Wuhan Hospital of Traditional Chinese Medicine/National Medicine Hospital Affiliated to Hubei University of Chinese Medicine,Wuhan 430000,China)
出处
《亚太传统医药》
2025年第8期95-99,共5页
Asia-Pacific Traditional Medicine
基金
武汉市卫生健康委员会青年项目(WZ22Q50,WZ22Q52)。
关键词
升降散
上热下寒证
气机升降
临证经验
Shengjiang Powder
Upper-Heat and Lower-Cold Syndrome
Elevation of Qi
Clinical Experience
