張元素“從肺治膀胱病”應用體會

摘要：張元素在《臟腑標本寒熱虛實用藥式·膀胱》提出從肺治療膀胱病的學術(shù)思想，筆者深刻領(lǐng)會這一觀點，認為膀胱病其本在于肺氣不利，宣降通調(diào)水道功能失職，而致膀胱氣化不利，從而發(fā)生膀胱病變。故治療上以清肺、補肺、潤肺、宣肺為原則，使氣機得暢，水液得布，膀胱氣化功能恢復而愈。

關(guān)鍵詞：張元素；膀胱??；從肺論治；體會

DOI：10.3969/j.issn.1674490X.2024.01.006

中圖分類號：R2文獻標志碼：A文章編號：1674490X（2024）01-0041-05

Application experience of “Treating Pangguang Diseases from the Perspective of Fei” by ZHANG Yuansu

WU Yatian1，SU Fengzhe2

（1.Songzhuang Community Health Service Center， Tongzhou District， Beijing 101100，China；2.Beijing Tongzhou District Integrated Chinese and Western Medicine Hospital， Beijing 101100，China）

Abstract： In Zhang Yuansus work “Practical Prescriptions for Cold and Heat Patterns of Zangfu Organs： Pangguang”，he introduces the academic concept of treating Pangguang diseases from the perspective of Fei. The author deeply appreciates this viewpoint， believing that the root cause of Pangguang diseases lies in the inadequacy of Feiqi， leading to dysfunction in the downward regulation and water passage functions. This， in turn， hinders the proper Qihua of the Pangguang， resulting in Pangguang pathologies. Therefore， the treatment approach emphasizes Qingfei， Bufei， Runfei， and Xuanfei to ensure smooth Qiji and proper distribution of fluids， thus restoring Pangguang Qihua functions and promoting healing. This artical summarizes the clinical application experiences.

Key words： ZHANG Yuansu；Pangguang diseases；Fei-based treatment approach；Experiences

張元素《臟腑標本寒熱虛實用藥式·膀胱》曰：“水在高源，上焦有火，則化源絕。（剩余5228字）