张仲景论温阳法

无论外感或内伤、还是正偏虚或邪偏实,疾病作用于人体主要表现为人体的功能障碍,治疗的终极目的在于恢复已损伤的功能。仲景温阳法的概念比温法要广泛,不同于简单的温中祛寒、回阳救逆、温经散寒,仲景温阳法则具体说明了如何"温",从而恢复阳气的相应功能。由于疾病作用于人体的整体性,连贯性,很多证型反映了阳气的多种功能障碍,如亡阳证多表现为肾阳虚衰、津液不固、寒凝经脉等,治疗则应把握其阳气欲脱的特性,治应回阳救逆,达到"异病同治"的效果。阴阳互根互用,扶阳气的同时也应考虑到阴津,治疗上须灵活变化,做到"观其脉证,知犯何逆,随证治之",如阴盛格阳、上热下寒、寒热错杂之证则须兼用寒凉以调整气机,恢复功能。

Discussion of Zhang Zhongjing's Yang-Warming Method

Whether it is exogenous contraction,internal injury,relatively deficient healthy qi or relatively excess pathogenic factor,the main reflection of a disease in a human body is the functional disorder.The ultimate objective of treatment is to restore the impaired function.The concept of yang-warming method by Zhongjing is more extensive than that of warming method,different from the simple methods of warming the middle energizer and dispelling cold,rescuing from collapse by restoring yang,warming the meridians and dispelling cold.Zhongjing's yang-warming method mainly illustrate the method of warming to restore the corresponding functions of yang qi.Due to the integrality,consistency of the disease,many syndromes reflects multiple functional disorder of yang qi.Syndrome of yang depletion mainly manifests as kidney yang decline,non-consolidation of body fluid,cold coagulating the meridians.In the treatment,the feature of yang qi collapse should be grasped and method of rescuing from collapse by restoring yang should be applied to achieve the effect of "different diseases treated with same method".During the consideration of interdependent and mutually promoting of yin and yang and restoration of yang qi,yin fluid should also be considered.Flexible treatment should be applied to "observe the meridian syndrome,identify the collapse and conduct treatment according to the syndrome".For instance,excessive yin refusing yang,heat in the upper and cold in the lower,simultaneous occurrence of cold and heat should be treated with cooling method to regulate qi movement and restore the function.