基于“一气周流”之大小周流论治儿童慢性支气管哮喘

Treatment of Children’s Chronic Bronchial Asthma Based on the Theory of Major and Minor Qi Circulation in the “Yi Qi Zhou Liu”

摘要: “一气周流”的基础是气之气化，以己土之气激发肾中之元阳为始，随后五脏六腑气化作用维持人身的基本生理功能。气化循环有以中土为圆心，四脏为周始的循环模式，此为“一气周流”之大循环，还包括肝脾–胆胃循环、肝肺循环。基于“一气周流”的大循环和小循环，本文将儿童支气管哮喘的中医病机概括为脾土失运，宿痰伏肺；胆火上逆，风火炼液成痰；肝郁肺闭，痰瘀闭阻；阳虚水寒，肾虚不纳。治疗上调中土、调肝胆、化痰散瘀、补肾纳气。使脾土健运，气化循环，则哮喘得消。

Abstract: The basis of “Yi Qi Zhou Liu” is the gasification of qi, which starts with the qi of one’s own soil stimulating the Yuan Yang in the kidney, and then the gasification of the five internal organs maintains the basic physiological functions of the human body. There is a circulation pattern of qi circulation with the middle earth as the center and the four organs as the beginning, which is a great circulation of “Yi Qi Zhou Liu”, including liver-spleen-gallbladder-stomach circulation and liver-lung circulation. Based on the large circulation and small circulation of “Yi Qi Zhou Liu”, this paper summarizes the pathogenesis of bronchial asthma in children as follows: spleen and soil lose transport, phlegm accumulates in the lungs; the gallbladder fire goes up, and the wind and fire refine the liquid into phlegm; liver stagnation and lung obstruction, phlegm and blood stasis obstruction; Yang deficiency Shui Han, kidney deficiency is not acceptable. Treatment up-regulates the middle earth, regulates the liver and gallbladder, eliminates phlegm and removes blood stasis, and tonifies the kidney and accepts qi. Make the spleen and soil healthy and circulate, and asthma will disappear.