基于一气周流理论探究下气汤在慢性胃炎治疗中的应用

Exploring the Application of Xiaqi Decoction in the Treatment of Chronic Gastritis Based on the Theory of the Circulation of One Qi

摘要: 慢性胃炎(chronic gastritis)是由多种病因引起的胃黏膜慢性炎症，是我国人群最常见的消化系统疾病，目前我国基于内镜诊断的慢性胃炎患病率接近90%。一气周流论是清代名医黄元御在《四圣心源》里提出的，其核心思想是气机升降论，是对《黄帝内经》气机升降论的发挥。下气汤出自黄元御的学术精华之作《四圣心源》，此方立法旨在健脾祛湿，宣肃肺气，使中气轮转，气机升降有序，水火既济，寒热有位。为中医临床治疗慢性胃炎提供了一个新的思路，值得我们更深一步的学习和探讨。

Abstract: Chronic gastritis is a chronic inflammation of the gastric mucosa caused by various etiologies. It is the most common digestive system disease among the Chinese population. Currently, the prevalence of chronic gastritis diagnosed by endoscopy in China is close to 90%. The theory of the circulation of one Qi was proposed by Huang Yuanyu, a renowned physician of the Qing Dynasty, in his work “Sisheng Xinyuan”. Its core idea is the theory of the ascending and descending movement of Qi, which is an elaboration of the theory of the ascending and descending movement of Qi in the “Huangdi Neijing”. The Xiaqi Decoction is derived from Huang Yuanyu’s academic masterpiece “Sisheng Xinyuan”. This formula aims to strengthen the spleen and eliminate dampness, clear and invigorate the lung Qi, promote the circulation of the middle Qi, ensure the orderly rise and fall of Qi, balance water and fire, and balance cold and heat. It provides a new idea for the clinical treatment of chronic gastritis in traditional Chinese medicine and is worthy of our further study and exploration.