黄元御一气周流论中的气化思维*
作者：罗元珍，罗晓欣，胡方林
单位：湖南中医药大学中医学院，湖南 长沙 410208
引用：引用：罗元珍，罗晓欣，胡方林.黄元御一气周流论中的气化思维[J].中医药导报,2025,31(3):225-228.
DOI：10.13862/j.cn43-1446/r.2025.03.042
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摘要：一气周流论是黄元御学术思想的内核，其基础是气与气化，在经由己土之气激发肾中之阳为始的气化循环中，通过五脏六腑气化作用维持人身的基本生理功能。探讨黄元御一气周流的思想源流，其气化思维的具体枝节，以及受该思维影响下的遣方用药特色。一气周流是以中土为圆心，四脏为周始的循环模式，脾土引导的一气周流的另外两个气机循环是肝脾宜升、胆胃宜降的肝脾-胆胃循环和肝肺循环。在治疗用药上提炼黄元御善调中土、顺应气机升降、顾护阳气、重视互根的用药思想。
关键词：一气周流；气化；黄元御；肝脾-胆胃循环；肝肺循环
Abstract：
The theory of Qi circulation is the core of
HUANG Yuanyu's academic thought. Its foundation lies in Qi and Qi
transformation. In the Qi transformation cycle, which begins with the stimulation
of the kidney's Yang by the Qi of the earth, the basic physiological functions
of the human body are maintained through the Qi transformation actions of the
five internal organs. This paper explores the origin and development of HUANG
Yuanyu's theory of Qi circulation, examines the specific branches of his Qi
transformation thinking, as well as the characteristics of prescription and
medication influenced by this thinking. The Qi circulation follows a cycle
centered on the central earth, with the four organs as the starting points. The
other two Qi circulation systems guided by the spleen Qi are the liver-spleen
and gallbladder-stomach cycle, which promotes ascension, and the liver-lung
cycle. In terms of treatment and medication, HUANG Yuanyu's approach emphasizes
the proper regulation of the central earth, alignment with the Qi dynamics of
ascension and descent, protection of Yang Qi, and the importance of mutual
rooting in the use of medicine.
Key words：theory of Qi circulation; Qi transformation; HUANG Yuanyu; liver-spleen-gallbladder-stomach circulation; liver-lung circulation
发布时间：2025-12-16
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