神经药理学报

神经药理学报 ›› 2026, Vol. 16 ›› Issue (2): 45-.DOI: 10.3969/j.issn.2095-1396.2026.02.007

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基于“形气观”对《金匮要略》“惊悸吐衄下血病”诊治规律的研究

赵坤，赵宏照，韩亚飞，马圆，张磊，王莹
  

  1. 河北北方学院中医学院，张家口，075000，中国
  • 出版日期:2026-04-30 发布日期:2026-06-16
  • 通讯作者: 王莹，教授，硕士研究生导师；研究方向：从事张仲景诊治疾病的规律研究
  • 作者简介:赵坤，讲师，硕士；研究方向：从事张仲景诊治疾病的规律研究
  • 基金资助:
    河北省2020 年度省属高校基本科研业务费项目（No.JYT2020015）

Research on the Diagnosis and Treatment Patterns for Palpitation and Bleeding Disorders in the Synopsis of the Golden Chamber Based on the Form-Qi Theory

ZHAO Kun, ZHAO Hong-zhao, HAN Ya-fei, MA Yuan, ZHANG Lei, WANG Ying   

  1. College of Traditional Chinese Medicine, Hebei North University, Zhangjiakou, 075000, China
  • Online:2026-04-30 Published:2026-06-16

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摘要：

《金匮要略》“惊悸吐衄下血病”为心与血脉的病变，心与血脉的关系为心所储藏的太阳、火气对血脉的 化生与充养作用，即形与气的关系。故“惊悸吐衄下血病”产生的原因为心及心所储藏的太阳、火气出现了异常， 心出现异常的原因为：①心之太阳、火气不足；②心被水扰；③心被寒伤。心所储藏的太阳、火气出现异常的原因 为：①水湿盛损伤太阳、火气；②寒气盛损伤太阳、火气；③火热盛损伤太阳、火气。治疗当用桂枝、甘草等甘温或 者黄芩、侧柏叶等苦味之品补心之太阳、火气，兼以黄连、大黄、浆水等清热泻火，茯苓、白术、半夏、蜀漆、赤小豆 等祛痰浊水湿，附子、干姜、艾叶等温阳散寒之品祛太阳、火气损伤之因。

关键词: 心, 脉, 形气观, 惊悸, 吐衄, 下血

Abstract:

In the Synopsis of the Golden Chamber, the section on "Trembling, vomiting, and bleeding" addresses pathologies of the heart and blood vessels. The relationship between the heart and blood vessels is the transformation and nourishment of the pulse by the sun and fire energy stored in the heart, that is, the relationship between form and qi. The reason for the occurrence of "palpitations, vomiting, and bleeding" is the abnormality of the heart and the stored sun and fire energy in the heart. The reason for the abnormality of the heart is: ① insufficient sun and fire energy in the heart; ② Heart disturbed by water; ③ My heart was hurt by the cold. The reason for the abnormality of the sun and fire stored in the heart is: ① Water dampness can damage the sun and fire; ② Excessive cold can damage the sun and fire; ③ Hot heat can damage the sun and fire energy. The treatment should use sweet and warm products such as cassia twig and licorice, or bitter products such as Scutellaria baicalensis and Platycodon grandiflorus leaves to nourish the sun and fire energy of the heart. It should also use products such as Huanglian, Dahuang, and Jiangshui to clear heat and eliminate fire, while products such as Poria cocos, Atractylodes macrocephala, Pinellia ternata, Sichuan lacquer, and adzuki beans can remove phlegm, turbid water, and dampness. Additionally, products such as Fuzi, dried ginger, and mugwort leaves can warm the yang and dispel cold to eliminate the damage.

Key words: heart, pulse, shape and qi observation, trembling, vomiting bleeding, bloodshed

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