平乐正骨气血理论学术源流浅述

    肖碧跃1，郭艳幸2*，何清湖1，郭珈宜2，孙贵香1，刘密1，张云飞2

    (1.湖南中医药大学，湖南长沙410208；2.河南省洛阳正骨医院，河南洛阳471002)

    〔摘要〕中医学认为，气血是人体生命活动的物质基础。气血理论是中医临证的重要指导思想，最早形成于《黄帝内经》，后世医家不断发挥、创新，气血理论逐渐丰富。从《黄帝内经》《伤寒杂病论》《医林改错》《血证论》气血理论对平乐正骨的影响，探讨平乐正骨气血学说形成的脉络，有助于理解平乐正骨理论内涵。平乐正骨博采众长，并融合自身丰富的临床经验，继承创新，发挥气血理论：病因上，认为气血是人体生命活动的总纲，也是伤科病因病机之总纲；治疗原则上，提出早期以行气祛瘀，中期调和气血，晚期补益气血三期辨证的核心思想；用药上，强调气血互根，活血药与行气药并用；治疗手法上，强调运用手法后配合功能锻炼，旨在使筋骨放松，气血流通。

    〔关键词〕平乐正骨；气血；《黄帝内经》；《伤寒杂病论》；《医林改错》；《血证论》

    On the Academic Origins of Qi-Blood Theory of Pingle Bonesetting

    XIAO Biyue1, GUO Yanxing2*, HE Qinghu1, GUO Jiayi2, SUN Guixiang1, LIU Mi1, ZHANG Yunfei2

    (1. Hunan University of Chinese Medicine, Changsha, Hunan 410007, China; 2. Luoyang Bone-setting Hospital of Henan Province，Luoyang, Henan 471002, China)

    〔Abstract〕TCM believes that Qi and Blood is the material basis of human life activities. The Qi-Blood Theory is an important clinical guiding ideology of traditional Chinese medicine, the earliest was formed from Huangdi Neijing, later physicians continue to play and innovation it, this theory was graduallyrich. This paper discusses the formation of Qi-blood theory of Pinglebonesetting, from the theory in Huangdi Neijing, treatise on febrile and miscellaneous diseases, Yilin Gaicuo, blood syndrome theory, which can promote understanding the connotation of Pingle bonesetting theory. Pingle bonesetting learnt wildly from other's strong points and was based on self-experience for inheritance and innovation and to develop the Qi-blood theory. At the aspect of pathogenesis, Qi and blood is a superclass of the life activities of the human body, and is also the superclass of etiology and pathogenesis of department of traumatology. Its therapeutic principle claim that three -stages dialectical core thoughts: regulating qi and removing stasisat early stage, regulation of Qi-blood at medium stage, tonifying Qi-blood at advanced stage. The drug use focused on interdependence between Qi and blood, the blood-activation Chinese medicineand Qi -activating drug were used simultaneously. The therapeutic regimen highlighted using bone -setting manipulation and functional exercise for relaxing muscles and bones and circulating Qi-blood. ......