Sanjiao differentiation and treatment of chronic pulmonary heart disease in the context of the"ying-wei imbalance"theory
10.3969/j.issn.1006-2157.2025.09.012
- VernacularTitle:"营卫倾移"理论视域下探讨慢性肺源性心脏病的三焦辨治
- Author:
Qiyu WEN
1
;
Luyang LIU
;
Kailong ZHOU
;
Jiarou WANG
;
Shuai LIANG
;
Weiwei ZHONG
;
Huiyuan SUN
Author Information
1. 北京中医药大学第三附属医院 北京 100029
- Publication Type:Journal Article
- Keywords:
ying-wei imbalance;
sanjiao differentiation and treatment;
chronic pulmonary heart disease;
qi transformation theory
- From:
Journal of Beijing University of Traditional Chinese Medicine
2025;48(9):1278-1284
- CountryChina
- Language:Chinese
-
Abstract:
The"ying-wei imbalance"theory originates from Inner Canon of Yellow Emperor,which refers to the dynamic pathological process of yingfen and weifen circulation,distribution,posture,strength,and weakness due to internal and external disturbance,emphasizing that"ying-wei imbalance"is the key to disease occurrence.The sanjiao,as the"envoy of primordial qi,"is central to yingfen and weifen,and the coordinated operation of yingfen and weifen depends on the promotion of the qi of sanjiao.Therefore,based on the yingfen and weifen theory and sanjiao differentiation and treatment,this paper discusses the etiology and pathogenesis of chronic pulmonary heart disease,as well as the syndrome differentiation approach."Ying-wei imbalance"is the core of this mechanism:in the early stage,the loss of yingfen and weifen nutrition,combined with the deficiency of the qi of sanjiao,allows exogenous pathogens to invade the lungs.During progression,dysfunction in the transportation function of yingfen and weifen,along with the stagnation of the qi of sanjiao,results in pulmonary and cardiac involvement,accompanied by phlegm accumulation and stagnation.The end stage is characterized by the failure of both ying and wei,along with dysfunction of the sanjiao and zang-fu organs,which interact to form a pathological chain of"qi disease involving body."Accordingly,the treatment principle of"harmonizing yingfen and weifen,giving sanjiao treatment"was proposed.This is implemented through three therapeutic strategies:"harmonizing""returning",and"astringing"aimed at restoring balance.In the early stage,treatment focuses on tonifying the lungs and consolidating the exterior to eliminate pathogenic factors and activate stagnation.The selected formula is Buyuan Decoction with modifications to harmonize sanjiao.During the developmental stage,treatment focuses on promoting collaterals and dispersing phlegm,utilizing the modified Xuefu Zhuyu Decocotion to facilitate the restoration of function to the sanjiao.In the final stage,Fuyang Decoction,with modifications,is used to resolve fluid retention and nourish both qi and blood.Discussions are closely focused on the syndrome differentiation system of"sanjiao-yingfen and weifen,"in order to offer a novel perspective on the management of chronic pulmonary heart disease.
