| 项嘉煊,刘瑜婷,项思微,夏永良,陈意.夏永良从气血通荣理论辨治手足厥冷[J].浙江中西医结合杂志,2026,36(4): |
| 夏永良从气血通荣理论辨治手足厥冷 |
| A Preliminary Analysis of Professor XIA Yongliang's Experience in Treating Cold Extremities from the Perspective of Qi and Blood Disorders |
| 投稿时间：2025-07-16 修订日期：2025-10-26 |
| DOI： |
| 中文关键词: 手足厥冷 四肢不温 气血通荣 不通则冷 不荣则冷 夏永良 名医经验 寒厥 |
| 英文关键词:Cold extremities Limbs not warming Qi-blood circulation and nourishment Cold due to obstruction Cold due to malnourishment XIA Yongliang Experience of renowned physicians Cold syncope |
| 基金项目:陈意全国名中医传承工作室建设项目(国中医药办人教函[2022]245号)；陈意全国名老中医药专家传承工作室建设项目(国中医药人教发[2011]41号)；浙江省陈意国医名师传承工作室建设项目(浙中医药[2020]12号) |
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| 中文摘要: |
| 手足厥冷总属气血失和,精微不达四末。夏永良教授提出以“气血通荣”为辨治枢要,总结其核心病机为“不通则冷”与“不荣则冷”。“不通”者,乃气滞、血瘀、寒凝壅遏,阳气不布；“不荣”者,责之气血亏虚,输布乏力,四肢失温。治疗上,夏师创立“通、补、调”三法并施:以理气开郁、活血化瘀之“通法”疏其郁滞；以益气养血之“补法”充养气血之源；以燮理阴阳、调和营卫之“调法”固气血之本。三法旨在疏其郁滞,荣其气血,俾气血调和,周流无碍,则四肢得温,厥冷自除,疗效显著。 |
| 英文摘要: |
| Cold extremities fundamentally result from disharmony of qi and blood, leading to a failure of essential nutrients reaching the limbs. Professor XIA Yongliang proposed the "Qi-Blood Circulation and Nourishment" theory as the pivotal principle for syndrome differentiation and treatment, summarizing its core pathogenesis as "Cold due to Obstruction" and "Cold due to Malnourishment" . "Obstruction" refers to qi stagnation, blood stasis, or cold congelation blocking the flow, preventing yang qi from distributing warmth. "Malnourishment" arises from qi and blood deficiency, resulting in insufficient transportation and failure to warm the limbs. For treatment, Professor XIA established the combined application of three methods: "Unblocking" , "Tonifying" , and "Regulating" . The "Unblocking Method" dredges stagnation. The "Tonifying Method" replenishes the source of qi and blood. The "Regulating Method" consolidates the foundation of qi and blood. These three methods work synergistically to remove stagnation, nourish qi and blood, restore their harmonious and unobstructed circulation, warm the limbs, resolve the coldness, and achieve significant clinical efficacy. |
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