三焦与营卫气生成关系浅谈

摘要

[目的]探究三焦的得名、功能及与营卫气生成之间的关系。[方法]以现存最早的古本《黄帝内经》类编注释本《黄帝内经太素》为研究材料，从三焦的位置、功能，以及三焦发挥功能的方式，揭示营卫气的来源、生成条件以及三焦在其中所发挥的作用。[结果]医经及杨注揭示：三焦的得名是五脏六腑下面众多虚而不实的焦膜，三焦有形有质。上焦在胃上口，功能如雾；中焦在胃中口，功能如沤；下焦在胃下口，功能如渎。营卫气来源于胃纳水谷，生成的条件是中焦、上焦水谷泌津液。[结论]胃纳水谷生津液，其清者上行，浊者糟粕下行。上焦泌津液为卫气，中焦泌津液为营血。三焦归六腑，有形有质。《内经》引进三焦的概念，完整地解释了津液如何变而赤为血进入手太阴肺经，糟粕溲液如何生成进入膀胱，也就是说，三焦解释了营养是如何吸收、糟粕是如何排除这一任何医学都要解释的最基本问题。%Objective]Inquire into the relations between triple burners acquiring name, the function and production of Ying Wei Qi. [Method] Taking the annotation “ Taisu of Medical Classic of the Yellow Emperor”of the extant earliest old book Medical Classic of the Yellow Emperor as study material, from the triple burners position, the function, as well as the way of triple burners displaying function, it reveals the Ying Wei Qi origin, the production condition as well as the function among which triple burners displaying.[Result] Medical classics and Yang’s note revelation: Triple burners acquiring fame is from under the internal organs multitudinous empty but not solid burners membrane, the triple burners are visible and have the nature.The upper burner is in upper stomach opening, with function like fog;the middle burner is in middle stomach mouth, with function like bubbles;The lower burner is in the stomach end opening, with function like blasphemes.The Ying Wei Qi originates in the stomach absorbing water and food, the production condition is the upper and middle burners secreting the body fluids from the water and food.[Conclusion] The stomach absorbing water and food to promote saliva or body fluids, its clear upward, muddy dregs downward.The upper burner secretes the body fluids as a defensive energy, the middle burner secretes the body fluids as the nutrients and blood.The triple burners turn over to the six internal organs, visible with the nature."Internal Classics" introduces the concept of the triple burners, explaining completely how the body fluids change red blood and enter Hand Taiyin Lung Channel;how the dregs urine fluid produces and enters the urinary bladder, in other words, the triple burners explain how the nutrition is absorbed, how the dregs are removed, the most basic question which any medicines all need to explain.