·878·2023年8月第43卷第8期JilinJournalofChineseMedicineAug.2023Vol.43No.8DOI:10.13463/j.cnki.jlzyy.2023.08.003“三焦-玄府-气液”与慢性腹泻理论阐微沈爱花1,2,赵鲁卿2,李丹艳2,王瑞昕1,2,屈凡凡2,张声生2*(1.北京中医药大学,北京100029;2.首都医科大学附属北京中医医院,北京100010)摘要:慢性腹泻的中医发生发展机制与三焦、玄府功能失常密切相关。《内经》指出,三焦主通行诸气、主运行水液;玄府是津液流通和气机升降之“门户”,三焦和玄府在结构和功能上形成一个有机的整体。三焦通路的畅达和玄府开阖有度,在整个人体气液代谢过程中起着主宰作用。从“三焦‒玄府‒气液”理论出发,可以为慢性腹泻的中医治疗提供新思路。关键词:三焦;玄府;气液;慢性腹泻中图分类号:R256.34文献标志码:A文章编号:1003-5699(2023)08-0878-04Theoreticalinterpretationof"sanjiao-Xuanfu-qi-fluid"andchronicdiarrheaSHENAihua1,2,ZHAOLuqing2,LIDanyan2,WANGRuixin1,2,QUFanfan2,ZHANGShengsheng2*(1.BeijingUniversityofChineseMedicine,Beijing100029,China;2.BeijingHospitalofTraditionalChineseMedicine,CapitalMedicalUniversity,Beijing100010,China)Abstact:TheoccurrenceanddevelopmentmechanismofchronicdiarrheaintraditionalChinesemedicineiscloselyrelatedtothedysfunctionofsanjiaoandXuanfu,asHuangdiNeijingpointsoutthatthesanjiaogovernsthepassageofvariousqiandthewatermetabolism,whiletheXuanfuoperatesasthe"gateway"offluidsdistributionandqimovements.Accordingly,thesanjiaoandXuanfuformanorganicwholeintermsoftheirstructuresandfunctions.ThesmoothnessofthesanjiaopathwayandtheorderlyopeningandclosingofXuanfuplayadominantroleintheentirebody'sqi-fluidmetabolism.Therefore,basedonthetheoryof"sanjiao-Xuanfu-qi-fluid",thispaperdiscussesthepathogenesisandtreatmentofchronicdiarrheaintraditionalChinesemedicine,inordertoprovidesomenewideasforitsTCMtreatment.Keywords:sanjiao;Xuanfu;qi-fluid;chronicdiarrhea基金项目:北京市医院管理局重点医学专业发展计划项目(ZYLX201411)作者简介:沈爱花(1985—),女,博士研究生,主要从事中医药防治脾胃病研究*通信作者:张声生,电子信箱-zhangshengsheng@bjzhongyi.com慢性腹泻是消化系统常见的疾病,在老年人中较常见[1-2],发病时...