胃肠积热态场论OA

State and field theory of gastrointestinal heat retention

中文摘要英文摘要

胃肠积热是临床常见证候,各年龄段均有发生.本文基于中医经典和多年临床实践,综合证候、疾病、症状多维度概念,创新性地确立了"态场"的核心概念,指出态场论即辨识场内事物之五态、场外病所的思辨过程及方法.并由此提出"胃肠积热态场论"的学术观点,系统阐释胃肠积热"气血态""病势态""病理态""证性态""形神态"五态,及兼上蒸清窍、上扰心脑、上迫肺系、下移肾膀四场."态场"的提出,旨在融通证、病、症的多维视角,联结时空变化的动态过程,从而更贴切地诠释胃肠积热在病机演进中的全貌与实质,并指导刻下辨治,预防病证,阻断传变.并以本团队构建的胃肠积热态场全链条研究体系为例,以证统病,系统展示了其实践意义和科学内涵,有利于发挥中医药全周期健康管理优势.

The gastrointestinal heat retention is a clinically prevalent pattern occurring across all age groups.Based on classical traditional Chinese medicine classics and decades of clinical practice,this paper integrates the multidimensional concepts of pattern,disease,and symptom to innovatively establish the core concept of the"state and field"theory.We define this state and field theory as a dialectical process and methodology for identifying the five states within a given field and locating pathological fields outside it.Building upon this,we propose the academic perspective of the"state and field theory of gastrointestinal heat retention."The paper provides a systematic explanation of the theory's five states in the context of gastrointestinal heat retention:"qi-blood state,""pathogenetic momentum state,""pathological manifestation state,""syndrome nature state,"and"body-mind integration state."It further elaborates on the four associated fields:upward steam affecting the upper orifices,upward disturbance affecting the heart and mind,upward invasion affecting the pulmonary system,and downward migration affecting the kidney and bladder.The introduction of the"state and field"concept aims to synthesize the multidimensional perspectives of pattern,disease,and symptom,while connecting the dynamic process of spatiotemporal changes.This framework offers a more precise interpretation of the complete picture and the essence of gastrointestinal heat retention throughout its pathological evolution.It guides immediate pattern differentiation and treatment,aids in disease prevention,and blocks pathological transmission.Exemplified by our team's full-chain research framework for the state and field theory of gastrointestinal heat retention,the theory operationalizes syndrome dominating disease to demonstrate its clinical efficacy and scientific validity.This approach will facilitate leveraging the strengths of traditional Chinese medicine in holistic and full-cycle health management.

谷晓红

北京中医药大学 北京 100029

医药卫生

胃肠积热态场五态四场

gastrointestinal heat retentionstate and fieldfive states and four fields

《北京中医药大学学报》 2026 (5)

593-600,8

国家自然科学基金项目(No.82574999)国家中医药管理局高水平中医药重点学科建设项目——中医疫病学(No.zyyzdxk-2023264)中央高校基本科研业务费专项资金(No.2024-JYB-JBZD-038) National Natural Science Foundation of China(No.82574999)

10.3969/j.issn.1006-2157.2026.05.001

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