[1]成路平、,王高雷,杭程,等.名中医米烈汉“宗气为后天之本”学术思想探析[J].陕西中医,2026,(1):86-91.[doi:DOI:10.3969/j.issn.1000-7369.2026.01.015]
　CHENG Luping,WANG Gaolei,HANG Cheng,et al.Professor MI Liehan’s academic thought of “Zong Qi as the foundation of acquired constitution”[J].,2026,(1):86-91.[doi:DOI:10.3969/j.issn.1000-7369.2026.01.015]
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名中医米烈汉“宗气为后天之本”学术思想探析

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年1期
页码:
86-91
栏目:
名中医经验
出版日期:
2026-01-05

文章信息/Info

Title:
Professor MI Liehan’s academic thought of “Zong Qi as the foundation of acquired constitution”
作者:
成路平1、2; 王高雷1; 杭程1; 黄倩1; 严廷巍3; 李怡2; 路波1
（1.陕西省中医医院，陕西 西安 710003；2.陕西中医药大学，陕西 咸阳 712046；3.西宁市中医医院，青海 西宁 810000）
Author(s):
CHENG Luping1、2; WANG Gaolei1; HANG Cheng1; HUANG Qian1; YAN Tingwei3; LI Yi2; LU Bo1
(1.Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi’an 710003，China;2.Shaanxi University of Chinese Medicine,Xianyang 712046，China;3.Xining Hospital of Traditional Chinese Medicine,Xining 810000，China)
关键词:
宗气; 后天之本; 培补宗源; 益气充宗; 固摄守宗; 敛精归海
Keywords:
Zong qi; Foundation of acquired constitution; Nourishing zong qi origin; Replenishing qi to enrich Zong Qi; Consolidating zong qi; Astringing essence to return to the qi sea
分类号:
R 22
DOI:
DOI:10.3969/j.issn.1000-7369.2026.01.015
文献标志码:
A
摘要:
宗气学说肇始于《黄帝内经》，经历代医家发展渐成体系。米烈汉教授提出“宗气为后天之本”的创新理论，认为宗气是生命动力系统的核心本源，统摄呼吸、循环、运动等多维功能，将“后天之本”从脾胃运化的“物质输入”维度，跃迁至宗气生化的“能量转化”维度，强调宗气汇聚生成于胸中气海，灌注于气街，贯心脉行生气，为全身诸气之宗帅，为生命后天之宗主。设定“培补宗源、益气充宗”“固摄守宗、敛精归海”“疏肝调枢、涤痰畅宗”“破瘀通脉、畅达气街”相关治法，创制米氏抗纤汤等系列方剂，使宗气学说从《内经》的生理概念发展为涵盖病因病机、诊断治疗的系统学说，本文从理论渊源、学术创新、临床应用三方面较为系统地探索分析阐述了米烈汉教授这一学术思想，认为该理论的贡献不仅在于理论创新，更在于构建起传统医学与现代科技对话的桥梁。
Abstract:
The Zong Qi theory originated from Huangdi Neijing (The Yellow Emperor’s Inner Canon) and gradually evolved into a systematic framework through the development by physicians of successive dynasties.Inheriting the century-old academic essence of Chang’an MI’s Internal Medicine and integrating over fifty years of clinical experience,Professor MI Liehan proposed the innovative theory of “Zong Qi as the foundation of acquired constitution”,asserting that Zong Qi serves as the core origin of the vital dynamic system,governing multi-dimensional functions such as respiration,circulation and movement.This theory shifts the concept of the “foundation of acquired constitution” from the dimension of “material input” via spleen-stomach transportation and transformation to the dimension of “energy transformation” through Zong Qi biogenesis,emphasizing that Zong Qi is generated and accumulated in the chest qi sea (Danzhong),perfuses into the Qi Street,penetrates the heart vessels to activate vital qi,and acts as the commander of all bodily qi as well as the postnatal sovereign of life.By formulating therapeutic principles including “nourishing Zong Qi origin and replenishing qi to enrich Zong Qi”,“consolidating Zong Qi and astringing essence to return to the qi sea”,“soothing the liver,regulating the pivot,eliminating phlegm and smoothing Zong Qi”,and “breaking blood stasis,unblocking vessels and activating the Qi Street”,and creating series of prescriptions,the Zong Qi theory has been transformed from a physiological concept in Neijing into a systematic theory covering etiology,pathogenesis,diagnosis and treatment.This paper systematically explores,analyzes and expounds Professor MI Liehan’s academic thought from three aspects of theoretical origin,academic innovation and clinical application,holding that the contribution of this theory lies not only in theoretical innovation,but also in constructing a bridge for dialogue between traditional medicine and modern technology.

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备注/Memo

备注/Memo:
国家中医药管理局第四届国医大师和第二届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）；陕西省中医药管理局项目（SXZYYZDXK-2024006，2021-ZZ-JC027）；西宁市中医院公立医院改革与高质量发展示范项目；全国中医学术流派传承工作室第二轮建设项目(国中医药人教函〔2019〕62号)
更新日期/Last Update: 2026-01-08