何昌生　贾晨光　刘丽杰　郑锦英

[摘要] 王明福老中医遵古训、师前贤，发新义，多年来潜心中医临床研究，在诊治内科杂病方面取得了很好的临床疗效。尤其从气机理论诊治内科杂病疗效显著，故本研究从理法方药角度对其进行了总结，即明析气机理论，气机理论是独具中医特色的基础理论之一，气机理论从气机动态演化的角度出发，对人体总的生命活动和脏腑功能特性的高度概括；熟用理气之法，在临证时重视理气诸法的应用。将理气法分为燥理、润理、温理、消理、通理、降理、散理、舒理、理气活血九法；谙选四逆散方，遵《内经》旨“木郁者达之”，四逆散是王师临证常用之方，先顺其条达之性，开其郁遏之气；巧择疏理之品。

[关键词] 王明福老中医；气机理论；诊治经验

[中图分类号] R259；R249 [文献标识码] B [文章编号] 2095-0616（2016）09-56-03

[Abstract] Based on abiding by the old wisdom，learning from the ancient sages，and generating new ideas，TCM expert Ming-Fu Wang dwells on the clinical research of TCM for years，and carries the qi functional activity theory of TCM forward greatly，which proofed to be significantly effective in the treatment of various internal medicine diseases.In this paper，we summarized the theory from the principle-method-recipe-medicines aspects.Firstly，clarifying the qi functional activity theory，which is one of the unique basic TCM theories，and highly generalizes the human life activities and internal organ features from the dynamic evolution of qi functional activities.Secondly，applying the qi regulation methods skillfully in clinical practices，which include nine parts：dry processing，moist processing，warm processing，elimination processing，relaxation processing，lowering processing，dispersing processing，dispelling processing，and qi regulating combined with blood activating.Thirdly，prescribing the sini powder correctly，according the “removing the hapetic qi stagnation” from Huang Di Nei Jing，the sini powder is the very common Chinese medicine prescribed by doctor Wang，which coordinates the functions and relieves the qi stagnation of internal organs.Finally，choosing the foods and drugs properly and theoretically.

[Key words] TCM expert Mingfu Wang； Qi functional activity theory；Experience of diagnosis and treatment

王明福主任医师，从事中医内科临床近40年，潜心研究内科疾病的诊疗，积累了丰富的经验。2011年被聘为第四批北京市级老中医药专家学术经验继承工作指导老师，2015年入选全国基层名老中医药专家传承工作室指导老师。王师遵古训、师前贤，发新义，从气机理论诊治内科杂病，现从理法方药角度加以整理总结如下。

1 明析气机理论

气机理论是独具中医特色的基础理论之一，气机升降理论是其重要组成部分，生命活动的正常进行离不开脏腑气机的升降变化[1-2]。内科杂病多因人体气机活动失调，变生百病。王师以气机理论思维指导内科杂病的临床诊疗，从而善于在斑驳复杂