通讯作者: 龚文波, gongwenbo@126.com

DOI：10.12201/bmr.202603.00014

Analysis of Chronic Venous Edema of Lower Limbs Based on “Earth Attains Smoothness through Wood”

• 摘要：慢性下肢静脉性水肿以中气虚衰,升降失常,肝郁不达为由,日久则水聚络瘀,属本虚标实之证。故可基于“土得木而达”理论,从肝脾角度论治,治疗上强调以“运中枢、达木郁”为核心,融益气活血、培土建中、疏肝利水于一体,以复中焦斡旋、肝木疏泄,使一气周流枢转畅通,津血之行各安其道,而水肿自消。

  关键词： 慢性下肢静脉性水肿; 一气周流; 中气; 肝气

   

  Abstract: Chronic venous edema of the lower limbs is fundamentally rooted in deficiency of the Middle Qi, disruption of its ascending-descending movement, and constraint of Liver Qi failing to maintain free flow. Over time, this leads to fluid accumulation and blood stasis in the collaterals, constituting a deficiency-excess complex pattern. Therefore, guided by the principle that Earth (Spleen) obtains free flow through Wood (Liver), treatment should focus on the Liver and Spleen systems. The therapeutic strategy emphasizes activating the central pivot and relieving wood constraint as its core, integrating methods to tonify qi and invigorate blood, fortify earth (spleen) and strengthen the middle, and soothe the liver to promote water metabolism. This aims to restore the pivotal function of the Middle Jiao and the free coursing of Liver-Wood, thereby ensuring the unimpeded circulation of the unitary qi. When fluids and blood resume their proper pathways, edema resolves naturally.

  Key words: Chronic Venous Edema of Lower Limbs；Qi Circulation；Middle Qi；Liver Qi; ; ; 

  提交时间：2026-03-07

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• 序号	提交日期	编号	操作
  1	2026-02-02	10.12201/bmr.202603.00014V1	下载

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