《素问·五常政大论》指出:“气反者,病在上,取之下;病在下,取之上;病在中,旁取之。”所谓“气反”,即病气相反,系指疾病内在的病理变化和外在的症侯表现在部位上不相一致。而“病在上,取之下;病在下,取之上;病在中,旁取之。”则是针对“气反”的病理特点所制定的特殊治疗原则。临床运用上述理论来治疗“气反”病证,收效显著。兹择“上病下取”和“下病上取”治疗“气反”病证验案三则,并略谈体会如下: 病案举例 (一)釜底抽薪治鼻衄刘某某,女,32岁。农民。1982年4月14日就诊。左侧鼻衄3天,血色鲜红,其量较多。曾 The “Su Wen Wu Chang Zheng Da Lun” pointed out: “The people who are angry are sick, they are sick, and they take it; the sick are down and take it; the sickness is in the middle, and they take it next.” The so-called “spirited” is the opposite of sickness. It refers to the intrinsic pathological changes of the disease and the appearance of external symptoms that are not consistent at the site. And “the disease is on the top, take it down; the disease is on the bottom, take the top; the disease is in the middle, next to take it.” is a special treatment principles for the pathological characteristics of “anti-qi”. The above theories are used clinically to treat “anti-gas” syndromes, which have yielded significant results. We will choose three cases of “advancement from illness” and “advancement from illness” to treat three cases of “anti-gas” syndromes. We will briefly discuss the followings: Examples of medical records (1) The bottom of the kettle is used to treat nosebleed Liu Moumou, female, 32 years old. Farmers. He was referred on April 14, 1982. The left side of the nose for 3 days, bright red blood, the amount of more. Once