《伤寒论》中诸“结”治法方药研究
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摘要
"结"在《伤寒论》中的理论体系,可概括为人体部位、病(证)名、症状、脉象、病机和治法。文章系统整理《伤寒论》中"结"的治法,且依据所"结"形制和部位的不同,共分5类散结之法:有形之结以"高者因而越之""下者引而竭之""中满者泻之于内"之法,分别选取栀子豉汤、大小陷胸汤(丸)、桃核承气汤、抵挡汤(丸)等散有形之结。无形邪结以"针刺之法",取期门、大椎穴等散无形邪结。此外,结者兼有表邪,可取桂枝汤方、柴胡桂枝汤方,先散在表之邪,或两解表里之邪。
The theoretical system of ‘knot' in Shanghan Lun can be summarized as human body parts, disease name,symptoms, pulse, pathogenesis and method of treatment. This article systematically sorts out the method of treatment of ‘knot' in the Shanghan Lun. According to the different forms and parts of the ‘knot', there are five types of resolving masses methods: the tangible knot is resolved by Zhizichi Decoction, Daxiaoxiong or Xiaoxianxiong Decoction(Pill), Taoren Chengqi Decoction and Didang Decoction(Pill), according to ‘the upper part of the disease can be treated by lifting or pouring', ‘the lower part of disease can be treated with diarrhea and infiltration' and ‘amassment disease in middle jiao can be treated by regulating qi-flowing for activating stagnancy'. The invisible knot is resolved by acupuncturing Qimen(LR14) and Dazhui(DU14) and so on. In addition,the knots with superficies pathogens can be treated by relieving superficies or reconciling superficies and interior to resolve pathogen with Guizhi Decoction and Chaihu Guizhi Decoction.
The theoretical system of ‘knot' in Shanghan Lun can be summarized as human body parts, disease name,symptoms, pulse, pathogenesis and method of treatment. This article systematically sorts out the method of treatment of ‘knot' in the Shanghan Lun. According to the different forms and parts of the ‘knot', there are five types of resolving masses methods: the tangible knot is resolved by Zhizichi Decoction, Daxiaoxiong or Xiaoxianxiong Decoction(Pill), Taoren Chengqi Decoction and Didang Decoction(Pill), according to ‘the upper part of the disease can be treated by lifting or pouring', ‘the lower part of disease can be treated with diarrhea and infiltration' and ‘amassment disease in middle jiao can be treated by regulating qi-flowing for activating stagnancy'. The invisible knot is resolved by acupuncturing Qimen(LR14) and Dazhui(DU14) and so on. In addition,the knots with superficies pathogens can be treated by relieving superficies or reconciling superficies and interior to resolve pathogen with Guizhi Decoction and Chaihu Guizhi Decoction.
引文
[1]明·方有执.伤寒论条辨续注.北京:中国中医药出版社,2009:103
[2]张长恩.栀子豉汤证探究.北京中医,1992,26(2):38-40
[3]清·汪琥.伤寒论辨证广注.北京:中国中医药出版社,2016:304
[4]金·成无己.伤寒明理论.北京:学苑出版社,2008:53-54
[5]烟建华.《内经》因势利导治疗法则及其临床应用研究.中国医药学报,2002,17(10):582-585
[6]清·钱潢.伤寒溯源集.北京:学苑出版社,2008:114
[7]韩延华,姜勋.《伤寒论》中的泻下剂及其配伍规律浅析.河南中医,2010,30(9):833-836
[8]章浩军,郭永健.《伤寒论》“结”之内涵探析.江西中医药,2003,34(4):12-13
[9]朱中书,刘方铭.《灵枢》“解结”理论浅谈.中国针灸,2014,34(11):1087-1088
[10]储全根,周建英.仲景用针作用概要.陕西中医,1990(2):94
[11]张逸雯,胡镜清,许伟明,等.中医学“结”的内涵研究.中医杂志,2018,59(18):1531-1534
[12]李艺,冼绍祥,李南夷.《内经》结与结证初探.新中医,2016,48(8):6-8
[13]张芯.从热实结胸探讨“结”病机.中华中医药杂志,2017,32(4):1847-1849
[2]张长恩.栀子豉汤证探究.北京中医,1992,26(2):38-40
[3]清·汪琥.伤寒论辨证广注.北京:中国中医药出版社,2016:304
[4]金·成无己.伤寒明理论.北京:学苑出版社,2008:53-54
[5]烟建华.《内经》因势利导治疗法则及其临床应用研究.中国医药学报,2002,17(10):582-585
[6]清·钱潢.伤寒溯源集.北京:学苑出版社,2008:114
[7]韩延华,姜勋.《伤寒论》中的泻下剂及其配伍规律浅析.河南中医,2010,30(9):833-836
[8]章浩军,郭永健.《伤寒论》“结”之内涵探析.江西中医药,2003,34(4):12-13
[9]朱中书,刘方铭.《灵枢》“解结”理论浅谈.中国针灸,2014,34(11):1087-1088
[10]储全根,周建英.仲景用针作用概要.陕西中医,1990(2):94
[11]张逸雯,胡镜清,许伟明,等.中医学“结”的内涵研究.中医杂志,2018,59(18):1531-1534
[12]李艺,冼绍祥,李南夷.《内经》结与结证初探.新中医,2016,48(8):6-8
[13]张芯.从热实结胸探讨“结”病机.中华中医药杂志,2017,32(4):1847-1849
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