从《伤寒杂病论》中治疗肾病的经方诠释中药四气五味理论
|
摘要
四气五味是药性理论的核心内容,直接反映了药物的治疗作用,其主要思想是通过药物四气五味的偏性以调节阴阳,补救偏颇,诊疗疾病。通过阐述四气五味理论的基本内涵及其与肾病的密切联系,分析四气五味理论在《伤寒杂病论》治疗肾病经方中的应用,包括四气五味单药理论治疗肾病,四气五味配伍理论如寒热协同、寒热互制、寒热互补、辛甘化阳、酸甘化阴、辛开苦降等,以期启发肾病治疗的新思路,加深对四气五味理论的认识。
Four natures and five flavors theory is the core contents of property theory about traditional Chinese herbs,which directly shows the herbs' therapeutic effectiveness,whose main thoughts are to diagnose and cure diseases by regulating the balance of yin and yang with four natures and five flavors of herbs. This paper interpreted the basic connotation of four natures and five flavors theory and its close connection with kidney disease,and analyzed its application in the treatment of kidney disease by classic prescription in Treatise on Cold Pathogenic and Miscellaneous Diseases( 《伤寒杂病论》),including the four natures and five flavors' single medicine theory in treating kidney disease,four natures and five flavors' compatibility theory such as cooperation of the cold and the heat herbs,interaction of the cold and the heat herbs,complementation of the cold and the heat herbs,acridness and sweetness producing yang,sourness and sweetness producing yin,acridness ascending and bitterness descending,through which to enlighten the new idea of treating kidney disease and deepen the understanding of the four natures and five flavors theory.
Four natures and five flavors theory is the core contents of property theory about traditional Chinese herbs,which directly shows the herbs' therapeutic effectiveness,whose main thoughts are to diagnose and cure diseases by regulating the balance of yin and yang with four natures and five flavors of herbs. This paper interpreted the basic connotation of four natures and five flavors theory and its close connection with kidney disease,and analyzed its application in the treatment of kidney disease by classic prescription in Treatise on Cold Pathogenic and Miscellaneous Diseases( 《伤寒杂病论》),including the four natures and five flavors' single medicine theory in treating kidney disease,four natures and five flavors' compatibility theory such as cooperation of the cold and the heat herbs,interaction of the cold and the heat herbs,complementation of the cold and the heat herbs,acridness and sweetness producing yang,sourness and sweetness producing yin,acridness ascending and bitterness descending,through which to enlighten the new idea of treating kidney disease and deepen the understanding of the four natures and five flavors theory.
引文
[1]李东垣.脾胃论[M].北京:中国医药科技出版社,2011:14.
[2]霍正强,杨雪军,吴中平,等.经方辨治肾病规律探析[J].上海中医药杂志,2016,50(3):29-32.
[3]黄帝内经素问[M].田代华,整理.北京:人民卫生出版社,2017.
[4]冯文战,李光霞,张林,等.中药五味理论的临床应用[J].光明中医,2016,31(19):2783-2785.
[5]KUWABARA M,HISATOME I,RONCALJIMENEZ CA,et al. Increased serum sodium and serum osmolarity are independent risk factors for developing chronic kidney disease; 5 year cohort study[J]. PLos One,2017,12(1):e0169137. doi:10. 1371/journal. pone. 0169137.
[6]VOGT L,WAANDERS F,BOOMSMA F,et al. Effects of dietary sodium and hydrochlorothiazide on the antiproteinuric efficacy of losartan[J]. J Am Soc Nephrol,2008,19(5):999-1007.
[7]罗学文,陈俊文,邹川.大黄在肾脏病中的应用及剂量探讨[J].中国中西医结合肾病杂志,2015,16(10):930-932.
[8]陈静,杨丽平,米齐悦,等.清热解毒法治疗慢性肾炎的理论与实践研究[J].中国中西医结合肾病杂志,2015,16(12):1124-1125.
[9]王兴煌,倪秀琴.论附子与肾脏病[J].中国中西医结合杂志,2015,35(12):1528-1530.
[10]肖幸,汤水福.中医温阳法治疗成人原发性肾病综合征的系统评价[J].湖南中医杂志,2017,33(6):139-142.
[11]张仲景.金匮要略[M].北京:人民卫生出版社,2017:3.
[12]蔡艳.五味子合剂联合复方α-酮酸片对糖尿病肾病Ⅳ期尿蛋白及炎性指标的影响[J].中华中医药学刊,2018,36(7):1671-1674.
[13]孙响波,于妮娜,张法荣.浅析五味子在肾病治疗中的应用[J].湖南中医杂志,2013,29(6):95-96.
[14]常玉萍,刘春莹,任艳芸.大黄治疗慢性肾功能衰竭的机制探讨[J].临床医药文献杂志,2017,4(60):11876-11876.
[15]姚金铭,宋秀玲,王焕君,等.黄连素(小檗碱)治疗糖尿病肾病疗效和安全性的系统评价[J].中华临床医师杂志(电子版),2015,9(23):110-114.
[16]谢红东,杨珂,穆焕德,等.黄芩提取物对大鼠肾间质纤维化的作用及其抗氧化机制[J].中国中西医结合肾病杂志,2009,10(3):240-242.
[17]李静,王利,彭文,等.黄芪治疗肾脏疾病的研究进展[J].中南药学,2017,15(1):85-87.
[18]金光亮.“肾苦燥,急食辛以润之”释义[J].上海中医药杂志,2018,52(2):39-41.
[19]宋业旭,刘爽,贠捷,等.真武汤治疗肾病临床用药的文献研究[J].中医药学报,2015,43(2):103-106.
[20]占永立,余仁欢,魏仲南,等.慢性肾脏病常见兼证的中医辨证与治疗[J].中华肾病研究杂志,2013,2(5):13-17.
[21]姚凤云,王炳志,丁舸.浅析《伤寒论》之辛甘化阳法[J].时珍国医国药,2010,21(11):2959-2960.
[22]温桂荣.苓桂术甘汤治疗杂病探微[J].世界中西医结合杂志,2008,3(2):108-110.
[23]李艳蓉.苓桂术甘汤临床运用举隅[J].河南中医,2013,33(3):337-338.
[24]成无己.注解伤寒论[M].北京:中国医药科技出版社,2004:59.
[25]王洪斌.当归芍药散治疗慢性肾小球肾炎湿瘀互结证57例[J].河南中医,2015,35(5):940-942.
[26]谷翠芝,李清初,尹友生,等.桂枝去桂加茯苓白术汤治疗急性肾损伤的临床效果[J].中国中西医结合肾病杂志,2015,16(2):121-124.
[2]霍正强,杨雪军,吴中平,等.经方辨治肾病规律探析[J].上海中医药杂志,2016,50(3):29-32.
[3]黄帝内经素问[M].田代华,整理.北京:人民卫生出版社,2017.
[4]冯文战,李光霞,张林,等.中药五味理论的临床应用[J].光明中医,2016,31(19):2783-2785.
[5]KUWABARA M,HISATOME I,RONCALJIMENEZ CA,et al. Increased serum sodium and serum osmolarity are independent risk factors for developing chronic kidney disease; 5 year cohort study[J]. PLos One,2017,12(1):e0169137. doi:10. 1371/journal. pone. 0169137.
[6]VOGT L,WAANDERS F,BOOMSMA F,et al. Effects of dietary sodium and hydrochlorothiazide on the antiproteinuric efficacy of losartan[J]. J Am Soc Nephrol,2008,19(5):999-1007.
[7]罗学文,陈俊文,邹川.大黄在肾脏病中的应用及剂量探讨[J].中国中西医结合肾病杂志,2015,16(10):930-932.
[8]陈静,杨丽平,米齐悦,等.清热解毒法治疗慢性肾炎的理论与实践研究[J].中国中西医结合肾病杂志,2015,16(12):1124-1125.
[9]王兴煌,倪秀琴.论附子与肾脏病[J].中国中西医结合杂志,2015,35(12):1528-1530.
[10]肖幸,汤水福.中医温阳法治疗成人原发性肾病综合征的系统评价[J].湖南中医杂志,2017,33(6):139-142.
[11]张仲景.金匮要略[M].北京:人民卫生出版社,2017:3.
[12]蔡艳.五味子合剂联合复方α-酮酸片对糖尿病肾病Ⅳ期尿蛋白及炎性指标的影响[J].中华中医药学刊,2018,36(7):1671-1674.
[13]孙响波,于妮娜,张法荣.浅析五味子在肾病治疗中的应用[J].湖南中医杂志,2013,29(6):95-96.
[14]常玉萍,刘春莹,任艳芸.大黄治疗慢性肾功能衰竭的机制探讨[J].临床医药文献杂志,2017,4(60):11876-11876.
[15]姚金铭,宋秀玲,王焕君,等.黄连素(小檗碱)治疗糖尿病肾病疗效和安全性的系统评价[J].中华临床医师杂志(电子版),2015,9(23):110-114.
[16]谢红东,杨珂,穆焕德,等.黄芩提取物对大鼠肾间质纤维化的作用及其抗氧化机制[J].中国中西医结合肾病杂志,2009,10(3):240-242.
[17]李静,王利,彭文,等.黄芪治疗肾脏疾病的研究进展[J].中南药学,2017,15(1):85-87.
[18]金光亮.“肾苦燥,急食辛以润之”释义[J].上海中医药杂志,2018,52(2):39-41.
[19]宋业旭,刘爽,贠捷,等.真武汤治疗肾病临床用药的文献研究[J].中医药学报,2015,43(2):103-106.
[20]占永立,余仁欢,魏仲南,等.慢性肾脏病常见兼证的中医辨证与治疗[J].中华肾病研究杂志,2013,2(5):13-17.
[21]姚凤云,王炳志,丁舸.浅析《伤寒论》之辛甘化阳法[J].时珍国医国药,2010,21(11):2959-2960.
[22]温桂荣.苓桂术甘汤治疗杂病探微[J].世界中西医结合杂志,2008,3(2):108-110.
[23]李艳蓉.苓桂术甘汤临床运用举隅[J].河南中医,2013,33(3):337-338.
[24]成无己.注解伤寒论[M].北京:中国医药科技出版社,2004:59.
[25]王洪斌.当归芍药散治疗慢性肾小球肾炎湿瘀互结证57例[J].河南中医,2015,35(5):940-942.
[26]谷翠芝,李清初,尹友生,等.桂枝去桂加茯苓白术汤治疗急性肾损伤的临床效果[J].中国中西医结合肾病杂志,2015,16(2):121-124.