“抵当”“喜忘”辨析及抵当汤治疗瘀血阻窍型痴呆的思考
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摘要
抵当汤是《伤寒论》治疗阳明蓄血证的专方,后世医家对仲景原文里"抵当"的方名含义和关于描述神志异常的"喜忘"理解多有分歧,但其破血逐瘀之法治疗瘀血导致的痴呆及其他瘀血性疾病,仍然受到广大学者的推崇。目前关于抵当汤治疗瘀血阻窍型痴呆的临床研究有了一定的进展,其良好疗效得到肯定,后期更应侧重于基础研究,以期进一步阐明蓄血证理论对治疗瘀血阻窍型痴呆的指导意义。
Didang Decoction is a special prescription for the Yangming blood stasis syndrome according to the Treatise on Cold Pathogenic Diseases. Physicians of later generations have made various interpretations on the meaning of "Didang"(a prescription name) and "Forgetfulness"(a description of abnormal mind) in Zhang Zhongjing's original text,but the method has been widely recognized by numerous scholars in treating dementia due to blood stasis and other blood stasis-induced diseases by activating blood and expelling blood stasis. Some progress has been made in the clinical research on the treatment of dementia with obstruction of the orifices due to blood stasis with the Didang Decoction; its efficacy has been confirmed; emphasis should be placed on basic research to intensify the guidance of the theory of blood storage syndrome for treatment of dementia with obstruction of the orifices due to blood stasis.
Didang Decoction is a special prescription for the Yangming blood stasis syndrome according to the Treatise on Cold Pathogenic Diseases. Physicians of later generations have made various interpretations on the meaning of "Didang"(a prescription name) and "Forgetfulness"(a description of abnormal mind) in Zhang Zhongjing's original text,but the method has been widely recognized by numerous scholars in treating dementia due to blood stasis and other blood stasis-induced diseases by activating blood and expelling blood stasis. Some progress has been made in the clinical research on the treatment of dementia with obstruction of the orifices due to blood stasis with the Didang Decoction; its efficacy has been confirmed; emphasis should be placed on basic research to intensify the guidance of the theory of blood storage syndrome for treatment of dementia with obstruction of the orifices due to blood stasis.
引文
[1]刘士敬,朱倩.《伤寒论》“抵当汤”考析[J].国医论坛,1996,11(4):45.
[2]钱超尘.“抵当汤”的“抵当”是什么意思[N].中国中医药报,2007-12-28(004).
[3]于佳佳,孙西庆.“阳明蓄血”致“其人喜忘”探析[J].中国中医基础医学杂志,2015,21(6):640-641.
[4]孙琛琛,孙西庆.“阳明蓄血,其人喜忘”诌议[J].中医药临床杂志,2014,26(5):509-510.
[5]马艳苗,孙琳,梁琦,等.基于《伤寒论》阳明探讨脑肠相关与中医通下的关系[J].中华中医药杂志,2017,32(6):2405-2407.
[6]刘力红.思考中医[M].2版.桂林:广西师范大学出版社,2003:229-230.
[7]朱倩,刘士敬,钱超尘.蓄血证“喜忘”当为“喜妄”[J].国医论坛,1992(4):37-38.
[8]樊海.阳明证“喜忘”辨[J].陕西中医,1986,7(7):309-310.
[9]史金玉,姬昌,范军铭.神志病与“瘀”[J].中医研究,2016,29(8):58-61.
[10]汪泳涛,何新慧.蓄血病证源流[J].中华中医药杂志,2017,32(12):5290-5292.
[11]李纪乐.抵当汤治疗早期老年痴呆临床研究[J].河南中医,2016,36(8):1318-1320.
[12]孙东祥.中西医结合治疗早期老年痴呆临床观察[J].实用中医药杂志,2017,33(10):1183-1184.
[13]王康锋,张立娟.抵当汤加减治疗老年性痴呆疗效观察[J].中国中医药信息杂志,2012,19(10):74-75.
[14]王付.抵当汤的临床应用[N].中国中医药报,2007-05-28(006).
[15]刘江.抵当汤加减治疗老年性痴呆30例临床研究[J].山东中医杂志,2014,33(10):816-817.
[16]夏卫军,金妙文,张莉.抵当汤治疗老年期血管性痴呆的实验研究[J].中药药理与临床,2000,16(4):6-8.
[17]王康锋,张立娟,孙西庆,等.抵当汤对阿尔茨海默病大鼠学习记忆能力的影响[J].中国当代医药,2014,21(8):16-18.
[18]王康锋,张立娟,孙西庆,等.抵当汤对阿尔茨海默病大鼠脑组织端粒酶活性的影响[J].中国当代医药,2014,21(11):11-13.
[19]施雪音.抵当汤与桃核承气汤抗衰老作用比较的实验研究[D].杭州:浙江中医药大学,2010.
[2]钱超尘.“抵当汤”的“抵当”是什么意思[N].中国中医药报,2007-12-28(004).
[3]于佳佳,孙西庆.“阳明蓄血”致“其人喜忘”探析[J].中国中医基础医学杂志,2015,21(6):640-641.
[4]孙琛琛,孙西庆.“阳明蓄血,其人喜忘”诌议[J].中医药临床杂志,2014,26(5):509-510.
[5]马艳苗,孙琳,梁琦,等.基于《伤寒论》阳明探讨脑肠相关与中医通下的关系[J].中华中医药杂志,2017,32(6):2405-2407.
[6]刘力红.思考中医[M].2版.桂林:广西师范大学出版社,2003:229-230.
[7]朱倩,刘士敬,钱超尘.蓄血证“喜忘”当为“喜妄”[J].国医论坛,1992(4):37-38.
[8]樊海.阳明证“喜忘”辨[J].陕西中医,1986,7(7):309-310.
[9]史金玉,姬昌,范军铭.神志病与“瘀”[J].中医研究,2016,29(8):58-61.
[10]汪泳涛,何新慧.蓄血病证源流[J].中华中医药杂志,2017,32(12):5290-5292.
[11]李纪乐.抵当汤治疗早期老年痴呆临床研究[J].河南中医,2016,36(8):1318-1320.
[12]孙东祥.中西医结合治疗早期老年痴呆临床观察[J].实用中医药杂志,2017,33(10):1183-1184.
[13]王康锋,张立娟.抵当汤加减治疗老年性痴呆疗效观察[J].中国中医药信息杂志,2012,19(10):74-75.
[14]王付.抵当汤的临床应用[N].中国中医药报,2007-05-28(006).
[15]刘江.抵当汤加减治疗老年性痴呆30例临床研究[J].山东中医杂志,2014,33(10):816-817.
[16]夏卫军,金妙文,张莉.抵当汤治疗老年期血管性痴呆的实验研究[J].中药药理与临床,2000,16(4):6-8.
[17]王康锋,张立娟,孙西庆,等.抵当汤对阿尔茨海默病大鼠学习记忆能力的影响[J].中国当代医药,2014,21(8):16-18.
[18]王康锋,张立娟,孙西庆,等.抵当汤对阿尔茨海默病大鼠脑组织端粒酶活性的影响[J].中国当代医药,2014,21(11):11-13.
[19]施雪音.抵当汤与桃核承气汤抗衰老作用比较的实验研究[D].杭州:浙江中医药大学,2010.