从经气运行探究麻黄附子细辛汤治疗心系疾病机理与应用
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摘要
麻黄附子细辛汤出自《伤寒论》,主治太少两感证,为阳虚外感的代表方。近年来,该方在心血管疾病方面的应用得到临床专家重视和推崇。该文基于《黄帝内经》《难经》,从经气运行角度探究麻黄附子细辛汤的生理基础、组方机理以及该方在心系疾病的应用,意在挖掘该方背后深层的理论内涵,为准确的以本方为基础辨证用药治疗心系疾病提供了充分的理论依据。
Mahuang Fuzi Xixin Decoction treating Taiyang and Shaoyin disease comes from Treatise on Febrile Diseases,which is the representative of Yang deficiency and exogenous feeling. In recent years,the application of this prescription in cardiovascular diseases has been valued and respected by clinical experts. Based on Inner Canon of Huangdi and Classic on Medical Problems,this paper explores the physiological basis,formulation mechanism and application of Mahuang Fuzi XixinDecoction in heart diseases from the angle of meridians movement. The purpose is to excavate the deep theoretical connotation behind the prescription,and provide sufficient theoretical basis for the accurate treatment of heart diseases based on differentiation of symptoms and signs of the prescription.
Mahuang Fuzi Xixin Decoction treating Taiyang and Shaoyin disease comes from Treatise on Febrile Diseases,which is the representative of Yang deficiency and exogenous feeling. In recent years,the application of this prescription in cardiovascular diseases has been valued and respected by clinical experts. Based on Inner Canon of Huangdi and Classic on Medical Problems,this paper explores the physiological basis,formulation mechanism and application of Mahuang Fuzi XixinDecoction in heart diseases from the angle of meridians movement. The purpose is to excavate the deep theoretical connotation behind the prescription,and provide sufficient theoretical basis for the accurate treatment of heart diseases based on differentiation of symptoms and signs of the prescription.
引文
[1]邓雅芳,徐强,黄宇虹,等.麻黄细辛附子汤加减治疗缓慢性心律失常有效性和安全性的Meta分析[J].天津中医药,2018,35(6):430-435.
[2]陈明,曾子芸.麻黄细辛附子汤治疗缓慢性心律失常随机对照临床研究文献的Meta分析[J].中华中医药杂志,2015,30(3):841-844.
[3]李夏,张明飞,贾波,等.麻黄附子细辛汤治疗缓慢性心律失常的临床研究进展[J].现代中医药,2013(5):125-127.
[4]王军,吴彬,权晓玲.《伤寒论》六经体系与《黄帝内经》十二经脉体系的关系刍议[J].中华中医药杂志,2018,33(3):926-928.
[5]杜国良.麻黄附子细辛汤加减治疗慢性心律失常42例[J].临床医学研究与实践,2016,1(18):106-107.
[6]田东梅.麻黄附子细辛汤治疗慢性心律失常50例临床观察[J].新疆中医药,2018,36(3):15-17.
[7]刘耀文.麻黄附子细辛汤联合参麦注射液治疗缓慢型心律失常的临床观察[J].中医临床研究,2015,7(10):39-40.
[8]赵磊,杨晓燕.麻黄附子细辛汤治疗缓慢性心律失常综述[J].中医临床研究,2017,9(23):134-136.
[9]陈明,高卫平,汤尔群.麻黄附子细辛汤治疗慢性心律失常近况[J].中华中医药学刊,2009,27(3):460-462.
[10]杨光成.麻黄附子细辛汤治疗窦性心动过缓60例[J].中国中医药科技,2013,20(1):88-89.
[11]王文睿.炙甘草汤合麻黄附子细辛汤对窦性心动过缓治疗的效果研究[J].临床医药文献电子杂志,2017,4(49):9671,9674.
[12]贾恩虎,王月玲,何跃.麻黄附子细辛汤加味治疗病态窦房结综合征28例分析[J].实用医技杂志,2009,16(10):810-811.
[13]吴宝川.麻黄附子细辛汤治疗病态窦房结综合征临床研究[J].中西医结合心脑血管病杂志,2005(5):384-385.
[14]殷晓莉,金兴玉.麻黄附子细辛汤加味治疗房室传导阻滞100例分析[J].中医药学刊,2005,23(4):735.
[15]夏宝泉,刘岳.麻黄附子细辛汤加味治疗Ⅲ度房室传导阻滞30例[J].国医论坛,2002,17(2):8.
[16]王卫东,王瑛,许玉梅.加味麻黄附子细辛汤治疗血管性低血压疗效观察[J].中国中医急症,2009,18(11):1770,1789.
[17]梁永健.加味麻黄附子细辛汤治疗血管性低血压62例的临床疗效分析[J].现代诊断与治疗,2014,25(24):5559-5560.
[18]石喜亮.麻黄附子细辛汤治疗肺心病急性发作期85例[J].陕西中医,2006,27(4):387-388.
[19]闫爱岐,胡风华.麻黄附子细辛汤加味治疗慢性肺心病急性加重期30例[J].陕西中医学院学报,2009,32(4):19-20.
[20]高学敏.中药学[M].北京:中国中医药出版社,2007:21-30.
[2]陈明,曾子芸.麻黄细辛附子汤治疗缓慢性心律失常随机对照临床研究文献的Meta分析[J].中华中医药杂志,2015,30(3):841-844.
[3]李夏,张明飞,贾波,等.麻黄附子细辛汤治疗缓慢性心律失常的临床研究进展[J].现代中医药,2013(5):125-127.
[4]王军,吴彬,权晓玲.《伤寒论》六经体系与《黄帝内经》十二经脉体系的关系刍议[J].中华中医药杂志,2018,33(3):926-928.
[5]杜国良.麻黄附子细辛汤加减治疗慢性心律失常42例[J].临床医学研究与实践,2016,1(18):106-107.
[6]田东梅.麻黄附子细辛汤治疗慢性心律失常50例临床观察[J].新疆中医药,2018,36(3):15-17.
[7]刘耀文.麻黄附子细辛汤联合参麦注射液治疗缓慢型心律失常的临床观察[J].中医临床研究,2015,7(10):39-40.
[8]赵磊,杨晓燕.麻黄附子细辛汤治疗缓慢性心律失常综述[J].中医临床研究,2017,9(23):134-136.
[9]陈明,高卫平,汤尔群.麻黄附子细辛汤治疗慢性心律失常近况[J].中华中医药学刊,2009,27(3):460-462.
[10]杨光成.麻黄附子细辛汤治疗窦性心动过缓60例[J].中国中医药科技,2013,20(1):88-89.
[11]王文睿.炙甘草汤合麻黄附子细辛汤对窦性心动过缓治疗的效果研究[J].临床医药文献电子杂志,2017,4(49):9671,9674.
[12]贾恩虎,王月玲,何跃.麻黄附子细辛汤加味治疗病态窦房结综合征28例分析[J].实用医技杂志,2009,16(10):810-811.
[13]吴宝川.麻黄附子细辛汤治疗病态窦房结综合征临床研究[J].中西医结合心脑血管病杂志,2005(5):384-385.
[14]殷晓莉,金兴玉.麻黄附子细辛汤加味治疗房室传导阻滞100例分析[J].中医药学刊,2005,23(4):735.
[15]夏宝泉,刘岳.麻黄附子细辛汤加味治疗Ⅲ度房室传导阻滞30例[J].国医论坛,2002,17(2):8.
[16]王卫东,王瑛,许玉梅.加味麻黄附子细辛汤治疗血管性低血压疗效观察[J].中国中医急症,2009,18(11):1770,1789.
[17]梁永健.加味麻黄附子细辛汤治疗血管性低血压62例的临床疗效分析[J].现代诊断与治疗,2014,25(24):5559-5560.
[18]石喜亮.麻黄附子细辛汤治疗肺心病急性发作期85例[J].陕西中医,2006,27(4):387-388.
[19]闫爱岐,胡风华.麻黄附子细辛汤加味治疗慢性肺心病急性加重期30例[J].陕西中医学院学报,2009,32(4):19-20.
[20]高学敏.中药学[M].北京:中国中医药出版社,2007:21-30.