温成平从“饮”论治风湿病经验
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摘要
风湿病是临床难治病,正气不足,五脏虚衰,风、寒、湿三邪侵犯人体,都会导致"饮"的产生和积聚,阻滞气机,"饮"留于肌肤关节,就表现出肌肤皮疹、关节肿痛等症状;"饮"留于血脉,则会出现血管炎、脉管炎等疾病;"饮"留于内脏,则出现肺间质性病变、肾功能不全等病变。因此,温成平教授认为"饮"的产生与风湿病的发生发展密切相关。温教授治疗风湿病,重在化"饮",通调水道,调畅气机,使脾阳运化得利,肝之疏泄有度。"饮"病又多以"温阳化饮"为主,使人体气机通畅,温煦脾阳肾阳。此外,还可用汗法、利小便法、下法来化"饮",如清热化饮、滋阴化饮、泻热化饮、轻缓化饮、通络化饮、泻下逐饮等,标本兼治。
Rheumatism is a clinical refractory disease,lack of vital energy,the five internal organs weakness,the three pathogens of wind cold dampness attack the human body,they all can lead to the production and accumulation of " excessive fluid" which will retardant Qi. If " excessive fluid" left in skin and joint,we can find these symptoms of skin rash,joint swelling and pain and so on.If " excessive fluid" left in the blood vein,it can appear some diseases,such as vasculitis; If " excessive fluid" left in the internal organs,it will lead to interstitial lung disease,renal incongruity,etc. Therefore,professor Wen Chengping believes that the production of " excessive fluid" is closely related to the development of rheumatism. Professor Wen's treatment of rheumatism,attach importance to the redevelopment of " excessive fluid",passing adjusts the canal,regulating activities of Qi,making the Yang of Spleen governing transportation and transformation,liver governing regulating. The " excessive fluid" disease is mainly treated with " warming Yang for resolving fluid retention",making the human body's air machine more smooth,warming the Yang of spleen and kidney. In addition,we can also used diaphoresis,diuresis,dismount to dissipate excessive fluid,such as " clearing away heat and eliminating fluid", " treating Yin deficiency by reinforcing body fluid", " purging away the heat to dissipate excessive fluid", " dredging collaterals to dissipate excessive fluid", " the method of purgation to dissipate excessive fluid" and so on. At last,we address both the symptoms and root causes.
Rheumatism is a clinical refractory disease,lack of vital energy,the five internal organs weakness,the three pathogens of wind cold dampness attack the human body,they all can lead to the production and accumulation of " excessive fluid" which will retardant Qi. If " excessive fluid" left in skin and joint,we can find these symptoms of skin rash,joint swelling and pain and so on.If " excessive fluid" left in the blood vein,it can appear some diseases,such as vasculitis; If " excessive fluid" left in the internal organs,it will lead to interstitial lung disease,renal incongruity,etc. Therefore,professor Wen Chengping believes that the production of " excessive fluid" is closely related to the development of rheumatism. Professor Wen's treatment of rheumatism,attach importance to the redevelopment of " excessive fluid",passing adjusts the canal,regulating activities of Qi,making the Yang of Spleen governing transportation and transformation,liver governing regulating. The " excessive fluid" disease is mainly treated with " warming Yang for resolving fluid retention",making the human body's air machine more smooth,warming the Yang of spleen and kidney. In addition,we can also used diaphoresis,diuresis,dismount to dissipate excessive fluid,such as " clearing away heat and eliminating fluid", " treating Yin deficiency by reinforcing body fluid", " purging away the heat to dissipate excessive fluid", " dredging collaterals to dissipate excessive fluid", " the method of purgation to dissipate excessive fluid" and so on. At last,we address both the symptoms and root causes.
引文
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[13]王旭丽.《伤寒论》水饮病证治疗思路[J].福建中医药大学学报,2010,20(5):70-72.
[14]韩五九.浅谈《伤寒论》水饮治法[J].甘肃中医,2005,17(6):1-2.
[15]焦扬,周平安.《金匮要略》治痰饮10法[J].北京中医药大学学报(中医临床版),2008,50(4):20-21.
[2]刘健.风湿病中医临床思维[J].中医药临床杂志,2010,22(9):753-761.
[3]田东昌,廖嘉明,黄明.浅谈“病痰饮者,当以温药和之”[J].河南中医,2014,34(3):381-382.
[4]张永生,鲁怀芳.论“温药和之”[J].甘肃中医,2004,16(11):3-4.
[5]徐艳玲.论《金匮要略方论》痰饮的证治析“病痰饮者,当以温药和之”[J].辽宁中医杂志,2010,37(11):2147-2149.
[6]朱林平.《金匮要略》痰饮病治法浅识[J].中医药学刊,2004,23(3):500-501.
[7]周丽,贺龙刚.论“脾主运化”的理论内涵及应用价值[J].安徽中医药大学学报,2015,35(3):11-13.
[8]王维广,李成卫,王庆国.肝阴肝阳概念的历史考察[J].浙江中医药大学学报,2015,60(7):512-516.
[9]廖军.从内分泌学解释中医的“肾主骨”[J].中国中医药现代远程教育,2013,11(7):82-83.
[10]王冰,苗青.叶天士辨治痰饮病学术思想探析[J].江苏中医药,2011,56(1):8-10.
[11]高凤芹,徐月英.《伤寒论》水气辨析[J].实用中医内科杂志,2012,26(8):21-23.
[12]刘世鹏,杨涛,谷松.浅析《伤寒论》水饮病治法[J].河南中医,2014,34(1):3-5.
[13]王旭丽.《伤寒论》水饮病证治疗思路[J].福建中医药大学学报,2010,20(5):70-72.
[14]韩五九.浅谈《伤寒论》水饮治法[J].甘肃中医,2005,17(6):1-2.
[15]焦扬,周平安.《金匮要略》治痰饮10法[J].北京中医药大学学报(中医临床版),2008,50(4):20-21.