痰饮六经辨治初探
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摘要
仲景在辨治杂病过程中,尽管强调脏腑经络,却在具体病证辨治中也潜涵六经辨治的思路。从六经角度出发,抓住六经的生理特点及基本病理改变,将痰饮所出现的复杂证候按六经辨治,相应治疗痰饮的方子也依六经归类。不仅在理论上加深了对痰饮的认识,更对临床辨证论治有一定的指导意义,为错综复杂的痰饮辨治开拓了一条清晰的思路。临床中以复杂证候为主诉的痰饮,须运用六经辨证辨明部位和性质,确立治法。在辨治痰饮时,要重视证治,而不拘泥于"六经",拓宽了痰饮的辨证方法,丰富了痰饮的治疗手段,并可直接指导临床用药,具有较高的探究价值和广阔的发展前景。
In the process of di erentiation and treatment of complex diseases, Zhongjing emphasized zangfu viscera and channels, but he also applied the idea of syndrome differentiation of six channels theory in the di erentiation and treatment of speci c diseases. From the perspective of six channels, he grasped physiological characteristics and basic pathological changes of them, treated complex syndromes of phlegm and uid retention, and then clari ed corresponding prescriptions. It not only deepened the understanding of phlegm and uid retention in theory, but also had certain guiding signi cance for clinical syndrome di erentiation and treatment, and opened up a clear idea for the di erentiation and treatment of phlegm and uid retention with complex syndromes. In clinic, it is necessary to use syndrome di erentiation of six channels theory to identify the location and nature and establish the therapy. We should pay attention to the treatment of syndromes, not be limited to use "six channels", broaden the dialectics of phlegm and uid retention, enrich the treatment means of phlegm and uid retention, and directly guide clinical medication, which has a high value of inquiry and broad development prospects.
In the process of di erentiation and treatment of complex diseases, Zhongjing emphasized zangfu viscera and channels, but he also applied the idea of syndrome differentiation of six channels theory in the di erentiation and treatment of speci c diseases. From the perspective of six channels, he grasped physiological characteristics and basic pathological changes of them, treated complex syndromes of phlegm and uid retention, and then clari ed corresponding prescriptions. It not only deepened the understanding of phlegm and uid retention in theory, but also had certain guiding signi cance for clinical syndrome di erentiation and treatment, and opened up a clear idea for the di erentiation and treatment of phlegm and uid retention with complex syndromes. In clinic, it is necessary to use syndrome di erentiation of six channels theory to identify the location and nature and establish the therapy. We should pay attention to the treatment of syndromes, not be limited to use "six channels", broaden the dialectics of phlegm and uid retention, enrich the treatment means of phlegm and uid retention, and directly guide clinical medication, which has a high value of inquiry and broad development prospects.
引文
[1]张仲景,述,王叔和,撰次.伤寒论[M].钱超尘,校.北京:人民卫生出版社, 2005.
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[6]黄帝内经素问[M].田代华,校.北京:人民卫生出版社, 2005.
[7]张立山,戴雁彦.试论少阳与痰饮水湿[J].中华中医药杂志,2017, 32(3):1221-1223.
[8]孙思邈,著.备急千金要方[M].北京:人民卫生出版社,1982.
[9]徐荣斋,范永升.《金匮》“痰饮”证因方治探要[J].浙江中医学院学报, 1982(2):1-5.
[10]魏荔彤,撰.金匮要略方论本义[M].杜雨茂,校.北京:人民卫生出版社, 1997.
[11]吴谦,著.医宗金鉴:第一分册[M].北京:人民卫生出版社, 1980.
[12]张雅楠,刘宏岩.《金匮要略》水液代谢异常疾病研究[J].长春中医药大学学报, 2016, 32(3):444-445.
[13]陈修园,撰.金匮要略浅注·金匮方歌括[M].太原:山西科学技术出版社, 2013.
[14]陈亦人.略论“六经钤百病”[J].南京中医学院学报,1986, 10(4):13-17.
[15]冯广清.浅谈“病痰饮者当以温药和之”[J].吉林中医药,2002, 22(1):1-2.
[16]乔模,乔欣.《金匮要略》运用六经辨证论治杂病探讨[J].山西中医, 2011, 27(12):1-3.
[2]柯琴著.伤寒来苏集[M].赵辉贤,校.上海:上海科学技术出版社, 1986.
[3]俞根初,著,徐荣斋,重订.重订通俗伤寒论[M].北京:中国中医药出版社, 2011.
[4]张仲景,述,林忆,撰次.金匮要略[M].何任,何若苹,校.北京:人民卫生出版社, 2005.
[5]张世霞,邢宇红.试析仲景妙用六经辨治杂病[J].山西中医学院学报, 2011, 12(1):9-10.
[6]黄帝内经素问[M].田代华,校.北京:人民卫生出版社, 2005.
[7]张立山,戴雁彦.试论少阳与痰饮水湿[J].中华中医药杂志,2017, 32(3):1221-1223.
[8]孙思邈,著.备急千金要方[M].北京:人民卫生出版社,1982.
[9]徐荣斋,范永升.《金匮》“痰饮”证因方治探要[J].浙江中医学院学报, 1982(2):1-5.
[10]魏荔彤,撰.金匮要略方论本义[M].杜雨茂,校.北京:人民卫生出版社, 1997.
[11]吴谦,著.医宗金鉴:第一分册[M].北京:人民卫生出版社, 1980.
[12]张雅楠,刘宏岩.《金匮要略》水液代谢异常疾病研究[J].长春中医药大学学报, 2016, 32(3):444-445.
[13]陈修园,撰.金匮要略浅注·金匮方歌括[M].太原:山西科学技术出版社, 2013.
[14]陈亦人.略论“六经钤百病”[J].南京中医学院学报,1986, 10(4):13-17.
[15]冯广清.浅谈“病痰饮者当以温药和之”[J].吉林中医药,2002, 22(1):1-2.
[16]乔模,乔欣.《金匮要略》运用六经辨证论治杂病探讨[J].山西中医, 2011, 27(12):1-3.