试以“补肝实脾”法论述补中益气汤治疗肝虚证
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摘要
刘泽银主任医师在多年临床经验中,擅于用补中益气汤治疗辨证属肝虚证的内科杂病。本文通过研习张锡纯《医学衷中参西录》中"肝虚"理论,分析历代医家对"肝虚"的诊断、治法及用药,从"补肝实脾"法角度探讨补中益气汤治疗肝虚证的用法,得出补中益气汤是用"补肝实脾"法治疗肝虚的有效方剂,以期提高临床医生对肝虚证的认识,从而开阔临床思路,提高辨证的准确性。
During the years of clinical experience, the author's supervisor is good at using Buzhong-Yiqi decoction to treat kinds of internal diseases of Liver deficiency syndrome. Through studying the Liver deficiency theory in Medical Records of Chinese and Western Medicines by Zhang Xichun, analyzing the diagnosis, treatment and medication of Liver deficiency performed by doctors of the past, and discussing the application of Buzhong-Yiqi decoction to Liver deficiency syndrome from the perspective of strengthening the Spleen to recover the Liver, it is concluded in this paper that Buzhong-Yiqi decoction is an effective prescription for treating Liver deficiency with the way of strengthening the Spleen to recover the Liver. In conclusion, this paper aims to improve clinicians' understanding of Liver deficiency syndrome, thus broadening clinical thinking and enhancing the accuracy of syndrome differentiation.
During the years of clinical experience, the author's supervisor is good at using Buzhong-Yiqi decoction to treat kinds of internal diseases of Liver deficiency syndrome. Through studying the Liver deficiency theory in Medical Records of Chinese and Western Medicines by Zhang Xichun, analyzing the diagnosis, treatment and medication of Liver deficiency performed by doctors of the past, and discussing the application of Buzhong-Yiqi decoction to Liver deficiency syndrome from the perspective of strengthening the Spleen to recover the Liver, it is concluded in this paper that Buzhong-Yiqi decoction is an effective prescription for treating Liver deficiency with the way of strengthening the Spleen to recover the Liver. In conclusion, this paper aims to improve clinicians' understanding of Liver deficiency syndrome, thus broadening clinical thinking and enhancing the accuracy of syndrome differentiation.
引文
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[2]张志聪集注.黄帝内经[M].哈尔滨:北方文艺出版社,2007.
[3]张锡纯.医学衷中参西录[M].北京:人民卫生出版社,2006.
[4]王旭高.西溪书屋夜话录[M].北京:人民军医出版社,2012.
[5]刘渡舟.肝病证治概要[M].北京:人民卫生出版社,2013.
[6]张仲景.伤寒论[M].北京:人民卫生出版社,2005.
[7]刘力红.思考中医[M].广西:广西师范大学出版社,2006:198.
[8]王辉武,吴行明,邓开蓉,等.《内经》“肝者,罢极之本” 的临床价值——附 3413例肝病的临床分析[J]. 成都中医药大学学报,1997,20(2):9-10.
[9]李东垣.内外伤辨惑论[M].北京:人民卫生出版社,2007:6.
[10]陈玉萍,马淑然,王庆国,等. 基于肝藏象理论探讨补中益气汤甘温除热的机理[J]. 北京中医药大学学报,2013,36(7):441-444.
[11]张仲景.金匮要略[M].北京:人民卫生出版社,2005.
[12]张志聪.本草崇原[M].北京:中国中医药出版社,2008:2.
[13]柳长华.神农本草经[M].北京:北京科学技术出版社,2016:11.
[14]汪昂.本草备要[M].北京:中国中医药出版社,1998:13.