《伤寒论》肝胃不和相关证候辨证规律浅探.pdfVIP

湖北中医药大学学报 2015年2月第 17卷第 1期 · 62 · JournalofHubeiUniversityofChineseMedicine February2015，Vo1．17，No．1 《伤寒论》肝 胃不和相关证候辨证规律浅探 岳滢滢，刘松林，邢颖，李明珠 (湖北中医药大学中医临床学院，湖北 武汉 430065) 摘要：《伤寒论》以六经辨证为指导，从气滞阳郁、肝 胃不和，少阳邪郁、克脾犯 胃，木郁化火、胃腑不通，厥阴肝寒、 上逆犯 胃，厥阴木郁、胃热脾寒5个方面阐述了肝 胃不和证，论述 了肝 胃不和相关证候的因机证治规律。为后世医家 辨治肝 胃不和相关证候奠定了基础，对于继承和发扬脏腑相关理论，提高辨证论治的能力和临床疗效 亦具有重要作 用。 关键词：伤寒论；肝 胃不和证；辨证论治；规律 中图分类号：R222 文献标识码：A doi：10．3969／j．issn．1008—987x．2015．01．20 BriefAnalysisofSyndromeLaw ofLiver——stomach Disorder RelevantSyndromeDifferentiation inTreatiseonFebrileDisease YUE Yingying，LIU Song[in，XING Ying，LIMingzhu (ClinicalcollegeofHuibeiUniversityofChineseMedicine，Wuhan430065) Abstracts：ZhangZhongjingsummarizedthesymptomscharacteristicsofliver—stomachdisordersyndromeinTreat~eORFebriDiseases fromfiveaspects(qistagnationandyangdepressionledtoliver—stomachdisorder，pathogenicfactorsofShaoyangchannelover—restraining thespleenandstomach，liverdepressionofthefirecausedstomachobsturction，livercoldofJueyinchannelaffectedstomachqiadverseas— cending，liverdepressionofJueyinchannelinducedstomachheatandspleencold)，guidedbythesix—meridiansyndromedifferentiation， whichrevealedthelawofsyndromeandtreatmentofliver—stomachdisorderrelevantsyndrome．Theapplicationurlesofliver—stomachdisor- dersyndromeinTreatiseonFebrileDiseases，whichlaidthetheoreticalfoundationfordoctorslaterwhostudiedofthisissue，andcontributed toinherittheessenceofcorrelationshipbetweenZangandFutheory ，developtheabilitiesofsyndromedifferentiationandtreatmentaswellas clinicaleffects． Keywords：TreatiseOnFebrileDsieases；liver—stomachdisordersyndrome；treatmentbasedonsyndromedifferentiation；law 肝 胃不和证指肝郁气滞，横逆犯 胃，胃失和降所表现的证