《伤寒杂病论》中关于小便不利证治探析-孟令一.pdfVIP

第 1 8 卷 第 1 1 期 辽宁中医药大学学报 Vol. 18 No. 11 2016 年 11 月 JOURNAL OF LIAONING UNIVERSITY OF TCM Nov .，2016 DOI：10.13194/j.issn.1673-842x.2016.11.016 《伤寒杂病论》中关于小便不利证治探析 1 2 2 孟令一 ，李欣 ，张再良 （1. 上海市长宁区天山中医医院，上海 200051；2. 上海中医药大学，上海 201203 ） 梳理《伤寒杂病论》中有关“小便不利”证治的条文，从病因病机、治法方药、辨治特点三方面总结了仲 摘 要： 景辨治“小便不利”的特色，以指导临床实践。认为小便不利的病机主要与湿热、津亏、脾肾阳虚、气化失司、气血郁 滞、情志不遂等因素相关，治疗原则包括健脾利水、温肾化水、调气化饮、和解少阳、宣肺利水、疏肝解郁、祛风除湿、 育阴利水、活血利水。 关键词：小便不利；伤寒杂病论；辨证论治 ( ) 中图分类号：R222 文献标志码：A 文章编号：1673-842X 2016 11- 0056- 04 Brief Analysis on Syndrome Differentiation and Treatment of Dysuria in Treatise on Exogenous Febrile Disease 1 2 2 MENG Lingyi ，LI Xin ，ZHANG Zailiang （1.Shanghai Tianshan Hospital of Traditional Chinese Medicine，Shanghai 200051，China； 2.Shanghai University of Traditional Chinese Medicine，Shanghai 201203，China） Abstract：This paper classifies the items on syndrome differentiation and treatment of dysuria in Treatise on Exogenous Febrile Disease and summarizes the characteristics of ZHANG Zhongjing for syndrome differentiation and treatment of dysuria in order to direct the clinical practice from the following three aspects：the etiology and pathogenesis，the therapeutic method and the characteristics of syndrome differentiation and treatment. The main pathogenesis of dysuria has relationship with dampness and hea