通法思想在《温病条辨》中的运用探究.pdfVIP

提 要 追溯《易经》、《内经》中“通”的本义，可以得出的结论是人体中“通”的维持 在于两方面：其一，气血的运行畅通无阻；其二，保持以阳升阴降为主要形式的阴阳 运动顺利进行。 通法依据《易经》中通的含义而提出。凡能祛除病邪，消除气血津液运行阻滞， 协调脏腑功能的方法，均属于通法。本文探讨通法在《温病条辨》中的运用，侧重于 恢复人体正常的阴阳升降，并按照三焦辩证的顺序分析通法的用药规律，其中有广义 的通法，参以阳升阴降之理；有狭义的通法，不乏通腑化痰祛瘀之法；有具体的治疗 方药，也有仅是取象比类，赋药以通意。 具体而言，吴氏应用通法，多选用辛味药物，宣通阳气，以使阳升，祛除表里之 郁滞，主要有辛凉法、辛温法、辛甘法、苦辛法等，此为通法之常法；对于阴伤不降 之郁，则多选用甘味和（或）寒性药物，滋养阴液，以使阴降，恢复气血通畅，主要 有甘寒法、甘苦法、咸寒法等，此为通法之变法。另外，苦寒法也是很重要的通法。 不容忽视的是，吴氏将益气、滋阴、宣肺、清热、开窍、化痰诸法融入通腑法中，做 到了何腑需通，即通何腑，集中体现了通法思想。 关键词：通法；气血运行畅通；阳升阴降；辛味；甘味寒性；通腑法 The applied research about the idea of therapeutic method for Tong in Treatise on Differentiation and Treatment of Epidemic Febrile Diseases Speciality：TCM clinic basis-School of Epidemic Febrile Disease Author ：Dongming Li Tutor ：Professor Sichao Zhang Abstract Tracing back to the original meaning of “Tong” in The Book of Changes and Huangdi Neijing, this article may obtain the conclusion that is to maintain “Tong” in the human body depending on two aspects: On the one hand, the orbit of blood and qi is unimpeded; and the other hand, the movement of yang-rising and yin-falling carry on smoothly. The therapeutic method for Tong rests on the implication of “Tong” in Book of Changes. Every method can expel and remove pathogenic factors, eliminate the blood-qi and body fluid hindered, or coordinate the function of zang-organs and fu-organs, belongs to the therapeutic method for Tong. This article discusses the use of therapeutic method for Tong in Treatise on Differentiation and Treatment of Epidemic Febrile Diseases , stresses to restore the human body normal yang-rising and yin-falling, and analyzes the applic