基于现代肝病范畴张仲景临证医学思想探究.docVIP

基于现代肝病范畴张仲景临证医学思想探究摘 要：探讨了《伤寒论》、《金匮要略》有关胁痛、臌胀、黄疸等病症的医论方药文献，认为仲景辨治胁痛主要责之于实邪阻滞肝胆经脉以及精气虚损二端，治疗上强调固本培源，补益精气；辨治黄疸多责之于湿热、寒湿、瘀血、气血虚损、气机不利等，治疗上强调急则治标，缓则治本；辨治臌胀多责之于瘀血气滞两端，瘀血有寒凝血瘀、湿热血瘀、精枯血瘀等之别，气滞有寒凝气滞、痰浊气滞之分，治疗上强调攻补相宜。总结看，仲景辨治现代肝病相关病症，病位上多责之于肝胆脾胃，治法上强调健运肝胆脾胃，虚则补之，滞则通之，热则清之，寒则温之，总以相应脏腑真元之气充盈丰沛，通畅调达为务。 关键词：张仲景；胁痛；臌胀；黄疸；现代肝病 中图分类号：R222.3文献标识码：A 文章编号：1673-7717（2011）04-0805-03 ZHANG Zhong-jing Clinical Theory Research Based on Modern Liver Diseases Treatment Fields TAN Chun-yu, LIANG Hui-feng, ZHU Yin, HUANG Ying, ZHANG Ning, FANG Li-xing （Research Institute of TCM Literatures Shanghai University of TCM,Shanghai 201203,China） Abstract:To demonstrate the medical treatise related to Hypochondriac pain, tympanites, jaundice and other diseases in Treatise on Febrile Diseases and Medical Treasures of the Golden Chamber, we believe that ZHANG Zhong-jing treated hypochondriac pain based on syndrome differentiation, owing its etiology to excess-evil blocking liver and gallbladder channels and vessels, attaching importance to relieving secondary symptoms in acute cases, treatment of chronic disease aiming at the principal aspect. Regarding to tympanites, owing its etiology to blood and Qi stagnation, blood stagnation could be induced by cold obstruction, damp-heat, scarce of essence , while Qi stagnation by cold obstruction, turbid phlegm, attaching importance to simultaneous application of purging and nourishing therapeusis. In conclusion, when Zhang Zhong Jing diagnosing and treating modern liver diseases based on syndrome differentiation, owing disease sites to liver, gallbladder, spleen and stomach, emphasizing invigorating liver, gallbladder, spleen and stomach, deficiency should be treated by supplementary therapy, stagnation should be treatment by promoting, treating heat syndrome with cold therapy, cold disease should be treated by warm therapy. All in all the treatment principles would be nourishing and invigorating the Qi of related Zang and Fu organs, also r