中医辩证论治简表.docVIP

中医辩证论治简表 一、八纲辩证 证 型 临 床 表 现 舌 象 脉 象 表 证 恶风寒,发热,头身痠痛 苔薄白 浮 阳 证 热 证 发热喜凉,渴喜冷饮,面红目赤,小便短赤,大便秘结 舌红苔黄干燥 数 实 证 精神亢奋,气粗,胸腹胀满,疼痛拒按,小便涩痛,大便秘结 苔厚腻 实 里 证 里证有虚有实.举脾虚为例:腹满喜按,食少便溏,四肢倦怠,面黄体瘦 舌淡 沉 阴 证 寒 证 畏寒喜暖,口淡不渴,面色苍白,四肢清冷,小便清长,大便稀溏 舌淡苔白润滑 迟 虚 证 精神萎靡,面色苍白,身倦无力,隐痛喜按,形体消瘦,心悸气短,自汗盗汗 苔少 细 二、气、血、津液辩证 证型 病 理 主 要 症 状 舌 象 脉 象 治 法 方 剂 举 例 气虚 元气不足或脏腑机能衰退 面色 白,少气懒言,语声低微,疲倦无力,动则气喘,自汗 舌淡苔少 虚弱 补气 四君子汤加减 气陷 脾气不升清阳下陷 头昏眼花,少气倦怠,脘腹肿胀,内脏下垂,久泄脱肛 舌淡苔少 虚弱 补脾益气升阳举陷 补中益气汤加减 气滞 气机阻滞运行不畅 闷胀,疼痛,痛无定处 行气 金铃子散加减 苏子降气汤\旋复气逆 气机上逆 咳嗽,喘息,呃逆,呕吐 降气镇逆 代赭汤加减 血虚 血失所养 面色苍白或萎黄,唇色淡白,精神不振,头晕眼花,心悸失眠,手足麻木 舌淡苔少 细而无力 补血 四物汤加减 局部肿胀疼痛或见肿块,疼痛固定,拒按, 舌紫暗或血瘀 血行不畅或血液留滞 细涩 活血祛瘀 血府逐瘀汤加减 或伴有面色晦暗,甚则肌肤甲错或出血 有瘀点 心烦,失眠或躁扰发狂,口干不欲饮,身热夜甚,或见出血.或生疮疖,妇女血热 热扰心神耗阴,迫血妄行 舌红 数 清热凉血 犀角地黄汤加减 月经超前或量多,色红等 津液津液不足,组织器官失去濡口干咽燥,唇燥舌干,欲饮,皮肤干燥,大便干结,小便短少,甚则皮肤干舌红干光细数 增补津液 增液汤加减 不足 养及润泽 瘪,或身热夜甚,口干不欲饮 剥无苔 肺失肃降,水湿内停,脾虚水咳嗽痰多,头晕目眩,心下悸,短气, 水液泛,肾气亏虚,制水无权,水或胁下胀痛,咳唾引痛,或见腹胀纳少,口淡无味,小便不利,大便溏薄. 苔白滑 濡或沉弦 利水 五苓散加减 内停 气凌心 或见下肢浮肿,甚或一身面目悉肿,或腹大如鼓 tomorrow I go fishing to the East. Bosses dont have fish to eat. Positions out of a fat man: going on now in the past, the Imperial Army came after eating is bad. Old Kings Head Rush thanked the captain rushed to the base for Hong Kong, Shen Yuezhen said: I think so well! Aboard the ship, told through again. Months Pro happy meals freshly prepared, Scull chunks post immediately. Card that Fu sheng of the Elves take care of: old Kings Head tomorrow, your fish such as we Captain! Know this is the Kings voice, by far. At night, the ship to port, next to see a few xieye of small fishing vessels, stop eating. Alex after eating two adjacent boats stopping by. Learned from the mouths of local fishermen here have is guerrilla zones, East Taihu Lake infested with bandits, Miaogang landmark, quiet at night, sometimes in the morning zhenze Japan Devils sweep, afternoon zhenze, West of guerrilla activities. Back on the boat, monthly Pro action decided by the first programme, go to Miaogang, find focal point connector. Gently open the ship