[1]陈迎莹,王蓉,华国安.《伤寒杂病论》痞证治疗整理研究[J].西部中医药,2021,34(01):46-48.[doi:10.12174/j.issn.2096-9600.2021.01.13]
　CHEN Yingying,WANG Rong,HUA Guoan.Research on Therapy for Fullness Syndrome in Shanghan Zabinglun[J].Western Journal of Traditional Chinese Medicine,2021,34(01):46-48.[doi:10.12174/j.issn.2096-9600.2021.01.13]
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《伤寒杂病论》痞证治疗整理研究
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
34
期数:
2021年01期
页码:
46-48
栏目:
医史文献
出版日期:
2021-01-15

文章信息/Info

Title:
Research on Therapy for Fullness Syndrome in Shanghan Zabinglun
作者:
陈迎莹, 王蓉, 华国安
上海市浦东新区光明中医医院消化内科，上海 201300
Author(s):
CHEN Yingying, WANG Rong, HUA Guoan
Gastroenterology Department, Pudong New District Guangming Hospital of TCM, Shanghai 201300, China
关键词:
《伤寒杂病论》; 痞证; 痰饮; 泻心汤
Keywords:
fullness syndrome; phlegm turbidity
分类号:
R222
DOI:
10.12174/j.issn.2096-9600.2021.01.13
摘要:
目的通过分析张仲景《伤寒杂病论》中痞证的治疗，为临床治疗痞证提供参考。 方法以赵开美本《伤寒论》和邓珍本《金匮要略》为底本，汇总痞证相关条文，从张仲景早期和同期本草学文献角度分析其组方用药。 结果痞之病机在于气结，由中阳不足，水饮热邪干之导致。《伤寒论》列泻心汤清热逐水治痞，黄芩、黄连为主要药物；《金匮要略》温中化饮消痞，白术、枳实、半夏、桂枝、姜、茯苓为主要药物。 结论张仲景治疗痞证在选药组方时证症相参，值得现代中医医师学习。
Abstract:
Objective: To provide the reference for clinical treatment of fullness syndrome by analyzing Zhang Zhongjing’s therapies for fullness syndrome in Shanghan Zabinglun. MethodsZhao Kaimei’s Shanghanlun and Deng Zhen’s Jingui Yaolue were chosen as the master copies, the related items of fullness syndrome were collected, its prescriptions and herbs were analyzed from the angles of Zhang Zhongjing’s literature of materia medica at early phase and the same period. ResultsThe pathogenesis of fullness syndrome was Qi stagnation, induced by the deficiency of middle Yang and disturbance by fluid retention and heat. Xiexin Tang in Shanghan Lun could clear heat, dispel water and treat fullness syndrome, Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) were the main drugs; while the decoction in Jingui Yaolue could warm the middle energizer, remove the drinking and fullness, Baizhu (Atractylodes Macrocephala), Zhishi (Aurantii FructusImmaturus), Banxia (Pinelliae Rhizoma), Guizhi (Cinnamomi Ramulus), ginger, Fuling (Poria) were the fundamental medicine. ConclusionZhang Zhongjing pays attention to the syndromes and clinical symptoms in treating fullness syndrome when selecting herbs and prescriptions, and it is worth learning for modern TCM doctors.

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备注/Memo

备注/Memo:
陈迎莹(1981—)，女，硕士学位，副主任医师。研究方向：中药根除耐药幽门螺旋杆菌。上海市中医特色诊疗技术提升项目(zyjx-2017048)。
更新日期/Last Update: 2021-01-15