| 徐凤凯,陈晓.吴茱萸汤证治探析[J].浙江中医药大学学报,2020,44(11):1140-1142. |
| 吴茱萸汤证治探析 |
| Analysis of Syndrome and Treatment of Wuzhuyu Decoction |
| DOI：10.16466/j.issn1005-5509.2020.11.022 |
| 中文关键词: 吴茱萸汤 温中下气止痛 补虚益气化痰 伤寒论 金匮要略 脉经 |
| 英文关键词: Wuzhuyi decoction warming the middle-Jiao, descending Qi and relieving pain nourishing deficiency, replenishing Qi and resolving phlegm Treatise on Febrile Diseases Synopsis of Prescriptions from the Golden Chamber Pulse Classic |
| 基金项目:上海市进一步加快中医药事业发展三年行动计划(2018—2020年)[ZY(2018-2020)-CCCX-2001-01] |
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| 中文摘要: |
| [目的]探析吴茱萸汤的证治特点。[方法]以精究病源、深探方论、解析药说的方法并结合《伤寒论》《金匮要略》《脉经》等相关原文，对吴茱萸汤的相关条文、病证病机、方药解说、证治机联等四个方面进行探析，并举验案以作示例。[结果]吴茱萸汤为太阴病、少阴病、厥阴病的常用方，能除表里内外之痰饮，消三焦弥漫之水气，有温中下气止痛、补虚益气化痰、逐风邪开腠理、消冷实利五脏之功。以不能食、饮水则哕、呕吐吞酸、头痛胁胀、胃冷腹痛、胸满下利、手足逆冷、脉弱或关脉弦迟等为辨证要点。所举验案辨证属太阴病、痰饮病，以吴茱萸汤加减，疗效显著。[结论]吴茱萸汤为临床常用方，可治三阴病，疗三焦病，亦可根据痰饮水气结聚之不同部位、气血津液亏损之不同程度，将吴茱萸汤酌情应用于腹满寒疝病、胸痹心痛病、奔豚上气病、虚劳病、积聚病的治疗之中。 |
| 英文摘要: |
| [Objective] To analyze the characteristics analysis for the patterns and application of Wuzhuyu decoction. [Methods]With such methods of deeply probing into the causes of the disease， analyzing the composition of the prescription and expounding on the functions of the herbs in the light of the original clauses of “Treatise on Febrile Diseases” “Synopsis of Prescriptions from the Golden Chamber” and “Pulse Classic”.Analyzing the relevant provisions of Wuzhuyu decoction， the pathogenesis of disease， prescription explanation and combination of syndrome and treatment， and it gives one case as example.[Results] The Wuzhuyi decoction is commonly used to treat diseases of the Taiyin channel， Shaoyin channel and Jueyin channel. It can remove the phlegm and fluid in the exterior and interior， dispel water Qi in the tri-Jiao， warm the interior， descend Qi， relieve pain， nourish deficiency， replenish Qi， resolve phlegm， expel wind， open the sweat pores， eliminate cold retention and benefit the five viscera， clinically applied to treat indigestion， vomiting when drinking， acid regurgitation， headache， rib side distension， cold stomach， abdominal pain， chest fullness， diarrhea， cold feet and hands， as well as feeble， stringy and retarded pulse. [Conclusion]Wuzhuyi decoction is a common prescription in clinical practice， which can be used to treat Sanyin disease and tri-Jiao disease. It can also be used in the treatment of abdominal coldness hernia， chest numbness and heart pain， Qi upwardness disease， asthenia and accumulation disease according to the different parts of phlegm and drinking water accumulation and the degree of deficiency of Qi， blood and body fluid. |
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