| 杜菲,陈明显,沈堂彪,等.朱丹溪“痰挟瘀血，遂成窠囊”学说的临证应用[J].浙江中医药大学学报,2021,45(6):633-636, 640. |
| 朱丹溪“痰挟瘀血，遂成窠囊”学说的临证应用 |
| Clinical Application of ZHU Danxi's Theory of “Phlegm Combined with Blood Stasis Becoming Ke'nang” |
| DOI：10.16466/j.issn1005-5509.2021.06.012 |
| 中文关键词: 朱丹溪 痰瘀理论 窠囊学说 学术思想 浙派中医 丹溪学派 早期胃癌 结肠息肉 |
| 英文关键词: ZHU Danxi phlegm-blood stasis theory theory of Ke'nang academic thought Zhejiang school of traditional Chinese medicine Danxi school early gastric cancer colonic polyps |
| 基金项目:“十三五”浙江省中医养阴学重点学科(2017-XK-B02)；浙江省中医药科学研究基金项目(2019ZA034)；浙江省陆拯国医名师传承工作室建设项目(GZS2020001) |
|
| 摘要点击次数: 3109 |
| 全文下载次数: 1452 |
| 中文摘要: |
| [目的]探析朱丹溪“痰挟瘀血，遂成窠囊”的学术思想及临证应用价值。[方法]通过学习《局方发挥》《丹溪心法》《金匮钩玄》中有关窠囊的论述内容，总结窠囊的病因病机特点，阐述朱丹溪辨治窠囊、遣方用药的独到之处，并附以验案二例以示临床应用。[结果]朱丹溪在论著中提出“痰挟瘀血，遂成窠囊”之说，所论窠囊，是以气病日久成痰化瘀、胶结隐匿于体内深处为主要病机，具有不易清除、病势缠绵、病症繁多的临床特点。在治疗上，朱丹溪注重疏调气机、导痰破瘀，力求直捣窠囊，以二陈汤、四物汤为主方，佐以痰瘀同治之药，积累了丰富的临床经验。所附医案以窠囊学说为指导，采用痰瘀同治、调气解毒之法治疗早期胃癌和结肠息肉，临床疗效确切。[结论]朱丹溪的窠囊学说理法方药完备，对临床痰瘀疾病的认识和治疗具有重要的指导意义，值得深入挖掘和学习。 |
| 英文摘要: |
| [Objective] To explore the academic thought and clinical application value of ZHU Danxi's theory of “phlegm combined with blood stasis becoming Ke'nang”. [Methods] Through studying the contents of Ke'nang in ZHU Danxi's works， such as “Elaboration of Bureau Preion”“Danxi's Mastery of Medicine” “Exploration of Golden Chamber”， summarizing the etiology， pathogenesis and symptom characteristics of the disease， ZHU Danxi's unique features of differentiation and treatment， prescription and medication were expounded， and two cases were attached to show clinical application. [Results] ZHU Danxi put forward the theory of “phlegm combined with blood stasis becoming Ke'nang” in his works， which was an important type of phlegm and blood stasis disease， as well as the inheritance and development of the theory of “phlegm-blood stasis”. The Ke'nang is caused by the imbalance of Qi movement for a long time， and the cementation was hidden in the depths of the body. lt has the clinical characteristics of being difficult to be cleared， lingering disease and numerous symptoms. In the treatment， ZHU Danxi paid attention to the regulation of Qi movement and the simultaneous treatment of phlegm and blood stasis in order to directly tamper with Ke'nang， with Erchen decoction and Siwu decoction as the main prescription combined with other medicine， and accumulated a wealth of clinical experience. ZHU Danxi's theory has been praised and imitated by many doctors of later generations， and has gradually developed into a unique theory. The attached medical records were guided by the theory of Ke'nang and the methods of simultaneous treatment of phlegm and blood stasis， regulating Qi and detoxification are used to treat early gastric cancer and colonic polyps with definite clinical effect. [Conclusion] ZHU Danxi's theory of Ke'nang is complete in theory and treatment， which has important guiding significance for the understanding and treatment of clinical phlegm-blood stasis diseases， and is worthy of in-depth excavation and study. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |