| 柴银英,宋子瑜,诸青苗,等.张仲景产后病论治中“和法”思路运用探析[J].浙江中医药大学学报,2023,47(5):495-499. |
| 张仲景产后病论治中“和法”思路运用探析 |
| Discussion on the Thoughts of “Harmonization Method” in ZHANG Zhongjing’s Treatment of Puerperal Diseases |
| DOI：10.16466/j.issn1005-5509.2023.05.007 |
| 中文关键词: 和法 经方 产后病 小柴胡汤 小阳旦汤 枳实芍药散 |
| 英文关键词: harmonization method classical prescriptions puerperal diseases Xiaochaihu Decoction Xiaoyangdan Decoction Zhishi Shaoyao Powder |
| 基金项目:教育部首批虚拟教研室建设试点项目(教高厅函〔2022〕2号)；浙江省本科高校省级名师网络工作室(虚拟教研室)试点建设项目(浙教办高教〔2021〕43号)；国家中医药管理局科技司《中华医藏经典医籍影校对照整理丛书》专项计划(GZY-KJS-2021-060) |
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| 中文摘要: |
| [目的] 探析张仲景用“和法”治疗产后病的辨证思路。[方法] 通过学习《伤寒杂病论》相关条文，结合妇人产后的生理及病理特点，从和解法和调和法两方面切入，分析产后病的病因、病机及仲景的执方思路。[结果] 产后病多源于新产亡血伤气，故历代医家多以补法为治疗大法并随证治之，而较少关注“和法”在产后病中的运用。然而因妇人产后素体不足，易受外邪或因虚致实，病机往往盘根错节。故张仲景常用“和法”，通过和解少阳、平衡阴阳、调和脾胃、平调气血等方法，解除病者营卫、脏腑、气血等方面矛盾的病机，利用机体的自我调节机制，以期恢复至“平和”的生理状态。[结论] 从和方之制来探析张仲景对产后病的认识，既拓宽了产后病的辨证思路，亦开拓了经方“和法”论治之道，以期为临床提供借鉴意义。 |
| 英文摘要: |
| [Objective] To analyze the thought of syndrome differentiation of “harmonization method” that ZHANG Zhongjing applied in the diagnosis and treatment of puerperal disease， so as to provide implications in clinical treatment. [Methods] Through studying the relevant provisions of Treatise on Cold Pathogenic and Miscellaneous Diseases， combined with the psychological and pathological characteristics of postpartum patients， from the reconciliation method and harmony method， it analyzes the cause， the pathogenesis and Zhongjing ideas of puerpearl diseases. [Results] Women are prone to puerperal diseases due to blood or Qi collapse during delivery. Thus， doctors in past dynasties mostly treated puerperal diseases with tonifying method， and then treated according to syndromes， but didn‘t pay much attention to the application of harmonization method. However， the pathogenesis is often complicated due to the patient‘s weak body， exogenous infection and excess which resulted from deficiency. Therefore， ZHANG Zhongjing often used the “harmonization method”， by means of “reconciling Shaoyang”“striking balance between Yin and Yang” “adjusting the spleen and stomach” and “regulating Qi and blood”， it relieves the patient‘s contradictory pathogenesis， comprising Ying and Wei， zangfu， Qi and blood， and so on， in order to restore to a peaceful physiological state by using the self-regulation mechanism of the body. [Conclusion] ZHANG Zhongjing‘s understanding of puerperal diseases is analyzed from the system of harmony， not only broadening the thought thread of syndrome differentiation in puerperal diseases， but also exploring the way of “harmonization method”， hoping to provide implications for clinical significance. |
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