| 武子健,李娜,王丽,等.朱丹溪治痰之法刍议[J].浙江中医药大学学报,2020,44(10):963-966, 972. |
| 朱丹溪治痰之法刍议 |
| Discussion of ZHU Danxi’s Treatment of Phlegm |
| DOI：10-16466/j.issn1005-5509-2020-10-008 |
| 中文关键词: 痰证 病因病机 诊疗思路 六郁学说 朱丹溪 相火 引经报使 二陈汤 |
| 英文关键词: phlegm syndrome etiology and pathogenesis diagnosis and treatment ideas the theory about six modes of depression ZHU Danxi ministerial fire meridian guiding Erchen decoction |
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| 摘要点击次数: 1998 |
| 全文下载次数: 877 |
| 中文摘要: |
| [目的]总结朱丹溪治痰之法，为临床中医治疗痰证相关疾病提供更多诊治思路，并为完善朱丹溪相关学术体系提供文献依据。[方法]研读朱丹溪相关医学著作，阐述并分析其对于痰证病因病机、临床表现的认识，归纳总结其治疗痰证的理法方药。[结果]朱丹溪认为痰证的病因病机主要与脾胃亏虚、气血不足，饮食失宜、嗜食肥甘，七情相干、郁而为痰，痰瘀互结、缠绵难愈，六淫侵袭、外邪挟痰，禀赋异常、痰邪自生，相火妄动、炼津为痰密切相关，临床表现可因痰邪性质而变化多端，治疗上主要从气、火、湿、瘀、积、风及攻邪七个方面着手，常用治疗大法有补气化痰法、行气化痰法、清热降火化痰法等多种。朱丹溪对于方剂也有深入的研究，以二陈汤为基础方，总结了多首治痰方剂，如加味四七汤、白附子丸、清膈化痰方等。[结论]朱丹溪治疗痰证有其独到的见谛，主要从气、火、湿、瘀、积、风及攻邪七个方面论治，多以二陈汤为基础方，酌情加减，灵活运用，其治疗经验值得当代中医继承及发扬。 |
| 英文摘要: |
| [Objective]To summarize the method of ZHU Danxi in treatment of phlegm， in order to provide more diagnosis and treatment ideas for clinical traditional Chinese medicine(TCM) treatment of phlegm related diseases， and to provide literature basis for improving ZHU Danxi’s related academic system. [Methods]Through reading ZHU Danxi’s medical works， ZHU Danxi’s understanding of the etiology， pathogenesis and clinical manifestations of phlegm syndrome were expounded and analyzed， and his treatment of phlegm syndrome was summarized. [Results]According to ZHU Danxi， the etiology and pathogenesis of phlegm syndrome were mainly related to deficiency of spleen and stomach， deficiency of Qi and blood， improper diet， appetite for fat and sweet， seven emotions， depression was the combination of phlegm and blood stasis， lingering and incurable， six evils， external pathogens with phlegm， abnormal endowments， self generation of phlegm evils， frenetic stirring of ministerial fire， and refining fluid for phlegm. The clinical manifestations can be varied according to the nature of phlegm. The treatment mainly included Qi， fire， dampness， blood stasis， accumulation， wind and attacking pathogenic factors， and the commonly used treatment methods included invigorating Qi and resolving phlegm， promoting Qi and resolving phlegm， clearing away the heat， reducing fire and resolving phlegm and so on. At the same time， ZHU Danxi also made in depth research on TCM prescription， and summarized many prescriptions for treating phlegm based on Erchen decoction， such as Jiawei Siqi decoction， Baifuzi pill， Qingge Huatan formula， etc. [Conclusion]ZHU Danxi’s treatment of phlegm syndrome has its unique essence， mainly from seven aspects including Qi， fire， dampness， blood stasis， accumulation， wind and attacking pathogenic factors， and mostly based on Erchen decoction， appropriate addition and subtraction， flexible use， his treatment experience is worthy of inheritance and development of contemporary Chinese medicine. |
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