| 蒋婉,顾皖临,田红霞,等.基于《血证论》探讨唐容川诊治便血经验特色[J].浙江中医药大学学报,2022,46(1):101-104. |
| 基于《血证论》探讨唐容川诊治便血经验特色 |
| Discussion the Characteristics of TANG Rongchuan‘s Experience in Diagnosis and Treatment of Hematochezia Based on Blood Syndrome Theory |
| DOI：10.16466/j.issn1005-5509.2022.01.019 |
| 中文关键词: 便血 脏毒 肠风 下血 和血疏利 血证论 唐容川 |
| 英文关键词: hematochezia visceral toxin intestinal wind bloody stool harmonizing the blood and dredging meridians Blood Syndrome Theory TANG Rongchuan |
| 基金项目:滁州市科技计划项目(2020ZN017) |
|
| 摘要点击次数: 1896 |
| 全文下载次数: 832 |
| 中文摘要: |
| [目的] 探究唐容川《血证论》中诊治便血的经验特色，从而为临床诊治便血提供思路。[方法] 以《血证论》“便血篇”为研究对象，结合《黄帝内经》《伤寒论》《济生方》等相关著作论述，对唐氏辨治便血的特色进行系统阐发。[结果] 唐容川将便血分为近血及远血进行辨治，认为近血病位在大肠，同肺、胃、肝、肾的功能失调密切相关，可分为脏毒下血和肠风下血，其中脏毒主责湿热蕴结、气血郁滞，治疗上当以和血疏利为原则；肠风主责外风内陷、肝风内动，治疗上当以清火养血为原则，不论肠风或是脏毒，下血日久皆致阴分损伤，又当滋阴濡肠以复其亏耗。远血病位在胃，发病之因在于中宫不守、血无所摄，其因于虚寒者，当温补中焦、固摄阴血；因于虚热者，当补中兼清、安宁阴血。唐氏在系列治则指导下确立了行之有效的方药，尤其推崇经方的使用，完善了便血治疗的体系，并对其预防提供了思路。[结论] 唐容川辨治便血经验丰富，理法充备，为现代临床诊治便血提供了思路及方法，具有十分重要的临床价值。 |
| 英文摘要: |
| [Objective] To explore the experiential characteristics of diagnosis and treatment of hematochezia in TANG Rongchuan‘s Blood Syndrome Theory， so as to provide some ideas for clinical diagnosis and treatment of hematochezia. [Methods] Taking contents of hematochezia in Blood Syndrome Theory as the research object， combined with relevant works such as The Inner Canon of Huangdi, Treatise on Febrile Diseases and Prescription of Relief Life， the characteristics of TANG’s differentiation and treatment of hematochezia were systematically elucidated. [Results] TANG Rongchuan divided hematochezia into distant bleeding and near bleeding to identification and treatment， thought about that the disease location of nearly bleeding was in the large intestine， closely related with the dysfunction of the lung， stomach， liver and kidney， which can be classified into visceral toxin bloody stool and intestinal wind bloody stool. And the visceral toxin bloody stool was mainly caused by damp and hot accumulation， Qi and blood stasis， treatment should take harmonizing the blood and dredging meridians for the principle; the intestinal wind bloody stool mainly caused by invagination of external wind and internal movement of liver wind， the treatment principle should clear away the heat and nourish blood. No matter the visceral toxin bloody stool and intestinal wind bloody stool， the long-period hematochezia all caused injury of Yin， and treatment should be nourishing Yin and moistening intestines to recover the losses. The distant bleeding was located in the stomach， and the cause of the disease was that the middle-Jiao couldn‘t be held and the blood was not in fixation. In the case of deficiency cold， it was necessary to warm and nourish the middle-Jiao and fix Yin blood; in the case of deficiency heat， it was necessary to combine supplement method with clearing method and calm Yin blood. Under the guidance of the treatment principle， a series of effective prescriptions were established， especially the use of classics prescription was highly praised， the treatment system of hematochezia was improved， and the ideas of revention were provided. [Conclusion] TANG Rongchuan had rich experience in distinguishing and treating hematochezia. He had provided ideas and methods for modern clinical diagnosis and treatment of hematochezia， which had very important clinical value. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |