| 赵燕,李良松.浙派中医朱丹溪治疗痰证临证思想探析[J].浙江中医药大学学报,2024,48(2):181-187. |
| 浙派中医朱丹溪治疗痰证临证思想探析 |
| Study on Clinical Medicine Thought of the Zhejiang School of Traditional Chinese Medicine Doctor ZHU Danxi in Phlegm Syndrome |
| DOI：10.16466/j.issn1005-5509.2024.02.009 |
| 中文关键词: 痰证 朱丹溪 数据挖掘 文献分析 临证经验 浙派中医 |
| 英文关键词: phlegm syndrome ZHU Danxi data mining literature analysis clinical experience Zhejiang school of traditional Chinese medicine |
| 基金项目:国务院台湾事务办公室台湾中医药研究基地建设项目(国台七字〔2017〕170号) |
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| 中文摘要: |
| [目的] 探究浙派中医朱丹溪诊治痰证的临证思想。[方法] 根据文献资料记载，构建“朱丹溪治疗痰证方药数据库”，利用数据挖掘方法探究丹溪用药规律，并辅以传统文献学方法，从病因、病机、治法、方药等方面归纳其诊治痰证的临证思想。[结果] 丹溪认为，痰证的病机在于气机不行，病因主要与外感六淫、内伤七情、饮食失宜有关；临床辨证论治将痰证分为热痰、湿痰、食积痰、寒痰、风痰、老痰等，并确定清热化痰、燥湿化痰、消积化痰、温化寒痰、祛风化痰、润燥化痰等各种不同的治疗原则；丹溪还认为，痰易与瘀结，故化痰消瘀亦为常用之法。丹溪治痰，根据痰证所发部位不同，用药及吐下之法各不相同。丹溪用药，标本兼治，从脾、肺、肝经入手，以二陈汤为基本方剂，既施以化痰药除已生之痰，亦采实脾药物，杜生痰之源，间辅以理气药行滞，以证“气顺痰自消”之理，又采清热药防痰阻气滞、郁遏阳气以助热。[结论] 丹溪治疗痰证的经验全面有效，其防治痰证的理法方药可为当今临床实践提供更多思路。 |
| 英文摘要: |
| [Objective] To explore the clinical experience of ZHU Danxi， a doctor of Zhejiang school of traditional Chinese medicine， on the diagnosis and treatment of phlegm-related diseases. [Methods] By means of literature research and data mining，the treatment database of ZHU Danxi in phlegm syndrome was constructed， and his clinical thoughts were summarized from the aspects of pathogenic factors， pathogenesis， treatment and prescriptions. [Results] According to ZHU Danxi， the pathogenesis of phlegm syndrome was mainly related to stagnation of Qi activity， the etiology was related to external contraction of six excesses， internal injury of seven emotions， improper diet. Phlegm syndrome was divided into hot phlegm， wet phlegm， food phlegm， cold phlegm， wind phlegm， old phlegm， etc. ZHU Danxi determined the different treatment principles such as clearing heat and resolving phlegm， drying dampness and resolving phlegm， resolving phlegm to remove stagnancy， warming and resolving cold-phlegm， dispelling wind and resolving phlegm， moistening dryness and resolving phlegm and so on. Phlegm wss easy to knot with stasis， so it was commonly used to remove phlegm and remove stasis. According to the site of the phlegm syndrome， ZHU Danxi used different herbs and methods of vomiting and purging， treating both symptoms and root causes， starting from the spleen， lung and liver meridian， and basing on Erchen Decoction. ZHU Danxi used phlegm-eliminating herbs， spleen strengthening herbs， Qi-regulating herbs and heat-clearing herbs. [Conclusion] ZHU Danxi’s experience in treatment of phlegm related diseases is fully effective， and the principles， methods， and prescriptions for preventing and treating phlegm syndrome can provide more ideas for clinical practice. |
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