《溫病條辨》治療溫病組方特點(diǎn)研究
發(fā)布時(shí)間：2018-11-21 17:33
【摘要】：本課題以《溫病條辨》為研究對(duì)象,通過查閱相關(guān)文獻(xiàn),在前學(xué)者研究基礎(chǔ)上,運(yùn)用綜合、類比法總結(jié)《溫病修辨》治療溫病的用方特點(diǎn)。經(jīng)過研究,得出以下結(jié)論：1.溫病初犯肺衛(wèi),治以辛涼解表佐以微辛微苦。偏于衛(wèi),則輔以辛溫發(fā)散；偏于肺,則輔以苦降：若夾毒,合用清熱解毒；熱盛則佐用苦寒；夾濕濁,則佐以芳香化濕；熱盛傷陰,則佐用甘寒。當(dāng)衛(wèi)氣同病,則合用辛涼清熱；若夾濕,熱重于濕,則去辛溫,加辛涼或苦寒清熱,佐用宣肺；若濕盛,則加淡滲利水。當(dāng)衛(wèi)營(yíng)同病,則辛涼苦甘合用成寒甘寒；若衛(wèi)血同病,則合用涼血活血。2.吳氏以辛涼清熱重劑治療氣分熱盛,夾毒者,合用清熱解毒；夾濕者,熱重于濕,則佐用辛溫燥濕；病情輕者,則用芳香化濕；若濕熱并重,則合用宣上淡滲；若陰虛,則合用甘寒養(yǎng)陰。氣血兩重,氣分熱和陰傷較重者,則重用辛涼清熱,輔以甘寒；若氣分與血熱并重,則辛涼咸寒并用。熱入營(yíng)分,治以咸寒甘寒,佐以輕清宣透。血分熱盛,治以咸寒甘寒。3. “透熱轉(zhuǎn)氣”是針對(duì)藥物功能而言,即質(zhì)輕上浮之品,領(lǐng)血分藥至轉(zhuǎn)至營(yíng)分。4.治療陽明腑實(shí)證,燥熱重者,投以大承氣湯；燥重?zé)彷p者,治以謂胃承氣湯,并頓服之；病情輕則投以小承氣湯。當(dāng)陽明腑實(shí)與他臟合病時(shí),以苦寒攻下為基礎(chǔ)。太陰與陽明合病,痰熱互結(jié),合用辛開苦降；若熱重痰輕,則輔以辛涼清熱；太陽與陽明合病,小腸熱盛,則合用苦寒甘寒；厥陰與陽明合病,熱閉心包,則合用安宮牛黃丸。陰液不足,則合用咸寒甘寒；氣陰兩虛,則合用益氣養(yǎng)陰；陰液大虧則純用咸寒甘寒,禁用苦寒。5.濕熱郁結(jié)上焦,清竅不通,則用辛散宣上,佐以苦寒；若氣逆于上,濕熱較輕,則重用苦降,輔以辛散,佐用淡滲；若濕熱較重,則重用清肺化痰,輔以淡滲苦降。中焦?jié)駸?胃氣上逆,熱重于濕,則重用苦寒佐以辛溫；若濕熱并重,則辛溫苦寒并用；若濕重于熱,則辛溫苦溫并用。下焦?jié)駸?則重用淡滲。6.當(dāng)肺陰虛時(shí),治以甘寒養(yǎng)陰,若暑邪所致,則合用酸甘。胃陰不足,治以甘寒養(yǎng)陰,若熱輕,則合用咸寒：若熱重,則輔以苦寒。下焦肝腎不足,陰虛輕則用甘寒,陰虛較重則以咸寒治之；當(dāng)虛實(shí)夾雜,則合用苦寒清熱或辛涼外透。若暑邪所致則以酸甘化陰佐以苦寒。
[Abstract]:This topic takes febrile disease differentiation as the research object, through consulting the related literature, on the basis of the former scholars' research, summarizes the febrile disease treatment febrile disease prescription characteristic by the synthesis, the analogy method. After study, the following conclusions are drawn: 1. Febrile disease first committed lung Wei, cure with Xin Liang solution table with a little bitter. Deviation in the Wei, then assisted by Xin Wen divergence; lean to the lung, auxiliary suffering: if the toxin, use heat detoxification; heat Sheng Zizuo with bitter cold, damp, with aromatization wet; heat injury Yin, with sweet cold. When Wei Qi is ill, it is combined with Xin Liang to clear away heat; if dampness, heat is heavier than wet, then go to Xin Wen, add Xin Liang or bitter cold to clear away heat, and use Xuan lung; if wet, add light seepage and benefit water. When Wei Ying with disease, then Xin Liang bitter Gan combined into cold sweet cold; if Wei blood with disease, the use of cold blood circulation. 2. Wu used xinliangqing heatweight agent to treat the heat of Qi, the person with toxin, combined with heat and detoxification; those with dampness and dampness, the heat was heavier than the dampness, they were supplemented with xingwen, dryness and dampness; in the case of light illness, they were treated with aromatization and dampness; if the dampness and heat were equally heavy, they could be combined with light infiltration; If yin deficiency, then the combination of sweet cold nourishing yin. Qi-blood double, Qi points heat and Yin injury more serious, then re-use Xin Liangqing heat, supplemented by sweet cold; if Qi points and blood heat equal weight, then Xin Liang salty cold and use. Heat into the camp, the treatment of salty cold sweet cold, with light Qing Xuan transparent. The blood divides heat Sheng, treats with salty cold and sweet cold. 3. "Heat transfer" is aimed at the function of the drug, that is, light floating products, blood points to the transfer to the camp. 4. The treatment of Yang Ming Fu empirical, dryness and heat heavy, the big Cheng Qi Tang; dryness heavy heat light, the treatment is called stomach Cheng Qi Tang, and take it; the disease is light with Xiaochengqi decoction. When the yang-Ming fu-organs and his viscera syndromes with disease, it is based on the attack of bitter cold. Taiyin and Yangming syndromes, phlegm and heat mutually knot, combined with Xin Kai and bitter fall; if heat heavy phlegm light, auxiliary with Xin Liang Qing re; Sun and Yang Ming disease, small intestine heat is prosperous, share bitter cold and sweet cold; Jueyin and Yang Ming syndromes disease, heat closes pericardium, combine an Gong Niuhuang pill. Yin liquid is insufficient, then use salty cold and sweet cold; Qi and Yin deficiency, combined use of Qi nourishing yin; Yin liquid loss is pure use of salty cold sweet cold, prohibit bitter cold. 5. Damp and heat stagnation knot on the coke, clear the orifices, use Xin San-Xuan, with bitter cold; if the gas is reversed, damp heat is light, then re-use bitter drop, with Xin San, with light seepage; if the damp heat is heavy, then re-use clear lung to reduce phlegm, auxiliary with light seepage bitter drop. If the heat is both damp and hot, the bitter cold will be combined with the bitter temperature, and if the humidity is more severe than the heat, the bitter temperature will be combined with the bitter temperature and the bitter and bitter heat, and if the humidity is more severe than the heat, the bitter and bitter heat will be combined. The lower coke is damp and hot, then reuses the light osmosis. 6. When lung yin deficiency, cure with sweet cold to nourish yin, if summer heat evil caused, then combined with sour sweet. Stomach yin deficiency, cure with sweet cold nourish yin, if heat is light, combine salty cold: if heat is heavy, assist with bitter cold. The deficiency of liver and kidney of lower scorch, the light of yin deficiency is treated with sweet cold, the heavy of yin deficiency is treated with salty cold, and when the deficiency is mixed, it can be combined with bitter cold to clear heat or Xin Liang to pass through outside. If the heat caused by the evil is sour glycosylated Yin with bitter cold.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2016
【分類號(hào)】：R254
，
本文編號(hào)：2347719
[Abstract]:This topic takes febrile disease differentiation as the research object, through consulting the related literature, on the basis of the former scholars' research, summarizes the febrile disease treatment febrile disease prescription characteristic by the synthesis, the analogy method. After study, the following conclusions are drawn: 1. Febrile disease first committed lung Wei, cure with Xin Liang solution table with a little bitter. Deviation in the Wei, then assisted by Xin Wen divergence; lean to the lung, auxiliary suffering: if the toxin, use heat detoxification; heat Sheng Zizuo with bitter cold, damp, with aromatization wet; heat injury Yin, with sweet cold. When Wei Qi is ill, it is combined with Xin Liang to clear away heat; if dampness, heat is heavier than wet, then go to Xin Wen, add Xin Liang or bitter cold to clear away heat, and use Xuan lung; if wet, add light seepage and benefit water. When Wei Ying with disease, then Xin Liang bitter Gan combined into cold sweet cold; if Wei blood with disease, the use of cold blood circulation. 2. Wu used xinliangqing heatweight agent to treat the heat of Qi, the person with toxin, combined with heat and detoxification; those with dampness and dampness, the heat was heavier than the dampness, they were supplemented with xingwen, dryness and dampness; in the case of light illness, they were treated with aromatization and dampness; if the dampness and heat were equally heavy, they could be combined with light infiltration; If yin deficiency, then the combination of sweet cold nourishing yin. Qi-blood double, Qi points heat and Yin injury more serious, then re-use Xin Liangqing heat, supplemented by sweet cold; if Qi points and blood heat equal weight, then Xin Liang salty cold and use. Heat into the camp, the treatment of salty cold sweet cold, with light Qing Xuan transparent. The blood divides heat Sheng, treats with salty cold and sweet cold. 3. "Heat transfer" is aimed at the function of the drug, that is, light floating products, blood points to the transfer to the camp. 4. The treatment of Yang Ming Fu empirical, dryness and heat heavy, the big Cheng Qi Tang; dryness heavy heat light, the treatment is called stomach Cheng Qi Tang, and take it; the disease is light with Xiaochengqi decoction. When the yang-Ming fu-organs and his viscera syndromes with disease, it is based on the attack of bitter cold. Taiyin and Yangming syndromes, phlegm and heat mutually knot, combined with Xin Kai and bitter fall; if heat heavy phlegm light, auxiliary with Xin Liang Qing re; Sun and Yang Ming disease, small intestine heat is prosperous, share bitter cold and sweet cold; Jueyin and Yang Ming syndromes disease, heat closes pericardium, combine an Gong Niuhuang pill. Yin liquid is insufficient, then use salty cold and sweet cold; Qi and Yin deficiency, combined use of Qi nourishing yin; Yin liquid loss is pure use of salty cold sweet cold, prohibit bitter cold. 5. Damp and heat stagnation knot on the coke, clear the orifices, use Xin San-Xuan, with bitter cold; if the gas is reversed, damp heat is light, then re-use bitter drop, with Xin San, with light seepage; if the damp heat is heavy, then re-use clear lung to reduce phlegm, auxiliary with light seepage bitter drop. If the heat is both damp and hot, the bitter cold will be combined with the bitter temperature, and if the humidity is more severe than the heat, the bitter temperature will be combined with the bitter temperature and the bitter and bitter heat, and if the humidity is more severe than the heat, the bitter and bitter heat will be combined. The lower coke is damp and hot, then reuses the light osmosis. 6. When lung yin deficiency, cure with sweet cold to nourish yin, if summer heat evil caused, then combined with sour sweet. Stomach yin deficiency, cure with sweet cold nourish yin, if heat is light, combine salty cold: if heat is heavy, assist with bitter cold. The deficiency of liver and kidney of lower scorch, the light of yin deficiency is treated with sweet cold, the heavy of yin deficiency is treated with salty cold, and when the deficiency is mixed, it can be combined with bitter cold to clear heat or Xin Liang to pass through outside. If the heat caused by the evil is sour glycosylated Yin with bitter cold.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2016
【分類號(hào)】：R254
，
本文編號(hào)：2347719
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