《伤寒杂病论》辨治太阳病本证探析

通常认为辨太阳病本证即是《伤寒论》中太阳中风证、太阳伤寒证、太阳温病证而已。今揆度《金匮要略》中有关论太阳病本证内容,则知《伤寒论》中论太阳病本证仅是仲景论太阳病本证四大方面之一。所谓太阳病本证,即指太阳统摄营卫及筋脉受邪而发病的证候。果能从《伤寒杂病论》角度全面认识太阳病本证,方可免于偏失。于此试将仲景所论探析于次。1太阳营卫肌表证太阳营卫肌表证主要指太阳受邪,营卫与邪相争,病位在肌表的病理特征,其治重在解表散邪,燮理营卫。1．1太阳中风证：即感冒属外感风寒表虚证者。《伤寒论》第12条云：“太阳中…     

从伤寒论太阳证及其变证探识急性肾小球肾炎病变

《伤寒论》不仅是外感病专著,还是外感病与杂病合论之作。如清·柯韵伯言：“仲景之六经,为百病立法,不专为伤寒一科。伤寒杂病治无二理,咸归六经之节制。”指出《伤寒论》所述“变证”实质上属于杂病的范畴,所以通过伤寒论太阳证变可以探识到急性肾小球肾炎的病变过程。     

论六经病预后转归

张仲景著《伤寒论》,创立六经辨证论治理论体系,揭示了辨证论治的方法和思维程序。后世医家对六经辨证论治理论代有发挥,使六经辨证体系日趋完善,然而对六经病预后转归鲜有论述。兹就《伤寒论》六经病有关预后转归内容阐述如下。1　太阳病预后转归太阳主表,风寒之邪侵袭人体,太阳首当其冲。太阳受邪,营卫失和,正邪相争于表,便会发生以发热、恶寒、头痛、脉浮为特征的太阳病。太阳为六经之藩篱,故太阳病误治失治,可内传其他五经,然太阳与少阴相表里,故太阳病每多内传少阴,有道是“实则太阳,虚则少阴”。如桂枝甘草汤证、炙甘草汤证、干姜附子…     

我们对严世芸同志文章的看法

从太阳病提纲看“伤寒六经提纲”的正确性江西104后方医院郭来荣:读了严世芸同志《对“伤寒六经提纲”的商榷》一文(贵刊1982年第9期),甚受启发,但对“伤寒六经提纲”的否定,且视之为研究伤寒论的桎梏,尚感过于激言。我认为仲景《伤寒论》是一部详于寒而略干温的外感热病学,主要研究狭义之伤寒,因而“提纲”是指风寒之邪伤人后每经所出现的至当脉证,但不是绝对的脉证。文章作者否认“太阳病提纲”的原因有二:一是发热为太阳病必具;二是脉浮、恶寒未必是太阳病必     

浅议《伤寒论》中太阳病误汗证治

汗法是通过发汗解表 ,宣肺散邪 ,使在表的六淫之邪随汗而解的一种治法。汉代张仲景所著《伤寒论》是以外感病为主的著作 ,故汗法是《伤寒论》中常见的治疗方法。在《伤寒论》六经辩证论治体系中 ,太阳病为外感病的初期 ,病邪以寒邪为主兼风或湿 ,病变部位主要在体表 ,营卫受病 ,主证为发热 ,恶寒 ,脉浮 ;影响到足太阳膀胱经 ,是为表症。根据《素问·阴阳应象大论》“其在皮者 ,汗而发之”的原则 ,寒邪袭表 ,当用汗法 ,使邪从表解 ,但如若误汗 ,即当汗不汗 ,或汗出太过 ,必然会导致变证丛生。张仲景在“辩太阳病脉证并治“中所述误汗之辨证达…     

从六经辨证体系中探讨《伤寒杂病论》体质思想

六经病可以看作是六种类型体质与病邪相互作用产生的六种病理表现。基于体质与疾病之间的密切关系,可以从六经病发生、发展和传变转归过程中理解和把握《伤寒杂病论》中的体质思想。文章分别从疾病发病观、六经的生理病理特征、六经病的传变规律以及六经方证的角度对《伤寒杂病论》中的体质思想进行了探讨。     

《伤寒杂病论》下利辨治13法

《伤寒杂病论》下利辨治１３法山东２５００１１山东中医学院附属医院内科贾士安主题词《伤寒杂病论》泄泻／中医药疗法解表升津法《伤寒论》３２条：“太阳与阳明合病，必自下利”，为邪袭太阳，卫表闭郁，胃中津液不能由脾输肺宣达皮毛，而下趋大肠。治以葛根汤，方中桂...     

《内经》《伤寒杂病论》《彭子益论》与“咳”辨治

咳属常见症状及病种,病情有重有轻,伴发症状普遍见于大多数疾病中。《内经》为咳单独立论,亦称《论咳》,以内外合邪为病机,肺胃为病之源头。《伤寒杂病论》六经太少阳阴、阳明、厥阴为纲,分表里寒热虚实;咳亦以六经而分为六经病证,每证又可依寒热虚实再分四证。《彭子益论》临床所见以咳为主之病多为久咳,久咳者伤气伤津。寸口脉左为心肝肾,右为肺脾肾,左主血,右主气。脉沉,左右脉偏一侧细者,此为肺金枯燥不能生水,甲木失养,少阳相火上冲攻肺之咳。     

《金匮要略》运用六经辨证论治杂病探讨

六经辨证是张仲景《伤寒论》的辨证论治方法,而脏腑经络辨证是杂病的基本辨证体系和方法。通过对《金匮要略》中辨证论治方法运用的比较研究,显示运用六经辨证方法对杂病进行辨证论治共涉及全书14种疾病,约占《金匮要略》一书所论疾病的35％,计有28证次。由此可见,张仲景早已把六经辨证广泛地运用于杂病的辨证论治,突显了张仲景的六经辨证是其原书《伤寒杂病论》的基本辨证论治方法,而脏腑经络辨证似是其辨治杂病的变通或有益补充。     

从病机探讨五苓散的适用病症

五苓散出自东汉张机《伤寒杂病论》,是针对"气化不利,客水停留,真水不布"这一病机而设定的方剂。其选药配伍及煎服方法皆针对此病机而设。六经辨证涉及太阳与太阴两经。临证中无论何病何种表现但诊见此病机皆有投用此方之道理。读方悟法,由点及面,推而广之,以病机之不变应病候之万变。     

Traditional Chinese Medicine symptom pattern analysis for Parkinson's disease

OBJECTIVE: To use the theory of Traditional Chinese Medicine to identify the major symptom patterns of Parkinson's disease.METHODS: Journal databases were searched for relevant articles in the last 30 years. Articles were reviewed for symptom patterns of Parkinson's disease and analyzed using frequency analysis, cluster analysis, and other methods of data extraction.RESULTS: The analyses indicated that the most frequent symptom patterns of Parkinson's disease are Yin deficiency of kidney and liver, deficiency of Qi and blood, phlegm heat and wind stirring, blood stasis and wind stirring, and deficiency of Yin and Yang.CONCLUSION: Taken together, the analyses identified the primary symptom patterns of Parkinson's disease as Yin deficiency of kidney and liver, deficiency of Qi and blood, phlegm heat and wind stirring, and blood stasis and wind stirring.     

浅议“咳嗽”病、症的鉴别

咳嗽作为新冠病毒肺炎的临床表现之一,其病机常复杂多样,临床诊治有一定困难。自古以来有着"百病唯咳嗽难治"的说法,本文就咳嗽病与咳嗽症进行鉴别分析,将临床上常见咳嗽病与咳嗽症分为三种情况,即咳嗽病、咳嗽症作为主症以及咳嗽症作为兼症,运用中医的整体观、恒动观、辨证观,鉴别各种包含咳嗽作为临床表现的不同疾病,以求能够为以咳嗽为主症的新冠肺炎提供诊治思路。     

魏成功教授治疗慢性阻塞性肺疾病临床经验总结

介绍魏成功教授治疗慢性阻塞性肺疾病(简称慢阻肺)临床经验,魏成功教授认为慢阻肺的病因主要在于肺脾肾三脏功能失调,痰浊水饮、瘀血等病理产物使肺胀进一步加重;在治疗经验上,善辨虚实,祛邪与扶正共施,依其标本缓急,有所侧重,形成了以“冬令膏方”为核心,配合冬病夏治、运动肺康复等中医特色治疗方法,个体化辨证并灵活运用中药汤剂,效果良好。     

《说文解字》“疾”“病”及其相关语词考

对疾病的不同称谓,代表了古人对疾病的不同认识,也往往能从中考察到古代"疾病史"的风貌。《说文解字》"疒"部与疾病相关的语词,共收102字,除"疒""疾""病"之外,余99字,内容丰富。有的释为"病也"、有的表示患病对象、有的表示疾病轻重程度、有的表示病因、有的表示治疗与病愈、有的表示疾病症状。这些语词从不同角度详尽地描述了疾病,体现出古人对疾病由浅入深的认识过程。     

论阳明病热证与实证之兼夹与转化

以《伤寒论》相关原文为依据 ,围绕阳明胃肠燥热“充斥”与“结聚”是形成热证与实证之关键病机 ,结合病史、治疗及其他内外因素 ,从疾病动态发展角度探究阳明病篇存在的某些不典型证候。结论 :阳明病热证与实证之兼夹证候确实存在 ,且证候间可动态转化。由于患者燥热程度、就诊迟早、津液耗损等诸多因素的差异 ,临证所见又可有热证初转实之偏热型、热证转实之并重型、热证转实之偏实型、典型热证转实型等     

Distribution of elements extracted from symptom patterns and characteristics of polysomnograph of common symptom patterns of insomnia with Traditional Chinese Medicine

OBJECTIVE: To analyze the distribution and combined regulation of elements of symptom patterns in the diagnosis of insomnia with Traditional Chinese Medicine(TCM).METHODS: The samples were collected from the patients, diagnosed with insomnia, of Henan Province Hospital of TCM between June 2011 and September 2013. The symptom patterns in insomnia were extracted. Next, symptom differentiation,characteristics of polysomnography(PSG), distribution and combined regulation of these symptom patterns were conducted by tests.RESULTS: In total, 286 eligible patients were recruited. The main locations of the disease symptom elements were the brain and heart, and the main characteristics of the disease symptom elements were phlegm-heat, Yin-deficiency and Qi-stagnation. The elements from two or three symptom patterns were commonly manifested in patients with insomnia, especially from three symptom patterns. We also found that all TCM symptom patterns had an effect on polysomnographic indicators in PSG tests.CONCLUSION: The elements of symptom patterns in insomnia were identified as mainly fire-heat and phlegm-heat. The most common patterns of excess were pathogenic fire derived from stagnation of liver-Qi, and mental disturbance due to phlegm-heat,while the most common patterns of deficiency in both the heart and the spleen. There are many differences in PSG indicators of different syndrome patterns of insomnia.     

络病学说在肾性血尿中的应用

肾性血尿是肾脏疾病的常见症状之一,目前西医善无特效药物治疗,传统中医药在肾性血尿的治疗中有较为明显的优势,从络论治肾性血尿不仅可以提高治疗效果,而且对络病学说有了新的认识。近年来随着络病学说研究的不断完善,肾性血尿的治疗也有了明显的提高。本文结合络病学理论以及彭世桥老师的临床经验,对肾性血尿从络病论治作一总结和探讨。     

辨病辨证治疗肝硬化腹水47例

对 4 7例肝硬化腹水 (水臌 )患者 ,试从辨病和辨症相结合的角度 ,以中医辨证施治为主进行浅析。结果总有效率为 74 6 %。其中有 2例转变为肝癌。提示对病程长 ,久治不愈的患者要引起重视。篇后所附有关参考文献对开拓眼界 ,提供思路 ,指导治疗有一定参考意义。     

再发缺血性中风164例危险因素和临床证型分析

目的：探讨再发缺血性中风的危险因素及中医证型。方法：对236例首发及164例再发缺血性中风病人分组,对糖尿病、高血压病、高脂血症、缺血性心脏病、颈动脉斑块及吸烟、饮酒等易患因素及中医证型进行比较分析。结果：易患因素中糖尿病、高血压病、颈动脉斑块三组比较有统计学意义（P〈0.01）。高脂血症、冠心病、吸烟、饮酒无明显差异。再发组中医辨证风痰瘀血,痹阻脉络证多见（39%）。结论：糖尿病、高血压病、颈动脉斑块是再发缺血性中风最重要的危险因素,临床上要重视糖尿病、高血压病、颈动脉斑块的早期治疗。     

Effect of Huatan Jieyu granules in treatment of Parkinson's disease patients with sleep disorder identified as symptom pattern of phlegma-heat-stirring wind

OBJECTIVE: To investigate the safety and efficacy of Huatan Jieyu granules in treatment of Parkinson's disease(PD) patients with sleep disorder identified as symptom pattern of phlegma-heat-stirring wind in terms of the theory of Traditional Chinese Medicine.METHODS: In total, 107 Parkinson's disease patients with sleep disorders identified as symptom pattern of phlegma-heat-stirring wind were selected and randomly divided into the experimental group(55 cases) and the control group(52 cases).Both groups were given basic treatment with prednisone. The experimental group of patients was treated with Huatan Jieyu granules and the control group of patents was treated with only the basic treatment. Treatment lasted for 4 weeks. Sleep polygraph were recorded before the study as well as 3 months and 6 months after treatment.RESULTS: After treated with Huatan Jieyu granules,the total sleep time, and the percentage of non rapid eye movement 2(NREM 2), non rapid eye movement 3(NREM 3) and rapid eye movement(REM)sleep period increased significantly, while the percentage of NREM1 sleep period decreased significantly compared with before treatment(P 0.05).CONCLUSION: The treatment of PD patients with sleep disorder by Huatan Jieyu granules can improve their sleep structure and their sleep quality.