共查询到19条相似文献,搜索用时 62 毫秒
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痞证是指心下痞窒,胸膈满闷,触之无形、不痛的证候,其病机为气机阻塞,升降失常,此多由误治,热邪内陷所致,亦有脾胃素虚,饮食阻滞,痰气壅窒,或其它原因所致,《伤寒论》有邪热之痞,邪热有余,表阳不足之痞、少阳误下之痞;胃虚食滞之痞;多次误下,胃气重虚之痞;水气停蓄之痞,胃虚挟颌,浊气上逆之痞,邪热下利之痞,热结在里之痞;水饮冲斥胸胁之痞的不同。因此病因病理、症状,治法和煎服药物的方也有差异,笔者对《伤寒论》痞证论治探讨于后: 相似文献
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疾病的预后,无非两种:其一,是病去,痊愈,机体逐渐康复;其二,是病变缠绵,久久不愈,甚或逐渐危重,以至于死亡。前者称之"吉",后者谓之"凶"。《伤寒论》对于向"吉"的方向发展的病情,有欲解、欲愈、易愈、当愈、即愈、愈、自愈、可治、不死、生等分别称谓;对于向"凶"的方向发展的病情,有难治、不治、死、必死等不同称谓。而每一称谓,都有自己的特征与含义。该文就此,一一作了详细的研究,为临床提供了判断疾病预后良恶的可靠数据和信息。 相似文献
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气之在人,无所不至,气之燮和,疾无从生,病之由者,不离乎气。疗疾却病,重在调气。《伤寒论》是书,其辨治正是如此。今刍议十一法浅析于次,以祈抛砖引玉。 相似文献
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何其财 《中华临床医学杂志》2006,7(2):103-104
甘草,俗有国老之称。《本经》列为上品。陶宏景云:“此草最为众药之主”。甄权亦日:“诸药中甘草为君”。“本草纲目》更将之列为草部之首,俨然居参芪之前。这些都说明甘草在药物中的地位。再稽其实用,即如《伤寒论》113方中,用甘草的就有70首,约占总数的62%,居本论所用92种药物之冠。仲景方组织严密,选药精当,方无妄设,药不杂凑。如此倚重甘草,也不是偶然的。 相似文献
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《伤寒论》治则治法研究 总被引:1,自引:0,他引:1
通过对《伤寒论》疾病发生、发展的认识,处理疾病的治则、治法和方剂作用的研究,发现《伤寒论》一书所重视的是致病的因素--"邪".邪气是引发疾病的罪魁祸首,是疾病发生发展变化过程正邪相争的主要方面,邪气在则正必伤,贼邪不去则永无宁日.所以,在制定治病的原则上,主张首当祛邪.通过祛邪以护正,在具体治法上,多采用发汗、涌吐、攻下、温散、清泄、逐瘀、化痰开结与利水渗湿.全书112方,而祛邪方剂达60余首,占全书方剂近60%,扶正补益的方剂占不到10%.可见《伤寒论》治病的主张是旗帜鲜明的--祛邪以护正,邪去则正安. 相似文献
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<正>《伤寒论》为东汉医圣张仲景所著,此书虽然距今已有两千多年的历史,但书中的大部分方剂现在临床上仍应用广泛,疗效满意,堪称经典。其中的五泻心汤虽专为痞证而设,但其病因病机、主证、治则、煎服方法各不相同,因此,临床应用时须加以鉴别。 相似文献
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探究《伤寒论》中"但头汗出"的病机与证治,认为其病机主要分为阳热蒸迫、湿热郁结、水热互结、少阳之邪与水饮互结、少阳郁热、血热壅滞、阴竭阳脱、郁热熏蒸,并给予相对应治疗处方.并列举验案一例. 相似文献
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目的:基于"甘能缓"理论,对张仲景《伤寒杂病论》中应用"和百药"药对的配伍规律。方法:选取符合"甘能缓"理论的张仲景"和百药"药对标准的经方建立数据库,采用频数分析、网络图链接关系、关联规则等方法探讨张仲景的"和百药"药对的用药及配伍规律。结果:在166方中,有122味药物,其中最常用甘草进行药对配伍。数据挖掘得出与甘草高频配伍的有毒药为半夏、附子、苦杏仁,解毒关联规则13条、强链接2组,得到药对"甘草-附子""蜂蜜-乌头"等;缓和药性关联规则24条、强链接11组,得到药对"甘草-石膏-麻黄""甘草-桂枝"等。结论:"和百药"药物可通过药对配伍缓和药物毒性、缓和药物寒热之性、缓和药力、缓留药效、缓和药物滋味。 相似文献
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Charles G. Murphy MD Alma C. van de Pol MD Marvin B. Harper MD Richard G. Bachur MD 《Academic emergency medicine》2007,14(3):243-249
Background: The utility of chest radiographs (CXRs) for detecting occult pneumonia (OP) among pediatric patients without lower respiratory tract signs has been previously studied, but no predictors other than white blood cell count (WBC) and height of fever have been investigated. Objectives: To identify predictors of OP in pediatric patients in the postconjugate pneumococcal vaccination era. Methods: This was a retrospective cross sectional study that was conducted in a large urban pediatric hospital. Physician records of emergency department (ED) patients of age 10 years or less who presented with fever (≥38°C) and had a CXR obtained for suspected pneumonia were reviewed. Patients were classified into two groups: “signs of pneumonia” and “no signs of pneumonia” on the basis of the presence or absence of respiratory distress, tachypnea, or lower respiratory tract findings. Occult pneumonia was defined as radiographic pneumonia in a patient without signs of pneumonia. Results: Two thousand one hundred twenty‐eight patients were studied. Among patients categorized as having no signs of pneumonia (n = 1,084), 5.3% (95% CI = 4.0% to 6.8%) had OP. Presence of cough and longer duration of cough (greater than 10 days) had positive likelihood ratios (LR+) of 1.24 (95% CI = 1.15 to 1.33) and 2.25 (95% CI = 1.21 to 4.20), respectively. Absence of cough had a negative likelihood ratio (LR?) of 0.19 (95% CI = 0.05 to 0.75). The likelihood of OP increased with increasing duration of fever (LR+ for more than three days and more than five days of fever, respectively: 1.62; 95% CI = 1.13 to 2.31 and 2.24; 95% CI = 1.35 to 3.71). When obtained (56% of patients), WBC was a predictor of OP, with a LR+ of 1.76 (95% CI = 1.40 to 2.22) and 2.17 (95% CI = 1.58 to 2.96) for WBC of >15,000/mm3 and >20,000/mm3, respectively. Conclusions: Occult pneumonia was found in 5.3% of patients with fever and no lower respiratory tract findings, tachypnea, or respiratory distress. There is limited utility in obtaining a CXR in febrile children without cough. The likelihood of pneumonia increased with longer duration of cough or fever or in the presence of leukocytosis. 相似文献
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目的探讨热性惊厥患儿血清电解质和血糖的变化及其临床意义。方法选取2009年6月-2010年12月儿科住院的呼吸道感染并发热性惊厥患儿38例和呼吸道感染无惊厥患儿42例,分别作为观察组和对照组,测定和比较两组患儿血清电解质和血糖值。结果观察组血清钠离子浓度为(133.05±1.74)mmol/L、氯离子浓度为(100.37±1.79)mmol/L;对照组血清钠离子浓度为(142.19±1.85)mmol/L、氯离子浓度为(104.57±1.55)mmol/L,差异均有统计学意义(P<0.01);观察组和对照组血糖浓度依次为(6.93±0.87)、(5.12±0.55)mmol/L,差异有统计学意义(P<0.01)。观察组在治疗后的血清钠离子、氯离子浓度分别为(140.89±2.68)、(103.29±1.94)mmol/L,均高于发生惊厥时的浓度(P<0.01);观察组在治疗后的血糖浓度为(5.31±0.68)mmol/L,明显低于发生惊厥时,差异有统计学意义(P<0.01)。结论婴幼儿发生热性惊厥时存在血钠、血氯水平降低和血糖升高,在热性惊厥患儿的治疗中应纠正血钠水平和高血糖。 相似文献
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