摘要
通过认真学习比较历代伤寒注家对麻黄升麻汤的注解阐释,发现本方证不应局限于厥阴病,其实质乃伤寒误治之坏病。本方病机可概括为误下阴阳两伤,阳气内陷,郁于中焦。阴阳两伤则出现下利,厥逆之象,阳郁于中,熏蒸上焦,则表现为咽喉不利,咳唾脓血。并且举出1则病例对其进行说明,同时概括认为,在认真探讨本方证病机的基础上,准确认证,审机运用麻黄升麻汤,无疑会对一些寒热错杂、虚实相因的疑难病找到新的解决办法。
The authors conscientiously studied and compared the different notes of Mahuang Shengma Prescription in past dynasties, found that the prescription shouldn't be focused on Jueyin disease, the pathogenesis was wrong diarrhea treatment leading yin and yang hurt, yang qi invaginating, and compressing in Zhongjiao. Both yin and yang damage caused diarrhea, and Jueyin symptoms; Yang compressing Zhongjiao induced unfavorable throat, coughing, vomiting pus and blood. Meanwhile, the paper illustrated some cases to verify further, summarized thoughts that it might be useful to find new solutions on a few syndromes of mixed coldness and heat, or deficiency and excess, so long as reasonably applying Mahuang Shenma Decoction according to differentiation.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2014年第2期489-491,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
麻黄升麻汤
病机
临床应用
Mahuang Shengma Prescription
Pathogenesis
Clinical use