摘要
本文论述了《金匮要略》对虚劳证治的特点,一是在脉象方面提出了“脉大为劳,极虚亦为劳”,这是虚劳脉象的总纲,大脉和虚脉可以概括其他虚劳脉象。二是把瘀血作为虚劳的重要发病原因,瘀血停留阻碍气血运行和新血生长,日久可成为虚劳,治疗便当用活血化瘀之法。三是重视用桂枝汤类方治疗虚劳,如黄芪建中汤、桂枝加龙骨牡蛎汤等均是,笔者还介绍了运用这些方剂的临床体会.四是用药方面的特点,善于运用黄芪、附子和当归等治疗虚劳,而且和《伤寒论》比较又有其独到之处。
In the paper the author discusses the characteristics of consumptive diseases and their porper treatment in Synopsis of Golden Chamber. It is pointed out that:1) Large pulse and feeble pulse suggest the asthenia of viscera, which is the general concept of pulse condition of consumptive diseases; 2)Stagnated blood is the main course of consumptive diseases. It could block the circulation of qi and blood of the body and affect the reproduction of blood, which, if lasting for a long time, could bring about consumptive diseases. And therefore, treatment for consumptive diseases shouid be removing blood stasis,promoting blood circulation; 3) Gui Zhi Tang (Ramlus Cinnamomi Decoction) and those of its kind such as Huangqi Jianzhong Tang and Guizhi Jia Longgu Mouli Tang are considered to be chief prescriptions for consumptive diseases; 4) Synopsis of the Golden Chamber also shows much originality in the application of herbs, for instance, Radix Astragali seu Hedysari, Radix Aconici Praeparata and Radix Angelicae Sinesis are frequently used in the treatment of consumptive diseases.
关键词
金匮要略方论
虚劳
中医药疗法
JINGUI YAOLUE FANGLUN
CONSUMPTIVE DISEASES/TCM ther
CONSUMPTIVE DISEASES/pathogenesis (TCM)
CONSUMPTIVE DISEASES/diagnosis
