摘要
关于五更泻的病机,历代医家多认为是脾肾阳虚、火不暖土所致,并称之为"肾泄",临床也多以四神丸为基础方治疗。在深入学习和思考后,站在时间医学的角度来看,五更泻病本虽不离肾,但充分地认识肝对五更泻发病的影响,是治疗的关键。五更时在寅卯,寅卯在五行属木,属少阳之气,五更之时,少阳之气萌动,当脾土不足之际,逢五更则木旺克土,土愈衰而泄泻作。
About the pathogenesis of dawn diarrhea, medical experts of all dynasties consider that dawn diarrhea is induced by spleen-kidney yang deficiency, and fire failing to warm earth, so dawn diarrhea is also called ＂renal diarrhea＂, which can be treated with Sishen Wan （Four Miracle Pills ） as a basic formula in clinical practice. However, after more thought, the authors fully understand the influence of liver on the occurrence of dawn diarrhea, which is the key of treatment from the ehronomedicine perspective, though kidney has close relationship with the disease. The five watches of the night are in Yin Mao, which is subsumed to wood in the five elements, belongs to qi of shaoyang. At the time of five watches, qi of shaoyang sends up, and because of insufficiency of spleen, wood severely restricts earth, then dawn diarrhea occurs.
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2017年第11期902-905,共4页
Journal of Beijing University of Traditional Chinese Medicine
关键词
五更泻
时间医学
四神丸
肝旺
dawn diarrhea
time medicine
Sishen Wan （Four Miracle Pills）
effulgent liver fire
