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郑重光运用当归四逆汤辨治厥阴病

Zheng Chong-guang′s Experience of Treating Jueyin Disease with Chinese Angelica Frigid Extremities Decoction
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摘要 郑重光临证治病尤为尊崇仲景六经辨证,在医案中反复强调治病宗经之论。其认为,当归四逆汤证中脉象虽细而欲绝,但是必重按有力,遵从仲景的理论,认为阳证阴脉,法当难治,并提出了阳证阴脉,舍证从脉的辨证方法,即阳证阴脉,以脉为准,强调了脉诊在临证中的重要性。运用当归四逆汤辨治厥阴痢疾、厥阴疟疾、虾蟆瘟等,临床用药特点有:擅用姜附,去当归,当归四逆汤与乌梅丸两方合用。另外,郑重光还提出厥阴病应分阶段论治。 In clinical practice,Zheng Chong-guang paid great attention to the syndrome differentiation of six meridians of Zhang Zhong-jing,and repeatedly emphasized the theory of treating diseases and adhering to classics in medical records.He thought although the pulse of Chinese Angelica Frigid Extremities Decoction syndrome is thin and disappearing,but powerful if pressed heavily.According to Zhang Zhong-jing′s theory,it is difficult to treat yang syndrome and yin meridian.Therefore,he put forward the dialectical method of following pulse rather than syndrome and emphasized the importance of pulse diagnosis in clinical practice.He used treat Chinese Angelica Frigid Extremities Decoction to treat dysentery of the meridian of reverting yin,malaria of the meridian of reverting yin and toad plague,etc.The characteristics of clinical medication were as follows:He was good at using Shengjiang(Rhizoma Zingiveris Recens) and Fuzi(Radix Aconiti Lateralis Preparata) removing Danggui(Radix Angelicae Sinensis).Chinese Angelica Frigid Extremities Decoction was often combined with Mume Pill.In addition,Zheng Chong-guang also proposed that disease of the meridian of reverting yin should be treated by stages.
作者 王素云 WANG Su-yun(Henan University of Chinese Medicine,Zhengzhou,Henan,China,450000)
机构地区 河南中医药大学
出处 《河南中医》 2021年第2期201-204,共4页 Henan Traditional Chinese Medicine
关键词 当归四逆汤 厥阴病 《伤寒论》 张仲景 《素圃医案》 郑重光 Chinese Angelica Frigid Extremities Decoction disease of the meridian of reverting yin Treatise on Cold Damage Diseases Zhang Zhong-jing Supu Mecical Cases Zheng Chong-guang
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