摘要
《金匮要略》中“眩”之病机分为虚实两大类:虚为精血亏虚,清窍失养;实为水湿痰饮,上犯清窍,蒙蔽清阳,虚实之间又以水湿痰饮等病理因素为主。水湿痰饮致眩可导致肺中虚冷,津液不布;饮停胸膈,上蒙清阳;脾胃阳虚,饮停心下;膀胱气化不利,水蓄下焦;风湿郁遏;湿热蕴结等。因虚致眩可导致虚劳失精,正虚挟风等。制方合乎“病痰饮者,当以温药和之”和“腰以下肿,当利小便”等治法,用药以利水、健脾、温阳类为主。
In Synopsis of the Golden Chamber,the pathogenesis of "dizziness" can be divided into two categories:deficiency and excess:Deficiency refers to the deficiency of essence and blood resulting in loss of nourishment of clear orifices.Excess refers to fluid-phlegm retention which invades the clear orifices and hoodwinks clear yang.Between deficiency and excess,there are mainly pathological factors such as water dampness and phlegm retention.Dizziness due to water dampness and phlegm retention can lead to deficiency and cold in the lungs and non-distribution of body fluid.If water dampness stops at the chest diaphragm,it may hoodwink clear yang.If the spleen-stomach yang is deficient,water retention may stop under the heart.If bladder gasification is unfavorable,it can lead to water storage in lower energizer.Wind dampness may lead to depression.Dampness and heat may lead to accumulation.Dizziness due to deficiency can lead to consumptive disease,deficient healthy qi carrying wind,etc.The commonly-used formulas conform to the treatment methods of "those who are sick with phlegm retention treated with warm medicine" and "those who are swollen below the waist treated with promoting diuresis".The drugs are mainly used to induce diuresis,strengthen the spleen and warm yang.
作者
尹亚辉
庄玉兵
黄雪元
蔡以生
YIN Ya-hui;ZHUANG Yu-bing;HUANG Xue-yuan;CAI Yi-sheng(Jiading District Hospital of Traditional Chinese Medicine of Shanghai,Shanghai,China,201899;Jiading District Nanxiang Hospital of Shanghai,Shanghai,China,201802)
出处
《河南中医》
2022年第11期1621-1624,共4页
Henan Traditional Chinese Medicine
基金
国家中医药管理局全国基层名老中医药专家传承工作室建设项目-蔡以生全国基层名老中医药专家传承工作室{国中医药人教函[2019]42号}
上海市嘉定区中医重点学科(专科)项目(2020-JDZYYZDZK-03)
上海市嘉定区卫生健康委员会中医药科研课题项目(2021-QN-ZYY-05)。
关键词
“眩”
水湿痰饮致眩
因虚致眩
《金匮要略》
张仲景
"dizziness"
dizziness due to water dampness and phlegm retention
dizziness due to deficiency
Synopsis of the Golden Chamber
Zhang Zhong-jing
