摘要
对于瘀血导致的疾病,名医张仲景善用下瘀血法进行治疗,故将其所创10首下瘀血方剂分为缓下和急下两类进行辨析。温经汤、桂枝茯苓丸、大黄䗪虫丸归于缓下,下瘀血汤、桃核承气汤、抵当汤、抵当丸、大黄甘遂汤、大黄牡丹汤、鳖甲煎丸归于急下。总结缓下和急下两类方剂各自的组方用药特点、临床应用指征,并认为凡能使瘀血从下排出者皆可归于下瘀血方剂之列;提出不仅要治血,还要治气;认为着眼瘀血之时亦需顾及兼邪,一并下之;对于瘀血证应知机审时,尽早医治,防止其迁延而成癥瘕。
Zhang Zhongjing,a famous doctor,made good use of the stasis-purging method to treat diseases caused by blood stasis.Therefore,his 10 formulas for purging stasis were classified into mild purgation and drastic purgation and were analyzed in this article.Wenjing Decoction,Guizhi Fuling Pill,and Dahuang Zhechong Pill were classified into mild purgation formulas,and Xiayuxue Decoction,Taohe Chengqi Decoction,Didang Decoction,Didang Pill,Dahuang Gansui Decoction,Dahuang Mudan Decoction,and Biejiajian Pill were classified into drastic purgation formulas.We summarized the formulation characteristics and clinical application indications of the two categories of formulas,insisting that formulas that could discharge blood stasis from the lower part of the body could be categorized as stasis-purging formulas.We proposed that both blood and qi should be treated,that both blood stasis and concurrent pathogens should be discharged,and that stasis syndrome should be differentiated as early as possible to prevent it from developing into abdominal mass.
作者
刘泽
秘智彤
刘伟
周佳静
侯爱画
LIU Ze;BI Zhitong;LIU Wei;ZHOU Jiajing;HOU Aihua(The First Clinical Medical College of Shandong University of Traditional Chinese Medicine,Ji’nan,Shandong 250355,China;Department of Oncology,Yantai Traditional Chinese Medicine Hospital,Yantai,Shandong 264001,China)
出处
《上海中医药杂志》
CSCD
2023年第5期46-50,共5页
Shanghai Journal of Traditional Chinese Medicine
基金
国家中医药管理局全国名老中医药专家传承工作室项目(国中医药人教函〔2018〕134号)
山东省卫健委中医药科技项目(2020Q092,2020M133)
山东省卫健委名老中医药专家传承工作室项目(鲁卫函〔2019〕92号)。
关键词
瘀血
下法
活血化瘀
经典名方
张仲景
中医药疗法
blood stasis
purging method
activating blood and removing stasis
classical formula
Zhang Zhongjing
traditional Chinese medicine therapy
