摘要
唐宗海的《血证论》通过对少阳三焦油膜和血证机理的详细论述,基于“和少阳之枢机,调气机升降出入”的治疗法则,巧变方,用经典重义不重形,善用药,审宜忌加减治新证,形成了其独具特色的运用小柴胡汤经验。唐宗海治疗血证之时擅用小柴胡汤,若见瘀血较重,阻气运行者,则用之化裁理气和血化瘀;若见呕血之后妇人妊娠恶阻等属中焦气机不利,火气互结者,则用之化裁调肝理气和中;若见妇人胞室中气血乖戾,致冲脉失于统领者,则用之化裁理血室、降冲逆;若见外邪干血,血家兼有表证者,则用之化裁和营卫、除寒热;若见妇人产后郁冒,阳气郁闭,津液输布受阻而咽干口渴者,则用之化裁通津液、畅三焦;若见肝气不疏,相火内郁或肝气肆逆,扰动血分者,则用之化裁发郁火、清火热。
In Treatise on Blood Syndromes,Tang Zonghai elaborated on the mechanism of lesser yang triple energizer oil film and blood syndromes in detail.Based on the principle of "harmonizing lesser yang pivot,regulating the ascending,descending,exiting and entering of qi movement",he skillfully changed the formulas,emphasized the meaning rather than the form of the classics,used drugs well,judged the appropriateness and taboos,paid more attention to modification to treat new syndromes,and formed his unique experience in using Minor Bupleurum Decoction.In terms of treating blood syndromes,Tang Zonghai was good at using Minor Bupleurum Decoction.For severe blood stasis and obstructed the flow of qi,he would use it to regulate qi and resolve blood stasis.If a woman experiences pregnancy obstruction after vomiting blood,which belongs to the middle energizer mechanism disorder and is affected by the combination of fire and qi,he would use it to regulate liver qi and harmonize the middle energizer.If a woman′s uterus qi and blood is in disorder,causing the thorough pulse to lose its control,then he would use it to regulate the blood chamber and reduce the reverse counterflow of qi.For external pathogens leading to blood deficiency combined with exterior syndrome,he would use it to regulate and harmonize nutrient-defense qi,remove cold and heat.If a woman has postpartum depression,closed yang qi,blocked body fluid transportation and a dry throat,he would use it to dredge fluid and triple energizer.If liver qi is not dispersed,the minister fire is stagnated or liver qi is hyperactive disturbing blood aspect,he would use it to resolve stagnated fire and clear heat.
作者
张海东
陈泽涛
孔维枝
封俊辰
ZHANG Haidong;CHEN Zetao;KONG Weizhi;FENG Junchen(Shandong University of Traditional Chinese Medicine,Jinan,Shandong,China,250355;The Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan,Shandong,China,250011)
出处
《河南中医》
2024年第3期331-336,共6页
Henan Traditional Chinese Medicine
基金
齐鲁医派中医学术流派传承项目(鲁卫函[2020]132号)。
关键词
《血证论》
唐宗海
“少阳三焦油膜”
小柴胡汤
《伤寒论》
张仲景
Treatise on Blood Syndromes
Tang Zonghai
"lesser yang triple energizer oil film"
Minor Bupleurum Decoction
Treatise on Cold Damage Diseases
Zhang Zhongjing
