摘要
膏方属于中医丸、散、膏、丹、酒、露、汤、锭八种剂型之一,随着时代的发展而愈加盛行,膏方现广泛应用于疾病后期、慢性病及治未病等人群的调治。温病瘥后同样作为病后恢复的阶段,易于迁延反复或遗留后遗症。基于“冬不藏精,春必病温”的角度提出“肾精不藏”既是温病发病的先决条件,又是温病瘥后余邪未尽、迁延反复的重要病机,与膏方滋补填精的功用不谋而合。因此,在参考古代医家运用膏方治疗温病瘥后经验的基础上,注重运用大方复治,以血肉有情或味厚质润之品益养阴精,佐以甘寒清补之品以清解余邪、护养胃阴,重视病因及兼夹证,恰当配伍动静药物,以期更好地发挥膏方在温病瘥后调治中的作用提供借鉴。
Herbal paste is one of the eight dosage forms of traditional Chinese medicine(TCM),with the rest being pills,powder,pellets,liquor,distillate,decoction,and troche.Herbal paste has gradually become popular with the development of the times and is now widely used in the treatment of patients with diseases in the later stages and chronic diseases and adopted for prevention before disease onset.The febrile disease recovery period refers to the stage of recovery from illness,which contributes to prolonged recurrence or sequelae.Based on the theory that “failure to nourish the essence in Winter will induce warm diseases in Spring”,it was proposed that “failure to nourish kidney essence” was a prerequisite for the onset of febrile disease and important pathogenesis for the remaining evil and prolonged recurrence during the febrile disease recovery period,which coincided with the function of the herbal paste in nourishing and filling the essence.Therefore,based on the experience of ancient doctors applying herbal paste in the febrile disease recovery period,this paper paid attention to retreating the disease by strong prescriptions and making full use of animal supplements or tonic herbal medicines to nourish Yin essence.Sweet and cold tonic herbal medicines could be used to clear away the remaining evil and nourish the stomach Yin,and etiology and combination of syndrome should be emphasized.An appropriate mixture of static and motive herbal medicines was necessary to better play the role of herbal paste in the febrile disease recovery period and provide a reference.
作者
秦欣欣
苏惠萍
贾琦
闫玉琴
张山
练毅刚
倪磊
施怡
QIN Xin-xin;SU Hui-ping;JIA Qi;YAN Yu-qin;ZHANG Shan;LIAN Yi-gang;NI Lei;SHI Yi(Beijing Longfu Hospital,Beijing 100010;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700;Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029)
出处
《世界中西医结合杂志》
2024年第5期1047-1050,共4页
World Journal of Integrated Traditional and Western Medicine
基金
北京中医药新奥奖励基金课题(2018-XAJLJJ-019)。
关键词
冬不藏精
膏方
温病瘥后
理论应用
Failure to Nourish the Essence in Winter
Herbal Paste
Febrile Disease Recovery Period
Theoretical Application
