摘要
从阳密乃固理论与《金匮要略》治阳法的联系出发,阐释了阳密乃固理论有阳旺不卑、阴精充盈,阳潜不亢、精神内守,阳通气畅、升降有序三层含义。《金匮要略》谨遵《内经》之旨,认为阳病病机主要包含阳虚不摄、阳亢扰神、邪阻阳郁三个方面,法随证立,故临床根据证候虚实和病因病机的不同分别运用温脏暖宫、固精摄阴,潜阳和阴、安神定志,祛邪通阳、降浊升清三法辨治。同时在日常生活中应时刻慎养阳气以防妄泄。本文探讨《金匮要略》治阳三法的临床应用,以期为现今临床诊疗提供理论依据。
Starting from the relationship between the theory of Yang Mi Nai Gu and the method of treating yang in Synopsis of the Golden Chamber,this paper explains that the theory of Yang Mi Nai Gu has three meanings:yang is vigorous and not inferior,while yin essence is plentiful;the latent yang is not overactive,and mental is concentrating;yang ventilation is smooth,and ascending and descending is orderly.Synopsis of the Golden Chamber scrupulously complies with the tenor of Neijing,and holds that the pathogenesis of yang disease mainly includes three aspects:yang deficiency,yang hyperactivity disturbing spirit and evil blocking yang depression.Therefore,according to the difference of deficiency and excess of syndrome and etiology and pathogenesis,three methods are used to warm the uterus,consolidate essence and absorb yin,latent yang and yin,calm the mind,dispel pathogen and dredge yang,and descend turbidity and raise clear.At the same time,we should always be careful to nourish yang qi in daily life to prevent miscarriage.This article discusses the clinical application of the three methods of treating yang in Synopsis of the Golden Chamber,hoping to provide a theoretical basis for current clinical diagnosis and treatment.
作者
李克
卢雪莲
陈奕真
李云海
LI Ke;LU Xue-ian;CHEN Yi-zhen;LI Yun-hai(College of TCM,Hubei University of Chinese Medicine,Wuhan 430061)
出处
《湖北中医药大学学报》
2024年第3期49-53,共5页
Journal of Hubei University of Chinese Medicine
基金
湖北省中医药管理局中医药重点学科建设项目(项目编号:5432-10100204)
湖北高校省级一流本科课程(鄂教高函[2023]19号)。
关键词
阳密乃固
《金匮要略》
阳虚
治法
辨证论治
Yang Mi Nai Gu
Synopsis of the Golden Chamber
Yang deficiency
Therapy
Syndrome differentiation and treatment
