摘要
张仲景将外感热病发展、变化过程中产生的各种证候,依据阴阳两气的多少、寒热辨证的高低、脏腑发病的部位,归纳为太阳病、阳明病、少阳病、太阴病、少阴病、厥阴病等6个阶段,分述各经病变主要症状、脉象、治疗调护及顺传、逆传、直中等传变方式。太阳病多为热病初期,治宜发汗祛邪或调和营卫;阳明病多为热病极期,治宜清热、通腑、祛邪,亦要注意正气的固护;少阳病多为热病中期,治宜益气、祛邪并重;太阴病多为热病后期,治宜温补阳气;少阴病多为热病后期,治宜回阳固脱;厥阴病多为热病晚期,治宜回阳兼清热、救阴兼散寒。
Zhang Zhongjing summarized the symptoms of exogenous febrile disease during its development and change into six stages according to the number of Yin and Yang qi,the level of cold and heat syndrome differentiation,and the location of visceral disease,including Solar disease,Yangming disease,Shaoyang disease,Taiyin disease,Shaoyin disease,Jueyin disease,and described the main symptoms,pulse conditions,treatment,nursing care,and transmission,reverse transmission,and direct and moderate transmission. Most of the Solar diseases are early febrile diseases,which should be treated by sweating to eliminate evil or harmonizing Yingwei. Yangming’s disease is mostly a fever extreme period,and treatment should focus on clearing away heat,relieving internal organs and eliminating pathogenic factors,and attention should also be paid to the protection of Yang qi. Most of Shaoyang’s diseases are in the middle stage of febrile disease,and it should be treated with both benefiting qi and eliminating pathogens.Taiyin disease is usually the late stage of febrile disease and should be treated with warming and tonifying Yang qi. Shaoyin diseases are usually at the later stage of febrile diseases and should be cured by returning to Yang and consolidating the body. Jueyin disease is usually in the late stage of febrile disease and should be treated with returning Yang and clearing heat,saving Yin and dispelling cold.
作者
杨金亮
季然
齐文升
YANG Jinliang;JI Ran;QI Wensheng(Guang 'anmen Hospital of China Academy of Chinese Medical Sciences,Beijing China 100053;Tianjin University of Chinese Medicine,Beijing China 100029)
出处
《中医学报》
CAS
2019年第1期35-38,共4页
Acta Chinese Medicine
基金
中国中医科学院广安门医院国家中医临床研究示范基地科研专项基金项目(2017S397)
关键词
《伤寒论》
六经病
外感热病
三阴三阳
Shanghanlun
six-menstrual disease
exogenous febrile disease
San Yin and San Yang
