仲景咳喘治法与用方研究

发布时间：2018-04-08 12:28

本文选题：伤寒杂病论　切入点：咳喘　出处：《南京中医药大学》2017年博士论文

【摘要】：本文探讨了仲景治咳喘的法则、用方的特点,并整理归纳了导师临床运用经方治疗咳喘病的经验。本文归纳了仲景治咳喘方有麻黄类方(麻黄汤、葛根汤、麻杏石甘汤、小青龙汤、大青龙汤、越婢加半夏汤、射干麻黄汤、厚朴麻黄汤)、柴胡类方(小柴胡汤、大柴胡汤、四逆散)、桂枝类方(桂枝汤、桂枝加厚朴杏子汤、苓桂术甘汤、五苓散)、茯苓类方(苓甘五味姜辛汤、茯苓杏仁甘草汤)、姜附类方(甘草干姜汤、生姜甘草汤、真武汤、麻黄附子细辛汤)、大黄类方(大承气汤、大陷胸汤、桔梗白散、十枣汤)、人参类方(麦门冬汤、薯蓣丸)、栝楼类方(小陷胸汤、栝楼薤白白酒汤、橘枳姜汤)、其他类方(木防己汤、半夏厚朴汤、猪苓汤、桔梗汤、苇茎汤、葶苈大枣泻肺汤、皂荚丸、葛根芩连汤)。本文结合仲景原文,分析归纳了仲景治咳喘的治法和用方特点,分别为仲景所治咳喘证以风寒居多、治咳喘宜调气为重、中阳不足宜温利、肺燥宜清润养阴、顾护中焦宜姜草枣、痰饮咳喘宜姜辛味、痰饮呕逆用半夏、邪热壅肺宜石膏、止咳平喘宜麻杏、咳喘用专病专方。本文归纳了导师临证学术特点,如重视体质学说、方证相应和主治疾病谱。导师临床治疗咳喘,注重辨体质用方、辨方证用药、谨守原方少作加减、慢性病患善用食疗、调理体质或病证复杂时常常数方相合,疗效显著增强。
[Abstract]:This paper discusses the rule of Zhongjing treating cough and asthma and the characteristics of the prescription, and sums up the experience of the tutor in treating cough and asthma.This paper summarizes Zhongjingzhi Kechuanfang (Ephedra decoction, Pueraria decoction, Ma Xingshi Gan Tang, Little Azure Dragon decoction, Great Azure Dragon decoction, Yue Mailie and Banxia decoction, Shegan Ephedra decoction, Magnolia Ephedra decoction, Chaihu decoction (Xiao Chai Hu Tang, Big Chaihu decoction, etc.)Sini San, Guizhi recipe (Guizhi decoction, Guizhi plus Magnolia apricot decoction, Lingguizu Gan Tang, Wuling San Tang, Poria cocos recipe (Ling Gan Wu Wei Jiang Xin Tang, Fuling Gan Wu Wei Jiang Xin Tang, Poria Ling Almond Licorice decoction, Ginger side recipe (Licorice dry Ginger decoction, Ginger Licorice decoction, Zhenwu decoction, etc.),Ephedrine Aconite Asarum decoction, Rhubarb decoction (Dachengqi decoction, Deep-chest decoction, Platycodon grandiflorum White Powder, Ten Jujube Soup, Panax Ginseng decoction (Maimen Dong decoction, Dioscorea Zingiberensis Pill, Trichosanthes kirilowii decoction, etc.)Tangerine Zhijiang decoction, other kinds of prescription (Mufangji decoction, Pinellia Magnolia decoction, Polyporus Soup, Platycodon decoction, Reed Stem decoction, Tinglida Jujube Xiefeng decoction, Gleditas Pill, Pueraria root and Qinlian decoction.Combined with Zhongjing's original text, this paper analyzes and sums up the characteristics of Zhongjing's treatment of cough and asthma. The symptoms of Zhongjing's treatment of cough and asthma are mainly wind-cold, treating cough and asthma with regulating qi as the most important, the deficiency of Zhongyang as mild, the lung of dryness of lung should be clear and nourishing Yin,Care in Jiaoyi curcuma jujube, phlegm drink cough and asthma Yi Jiang Xin Wei, phlegm drink nausea reverse use Pinellia ternata, evil heat for plaster, cough antiasthmatic apricot, cough and asthma with special disease-specific prescription.This paper summarizes the academic characteristics of mentors' clinical symptoms, such as paying attention to the theory of constitution, the corresponding prescription of syndrome and the spectrum of diseases.The tutor treated cough and asthma, paid attention to the prescription of differentiation of physique, the prescription of differentiation and the prescription of syndrome, kept the original prescription for less addition and subtraction, used the treatment of chronic patients well, adjusted the physique or the complex syndromes of diseases and syndromes and often kept the same constant, and the curative effect was significantly enhanced.
【学位授予单位】：南京中医药大学
【学位级别】：博士
【学位授予年份】：2017
【分类号】：R256.1

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