张锡纯临证应用白虎加人参汤经验

发布时间：2017-12-26 17:34

本文关键词：张锡纯临证应用白虎加人参汤经验　出处：《浙江中医药大学学报》2017年04期 　论文类型：期刊论文

【摘要】：[目的]总结张锡纯临证应用白虎加人参汤的经验。[方法]通过对张锡纯《医学衷中参西录》中有白虎加人参汤的论述与案例的整理分析与归纳,阐述方中人参的功效、人参宜加于白虎汤中的条件、有关治疗的疾病、临证时注意的细节。[结果]张锡纯认真研读《伤寒》,并结合自己临证品验,认为不仅在汗、吐、下与渴者,或脉虚者,白虎汤宜加人参,并应结合年龄、体质等综合因素考虑,且产后均须加入人参。提出温病少阴,打破产后忌用寒凉之说,清阳明之热以治肺病,放胆用以治疗妊娠温病,并认为阳明腑实脉虚者宜先用白虎加人参汤以治脉虚,而后才可通之。在临证时细细入微,详细询问病情,症脉合参,识病辨证,并注重煎、服之法。[结论]张锡纯临证应用白虎加人参汤多用以治疗寒温热入阳明病,阳明腑热是其基本病机;打破伤寒、温病门户之见,推广白虎加人参汤的临床应用,通过临证细节以提高疗效,是对白虎加人参汤临证应用的重大贡献。
[Abstract]:[Objective] to summarize the experience of Zhang Xichun's clinical application of white tiger and human ginseng soup. [method] through analyzing and summarizing the discussion and case of Zhang Xichun's "Shen Zhong Shen Xi Lu", we have elaborated the efficacy of ginseng in ginseng, the conditions of ginseng added to white tiger soup, the details of disease and clinical details. [result] Zhang Xichun carefully studied "typhoid fever" and combined with his own clinical tests. He thought that not only in sweat, vomiting, diarrhea and thirsty people, white tiger soup should be added to ginseng, but also combined with comprehensive factors such as age and physical constitution, and ginseng should be added after delivery. This disease Shaoyin, break the postpartum Jiyong cold, clear heat to cure Yangming disease, for the treatment of pregnancy with febrile disease, and that the Yang Ming Fu real clock deficiency are advised to use White Tiger Decoction with ginseng to treat the virtual pulse, and then through the. In the pro card carefully nuanced, asked in detail about the disease, symptom and pulse combined knowledge, disease differentiation, and focus on frying, service method. [Conclusion] Zhang Xichun clinical application of White Tiger Decoction with ginseng used to treat cold heat in Yangming disease, Yang Ming Fu heat is the basic pathogenesis of typhoid fever, epidemic febrile disease; break the parochial prejudice of clinical application, Baihu Decoction with ginseng, through the clinical details to improve the curative effect, is a great contribution to the clinical application of Baihu Decoction plus ginseng the.
【作者单位】：浙江中医药大学;杭州市第一人民医院;
【分类号】：R249;R289
【正文快照】： JOURNALOFZHEJIANGCHINESEMEDICALUNIVERSITYVOL.41NO.4Apr.2017名家名作研究《医学衷中参西录》是我国近代著名医家张锡纯先生一生研究、运用和发展祖国医学的心血结晶,笔者对张锡纯应用白虎加人参汤的有关论述与医案进行认真研读,对其应用白虎加人参汤的论述与案例的整理分

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