《伤寒杂病论》下利证治规律探析

发布时间：2018-03-26 11:16

本文选题：《伤寒杂病论》　切入点：下利　出处：《南京中医药大学》2016年硕士论文

【摘要】：《伤寒杂病论》是一部论述临床治疗学的古典医著,此书理法方药皆备,被尊为中医经典,其不仅为外感病立法处方,同时亦论治内伤杂病。后世医家在搜集整理和重新撰次《伤寒杂病论》时,将其分为《伤寒论》与《金匮要略》二书。下利是中医临床常见的病证,其特点随病机、疾病发展阶段以及患者体质之差异而不同。《伤寒论》中关于下利的条文有84条,约占全书条文的1/5,其中明确用方的条文有42条,涉及方剂32首；《金匮要略》关于下利的条文共计42条(含附方条文),其中明确以下利为用方指征的条文有18条,共14首方(含附方)。本研究将《伤寒论》与《金匮要略》合而论之。首先明确了《伤寒杂病论》之下利包括后世所言之痢疾与泄泻,然后通过对《伤寒杂病论》有关下利的条文进行归纳与整合,一方面阐明《伤寒杂病论》中下利的病机和脉证特点,另一方面根据方证相应学说,分析探讨仲景治疗下利的方法及相关方剂的严格配伍特点、应用规律,认识各方证间的异同,明晰张仲景遣方用药的技巧。理论方面,有助于理解张仲景的疾病治疗观；临证方面,探析下利病证的方药应用规律,将使我们在临床工作中更加心有定见,阴阳表里寒热虚实之差异极其微妙,抓住方证不同之处,则愈病多矣。
[Abstract]:The Theory of Typhoid Fever is a classical medical work on clinical therapeutics. It is a classic of traditional Chinese medicine and is not only a legislative prescription for exogenous diseases, but also a classic for traditional Chinese medicine. At the same time, it was also discussed on the treatment of internal injuries and miscellaneous diseases. In collecting and recompiling the theory of typhoid miscellaneous diseases, the physicians of later generations divided it into two books: the Treatise of febrile Diseases and the synopsis of the Golden Chamber. Xiali is a common disease syndrome in traditional Chinese medicine, and its characteristics follow the pathogenesis of the disease. The stage of disease development and the difference of the patient's physique are different. There are 84 articles on lower interest in the Treatise of febrile Diseases, which account for about a fifth of the articles in the whole book, of which there are 42 articles that explicitly use the prescription. Involving 32 prescriptions; the synopsis of synopsis of the Golden Chamber contains a total of 42 articles (including the accompanying provisions, in which 18 articles are clearly indicated by the user). The present study combined the Treatise of febrile Diseases with the synopsis of the Golden Chamber. First of all, it was made clear that dysentery and diarrhea, which were described by later generations, were included in the theory of typhoid and miscellaneous diseases. Then, through the induction and integration of the articles about the lower interest in the theory of typhoid and miscellaneous diseases, on the one hand, it clarifies the pathogenesis and the characteristics of the pulse syndrome of Zhongxianli, on the other hand, according to the corresponding theory of prescription and syndromes, This paper analyzes and discusses the methods of Zhongjing treatment and the strict compatibility characteristics of related prescriptions, the application law, the similarities and differences between different syndromes, and clarifies the skills of Zhang Zhongjing's prescriptions. In theory, it is helpful to understand Zhang Zhongjing's view of disease treatment. In the aspect of clinical syndrome, analyzing the application law of prescription and medicine of Xiali disease syndrome will make us have a definite view in clinical work, the difference of cold and heat deficiency and reality in yin and yang surface is extremely delicate, and if we grasp the difference of prescription and syndrome, we will get more and more sick.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R222

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